Our expert says:
In the first instances the pregnancy has to be excluded in particular one that may be lodged in the fallopian tubes and therefore I suggest a blood pregnancy test as soon as possible. Furthermore the possibility of ovarian cysts needs to be considered which need to be ruled out by an ultrasound scan. Should both the above be negative then a short course of Primolut-N might be a better option to induce a withdrawal bleed.
Answered by: Dr M.I. Cassim
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