I did not bleed after taking Misoprostol. Why?

Hi,

Welcome to icliniq.com.

I understand your concern.

Mifepristone is a hormonal pill that will dislodge the embryo from the uterus; that is, the embryo will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol 200 mcg, orally or vaginally, at a time is simpler and easier, and can avoid the confusion of repeated doses.

But remember, if you are using it vaginally, just wet it before keeping the tablets, or else they will not dissolve and will have no effect. This pill will make the cervix softer and will make the uterus contract, pushing the products out of the uterus. So, the bleeding you saw was due to the initial separation, and the cramps were due to the uterus attempting to throw the product out.

I would suggest you try keeping all the remaining tablets together at a time vaginally. Do not worry; this has no problems; it will also reduce the chances of failure. Consult your specialist doctor, discuss with him or her, and start taking the medicines after their consent.

If the pain is unbearable, take any antispasmodic, such as the tablet Cyclopam (combination of Paracetamol and Dicyclomine) or Hyocimax (Hyoscine), two to four times a day, depending on the severity of the pain. After two weeks of bleeding, have a scan to confirm the products are fully gone.

I hope I have clarified your query. Do write back for more queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is sad to know that a surgical intervention was needed. I have seen your report (attachment removed to protect patient identity). The cyst is nothing but a corpus luteum hematoma. The ovarian cyst, which would have supported the pregnancy, had it been there. The previous pregnancy scan did not show the cyst?

Just forget about the cyst, repeat the scan after one to two months, and it will have disappeared or shrunk. No need to do anything now.

Just relax, you will do fine.

I hope you find this helpful.

Thank you

Hi,

Welcome back to icliniq.com.

How are you doing? Sad to know that you have been in pain since morning. This is the complication we would want to avoid when we finish the abortions with oral and vaginal medicines.

After five to seven days of procedures like D&C (dilation and curettage), there can be mild infection and edema of the surrounding structures, usually the muscles and ligaments that support the uterus. When there is edema or swelling of these structures, it causes a feeling of swelling and pain in that area. That seems to be the symptoms you are suggesting.

But do not worry, this can be cleared with some oral medications. I suggest you try taking the following.

1. Tablet Ciplox TZ (Ciprofloxacin and Tinidazole) or Doxycycline 100 mg or Hicef 200 (Cefixime) or Bicef (Cefadroxil) or Pulmocef 200 (Cefuroxime) or Cefpod 200 (Cefpodoxime) or Kefpod-CV (Cefpodoxime and Clavulanic acid), twice a day for seven days.

2. Painkiller and to reduce edema, tablet Chymoral forte (Trypsin and Chymotrypsin) or Seratid-D (Serratiopeptidase), twice a day for five days.

3. Usually, you will have gastritis; for that, take tablet Pan 40 (Pantoprazole) on an empty stomach twice a day for three days.

You will be absolutely fine within three to four days. But do complete the course. At least in the future, try to always ask for an alternative medical method for any procedure.

Consult your specialist doctor, discuss with him or her, and start taking the medicines after their consent.

I hope I have clarified your query.

Thank you.

Hi,

Welcome back to icliniq.com.

It is so nice to be of help to you. Hope the problem is solved within the expected time. Do let me know of the progress, and you will surely be better next week.

All the best.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I will suggest that you just relax and forget the past. Neither the doctor nor your partner can diagnose whether you were ever pregnant or had an abortion.

Even scans cannot diagnose it. The only way they can know is if you say it. The doctor is not going to examine you anyway, as you can decide that, and no blood or body investigation can diagnose a history of pregnancy or abortion.

The use of those medications and D&C is not going to affect your pregnancy chances. So just relax and erase all the bad memories.

I hope you find this information helpful.

Take care and regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have gone through your reports, and yes, all your reports are normal (attachment removed to protect patient identity). Do not worry about the PAP smear report; it just means there is some mild inflammation. Anyone who has had a sexual exposure will have some inflammation in the cervix. As you mentioned, HIV has a window period of three months.

If you had been positive, it would have been seen in the test performed after nine months. So you are definitely HIV free.

I did go through all the extensive reports, and they are all perfectly normal. You do not need any medication at all. You can show it to your doctor, and they cannot find any fault.

So just relax and forget about the past.

I hope you find this helpful.

Regards.

Hi,

Welcome back to icliniq.com.

During pregnancy, a common cold is very common. I mean, now it is the season for cold. So if it is just a running nose or throat irritation or headache, just have steam inhalation with balm four to five times a day for a few days, with a warm salt water gargle.

If you feel it is more than that, have a short course of antibiotics, tablet Azithromycin 500 milligrams once a day before food for three days. Consult your doctor, and then take the medicines.

We give this medicine routinely before any procedure in pregnancy. It is safe for you and your baby. Avoid cold fridge items. Do not allow a fever to creep in. Your cough or sneeze will not affect your baby.

Do write back if any more queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Let me get a few facts straight.

The placenta is formed only at 12 weeks, and once formed, it does not grow as fast and as much as the baby. So nearly 90 percent of pregnant ladies have a low-lying placenta. No matter if it is your first or ninth pregnancy. As the baby grows, the uterus stretches and pulls along the placenta. So relax and enjoy pregnancy.

Just because you asked, the causes for the placenta to be stuck in the lower segment are any surgeries in the lower uterine segment, like cesarean or myomectomy, previous severe adhesions in the uterine lining, or uterine anomalies.

Anyway, you are absolutely fine, and I am sure your pregnancy will proceed uneventfully, and you will have a safe delivery and a healthy baby.

I hope I have clarified your query. Do write back if you have any more queries.

Thank you.

Hi,

Welcome back to icliniq.com.

The guilty feeling is driving you to assume too many possibilities.

Let me explain it in medical terms.

No one, I mean no one, can predict or diagnose placenta previa from a scan at 12 weeks. It is like predicting what a newborn baby will be when it grows up.

As I mentioned, all placentae have an extension into the lower segment. You only had a D and C, which is in the upper segment; the lower segment of the uterus is free.

Only a central placenta previa, which is completely in the middle of the cervix or fully covers the opening of the cervix on all sides, will stay in the lower segment.

I am sure in your case, only the lower end of the placenta extends onto the lower segment. This needs no further intervention. Just relax; in the 20-week scan, it will be in the upper segment.

I hope you find this helpful.

Thank you.