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Date last updated: September 24, 2016
Date published: November 29, 2012
Date created: 2008
Question – Missed Periods
I have missed my periods. They were regular. Urine Pregnancy test is positive. Please suggest good medicines so that I will get periods.
How soon after the missed period can we use Mifepristone Misoprostol for Medical Abortion
In India Medical Method of Abortion is approved till 49 days after the first day of the last menses. Evidence from studies done world over suggest that it is effective up to 63 days.
Abortion using medicines alone is called Medical Termination of Pregnancy as against Surgical Termination of Pregnancy.
MIFEPRISTONE MISOPROSTOL ABORTION MEDICINES
- Is it legal?
- How soon after missed period can we take Mifepristone Misoprostol?
- Can it be done privately, secretly without other family members knowing?
- Does it require admission to hospital?
- Who gives this medicine?
- Do these medicines really work?
- Is medical abortion with Mifepristone and Misoprostol safe?
- How to take the medicines?
- What are the precautions?
- What are the side effects?
- What is Mifepristone?
- What is Misoprostol?
- By what names are Mifepristone and Misoprostol available in India?
- I missed period. What should I do?. Medical Termination of Pregnancy
- Complications of Mifepristone Misoprostol
- Some more uses of Mifepristone.
T-Pill + MISO
MEDICAL TERMINATION OF PREGNANCY, that is ABORTION, IS LEGAL and safe method recommended today.Combination of MIFEPRISTONE and MISOPROSTOL have brought joy on many faces. This can be done without the knowledge of family members in case you want privacy, because there is heavy menses like bleeding in this procedure and you do not require to get admitted in the hospital.
In India Medical Method of Abortion is approved till 49 days. Evidence from studies done world over suggest that it is effective up to 63 days.Medical Journal Australia 2012Study published in M.J.A. Study authors:Philip Goldstone, Jill Michelson and Eve Williamson
Med J Aust 2012; 197 (5): 282-286.
What is Mifepristone?
Mifepristone is a progesterone antagonist with antiglucocorticoid activity.
What is Misoprostol?
Misoprostol is a synthetic prostaglandin E1 (PGE1) analogue.
Success Rate Mifepristone Misoprostol Abortion Medicinees
Success rate is: 92 to 97%
Failure Rate Mifepristone Misoprostol Abortion Medicinees
Failure rate is 3 to 5%.
If Mifepristone Misoprostol fail to cause Abortion
In these cases Vacuum Aspiration is done.
A gynecologist may consider Dilatation and Curretage if necessary.
Why Mifepristone Misoprostol is better method of Abortion
GOOD NEWS – ADVANTAGES OF MIFEPRISTONE AND MISOPROSTOL
- No injections,
- no D & C (abortion surgery),
- no hospitalization.
- All medicines are to be swallowed by mouth.
COMMON BRAND NAMES OF MIFEPRISTONE ABORTION MEDICINES
Who gives Mifepristone Misoprostol Abortion Medicinees?
A Gynecologist Obstetrician, who has hospital facility, as in any Maternity Home, is the doctor who examines and prescribes Mifepristone and Misoprostol.
Precaution with Mifepristone and Misoprostol
Though this is preferred method of abortion and the abortion happens in the form of heavy menses doctor’s prescription is necessary. Supervision of qualified Gynecologist and Obstetrician as well as back up facility for hospital admission is required for emergency if any.
METHOD OF USING MIFEPRISTONE MISOPROSTOL MEDICINES FOR ABORTION
Meet your doctor, preferably a Gynecologist Obstetrician, who has hospital facility for emergency requirement.
Visit the doctor within 49 days of the FIRST date of the last menses.
In the first visit after detailed clinical history and examination, call this DAY, 1 this is how treatment begins.
- DAY 1 Mifeprestone 200mg is administered.
- 48 hours later on
- DAY 3 Misoprostol 400microgm has to be taken.
- Menses like heavy bleeding begins on
DAY3, the same day, usually within a few hours.
DAY 14 Doctor reexamines and confirms that the abortion is complete.
COMMON SIDE EFFECTS OF MIFEPRISTONE MISOPROSTOL ABORTION MEDICINES
Common side effects like vomiting or vomiting sensation (nausea)can be managed by Domperidone along with Omeprazole. Abdominal cramps can be reduced by Paracetamol.
Commonly along with Mifepristone Misoprostol Doctor gives Domperidone, Omeprazole and Paracetamol also.
I missed period. What should I do?. Medical Termination of Pregnancy
If there is a suspicion of pregnancy first and immediate action is to check if she is pregnant. This is easy and can be done at home using the urine pregnancy test kit (Less than Rs100/-). Find a video of how to do this at home. video-urine-pregnancy-test/Video UPTSee the video on how you can do Urine Pregnancy Test secretly at home.
Next, if she is pregnant and you are both sure you do not want to continue with pregnancy the recommended option is medical method of termination of pregnancy. This should be done under the supervision of Gynecologist (Medical Doctor with M.D. qualification and attached to Maternity/Nursing Hospital).
The medicines are to be taken within 49 days (as per Indian rules) of the first day of last menstrual period. See this http://mydoctortells.com/
This is a better option than D & C, which was done earlier.
stitches were damaged due to tension by space of new baby.
This is a myth. Aisa hota nahi.
Stitches disappear in a matter of days. Just as your wound on hand heals completely so too the uterus heals.
I guess you will have to hurry to check with the home pregnancy test.
Also the information on birth controlOC pillsOral Contraceptive Pills. How to take? methods, advantages, disadvantages such as condomsSee MovieShort movie on how to use a condom. Click to see.,
emergency contraceptionEmergency ContraceptionClick to read about what medicine to take within 72 hours after unprotected sex to prevent pregnancy. will be beneficial to prevent pregnancy and worry.
Medical Termination of Pregnancy, by and large is considered safer than other methods of abortion (surgical). However, like any treatment involving medication the side effects of medication have to be considered.
These signs will require hospital admission and care by a qualified doctor.
- Severe bleeding. Both medical and surgical abortions usually cause bleeding that is different from a normal menstrual period. Severe bleeding can mean:
- Passing clots that are bigger than a golf ball, lasting 2 or more hours.
- Soaking more than 2 large pads in an hour, for 2 hours in a row.
- Bleeding heavily for 12 hours in a row.
- Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever.
- Severe pain in the abdomen that is not relieved by pain medicine, rest, or heat.
- Hot flushes or a fever of 100.4°F (38°C) or higher that lasts longer than 4 hours.
- Vomiting lasting more than 4 to 6 hours.
- Sudden abdominal swelling or rapid heart rate.
- Vaginal discharge that has increased in amount or smells bad.
- Pain, swelling, or redness in the genital area.
These are uncommon, but not impossible.
I have not found any study showing that the chances of next pregnancy are affected.
USES OF MIFEPRISTONE AT A GLANCE
Abortion 49 days or less duration
Adult: 600 mg as a single dose followed 2 days later by 400 mcg of misoprostol as single dose.
Within 72 hours of unprotected intercourse.
Postcoital contraception also known as Emergency Contraception
Adult: 600 mg single dose within 72 hours of unprotected intercourse.
Abortion (Termination of pregnancy) up to 63 days
Adult: 600 mg as a single dose followed by 1 mg gemeprost vaginally after 36-48 hours.
Induction of labour following intrauterine fetal death
Adult: 600 mg daily for 2 consecutive days.
Abortion between 13-24 weeks of gestation
Adult: 600 mg as a single dose given 36-48 hours prior to prostaglandin therapy.
Softening and dilatation of cervix prior to surgical termination of pregnancy
Adult: 600 mg as a single dose given 36-48 hours prior to the procedure.
Source Acknowledgement Copyright:
Retrieved on March 03, 2013
Philip Goldstone, Jill Michelson and Eve Williamson
Med J Aust 2012; 197 (5): 282-286.
Retrieved on March 03, 2013
Image courtesy: A KARE by DKT thanks to indiamart.com