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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Lower Abdomen After Taking Cytotec?

Pls am 1 month pregnant and I swallowed 3pills of cytotec and inserted 2pills in my vagina 2days ago I saw a very light blood coming out but later vanishes, I started having pains at my lower abdomen from the 2nd day till today Pls what should I do? Please help me
Fri, 10 Aug 2018
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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.

Cytotec is composed of 'Misoprostol', which is a medication used to start labor or cause an abortion. ideally, abortion needs to be done under medical supervision and advise. After consuming Misoprostol, you should expect bleeding and cramps within four hours of using the pills, but it sometimes starts little late. Bleeding is often the first sign that the abortion has begun. If the abortion continues, bleeding and cramps become more severe. Bleeding is often heavier than a normal menstruation, and there can be clots (more if the pregnancy duration is more).
If the abortion is complete, the bleeding and the cramps diminish. Bleeding can sometimes continue lightly for one to three weeks after the abortion. Normal menstrual period usually returns after four to six weeks. However, it is essential for you to get an ultrasound scan done to confirm as to all the products of conception has been expelled out completely. It would take about 2 weeks for the hormonal changes that have taken place during pregnancy to be back to normal. Hence, until then, you might get urine pregnancy test positive. Based on your description, since the bleeding seems to be very light and you are having pain in the abdomen from 2nd day after the intake of pills, it would better for you to consult Gynaecologist promptly for clinical evaluation and appropriate management.

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


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What Causes Pain In The Lower Abdomen After Taking Cytotec?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cytotec is composed of Misoprostol , which is a medication used to start labor or cause an abortion. ideally, abortion needs to be done under medical supervision and advise. After consuming Misoprostol, you should expect bleeding and cramps within four hours of using the pills, but it sometimes starts little late. Bleeding is often the first sign that the abortion has begun. If the abortion continues, bleeding and cramps become more severe. Bleeding is often heavier than a normal menstruation, and there can be clots (more if the pregnancy duration is more). If the abortion is complete, the bleeding and the cramps diminish. Bleeding can sometimes continue lightly for one to three weeks after the abortion. Normal menstrual period usually returns after four to six weeks. However, it is essential for you to get an ultrasound scan done to confirm as to all the products of conception has been expelled out completely. It would take about 2 weeks for the hormonal changes that have taken place during pregnancy to be back to normal. Hence, until then, you might get urine pregnancy test positive. Based on your description, since the bleeding seems to be very light and you are having pain in the abdomen from 2nd day after the intake of pills, it would better for you to consult Gynaecologist promptly for clinical evaluation and appropriate management. Hope I have answered your query. Let me know if I can assist you further.