Medication-Induced Miscarriage: A Patient's Journey - Obstetrics and Gynecology

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Medication abortion


On October 13, during a routine prenatal check-up, it was discovered that the baby had no heartbeat, indicating a stillbirth.
The baby was expected to be 12 weeks old, but the doctor estimated it to be only about 10 weeks.
On October 18, medication was administered to induce labor; the medication used was for treating peptic ulcers.
The drug, identified as 1461, effectively worked for me, and everything was expelled.
After a pelvic examination, the doctor performed a dilation and curettage (D&C) to remove the uterine lining and prescribed uterine contraction medication for five days.
On October 25, a transvaginal ultrasound showed that there were still blood clots that had not been expelled, so I continued to receive medication.
A urine test showed two lines, and while walking home, I expelled a large blood clot.
On November 1, a follow-up ultrasound revealed only a small amount of blood, and the urine test showed only one line.
The doctor prescribed a different uterine contraction medication this time, which included a white pill and a capsule, along with a 25-day course of menstrual regulation medication.
I started taking it on November 1 and will continue until November 25.
My menstrual cycle has always been irregular, so should I wait until my second menstrual period to try to conceive again? I am worried that if I only have one menstrual period, it could be a long wait.
Initially, I conceived after my last menstrual period on May 20, with ovulation occurring during the week of July 24-29.

Ke Ke, 20~29 year old female. Ask Date: 2016/11/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, there is no absolute timeframe.
It is generally recommended to wait about 2 months before trying to conceive again.
Wishing you good health.

Reply Date: 2016/11/05

More Info


I'm sorry to hear about your recent experience with miscarriage and the challenges you're facing with your reproductive health. It’s understandable to have concerns about the medications you’ve taken and their potential effects on your body, especially after such a significant event. Let's break down your situation and address your questions regarding medication-induced miscarriage and the subsequent steps you can take.

Firstly, it’s important to understand that certain medications can indeed influence pregnancy outcomes. In your case, the medication used for inducing labor (which you mentioned is typically used for treating gastric ulcers) may have contributed to the miscarriage. Miscarriages can occur for various reasons, including chromosomal abnormalities, hormonal imbalances, and environmental factors, but medication can also play a role. It’s crucial to discuss any medications you are taking with your healthcare provider, especially when planning a pregnancy or if you are pregnant.

After a miscarriage, the body goes through a recovery process, which can vary significantly from person to person. It’s common for women to experience irregular menstrual cycles following a miscarriage, and it may take some time for your body to return to its normal rhythm. The medications you are currently taking, including the uterine contraction medication and the hormonal regulation pills, are intended to help your body recover and regulate your menstrual cycle.

Regarding your question about when to try for another pregnancy, it is generally advised to wait until you have had at least one normal menstrual cycle before attempting to conceive again. This allows your body to heal and can help ensure that your next pregnancy is healthier. However, the specific timing can depend on individual circumstances, including your overall health and the advice of your healthcare provider.
If your menstrual cycle is irregular, it may take longer for you to conceive again, but this does not mean that you will not be able to conceive. Many women go on to have healthy pregnancies after experiencing a miscarriage. It’s also important to keep in mind that stress and anxiety about conceiving can affect your menstrual cycle, so finding ways to manage stress during this time can be beneficial.

You mentioned concerns about the possibility of your menstrual cycle being delayed indefinitely. While it’s natural to worry, many women find that their cycles normalize over time, especially with the help of hormonal treatments. If you find that your cycle does not return to normal after the medications are completed, or if you have any other concerning symptoms, it would be wise to follow up with your healthcare provider. They can assess your situation and may recommend further evaluation or treatment options.

In summary, while medication can influence pregnancy outcomes, it’s essential to have open communication with your healthcare provider about your concerns and treatment options. Waiting for your body to recover and for your menstrual cycle to normalize before trying to conceive again is generally recommended. Remember, you are not alone in this journey, and seeking support from healthcare professionals, as well as from friends and family, can be incredibly helpful during this time. Take care of yourself, and don’t hesitate to reach out for help when you need it.

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