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Carolina Center for Women
421 N. Wendover Road
Charlotte, NC 28211

704-367-2255
1-800-637-3445

RECOVERY INSTRUCTION SHEET
Taking Care of Yourself After You Get Home

Complications are rare and you will soon return to normal. We urge you to read and follow the instructions you have been given in order to ensure a safe and healthy recovery.

MEDICATIONS

Doxvcycline 100mg
This is an antibiotic given to help prevent infections. You have ten capsules that you will take every TWELVE hours for FIVE days. You are to start taking this medication the first morning after your surgery. This medication should not be taken with a full meal, however, to reduce nausea eat something light. You should also avoid taking any milk

and dairy products while taking this medication. This drug increases photosensitivity, therefore No Direct Sunlight until medication is finished!

Methergine (Ergonovine Maleate) 0.2mg
This is a medication to help prevent severe bleeding and brings your uterus back to pre-pregnancy size. You are to take ONE tablet every EIGHT hours, the times have been written below for your convenience. Be sure to follow all

three times even if it is in the middle of the night. Failure to do so may result in heavy bleeding and clotting. Occasionally, this pill may cause abdominal and/or leg cramps. This is normal and is not cause for alarm.

Take your pills at the following times: ______, ______, _______

A common and normal experience is an increase in bleeding and clotting when you stop taking this medication. It should last for up to 5 to 8 hours only!! The pelvic massage should be performed if this occurs. (See instructions under cramping). If persists for a longer time period you need to contact the clinic.

Cvtotec 200 mcg
This medication is given in place of Methergine. The purpose of the drug is to control bleeding and to slough off any left over tissue from the uterus. You must take this drug every SIX hours until they are finished. You will probably experience cramping while taking Cytotec. You may want to have your Anaprox prescription filled.

Anaprox 550mg
This is medication that can be taken to help relieve cramping after your surgery. It is a prescription and may be filled at any drug store. You may take this medication every SIX hours if needed. You need to take this medication with food.

Darvocet 100mg
This medication is given to help relieve pain. (Not all patients will receive a prescription for this medication). We recommend that you use this medication at nighttime, as it makes you very drowsy. We recommend you supplement this medication with Aleve over-the-counter.

Over the Counter Medications
Advil, Motrin, Ibuprofen, Aleve - All of these can be taken as pain relievers. DO NOT TAKE ASPIRIN - this will cause you to bleed more!!

WHAT CAN I EXPECT NOW?

Bleeding: You can expect your bleeding to vary from day to day. Some women bleed off and on for up to three weeks and other women never have any bleeding at all. You need to contact the clinic if you are having excessive bleeding or clotting - soaking two maxi pads in one hour for two consecutive hours, or passing blood clots the size of a tennis ball or larger.

Cramping: Some women may experience cramping following the procedure. This is normal and could happen off and on for up to three weeks. Cramping is often caused by blood clots inside the uterus and can be relieved by using

the pelvic massage. The Anaprox medication is helpful in relieving pain associated with cramps. The use of heating pads or hot water bottles is also helpful in reducing cramping.

The Pelvic Massage is done as follows: sit on the commode/toilet, place your fingers on either side of your navel. Push in and press down working to the top of your pubic area. Repeat this movement for 5 minutes. You may pass

clots, blood and/or tissue, which is normal. Continue to perform the massage as needed.

Emotions: Many women feel weak, tired or depressed. These reactions are usually due to abrupt changes in your hormone levels. We suggest you relax for a day or two and resume your normal activities when you feel comfortable.