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Abortion/Incomplete Medical Abortion/ Tissue Remaining

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Question
I had my medical abortion done on September 1st, I went back in for my follow up visit and was told that I still had tissue that had not passed, I was also told based on the ultra sound I was no longer pregnant but my pregnancy test was still show positive. I was 6 weeks pregnant at the time of the abortion. I still have not passed any additonal tissue since my visit last week and was told an aspiration would be done if I did not pass the tissue by this wednesday.  My question is, is this neccessary since I'm no longer pregnant, will I get a period if this tissue has not yet passed, how long will I bleed off and on and how long will my pregnancy test continue to show positive? I'm really iritated because it was my understanding that this tissue will eventually pass naturally, I do not want an aspiration performed and I would like to know what my options are.

Answer
We often have our patients repeat the Misoprostol Protocol before performing an aspiration procedure.  We give it two attempts then perform the aspiration.  many of our patients are will to do 3 attempts.  I must admit it does work and prevents an aspiration.  

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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.

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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