Hello doctor, I recently had an abortion pill. I took Mifepristone tablet first then after 36 hours, I took four tablets of Misoprostol of 200 mcg orally. At first, there was light bleeding during one hour then after some time I had heavy bleeding and it almost soaked two pads and it continued for almost two to four hours. After that, I am having light bleeding. There is little blood coming out from the vagina. I thought abortion process was not completed so again after 24 hours I took four more Misoprostol of 200 mcg but after that, there is still no result of heavy bleeding. I wanted to know what to do next and whether the abortion process is completed or not. Please help me through this. I have nausea, vomiting and abdominal pain along with it.
Hello. I guess you have not passed any tissue or mass like structures out of the vagina. So we cannot be sure about the complete termination of pregnancy. Presence of just bleeding does not ensure the complete termination. So our priority is to confirm it.  Now it is a time for you to get yourself examined by a gynecologist, an ultrasound of the pelvis to look for complete or incomplete termination. Ultrasound will confirm the status of pregnancy. However, it is not recommended to have excess doses of Misoprostol now. Also, although the risk of infection is not high, keep watch for fever and if developed then have antibiotics started immediately. So overall, next most important step is an ultrasound of pelvis and if incomplete termination then an evacuation. For more information consult an internal medicine physician online -->