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When will you start bleeding after taking abortion pills ?


bleeding after taking abortion pills?

The abortion pill procedure involves taking Mifepristone and Misoprostol, 24-48 hours later. It is known that the first dosage, i.e. of Mifepristone does not cause any bleeding or even cramping. Even so, some may experience light bleeding as well as cramps and nausea.

The bleeding and cramping normally start after one has taken Misoprostol pills. It usually takes four – six hours after taking the pills to start bleeding, for some it may start later. For few women, only the cramping and bleeding will occur. Others experience side effects like nausea, fever, chills, headache, dizziness, diarrhea, hot flashes after taking the Misoprostol pills.

Bleeding after taking Abortion pills Misoprostol

Bleeding is the most common sign that signifies the beginning of an abortive procedure. If the abortion continues, the cramps and bleeding become more severe. Abortive bleeding is often more severe than a menstruation bleeding and blood clots are present during the abortive procedure.

The more pregnancy is developed, the heavier the bleeding and cramps will be. If the pregnancy termination is complete, the bleeding and cramps lessen. You can detect the time when you can deem the procedure over, as it happens with a peak of heavier cramps and blood loss.

Normally, the bleeding will carry on lightly for 1 to 3 weeks after taking the abortion pills. Many times, however, it may vary person to person. The normal menstrual bleeding usually returns somewhere in between four to six weeks.

The heaviest bleeding occurs around 2 to 5 hours after Misoprostol uses and then usually slows down within 24 hours. The most intense abdominal cramping and heavy bleeding generally last for three to five hours. However, it can last for more or even less than that time, comparatively.

Meanwhile, some women heavily bleed for up to 48 hours and then pass the blood clots days or even weeks after taking misoprostol. This is common, however, and not dangerous. That is unless you soak through more than two sanitary pads in two or fewer hours. You should also be concerned if you lose heavy bleed clots which are a size of an orange.

It is normal for your body to take a time to empty the uterus completely since every woman’s body is different.

What if I don’t bleed after taking Misoprostol?

If after 24 hours the woman hasn’t started bleeding & is still pregnant, she can take more 4 Misoprostol pills. The first dosage of Mifepristone pill can work up to 72 hours. Therefore, she can take the Misoprostol buccally. This can be done by putting the 4 tablets in each cheek pouches and letting them dissolve for 30 minutes.

Rarely, if pregnancy symptoms continue [ nausea] the woman can have an ultrasound to check if the procedure was complete. Further, she can check if the pregnancy is still continuing or the length of the pregnancy.

The combination of mifepristone and misoprostol has a success rate of 97-98%. However, there is a very rare chance for the pregnancy to be developing after you have taken the abortion pills. If it does, you can have an aspiration procedure to remove the remaining conception parts from the uterus.

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Use of Mifepristone in various countries

Use of Abortion pill Mifepristone in various countries

It’s almost three decades since the first abortion pill was introduced and approved for use in France. Then known as RU-486, the abortion pill now is popularly known by the brand name ‘Mifepristone’. Although it has been three decades since medical abortion was brought to the introduction, it is still criminalized and banned in certain countries and states around the world.

Lets’ see how Mifepristone came to be in some countries.

  1. France

  • Pregnancy termination in France is legal within 12 weeks of gestation since the introduction of Veil law in 1975.
  • Surgical procedures are also allowed if the medical professionals conducting can attest that they can prevent a great injury to the woman’s health by terminating her pregnancy [ be it for physical or psychological reasons], i.e. if the fetus is abnormal and suffers from some disease that cannot be cured or if the pregnant women risks losing her life or suffer serious physical/ mental injury.
  • In France, abortion with Mifepristone and Misoprostol pills is the most preferred type of pregnancy termination procedure.
  • Comparing the statistics of women having an abortion with pills – in 1996 18% of women were recorded to choose this method, then the amount has been continuously increasing with 38% in 2003 to 44% in 2005 to 49% in 2007 and 49% in 2007 and has been growing since then.
  1. Germany

  • In Germany, abortion is the first trimester is allowed, whereas late pregnancy terminations are only allowed in serious cases.
  • The Abortion pill Mifepristone, or RU-486 as it was called then, was approved in Germany in the year 1999. As per the latest research information, as of 2010, the abortion rate is 6.1 per 1000 women in Germany.
  • Since the access to abortive drugs has become easier, the abortion pill cost has become more affordable.
  1. The United States of America

  • The right to abort with medication is legal in almost all states of America and with the assistance of the major pro-choice organizations, it is somewhat accepted. The Mifepristone abortion pill was approved in the United States in 2000. This revolutionary decision was based upon the tablets safe usage for 12 years in various European countries.
  • In the US, the FDA [ Food and Drug Administration], after a series of research in regards to the safety of the abortive drug, approved the pill, accounting that a number of risks resulting from it were minimal. Some of the medical schools also offer special courses on usage on medical abortion and other contraception such as the day after pill like Plan B. The emergency birth control requires no prescription and you can buy Abortion pill Mifepristone it over the counter in some states as well.
  • A recent report showed that in the US the number of women terminating a pregnancy with Abortion pill Mifepristone is almost on the same level now with women seeking surgical abortive procedures.
  • Furthermore, since its advent, several countries like UK, Spain, Russia, Scandinavia, Germany, etc have reported successful medical termination of pregnancy results.  In many countries, women buy abortion pills online as well.



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How to use MTP Kit and when to use the second one?

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An MTP Kit is a set that comes with abortion pills in FDA recommended dosages. The kit contains 1 tablet of Mifepristone [200 mg] and 4 tablets of Misoprostol [400 mcg each – 800 mcg total]. These  abortion pills can end pregnancies that are within 10 weeks [70 days] of gestation.

Some women even buy abortion pill MTP Kit online, to get a cost effective deal.

How to use it?

The MTP Kit contains anti progesterone agent Mifepristone and Misoprostol, which is a propagandist analog. To use them you must follow the below procedure.

  1. Swallow 200 mg tablet of Mifepristone normally
  2. After the first dosage, take 24- 48 hours of mandatory interval
  3. Put 400 mcg each of four Misoprostol pills, two by two in each cheek pouches. This is called buccaneer administration. You need to hold the medication in your mouth for at least 30 minutes and let the pills dissolve naturally before swallowing its residue.

Following the administration of medication

Following the procedure, there are several outcomes that are to be expected –

  1. Bleeding

Just as you have finished taking Misoprostol pills, you will start bleeding vaginally after some hours. This is an expected effect and necessary to end and pass the pregnancy. The bleeding may vary as per the person. Some women can bleed for a longer duration of time while other may bleed less. Bleeding can last up to 9 to 13 days’ average, while some may continue to lightly bleed or experience spotting for a month.

  1. Cramps

You will experience severe to mild cramps for several days following a pregnancy termination. While you pass blood clots and tissues, the cramps may get more intense. As a solution, you can take painkillers for body ache.

  1. Fever

Fever is one of the side effects that may happen to some, while not to others. You can take advice from your doctors if the fever continues for more than a day, i.e. 24 hours.

There are many emotional as well as physical changes after using the MTP Kit like – breast tenderness, bloating, discomfort during intercourse [ only if you engage in sexual activity right after the procedure, which is not advised], tiredness and emotional changes etc.

  1. Nausea

You also feel nauseous and it is common for women to experience diarrhea and vomit during the procedure.

When should one use the second MTP Kit?

There are some circumstances where you may need two MTP Kits than one. This is because

  1. If you more than 8 weeks pregnant, you may possibly need to MTP Kits. This is because, since the pregnancy is developed more in 8 weeks, the recommended dosage may not be adequate to start the abortive procedure.
  2. Another possibility is that you could vomit after taking Misoprostol. As these pills are to be kept in the mouth to dissolve for 30 minutes, it is possible you may get nauseous. If you regurgitate the tablets [ if you see them in the vomit], the dosage has not been absorbed by the body. Therefore, you need to take another dosage of Misoprostol tablets in a similar manner.


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