QuestionDear Dr
I have previously been in touch with you in respect of my wife. I will renarrate sequence of events for your ready reference please.
-Last periods 06 Dec 08
-Unprotected sex on 24 Dec
-Had emergency pill on 27 Dec (58 Hr interval)
preg test +ve
-USG scan on 14 Jan- No preg but intrauterine focal mass
of 7x8x8mm and products of medical termination of
early preg.
- Misoprostol 400 mg taken vaginally on 15 and 16 Jan.
Total dose of 800 mg
-Repeat USG Scan on 22 Jan shows no change since last scan except aneslisic(sic) structure of 10x8x8mm in endodometrium cavity. NO FHS/Yolk sac.
Preg test(Hcg) still shows +ve on 25 Jan.
What is the reason for no bleeding? She has no bleeding since 06 Dec. We are not in a position for aspiration method.Can we wait without any sideeffects? Please advise.
Thanks
Thanks
Lovely
AnswerDear Lovely,
I'm sorry this situation continues to be so difficult. There is absolutely no problem waiting, and doing nothing. Medically, it is completely safe to just let the body pass the tissue when it's ready to. The most difficult part of this is the anxiety of waiting to bleed. This can be difficult when you know something is there that needs to pass, and you don't know when. Alternatively, I would repeat the misoprostol 800 mg at one time (not in two doses- this is not effective). If she doesn't bleed, she can repeat the 800 mg dose 24 hours later. If she does this, make sure she has some pain medication before she takes the misoprostol (800 mg motrin or 550 mg naprosyn).
I hope this is helpful,
Doctor Joan
Earlyabortionoptions.com
New York City
