Took Misoprostol for period, now pregnant. Impact?

Question

Hi doctor,

I had a miscarriage three months ago, and it caused me great psychological distress. It was my first pregnancy after trying to conceive for ten years. As a part of my miscarriage treatment, I was supplied with Misoprostol pills (200 mg each). I never ingested it as my miscarriage passed naturally. Last week, my period was late for a couple of days. Pregnancy symptoms were not seen and thought that I just had delayed menses. Before two days, I took a full dose of Misoprostol to induce menstruation. I bled for eight hours with a medium to heavy flow with some minor clots. After this, the bleeding got stopped, and I thought about pregnancy. I checked it, and the test result came positive. I read that Misoprostol can cause congenital disabilities and I am extremely distressed. Can I have damage to the fetus? It is five weeks and one day from my last period. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

First of all, for delayed periods, you should not take Misoprostol. If you have delayed menses, you should confirm pregnancy first and then you can choose other Progesterone-like tablets to induce menses. Secondly, it is true that Misoprostol can cause congenital disabilities if taken in early pregnancy. But not in all cases. Now, do sonography to see whether the pregnancy is good or not. If there is no pregnancy, it can be expelled. As you had a lot of clots, they can be expelled. There are more chances for you to have an abortion. In case, if the pregnancy is safe, a decision should be made for continuing the pregnancy. It depends on you and your husband. But if there is any genetic damage present in the baby, it can cause irreversible damage to the baby. It may or may not be there. There is no other practical way available to declare that the child is 100 % healthy.

If you both plan to continue, you have to be prepared for a healthy as well as for an unhealthy baby. The chances are 50 to 50. As you do not have a child, and as your age is increasing, it is a tough situation to decide to have a child. It is in your hands to decide the future and the preparation to handle anything. You do not know whether you will become pregnant or not next time. So think about all the possibilities. Consider your situation, financial status, mental preparation, and eagerness for a child. Think and decide.

Answer 2

Hi,

Welcome back to icliniq.com.

In early pregnancy, even having small bleeding is harmful. Go to an ER department and do sonography. Have an injection to stop bleeding. Start taking a tablet to stop bleeding. Take Oral Micronized Progesterone until the sonography is done. You can decide after sonography. If you have chosen to discontinue, even if there is pregnancy, then you can do sonography again in the next week and terminate it accordingly.