If you have had an incomplete
miscarriage with no complications, you may have the
option of using medicine that causes the
uterus to push out all remaining tissue. While
medication treatment offers an alternative to surgical treatment, it can cause
greater blood loss than surgical treatment, side effects can be severe, and it
is not a well-researched practice.1, 2
Mifepristone (RU 486) and misoprostol, medicines that are more
commonly used to terminate first-trimester pregnancy, have been used on a
limited basis to treat miscarriage. First, mifepristone acts to block the
body's use of
progesterone, a hormone that supports pregnancy. Then,
misoprostol is used to soften the cervix and start uterine contractions,
inducing the uterus to empty.
Misoprostol can be used alone to treat miscarriage.
Common side effects of mifepristone include:
- Abdominal
pain.
- Nausea.
- Vomiting.
- Diarrhea.
Methylergonovine (Methergine), a medicine that makes blood vessels
constrict throughout the body, is commonly used to control uterine bleeding
after a miscarriage. Methergine makes the uterus contract, which helps control
blood loss.