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Abortion/mifepristone without mesoprostol

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Expert: - 1/10/2011


Question
hi.. i am a mother of a one-year old kid. as we had contact without contraception, i feared that i might get pregnant and bringimg up another child so early is not that easy. so i took a mifepristone tablet one week before the date i should get my periods. i started to bleed two days after i took the tablet. i am not having bleeding as i have durimg my regular periods. its very light and bleeds only twice or thrice a day. i did not have a mesoprostol tablet as well. what should i do? is it normal to get a lighter bleeding? is it compulsory to have mesoprostol if i have taken the tablet one week before the normal date of periods?

Answer
You may not need to take Misoprostol.  The bleeding may be the due to the Mifepristone and if there was an early pregnancy, blocking progesterone prevented implantation.  The only way to know is to take a pregnancy test.  You can take Misoprostol if the test is faint positive.

The use of Mifepristone as an Emergency contraception is an off label use but preliminary studies looked good.  

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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.

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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

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Dr. Joan Fleischman, Founder M.D., Harvard Medical School M.P.A., John F. Kennedy School of Government

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