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What to do if you do not bleed after taking Unwanted Kit?

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It’s completely normal to feel anxious if you haven’t bled after taking an unwanted kit. While some women experience bleeding within a few hours, others may not bleed for several days or even weeks. Also, you may be wondering if abortion can happen without bleeding. All your queries regarding Unwanted kit bleeding time, successful or failed abortion or incomplete abortion are genuine.

This post is to help you find all your answers. Besides, we will also help you learn what to do next if there is no bleeding after taking Unwanted Kit.

How to use Unwanted Kit MTP kit? Did you use it correctly?

The first thing you may want to know in the absence of bleeding after taking Unwanted kit or MTP kit is if you used it correctly. So, let’s try to figure this out.

Unwanted Kit is a combi pack to end a pregnancy medically with the help of five tablets. Of these five tablets, one tablet to be taken as early as possible is the Mifepristone. The remaining four tablets are to be taken as directed by the doctor after 24-72 hours of taking the first tablet. But, if there’s any dose and/or time and/or mode oaf administration adjustment, your doctor will do it for you based on your diagnostic test readings, if necessary.

After taking these four or more or less tablets, as guided by the abortion doctor, one may expel the fetus naturally. Bleeding after taking the Unwanted kit should probably start as early as half an hour or may take up to 4-6 hours. But no bleeding even by this time can be a warning sign. And we’ll see ahead in the post what to do.

Did a gynecologist or a registered medical practitioner prescribe you the Unwanted kit?

If yes, she may have given you the directions to follow regarding which tablet to take first and how. Also, she may have guided you on when to take the second set of pills and what to expect after that. Did you follow her instructions? Did you contact her after you didn’t bleed as expected? How long has it been since you took the four tablets of Misoprostol from the MTP kit?

Now, it may be best for you to visit the same doctor at the earliest. If she is available on call or message, do update her about your situation and make an earliest appointment.

However, here are a few possibilities that could have resulted in the absence of bleeding after the Unwanted kit.

Delayed abortion:

If you do not bleed after taking abortion pills or any MTP kit, including Unwanted kit even by 6 hours, it can be because of a delayed abortion. Contact your abortion provider immediately to find out the underlying cause behind the absence of bleeding. She can also provide another abortion like suction abortion to remove the pregnancy tissue in such an event.

Failed abortion:

Yes, abortion pills can fail. And it could have also happened to you. In such a case too, you must visit the abortion doctor and get fetal health checked if you have changed your mind and would like to keep this pregnancy. But even then, fetal health will decide whether the pregnancy is still viable or it’s a case of an incomplete abortion. Otherwise, again the doctor can proceed with suction abortion and end your pregnancy.

Incomplete abortion:

The first tablet of the Unwanted Kit, Mifepristone is an anti-progestin. It blocks the production and utilization of progesterone, commonly known as pregnancy hormone. It is essential for progressing with the pregnancy. So, in its absence, the fetus may die.

But it still stays in the womb until Misoprostol exerts uterine contractions. These contractions then result in expulsion through the vaginal route. But in the absence of bleeding, the fetal remains remain within the womb. It is possible to have an incomplete abortion even after bleeding happens. In such a case, some pregnancy remnants remain in the womb which can rot and cause severe infection and pain.

In such events, the doctor may either perform Dilatation & Curettage (D&C) to remove the pregnancy tissue. It’s a surgical procedure and hence, may or may not be available at all MTP centres. It’s best to get it done under the supervision of an experienced gynecologist to minimize the risks and complications.

Abortion in Bangalore, India, same day abortion, abortion pills

At some advanced MTP centres like Bangalore Genesis Hospital (BGH), it is possible to treat an incomplete abortion with a non-invasive procedure if the pregnancy is less than 12 weeks. Gentle Care suction abortion available at BGH is painless and a short procedure to gently remove the pregnancy by sucking it out of the womb with the help of an aspirator.

abortion in Bangalore, abortion methods
Abortion Methods in Bangalore

And even for pregnancies beyond 12 weeks, BGH has an innovative approach that combines labor induction with Dilatation & Evacuation (D&E) rather than D&C. Although D&C is also an efficient abortion method, D&E ensures complete cleaning of the womb without the use of sharp instruments as with D&C. With D&E, gentle suction with an aspirator can remove all pregnancy remnants after natural fetal expulsion.

Did you self-administer abortion pills?

If you took Unwanted kit by yourself, then several reasons may have caused the absence of bleeding. Let’s explore the possibilities and the causes.

Failed abortion or Incomplete abortion with Unwanted Kit:

The most common possibilities for the absence of bleeding after taking Unwanted kit are failed abortion and incomplete abortion. The probability of these possibilities is higher with self-administration because of many particulars that you may not know regarding medical abortion.

Unwanted Kit abortion in Bangalore, unwanted kit bleeding, abortion pills, MTP kit Unwanted kit

You may not have checked your eligibility for medical abortion. Also, you may not have adjusted the dose. Even with a difference in body weight, dose adjustment is essential for increasing the possibility of a positive outcome.

Then, you may not have considered many factors like your health. For example, if you are taking any medicines for any medical condition, it can impact the working of the Unwanted kit. Due to this potential interaction, an Unwanted kit can fail and result in an incomplete or failed abortion. Had you visited the abortion doctor, she must have factored in this and adjusted the dose or guided you to another abortion method that may suit you.

Similarly, some diagnostic tests like Liver Function Tests (LFT) and Renal Function Tests (RFT) could have helped her again adjust the dose according to the values in your reports. Dose adjustment can ensure that your abortion happens most effectively.

As mentioned earlier in the post, the different medicines from the MTP kit need to be taken at a gap. The reason for your failed or incomplete abortion could also be possible due to improper timing. And timing may vary with different pregnancies and individuals. This too, the doctor may have guided you if you had visited a registered abortion clinic.

Furthermore, both medicines may or may not be taken orally. Only the doctor can decide which route of administration is best for which patient and for which medicine. Any variation here with self-administration can also give unexpected results.

Ectopic Pregnancy:

Another reason and a major concern if you haven’t bled after taking Unwanted Kit is an ectopic pregnancy. Ectopic pregnancies are the ones that are unable to reach the womb and hence, divert from the main destination. They may implant at a wrongful location. The wrong location could be the abdominal cavity, cervix lining, within the fallopian tube, the ovary wall or even adhesions from a previous procedure.

Ectopic pregnancies are non-viable and are untreatable by any abortion pills, Mifepristone and Misoprostol as a combi pack like Unwanted kit or even taken alone like Cytotec. These pregnancies are medical emergencies and it is not possible to remove them with an MTP kit.

The unwanted kit you took may not expel an ectopic pregnancy and hence, you may not have bled. But, in such a case, seek immediate medical attention or ectopic pregnancy can rupture inside your body. This could cause internal bleeding which can also result in death.

Immediate surgery to remove the pregnancy tissue can save your life and even your fertility. Yes, fertility, you heard it right. Since ectopic pregnancies can rupture near the ovary or inside the fallopian tube, the doctor may need to remove them too to save your life. However, you may lose partial to complete fertility as a result of it.

Now, if you visit an abortion doctor in the beginning, she can rule out any possibility of ectopic pregnancy with a small ultrasound scan. And for the ectopic pregnancy, she can treat it medically or surgically before it ruptures saving your life and fertility too.

This proves the importance of undergoing diagnostic examinations before an abortion. This also raises concerns regarding the self-administration of any abortion pills, including the Unwanted Kit without a prescription from a medical practitioner.

When to expect bleeding after taking Unwanted kit or any MTP kit?

Most women bleed within 20-30 minutes after taking the second set of medicines from the Unwanted kit if used correctly. However, variations are common and some women may not start this early. But commonly, most women start bleeding within 4-6 hours. Not only this, they even expel the fetus and most of the pregnancy tissue within this duration.

Women may continue to bleed for nearly 3-4 days after this but with bleeding decreasing gradually just like with a normal menstrual period. Some women may experience moderate bleeding or spotting for 7 days or even more. While bleeding usually stops by day 7 with a complete abortion, continued spotting or bleeding may be because of incomplete abortion.

With incomplete abortion, the cost of abortion increases making abortion pills an expensive choice.

What to do if there is no bleeding after taking Unwanted Kit?

As a common advice, if you do not bleed within 6 hours after taking the final medicines from the Unwanted kit, it’s an alarming sign to contact your abortion provider immediately. Even if you have taken pills without consulting a doctor, make sure to visit an abortion clinic right away to exclude any possibility of ectopic pregnancy and prevent its rupture.

Even with a failed or incomplete abortion, the doctor may complete the abortion with the most suitable method. As mentioned in the incomplete abortion section, the doctor may complete the abortion with either suction alone or with D&C or D&E, as per the available methods and patient-specific health parameters.

Please do not risk your health and life by self-administering any abortion pills, MTP kit, Unwanted kit or any medicines without consulting a doctor. Remember, your health and safety are the most important assets and no one should mess with them.

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