Question

MTP in a 21-year-old, 10-week pregnancy is to be done by medical methods using:

• A. Intrauterine hyperosmotics
• B. Dinoprostone
• C. Oxytocin infusion
• D. M + M (Methotrexate and Misoprostol)

Hint:

M + M (Methotrexate and Misoprostol) is an effective medical method for early medical termination of pregnancy.

Answer 1

The Correct Option is D

Solution:

For a 21-year-old woman with a 10-week pregnancy, the recommended method for medical termination of pregnancy (MTP) is the use of Methotrexate and Misoprostol (M + M). This approach is preferred due to its effectiveness and non-invasive nature, especially in early pregnancy stages.

The process involves the following steps:

• Methotrexate is administered first. This medication works by inhibiting the growth of rapidly dividing cells, thereby stopping the growth of the pregnancy.
• After the administration of Methotrexate, Misoprostol is given. It induces uterine contractions to expel the pregnancy from the uterus, facilitating complete MTP.

This combination method is widely used due to its high efficacy in the first trimester and is generally well-tolerated.