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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why I Am Getting Only Spots Instead Of Heavy Bleeding After The Intake Of Cytotec?

hi, i had not had my period this month and had a pregnancy test which says i am pregnant. i took 12 cytotec tab,4 each at 3 hours interval.i started yesterday at 4:45 pm. no bleeding has occurred yet,just until this morning at 7:45 i have some spots. i was expecting heavy bleeding but not happening yet,why is that? pls respond asap as i am planning to do second round of cytotec today. thanks a lot
posted on Tue, 1 Apr 2014
Twitter Fri, 5 Sep 2014 Answered on
Twitter Fri, 5 Sep 2014 Last reviewed on
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OB and GYN Specialist,  's  Response
well let me tell you cytotec or misoprostol alone is inadequate to perform an abortion. and the bleeding you are expecting will not start unless the embryo remain s implanted with trophoblasts. you were to consider mifepristone 200mg first , then wait for 36 hrs-48hrs and then start misoprostol 800mg stat, followed by 400mg 4hrly to a max dose of 2000mg. this protocol has a better outcome , and protocol with cytotec alone has been given away with. this has to be done in a registered MTP center AND NOT AT HOME.
]regards
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Why I Am Getting Only Spots Instead Of Heavy Bleeding After The Intake Of Cytotec?

well let me tell you cytotec or misoprostol alone is inadequate to perform an abortion. and the bleeding you are expecting will not start unless the embryo remain s implanted with trophoblasts. you were to consider mifepristone 200mg first , then wait for 36 hrs-48hrs and then start misoprostol 800mg stat, followed by 400mg 4hrly to a max dose of 2000mg. this protocol has a better outcome , and protocol with cytotec alone has been given away with. this has to be done in a registered MTP center AND NOT AT HOME. ]regards