Medical Abortion possible complications and outcomes
Medical abortion early in pregnancy was developed as a safe alternative to surgical instrumental abortions: curettage (cleaning) vacuum aspiration (mini-abortion).
Despite its claimed safety and high effectiveness, this method can have complications and consequences like any other medical intervention. Indeed, the complication rate for medical abortion is much lower than surgical techniques.
The declared and proven efficiency of 92-94% (our statistics show the efficiency of 99.6%) is only achieved in strict adherence to the Mifepristone and Misoprostol dosage and regimen and provided that the procedure is done with preparations purchased from our pharmacy.
Numerous authoritative studies have determined the optimal dose for drugs at which efficacy is very high and the lowest complications and side effects incidence (WHO, 2012).
These doses are Mifepristone 200 mg + Misoprostol 400 µg.
It should be noted that even with adherence to these dosages and recommendations for medical abortion, the poor outcomes’ possibility cannot be completely ruled out.
Mifepristone and Misoprostol are rapidly eliminated from the body and have no residual effect.
We offer a FULL guarantee’ on the medicines’ quality and authenticity. In all cases, we cannot guarantee a positive outcome because each body is different (individual reactions to drugs are possible). Although relatively safe, medical abortion is still an abortion (although relatively safe), and the procedure is a serious medical intervention.
If someone gives medical a positive outcome, a 100% guarantee abortion, do not believe me; it is no the truth!
Among the possible complications are the following:
- Incomplete abortion;
- Heavy bleeding;
- Severe pain;
- Dyspeptic conditions: Nausea, diarrhea, vomiting.
- Dizziness, headache;
- Fever, hot flashes;
- Menstrual disorders.
The primary medical abortion and perhaps the most severe complication is that part,’ or the gestational sac; all remain in the uterine cavity, or, less commonly, pregnancy progresses. This situation is called Incomplete abortion. The incidence of this complication varies from 1.5-2 to 3-4% and is directly related to the gestational age: the longer the gestation, the higher the incidence.
What to do in an incomplete abortion case? See here…
Heavy bleeding (hemorrhage) occurs in between 1 to 2.5% of cases that require intrauterine intervention. What to do in this case?
Intense pain during pregnancy
Frequent and very intensive (painful) uterine contractions (contractions) occur in 10-25% of cases. Read more about the pain during MTP here and here.
Dyspeptic complaints: nausea, vomiting
Dyspeptic complaints (gastrointestinal motility disorders) such as nausea, vomiting, diarrhea occur in 2-5% of cases.
Metoclopramide (Reglan) is given in individual dosages.
Allergic reactions to the medication in the hives and other rashes occur in 1.5-3% of cases. If this happens, we recommend the following: Claritin (Laritidine) 1 tablet 10 mg 1 p/day.
Dizziness and headache
Dizziness, headaches, and general malaise affect women between 5-12.5%. There is no need for extraordinary measures. If the headaches are unbearable, the blood pressure should be checked. A normal ABP can be treated with the patient’s usual analgesic, but this will reduce the Misoprostol effects.
A short-term (1-2 days) fever and hot flashes and chills should not be considered an infection sign. This occurs in 1-2% of cases with medication. Figures usually do not exceed subfebrile (below 37.4 degrees C or 99,32 F).
If the temperature is below 37.5 degrees (99,5 F), nothing needs to be done – monitor the temperature every 3-4 hours. Contact your gynecologist or refer to a specialized medical facility if the temperature exceeds 37.5 (99,5 F) degrees (or stays over two days). Read more…
Disruption of the menstrual cycle
Among medical abortion, delayed effects are menstrual irregularities. Disorders may appear both in the long light (or moderate) bleeding form and in the menstruation absence form for 2-3 months.
See «Periods after Medical Abortion” for these conditions management»; «Contraception after Medical Abortion.»