Asked for Female | 23 Years
Will I Experience Bleeding After Medical Abortion Complications?
Patient's Query
I tried to do medical abortion. I took 1 mifepristone by swallowing. After 24 hours- 800mcg misoprostol vaginally. And 3 hours after that 400mcg misoprostol vaginally and more 400mcg misoprostol with 3 hours interval. Took total 5 doses of misoprostol like this including the first dose of 800mcg. After that my gestational sac came out in the morning while i was sitting on toilet. But i did not bleed at all. My pregnancy tissues and placenta did not pass too as i did not bleed before or after passing the sac. The embryo was inside the fluid like white colored sac. I was 12 weeks pregnant. Its now 36 hours and i did not bleed still. Should i wait for my bleeding to start? I took more misoprostol doses after my sac passed to start my bleeding but did not work. Will all the pregnancy tissues will come out naturally? Will my bleeding start naturally after some days? I just want to know if this happened to anyone. Will bleeding start eventually and pregnancy tissues and placenta pass if i wait? Edit: i asked icliniq and a doctor replied to use 2tab Co-Amoxiclav 625mg PO bid for 1week, 2tab metronidazole 400mg PO tid for 1week. this medicines are for infection. Also, do i have risks of having retained placenta issues such as hemorrhage? Or i don’t have the risk as i didn’t bleed at all yet? Will the placenta come out when bleeding will happen naturally after waiting ? i am confused and also very worried
Answered by Dr. Mohit Saraogi
It’s understandable to feel anxious after your experience. Retained tissue can happen, especially if bleeding hasn't occurred. It's essential to monitor your symptoms, and waiting a few days is reasonable, but if you experience severe pain, fever, or heavy bleeding, seek medical attention immediately. The medications prescribed can help prevent infection. While the placenta and tissues can pass naturally, I recommend consulting a gynecologist to ensure everything is progressing safely.

Gynecologist/Obstetrician
Questions & Answers on "Gynaecology" (4932)
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