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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Will The Abortion Start After Taking Mifegest And Cytolog?

hi
i'm mahesh, i'm 30 and my wife is 28. recently she came positive of pregnancy and right now on 8th day, we have a 3 year old baby and she had cesarean that time and her waight is 45 kg. we don't want a baby yet. we went to a local doctor, he adviced to take mifegest tab - 1 and cytolog tab - 2. the method he suggested was - 1 mifegest tab in morning, after 24 hours (next day morning) 1 cytolog tab and another in evening. follow by another 2 cytolog tab on the next day if needed (no proper bleeding)Now my wife have already taken mifegest tab - 1 and cytolog tab - 2 as doctor suggested in 48 hours, but she have seen only few spots of bleed and a little pain in stomach.my wife sister is a nurse in a wewll known hospital, she said that my wife should have taken 1 mifegest and 1 cytolog in first dose followed by another 1 cytolog tab in 12 hours.when do you think the abortion will start ?
Mon, 27 Jul 2015
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OBGYN 's  Response
Hi Mahesh,

I have gone through your history and have understood the dilemma you are facing.

Your doctor had advised her correct dose. In fact she could have taken the two tablets of Cytolog together.

Usually 4 hours after Cytolog but within 72 hours after the first tablet, the abortion process begins. However, the delay may be prolonged also.

Little spotting has started and she is having pain in the abdomen also. Mostly she should abort in a day or two.

If within 7 days the abortion is not complete, you have to report to your Obstetrician.

No bleeding can be due to:
1. Failure of the medicines. In such case you may have to repeat the dose or go for evacuation. Continuation is not advisable as it is harmful to the baby.
2. Missed abortion: Baby becomes non-viable and still not aborted. Evacuation required. Delay may cause serious complications like bleeding due to clotting disorder (DIC)
3. Ectopic Pregnancy : Pregnancy outside the uterus, mostly in the tubes. Needs immediate intervention. Rupture of tube causes serious bleeding in the abdomen.

The diagnosis can be arrived at by ultrasonography and few examinations.

After 7 days, please report to your Obstetrician for further follow up/ intervention.
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When Will The Abortion Start After Taking Mifegest And Cytolog?

Hi Mahesh, I have gone through your history and have understood the dilemma you are facing. Your doctor had advised her correct dose. In fact she could have taken the two tablets of Cytolog together. Usually 4 hours after Cytolog but within 72 hours after the first tablet, the abortion process begins. However, the delay may be prolonged also. Little spotting has started and she is having pain in the abdomen also. Mostly she should abort in a day or two. If within 7 days the abortion is not complete, you have to report to your Obstetrician. No bleeding can be due to: 1. Failure of the medicines. In such case you may have to repeat the dose or go for evacuation. Continuation is not advisable as it is harmful to the baby. 2. Missed abortion: Baby becomes non-viable and still not aborted. Evacuation required. Delay may cause serious complications like bleeding due to clotting disorder (DIC) 3. Ectopic Pregnancy : Pregnancy outside the uterus, mostly in the tubes. Needs immediate intervention. Rupture of tube causes serious bleeding in the abdomen. The diagnosis can be arrived at by ultrasonography and few examinations. After 7 days, please report to your Obstetrician for further follow up/ intervention.