Cervix After Abortion

26 days after a D & E abortion

This woman is 29 years old and has given birth vaginally twice (6 and 10 years ago).  At 7 weeks pregnant, she had some bleeding and went to the hospital to have an Ultrasound done.  The technician did not see a fetus in her uterus, so her doctor prescribed Cytotec 200 µg to help her uterus continue to expel contents of her uterus, thinking she was having an incomplete abortion/miscarriage. They later learned that this was a misdiagnosis, but the Cytotec was too toxic to allow the pregnancy to continue so the doctor performed a D & E (dilatation and evacuation) abortion.

The doctor placed an IUD (note the visible strings)  in her uterus after the abortion because he advised she not conceive again for at least 3 more menstrual cycles.

49 thoughts on “Cervix After Abortion

  1. I’m curious as to why the doctor determined cytotec was too toxic and to abort? I’ve seen people diagnosed with a miscarriage and take cytotec to have healthy pregnancies.

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    Jessica Reply:

    Cytotec (misoprostil) is used for induction of labor or abortion. This is it’s off-market use but is used frequently on labor and delivery units for cervical ripening for labor or induction of fetal demise. It probably caused her to miscarry but not expel the products of conception so the doctor did a D&E at that point. The ultrasound should have probably been repeated.

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    Helen Reply:

    Cytotec alone is only “proven” (meaning tested/observed as off market use) for use in miscarriage/abortion care up to the mid first trimester. After that,(although, there has been suspicion it would work well up to 15 or so weeks)some amount of surgical intervention is suggested. D&E (dilation and evacuation) used in second trimester miscarriage/abortion care, often will incorporate “cyto” for early cervical softening/dilation and then will end with surgical techniques. This is considered a very safe use of the medication and following procedures.

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    Helen Reply:

    I mean above procedures.(miscarriage/abortion care)

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    Helena Reply:

    Just FYI – Cytotec is a drug used to treat gastric ulcers. Sometimes Dr.’s give it to pregnant women to induce labor. They used Cytotec because it only costs 25 cents per pill whereas Pitocin costs $150 per pill. But Cytotec can cause such intense contractions that the uterus explodes. Hundreds of babies die each year from this, not to mention the mothers that lose their uterus or their baby. It is horrible.

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    Aleta Reply:

    You mean cervadil. Pitocin is a liquid solution.

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    Bee Reply:

    Cervadil is a gel applied to the cervix as well. Pitocin is IV.

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    babyguru Reply:

    Pitocin also comes in pill form

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    Oubli Reply:

    Uterine rupture is rare is more likely to happen if a woman has a previous c-section. The dose must be titrated very carefully and the women monitored very closely. Pitocin can be just as dangerous, both can cause uterine rupture if used inappropriately.

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    barbara Reply:

    you have to remember that not every case is the same. we are all unique. she could have had one small factor that was not mentioned that required that. also there are more than one way to do just about anything medically just like math. as long as you get the same result, sometimes it doesn’t matter. i always try to tell my patients when they start saying “my friend had to do this though…” every case is totally different. yea most factors may be the same, but you just don’t know and a dr is not going to sit there and go through a huge medical explanation for something that doesn’t matter much.

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    Kina Reply:

    How exactly is a full explanation of a medical procedure that effects or could effect your body, health, pregnancy status or life “something that doesnt matter”? I am not suggesting that the appropriate decisions weren’t made. I am only pointing out that people wanting to know about their bodies and the details about treatments and treatment options as well as potential outcomes for themselves DOES matter and isnt a bad thing. People in general would be much healthier and more inclined to work With the medical community for their own health when they are empowered to do so and informed. Its Their body and experience. Obviously you cant make assumptions about what personal conditions someone’s friend might have been experiencing to explain “my friend had to do this though” situations, however asking for more knowledge about the choices being made around their own health and the reasoning behind it is completely valid. IMO

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    Sam Reply:

    Well said!

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    Erin Reply:

    This comment is exactly why I dropped my first gyno. This is my body. Nothing matters more to me and I, like many other women, will accept nothing less than as much knowledge and explaining as possible. This is why you do your research, ladies!

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  2. It sounds as if the doctor was possibly more concerned about potential malpractice liability related to the cost of raising the child with potential birth defects than he was about saving the pregnancy. If I were the patient, I would have been “pissed”! I would likely have filed a complaint with the medical board and sued his ass!!

    Hopefully, she goes to another Ob/Gyn next time and I hopefully she will be able to conceive again quickly if that is her wish!!

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    Ddoti Reply:

    There are a lot of presumptions in your reply. We do not know the sitution, what the woman wanted, asked for, or cared about. When it’s time to make our own decisions, we all can just be as informed as possible to make the right decision for ourselves and trust other people to do the same.

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  3. This is a photo of a cervix post-surgical abortion. What about medical? Do the two procedures differ in their visual after-effects? I would think so, but also that it would not be as notable.

    Just curious. Thank you.

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    Oubli Reply:

    Visual effects do not differ between the two methods. Nor does it differ from viewing a cervix that’s just had a miscarriage, The cervix might be slightly agape, that’s about all you’d be able to visual between the abortion methods and a miscarriage.

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  4. Cytotec administration to women who are pregnant can cause abortion, premature birth, or birth defects. The doctor would have made his decision on them facts and might have given the women the choice into what she would want to do in her situation?

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  5. That is such an awful thing to go through – the poor woman

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    Brooke Attebury Reply:

    I feel so bad for her!I’m pregnant and this story breaks my heart! I pray that she is happy and healthy now, and that she will be blessed with another child be it her choice.

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  6. Misdiagnosis! Doc killed the baby and tried to cover it up. Cytotec is dangerous to give to women vaginally. In fact the usda and the drug manu. has put out a warning for docs to stop using it as it is causing death! Look it up urself peeps if u don’t believe. A lot of docs use this to induce labour. Dangerous!

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    KC Reply:

    I believe my nurse midwife when she told me about Cytotec and how most Dr.’s use it. They use too much too fast and it can cause static contractions. So in order to induce me at 39 weeks with high blood pressure and still have my homebirth, we used it but cut the pill into 1/4′s and inserted only a quarter a time waiting 6 hours between the first and second dose. Went into labor and all was well!!

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    Tania Reply:

    It is beyond me that a homebirth midwife used Cytotec!! It’s wonderful everything turned out OK, however it is absolutely unacceptable that a homebirth midwife used this drug. It is dangerous and used improperly – even in the small dose used. The drug is NOT labeled for use in pregnancy.

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    Rossi Reply:

    I was given it vaginally and it worked great! Had a healthy and perfect labor and baby girl!

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  7. Miscarriages are not only bad for the baby but can be dangerous for the mother as well.
    The doctor is a medical professional and the woman would have been given choices.

    The choice she made for herself is the right one. she could have always gotten a second opinion.

    anyway: how does this effect her menstrual cycle? does she start straight away or does it take a while to pick up?

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  8. I had the leep procedure done back in july 2010 the leep procedure hurt like hell. What makes it so bad i took 2 valums before i went in and it still didn’t ease the pain. I felt everything from them sticking numbing medicine into my cervix. From them cutting on my cervix i have never been in that much pain in my life!!! When your doctor say it wont hurt after they numb you they are full of shit!!!! If i could go back i would be put under all the way under!!!!

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    Sara Reply:

    I had the Leep procedure yesterday, In a hospital in Spain, Even though I thought the language barrier might be a problem the doctor was incredibly friendly and put me at ease..when he gave me local anaesthetic..he took things really slowly and kept asking if I could feel anything. I am shocked that you went through so much pain..didn’t they ask if you could feel it?? Didn’t they do anything when you told them you were in pain?

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  9. I am shocked and horrified by this case. The “doctor” caused the death of this innocent baby. If you’re not sure if something is a baby or isn’t, DON’T KILL HIM/HER!

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  10. hi
    what do you mean by an uhhealthy cervix and cervical erosion? what are the causes?treatment? cant a closed cervix leads to infection in menstruating women? Please post some pictures of cervical erosion

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    Cortney Reply:

    A Cervical erosion is the same as a ectropion. It is very normal and is usually seen in teenagers and pregnant women but can be seen at all ages. They changed the name from erosion to ectropion because the word erosion makes you think something cancerous.

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  11. pls. help….i am 3weeks delayed, but i dont want to continue my pregnancy..can i take cytotec? even though i got miscarriage a month ago and undergone “raspa”…or can i drink liquors so i can bleed?…pls. help..i need some advice..Thank you po

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    beautifulcervix Reply:

    Please go to your local planned parenthood to learn about your options. http://www.plannedparenthood.org/health-center/index.htm

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    Tara Reply:

    First of all, i am so sorry to hear that you have found yourself in a scary situation, but I know you’ll be okay. Before you make any decisions, please know that there are others out there besides Planned Parenthood, which is the nations largest abortion provider, that can help you. Three weeks after conception your babys heart has already started beating. This is a huge decision, and it is a matter of life and death. Before you do anything, please at least talk to a local crisis pregnancy center. Heres a great site that I think can help you: http://www.birthright.org/
    Lots of love to you and your baby.
    Tara

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    m_m Reply:

    actually at 3 weeks post conception the embryo is just a ball of cells called a ‘zygote’ and cells do not have heartbeats. I realise that this post may be a little unecessary but felt it was a bit unfair as it seemed you were pushing this girl to keep her baby by saying it already had a heart beat

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    Tara Reply:

    The zygote is what they refer to the egg immediately after it is fertilized, and it is only considered that for a couple days. Shortly after conception it moves to a phase called blastocyst, as it continues to travel down the falopian tubes. It varies from about 5-12 days after conception the blastocyst implants into the uterus and is then considered an embryo for about another seven weeks (until 8 weeks after conception.)
    Here is an article that describes the zygote:

    http://www.umm.edu/ency/article/002398.htm

    ZYGOTE
    A single sperm penetrates the mother’s egg cell, and the resulting cell is called a zygote. The zygote contains all of the genetic information (DNA) necessary to become a child. Half of the genetic information comes from the mother’ s egg and half from the father’ s sperm. The zygote spends the next few days traveling down the Fallopian tube and divides to form a ball of cells.

    BLASTOCYST

    The zygote continues to divide, creating an inner group of cells with an outer shell. This stage is called a blastocyst. The inner group of cells will become the embryo, while the outer group of cells will become the membranes that nourish and protect it.

    The blastocyst reaches the womb (uterus) around day 5, and implants into the uterine wall on about day 6. At this point in the mother’s menstrual cycle, the lining of the uterus has grown and is ready to support a baby. The blastocyst sticks tightly to the lining, where it receives nourishment via the mother’s bloodstream.

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    Tara Reply:

    It can be confusing because they measure pregnancy not from the day of conception, but from two weeks before that, the day of your last period. So three weeks after conception, you are actually considered to be five weeks pregnant, even though you have really only been pregnant for three. Development varies from baby to baby, but according to this article, the heart begins to form three weeks after conception, and begins to beat “at a regular rythm” at 4 weeks after conception.

    Found on the same page:
    http://www.umm.edu/ency/article/002398.htm

    Week 3 of gestation (embryo development); week 5 of pregnancy
    The brain, spinal cord, and heart begin to develop.
    The gastrointestinal tract begins to develop.

    Weeks 4 to 5 of gestation; week 6 – 7 of pregnancy
    Arm and leg buds become visible.
    The brain develops into five areas and some cranial nerves are visible.
    The eyes and ear structures begin to form.
    Tissue forms that develops into the vertebra and some other bones.
    The heart continues to develop and now beats at a regular rhythm.
    Rudimentary blood moves through the main vessels.

    Week 6 of gestation; week 8 of pregnancy
    The arms and legs have grown longer, and foot and hand areas can be distinguished.
    The hands and feet have fingers and toes (digits), but may still be webbed.
    The brain continues to form.
    The lungs begin to form.

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    Kara Reply:

    Actually, Birthright is NOT an organization that will help anyone. They are a pro-life crisis pregnancy organization masquerading as a source of help for pregnant women. Crisis pregnancy centers are notorious for manipulating women during testing and ultrasounds, spreading misinformation that is prevalent among pro-life sources (such as the long debunked theory that abortion causes an increase risk of breast and gyno cancer), and even outright lying to women about things like how far along they are in their pregnancy.

    http://www.huffingtonpost.com/caitlin-bancroft/crisis-pregnancy-center_b_3763196.html

    http://en.wikipedia.org/wiki/Crisis_pregnancy_center#False_medical_information

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    amanda Reply:

    Hey
    Im assuming by dec 2011 this has resolved in some way; but im a bit distressed at the pro life leap into the fray when the original poster was not asking for advice about whether to let the baby grow; she was clearly asking for advice on how to abort safely. I get that if you are pro life you feel you have the right/responsibility to persuade strangers to your point of view however lurking in this forum and pouncing on people in a vulnerable position is not morally sound in my personal opinion.
    I dont think you were really listening to her question; you just saw a general thematic ‘open’ to your personal soapbox passion and took over the conversational space at what you saw as an opportunity to spread the word. I didnt like to read it. My response has nothing to do with the pro choice pro life debate but about respect and listening and responsible conversation.

    original poster, I hope you got to where you had to go.

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    Leila Reply:

    THANK YOU Amanda!! Very well said!! None of us know her situation and even if we did it is not our place to encourage or persuade her one way or another. Clearly, based on her post she seemed desperate and wanted info on how to do so safely. Whatever another’s beliefs are should be irrelevant as its her choice. If one can not provided info that she asked for or encouragement and support, then one should not say anything at all. If she had wanted opinions on pro life/ pro choice, she would have said so!! I hope she found whatever she was looking for!

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  12. It would be interesting to put pictures of cervix with viruses and anomalies to watch the diferences between each one and make more conscience of taking care our body if women gets an impact all of us will prevent much more!

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    beautifulcervix Reply:

    I agree – I’ll be waiting for volunteers for that one :)

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  13. I was told at 11 weeks pregnant that I was loosing my baby and DR wanted to perform one of these on me and I refused…. So glad I did because I am now 32 weeks pregnant with the same baby and he is healthy and we are anxiously awaiting his arrival!!

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  14. I had that medication though my OB used it to prep me for an endometrial biopsy. Everything came out fine, though the cramps from the medication was rather annoying.

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  15. I am a 47 year old woman and have been experiencing prolonged periods for about 6-8 months. I have had ultrasounds which shows some fibroids. I just a week ago had a d&c and biopsy done. I have not yet received results. I am stil spotting from having had the procedure. My period will also begin any day now which means, the blood flow will overlap the current spotting. I only have 1 week blood free per month. My doctor said I have a constricted cervix which my be slowing the release of blood flow during my periods.

    I have my post surgery follow up next week, at which time diagnosis and treatment will be discussed.

    I have been researching causes and treatments for a constricted cervix but have not resulted in anything that actually addresses my type of issue. I am just so tired of bleeding. Its stressing me out and I am having a hard time relaxing in any situation.

    If anyone has any information that can assist me, I would greatly appreciate it.

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  16. When I had my daughter I didn’t actually go into labor. My membrane ruptured so they admitted me to the hospital. Unfortunately my cervix was completely unfavorable for birth so the midwife on call used a quarter of a pill of cytotec (which I had read about, immediately refused and then decided to trust her on) to soften things up, then followed that with cervadil later that night and then pitocin early the next morning. Everything turned out great. I know everyone’s case is different, but I believe that the midwife knew what she was doing…but maybe I was just lucky?

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  17. My wife was also Abortion Yesterday (when she was in 10th Week or 3rd Month) . Doctor told that, it causes by Bleeding. Now she is very weak. Doctor also said that Her “Uterus is Very Weak” What have to do “uterus” to get Strong. My wife is Pure Vegetarian.

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  18. Im 6 weeks delayed ive taken cytotec coz i dnt want to continue my pregnancy. Last week i bleeded for a day or two but not much blood is expelled. I had this yellowish sticky thing on my panty like when a girl is fertile. The day after that blood came out like a clot but little only. Still not convince of the miscarriage i had 4 cytotec inserted again and i dnt feel any pain or labor being induced unlike the past few days. Does this mean i already had my abortion completely done?? Should i undergo ultrasound or what??

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  19. Whoa everybody. You guys made me cry just reading this stuff! Two girls doing abortions, pro choicers dogging pro lifers and pro lifers trying to convince people to choose life…i am a Christian, and i am pro-life no matter what the situqtion, but my overall belief is no mqtter how right you know you are in your heart you will not get anywhere with qnyone if you try to make them believe what you believe, it has to be their choice to believe and live it. As much as it hurts me to hear of more angels dying for no reason, that is their parents choice and they qre with God now <3 I hqve to find peace with others decisions knowing those children qre not just dead rotting is some septic tqnk or some dumpster somewhere, that innocebt soul is with God, the one who will never leave nor forsake them. no mqtter what harm comes against them in this terrible world, he will love and protect them <3 that thought also comforts me knowing my loved ones who hqve miscqrried have tiny beautiful ones in heaven and God just didnt need them to do anything on this earth qnd He called them straight home <3 no mqtter how small, every foot leaves a footprint on this world <3 thanks for reading yall…i hope love and peqce and joy find you and surround you <3

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  20. I have a similar story but I refused the D&C and continued to go to the hospital to be checked- i was also bleeding. Twice they told me there was not fetus. The third week, they seen my son. I was told several time I was further along than I believe I was and treated like a fool. My son is 5 years old today :] Stick to your guns ladies- you know your body best.

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