Methotrexate and Misoprostol for Abortion
This method of abortion causes symptoms similar to a Reference miscarriage Opens New Window (such as severe cramping and vaginal bleeding) as tissue and clots pass from the uterus. Symptoms may include:
- Chills or hot flushes (sweating and feeling overly hot).
Signs of complications
Call your doctor immediately if you have any of these symptoms after an abortion:
- Severe bleeding. Both medical and surgical
abortions usually cause bleeding that is different from a normal menstrual
period. Severe bleeding can mean:
- Passing clots that are bigger than a golf ball, lasting 2 or more hours.
- Soaking more than 2 large pads in an hour, for 2 hours in a row.
- Bleeding heavily for 12 hours in a row.
- Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever.
- Severe pain in the abdomen that is not relieved by pain medicine, rest, or heat
- Hot flushes or a fever of 100.4°F (38°C) or higher that lasts longer than 4 hours
- Vomiting that lasts more than 4 to 6 hours
- Sudden abdominal (belly) swelling or rapid heart rate
- Vaginal discharge that has increased in amount or smells bad
- Pain, swelling, or redness in the genital area
Call your doctor for an appointment if you have had any of these symptoms after a recent abortion:
- Bleeding (not spotting) for longer than 2 weeks
- New, unexplained symptoms that may be caused by medicines used in your treatment
- No menstrual period within 6 weeks after the procedure
- Signs and symptoms of Reference depression Opens New Window. Hormonal changes after a pregnancy can cause depression that requires treatment.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
|By:||Reference Healthwise Staff||Last Revised: August 31, 2012|
|Medical Review:||Reference Sarah Marshall, MD - Family Medicine
Reference Rebecca H. Allen, MD, MPH - Obstetrics and Gynecology
Reference Kirtly Jones, MD - Obstetrics and Gynecology