Efficacy and Safety of Letrozole, Misoprostol and Their Combination in First Trimester Missed Miscarriage: <i>A randomised clinical trial</i>

Combining letrozole with misoprostol significantly improves complete miscarriage rates with tolerable safety. Letrozole alone is safer but less effective. Thus, combination therapy may offer an optimal non-surgical strategy for individualised management.

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Publication Details

Journal
Sultan Qaboos University medical journal
Published
2026-01-29
DOI
https://doi.org/10.18295/2075-0528.2962
Primary Topic
Reproductive System and Pregnancy
Type
article
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article

Efficacy and Safety of Letrozole, Misoprostol and Their Combination in First Trimester Missed Miscarriage: A randomised clinical trial

Mohamed Mohamed, Ahmed Hassan, Abdelrahman Adel Abdelmonem Salama, Mohamed Fikry Yousef et al.
Sultan Qaboos University medical journal
Reproductive System and Pregnancy
article

Efficacy and Safety of Letrozole, Misoprostol and Their Combination in First Trimester Missed Miscarriage: A randomised clinical trial

Mohamed Mohamed, Ahmed Hassan, Abdelrahman Adel Abdelmonem Salama, Mohamed Fikry Yousef, Hany Saad Amin Mohamed, Ahmed Ragab Ebrahim Ragab, Mamdouh Abdelfatah Sheeba, Mahmoud Mostafa Hassan Ali, Amira Alasmer, Marwan Taghian
article en

Abstract

Combining letrozole with misoprostol significantly improves complete miscarriage rates with tolerable safety. Letrozole alone is safer but less effective. Thus, combination therapy may offer an optimal non-surgical strategy for individualised management.

Sultan Qaboos University medical journalVol. 26(1)
NHS Lothian (GB), Cairo University (EG), Al-Azhar University (EG), Columbia University Irving Medical Center (US), October 6 University (EG)
Openalex Percentile: Top 72%
Reproductive System and Pregnancy
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