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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Mifepristone Orally And Misoprostol Through Vagina For Abortion?

Dr. I am pregnant and I don t wish to have a baby in this early. So I want to abort. Gyneochologist suggest me to take 1 dose of mifepristone 200 mg orally and again after 48 hours to put 4 doses of misoprostol 200 mcg inside the vagina . Is it a correct method to follow? Thank you!
Thu, 8 Oct 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
WHO recommends mifepristone-misoprostol combination regimen for medical abortion during first trimester abortions (less than 12 weeks).
What the doctor has advised to take mifepristone 200 mg orally followed after 48 hours by 4 doses of misoprostol 200 mcg through vaginal route is correct.
Mifepristone works by blocking a progesterone, which is necessary for pregnancy to continue. Misoprostol causes contractions of the uterus and helps to expel products of conception.
Bleeding usually starts within four hours after taking the pills. Bleeding might continue lightly one to three weeks after the abortion. Normal menstrual flow should return by four to six weeks.
Abortion by use of pills should be done under medical supervision.
Seek medical attention immediately in case you experience some untoward symptoms.
Hope the information provided would be helpful.
All the best.
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Is It Safe To Take Mifepristone Orally And Misoprostol Through Vagina For Abortion?

Hi, Thanks for posting in HCM. WHO recommends mifepristone-misoprostol combination regimen for medical abortion during first trimester abortions (less than 12 weeks). What the doctor has advised to take mifepristone 200 mg orally followed after 48 hours by 4 doses of misoprostol 200 mcg through vaginal route is correct. Mifepristone works by blocking a progesterone, which is necessary for pregnancy to continue. Misoprostol causes contractions of the uterus and helps to expel products of conception. Bleeding usually starts within four hours after taking the pills. Bleeding might continue lightly one to three weeks after the abortion. Normal menstrual flow should return by four to six weeks. Abortion by use of pills should be done under medical supervision. Seek medical attention immediately in case you experience some untoward symptoms. Hope the information provided would be helpful. All the best.