I had recently used MTP pills, and it is day 4. Day one I took 1 tablet of 200 mcg, the second day I took 2 tablets each 200 mcg. I did not take rest two pills, due to heavy bleeding. Also, I had got a lot of clotting, though it must be cleared now. On the fourth day, I did ultrasonography and found still a few clots were present. What is the best solution now? Will it clear automatically after a few weeks or should I take rest two pills now? Please help. Also day 4, the doctor suggested that I need to go for dilatation and curettage. I need your suggestion. Should I do it immediately? I am not in a position to do it now. Can I do dilatation and curettage after some time of around two months? Please suggest. I have attached my laboratory tests for your reference. Thank you.
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Considering the USG (ultrasonography) scan report (attachment removed to protect patient identity), there are still retained products of conception inside the uterus with clots.
Ideally, you can take the remaining two doses of tablet Misoprostol and allow the bleeding to continue further as with medical abortion the bleeding may last for at least 7-10 days.
Repeat USG scan ideally after 2 weeks to check for retained products again. If the products are still retained then dilatation and curettage would have to be done without delaying it further as you said till 2 months.
Delaying can lead to endometritis or uterine infection which can be harmful to future pregnancies.
I took two tablets two days back. Do you suggest that I should take rest two tablets now? I got heavy bleeding and I am scared if I will get it again. Please suggest.
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You should take it now. As products of conception are still there inside and unless they all come out your bleeding will not stop completely at all and D and C (dilatation and curettage) would be the best to undergo ideally in such cases of failed medical management.
You may try by taking the remaining pills sooner or else get an early D and C done.
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