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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Periods?

Hi, My wife periods has not run and there is a 7 days delay. So we checked with pregnency kit and found she is pregnent. she has taken 2 tablets of Cytolog.After that we came to know she must take mifeprin before using these tablets. But we missed it. Is there any problem in taking with out mifeprin. So these 2 Cytolog tablets will help in abortion. We have a kid of 1 year old. We dont want to go for this pregnency. We are staying in singapore. Here abortion is very expensive. So we used Cytolog tablets bough from india. Please advise will it help. Thanks.
Mon, 25 Apr 2016
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Cytolog or misoprostol pills are for the expulsion of products of conception. It just acts by causing contraction of the uterus. Your wife had taken 2 pills without any effect. It is naturally so as for expulsion, the products need to be separated from maternal body.

If you are intending to go for medical termination of pregnancy with pills she has to purchase an MTP kit which has 5 pills.
• Take 200 mg pills of mifepristone.
• After 48 hours she has to take 2 pills of misoprostol/cytolog (vaginally or orally).
• In case there is no bleeding she can add 2 more pills of misoprostol after 12 hours.
Mostly bleeding starts and abortion may complete by 2 days to 10 days. Check up by a gynecologist after 15 days to confirm complete abortion.

*BUT there may be incomplete abortion/profuse bleeding/infection. So it is advised to start with the treatment with a gynecologist's guidance.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale
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What Causes Delay In Periods?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cytolog or misoprostol pills are for the expulsion of products of conception. It just acts by causing contraction of the uterus. Your wife had taken 2 pills without any effect. It is naturally so as for expulsion, the products need to be separated from maternal body. If you are intending to go for medical termination of pregnancy with pills she has to purchase an MTP kit which has 5 pills. • Take 200 mg pills of mifepristone. • After 48 hours she has to take 2 pills of misoprostol/cytolog (vaginally or orally). • In case there is no bleeding she can add 2 more pills of misoprostol after 12 hours. Mostly bleeding starts and abortion may complete by 2 days to 10 days. Check up by a gynecologist after 15 days to confirm complete abortion. *BUT there may be incomplete abortion/profuse bleeding/infection. So it is advised to start with the treatment with a gynecologist s guidance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale