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Did'nt get periods after using MIFEPRISTONE, MISOPRESTOL.

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Hi I am 19 year old and already had an abortion through medicine and then I had my periods regularly. Now I missed my periods and did a urine test it was very faint positive and then did the urine test couple of times and got a negative everytime but took abortion pills mifeprestone and misoprestol but till now didn't get my period, what should I do now and for additional information I gained a bit of weight recently?

Is any chance ectopic pregnancy and whether it can be confirmed by urine test and what other teat to take?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
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Hello,
Thanks for your query at DoctorSpring.com
I understand your concern.
I would like to know when was your last period?
When did you take your urine test?
When did you have last sexual intercourse?
Please get back to me
Thanks


Patient replied :

My last periods was on 9th Feb 2015 and I think it was not spotting full periods and I expected my periods on around 11th March and I had intercourse during February and March 1st but was all protected only intercourse I had unprotected was on January and only once. I took first urine home pregnancy test on 14th March night it was very very faint positive and then on 15th - March - morning and night 16th - March - morning 18th - march - morning 19th - march - morning Everything was negative buy out of fear of my first faint positive results I took my 1st abortion pill on 12noon 19th march(mifeprestone 200mg) and 2nd dose on 12noon(misoprostol - 400mcg) 20th March on which day I had some but very very little spotting and 3rd dose on 12 noon(misoprostol - 400mcg) 21st March and now dosage is over. I still didn't get my period can I take mensovit plus tablet? Is there any adverse reactions of abortion pill? Any chances of myself being still pregnant? Any chances of ectopic pregnancy and whether it will be founded in urine test? I have gained a little weight and was a bit tensed due to other reason. I am having right leg pain but tolerable level and a light feeling of indigestion, Is it due to abortion pills?


Hello,
Periods may get delayed due to stress and anxiety. If you have followed instructions on pregnancy kit properly and if your two tests are negative then you may not be pregnant. You can take another test after 2-3 days for your own assurance.
Abortion pills should not be done alone. There is risk of heavy bleeding in a few cases. You should inform someone when you do it. Other side effects include dizziness, nausea, vomiting. I would not recommend repeating it.
If periods doesn't happen in one a weeks period you should consult an obstetrician for confirmation of pregnancy by blood tests.
Regards


Patient replied :

I just want to know about ectopic pregnancy and whether it can be detected in home pregnancy kit or should I go for ultrasound or blood test to confirm it and what are my chances of getting ectopic pregnancy ?
If I tightly squeeze the nipple I get very tiny white particles is it normal or something related to pregnancy ?
What type of blood test to take to confirm pregnancy and can it be done in private lab?


Hello,
1) Ectopic pregnancy is also detected in home pregnancy test.
2) You have same chances of getting ectopic pregnancy as any other normal girl. In general 1:50 chance is there for any woman to have an ectopic pregnancy.
3) Pregnancy related nipple secretion occurs at 11-12 weeks of pregnancy. So don't worry about it.
4) Serum (blood) hCG levels test are also done in a private lab
Hope that helps
Regards


Patient replied :

Home pregnancy test kit means urine test kit right and it will even show ectopic pregnancy right?
I have taken the urine test around 5 times and got negative and should I take blood test again to confirm or urine test is enough?
As I told about white particles from nipple not to worry or should I consult a doctor ? And is it for sure that is not related to pregnancy right?
If I take raw papaya, pineapple, black seasame will help me out get my periods or any tablets recommended and also consider I took abortion pills?


Hello,
1) It will even show ectopic pregnancy
2) You don't need to take blood test. Repeat the urine test after 3-4 days. Follow the instructions on the kit.
3) You don't need to take anything else.
4) Nipple discharge is not related to pregnancy at this test
5) Consult your doctor if periods don't come in within a week.
Thanks


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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