Cytotec - One Pill?

lilylover27 · March 2016

I am unfortunately going through a loss with my first pregnancy. I went in at 12 weeks and they found the baby stopped growing at 8 weeks and had no heartbeat. I had the options of waiting, Cytotec or D&C. I didn't want to wait as it already had been four weeks since the heartbeat stopped and since it is our first pregnancy the possibility of fertility issues with a D&C didn't seem worth it. I took my first dose of Cytotec last night before bed as per the instructions, only one pill inserted vaginally. In the morning when I first went to the bathroom I noticed the tablet had come out. Had some bleeding and clotting but it tapered off. Called the doctor and they said to take another one this evening since that one came out.

My question is I am seeing a lot of posts about people taking 3-4 pills at one time or over a couple hours. Mine only says one 200mg tablet vaginally before bed. Anyone else had these instructions? I doubled checked with my doctors office and they said to take as prescribed on the bottle. I haven't been able to find one story yet that has you just taking one.

Thanks in advance for your answers I am just worried something isn't right.

iceandsnowflakes29 · March 2016

I had to insert 4, 200 MG each.

Regarding it falling out, I wet mine a teeny tiny bit so that they would dissolve easier. And then when I inserted them (TMI) I used a tampon to shove them up as high as possible. Or, you could see if your husband would help (that was my plan B if the tampon didn't work ). However, I did see one pill come out when I passed the sac. So maybe it's normal for them to come out.

Regarding your dosing, I agree it sounds off. Now my doctor did rx a lower dose to help me complete the miscarriage (which I ended up not needing).

I only took the cytotec once. The 800 MG dose. That was enough to jump start my miscarriage and I passed clots for days. I bled 10 days total and spotted for two.

Do you think you passed the sac?

Do you have another ultrasound soon to see what's left?

I wish I had more answers. ((Hugs))

Eta. Maybe call them asked them WHY the low dose??

BrightenMySky · March 2016

That does seem low. I would call and ask the doctor. I had a loss with similar timing to you. I opted for a d&c, but then needed to take cytotec for retained material (4 pills vaginally all at once), and still have some retained material...but I think I'm a special snowflake in this regard, and in any case, I don't regret opting for the d&c to begin with.

FWIW, I got the impression it's 6 of one, half dozen of the other in terms of risk of future fertility issues with d&c versus cytotec. I was under the care of a reproductive endocrinologist for infertility issues before the miscarriage, and both he and another RE that I consulted said both the d&c and cytotec were fine options, and obviously an RE is concerned about future fertility.

lilylover27 · March 2016

Thank you both for your responses. They told me to take on more pill vaginally so I did. I cut it in half and wet it before inserting so I think that helped with the absorption because I didn't see them come out. Around 4am the heavy bleeding started and clotting. I believe I may have passed the sac because the last thing to come out was more solid and roundish from what I could see, I also needed to push it out a little (sorry if TMI). My doctor said to come back on 2 weeks to make sure everything came out and to do blood tests to see if my levels decreased.

iceandsnowflakes29 · March 2016

Yes that sounds like the sac. I also had the urge to push. It totally freaked me out. Don't be surprised if the rest passes in spurts. And I noticed every time my bleeding picked up - it was because I was getting ready to pass more tissue.

It's still very fresh in my mind (I took cytotec March 11th) so, feel free to ask me anything.

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