Patient's question:
Medical Description: Bought mifepristone tablets and misoprostol tablets from a pharmacy. Took 2 mifepristone tablets at 3:30 PM the day before yesterday, 2 mifepristone tablets at 3:30 AM yesterday, and 2 mifepristone tablets at 3:30 PM yesterday. Took 3 misoprostol tablets earlier this morning, but no reaction so far. (The entire process was done at home).Past Treatment and Effects: Underwent an ultrasound examination and was diagnosed with early pregnancy. Previously had two medical abortions, one in 2004 and one in 2006, both of which resulted in the expulsion of pregnancy products within 2 to 3 hours. A child was born in 2005.
Desired Help: What is going on? Is this a failed pregnancy termination? What should I do next? Do I need to continue at home?
Doctor's answer:
Hello, in medication abortion, most patients can expel the gestational sac within 6 hours after taking misoprostol tablets, but some may take up to a week. Currently, your bleeding is not significant, which is normal. You can continue to monitor the situation. Generally, the gestational sac is white and is expelled in a complete, circular shape. During medication abortion, bleeding usually starts within 30 minutes to half a day after taking the last three misoprostol tablets. As bleeding increases, the gestational sac is typically expelled along with it. Currently, you can continue to monitor. Once bleeding begins, you can use motherwort to help expel blood clots and the gestational sac. If it has not been expelled within three days, it is important to visit the hospital for a D&C procedure.