I did not bleed after taking Misoprostol. Why?

Hi,

Welcome to icliniq.com.

How are you doing?

Mifepristone is a hormonal pill which will dislodge the embryo from the uterus, that is the embryo will be will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol200 mcg orally or vaginally at a time is simpler, easier, and can avoid all the confusion of having it at repeated intervals. But remember, if you are using 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 problem, this will reduce the chances of failure too. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. If the pain is unbearable, have any of the antispasmodics like tablet Cyclopam (combination of Paracetamol and Dicyclomine) or Hyocimax (Hyoscine), 2 to 4 times a day, depending on the severity of the pain. After two weeks of bleeding, have a scan to confirm the products is fully gone.

Hope I have clarified your query, do write back.

Hi,

Welcome back to icliniq.com.

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 the corpus luteum hematoma. The ovarian cystwhich 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 1 to 2 months, it would have disappeared or shrunk. No need to do anything now. Just relax, you will do fine.

Hi,

Welcome back to icliniq.com.

How are you doing? Sad to know that you are in pain since morning.

• This is the complication we would want to avoid when we finish the abortions with oral and vaginal medicines. After 5 to 7 days of any procedures like D and C, there can be mild infection and edema to the surrounding structures, usually, the muscles and ligaments that hold the uterus. When there is edema or swelling of these structures, they give a feeling of swelling and pain of 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, tablet Pan 40 (Pantoprazole), on an empty stomach twice a day for three days.

• You will be absolutely fine within 3 to 4 days. But, do complete the course. At least in 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.

Hope I have clarified your query, do write back.

For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi,

Welcome back to icliniq.com.

• It is so nice to be of help to you. Wish I could do better if I was there. 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.

For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi,

Welcome back to icliniq.com.

It is so lovely to hear from you. I am doing fine. Happy to hear that you are up to a fresh start in life.

Again, I will advise you just to relax and forget the past. The doctor or your partner cannot diagnose if you were ever pregnant or had an abortion. Even scans cannot diagnose it. The only way they can know is if you say it. Even these emails need to be deleted.

The doctor is not going to examine you anyway as you can decide that and no blood or body investigation can diagnose history of pregnancy or abortion. The use of those medication and D and C are not going to affect your pregnancy chances. So just relax and erase all the bad memories. All the best for a happy, prosperous and brighter future.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi,

Welcome back to icliniq.com.

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. Any lady who 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 seen in the test performed after nine months. So you are definitely HIV free.

I did go through all the extensive reports, 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.

For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi,

Welcome back to icliniq.com.

So happy to hear from you and to know that God almighty has blessed you with a pregnancy.

The common cold is very common now. I mean, now it is the season for cold. So if it is just running nose or throat irritating or headache, just have steam inhalation with Vicks or balm 4 to 5 times a day for a few days, with warm salt water gargle. If you feel it is more than that, have a short course of antibiotics, tablet Azithromycin, Azilide, Azee, Aziwok, or Azithral 500 milligrams once a day before food for 3 days. 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. God does not send a baby just like that without any protection. Your cough or sneeze will not affect it.

Do write back if any more queries.

Thank you.

Hi,

Welcome to icliniq.com.

So nice to hear from you and to know that everything is going great. Am fine.

Let me get a few facts straight.

Placenta is formed only at 12 weeks, and once formed, it does not grow so fast and as much as the baby. So nearly 90 % of pregnant ladies have a low-lying placenta. No matter if it is your 1st 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 the result will be a happy mother, baby and family. God bless you.

The confidentiality issue is a direct question; only I can read it and reply.

Do not be so paranoid. Trust God and think positively. Only good positive things will happen.

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 one that is completely in the middle of the cervix or fully covering os on all sides, will stay on 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.

If you keep relating anything which happens to some unrelated past events, you may unknowingly say the secrets. As I said, the only way for others to know about the past is from Ur mouth.

Just relax and pray well for happy motherhood.

Thank you.