About this trial
The aim is to evaluate the effect of letrozole pretreatment on the induction time during medical evacuation using misoprostol in women diagnosed with missed abortion, and to compare its efficacy and safety to misoprostol alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged 18 - 45 years.
Diagnosed with missed abortion confirmed by ultrasound (absent fetal heartbeat and/or no embryonic development).
Gestational age ≤ 12 weeks based on last menstrual period
Hemoglobin levels >10 g/dL.
Disqualifiers
Incomplete abortion, inevitable abortion, or threatened miscarriage.
Suspected ectopic pregnancy and molar pregnancy.
History of allergy or contraindication to misoprostol or letrozole.
Coagulopathy or use of anticoagulant medications.
Trial design
Parallel
Treatments tested in this trial
Intervention Group: letrozole followed by misoprostol
Procedure/SurgeryGroup A (Intervention Group) will receive letrozole followed by misoprostol.
Control Group: misoprostol only
Procedure/SurgeryGroup B (Control Group) will receive misoprostol only, without prior letrozole pretreatment
Treatment groups
Trial outcomes
Primary outcomes
Time of complete uterine evacuation
Time from misoprostol administration to complete uterine evacuation
Locations
Sponsors and contacts
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