Patient's question:
Medical history and symptoms: 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 again at 3:30 PM yesterday. Took 3 misoprostol tablets at 6:00 AM today, but so far, there have been no reactions. (The entire process was completed at home).Past treatment history and effectiveness: Undergone a color Doppler ultrasound examination and diagnosed with early pregnancy. Previously had two medical abortions, one in 2004 and another in 2006, both of which took 2 to 3 hours to expel the pregnancy products. A child was born in 2005.
Desired help: What is going on? Is this a failed abortion? What should I do next? Do I need to continue at home?
Doctor's answer:
Hello, in general, most patients can expel the gestational sac within 6 hours after taking misoprostol tablets during medication abortion, but some may take a week to do so. You are currently bleeding lightly, which is normal, and you can continue to wait and see. The gestational sac is usually white and is expelled in a complete, round shape. During medication abortion, bleeding typically starts within 30 minutes to half a day after taking the last three misoprostol tablets. Generally, as bleeding increases, the gestational sac will be expelled along with it. Currently, you can wait and see. Once bleeding starts, you can use motherwort to help expel blood clots and the gestational sac. If it has not been expelled within three days, you should promptly go to the hospital for a uterine evacuation.