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Abortion/Medical abortion - not sure it's worked
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Question
Hello Dr Joan,
Yesterday I tool my 2nd dose of the abortion pill. 4 x Misoprostol, orally. For
the first 5 hours i was in hell, severe diarrhea, severe contractions, chills,
shakes, nausea and light bleeding. I took painkillers which helped the pain. I
am bleeding but not heavily. I was in pain all day and night (was awoken in
the middle of the night sweating and in agony feeling like my uterous is
being ripped out). Today Im still in pain but I am dosed up on pain killers. I
am still bleeding but not heavily. I have passed one small clot. I called the
clinic and they said it could take 7 days to expel the pregnancy. Does this
sound right to you? I have to start a new job on monday (it saturday night
now), is there anything I can do to get this out of me and feel well enough to
work by monday?? thanks
Dear Ali,
Your experience of medical abortion is not typical. Usually the symptoms of significant pain should not last more than 8 hours after the misoprostol (2nd pills). When you have continued intense pain, it usually indicates that the pregnancy tissue has gotten stuck in your cervix. If you continue to have pain like this, you will need to see the doctor, and should not wait seven days. Unfortunately, there is little you can do to dislodge the tissue - - you can try taking a warm bath and massaging your lower abdomen. You can also try having intercourse - I am sure that sounds like terrible advice, but sometimes it can help move the tissue. Bleeding after sex would be a good thing. If you continue to have pain, you will need to have an evaluation. I'm sorry you are having such a difficult experience.
I hope this is helpful,
Doctor Joan
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| Rating(1-10) | Knowledgeability = 10 | Clarity of Response = 10 | Politeness = 10 |
| Comment | Thank you very much Doctor Joan, I did ring my GP today and they dont seem overly concerned but told me to go to A&E if the pain worsens. I took your advice (well some of it!) and had a bath and have been massaging, not sure about having sex, its the last thing I feel like doing. I will let you know how I get on. Thanks again for such a quick and good response its hugely appreciated. | ||
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Answers by Expert:
Doctor Early Options
Expertise
We are a group of family doctors who provide abortion care for over a decade. We can answer any health or medical related questions about early abortion, including the aspiration procedure, the abortion pill (RU486), or surgical abortion. We run a practice called Early Options, located in New York City: http://www.EarlyAbortionOptions.com. The practice is dedicated to making early abortion part of mainstream medical care. There are other family doctors around the United States who practice a similar approach to early abortion care: see http://www.EarlyAbortion.com. Please do not ask "private" questions so that other women can learn from your experience. Please tell me what country you are from so that we can better help you.
Experience
Experience in the area: We are all board certified family doctors who have special training in early abortion and reproductive health. Dr. Joan Fleischman is the founder of Early Options (earlyabortionoptions.com) dedicated to making early abortion part of mainstream medical care.
Organizations:
National Abortion Federation
American Association of Family Physicians
Education/Credentials
Dr. Joan Fleischman, Founder
M.D., Harvard Medical School
M.P.A., John F. Kennedy School of Government
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