Brief Answer:
These medicines do cause pain, take antispasmodic painkillers.

Detailed Answer:
Dear XXXXXXX

You have taken right medicines for terminating the pregnancy which is of just 7 weeks duration. Tab. Mifepristone followed by Tab. Misoprostol effectively terminate the pregnancy up to 9 weeks of gestation. I hope you have taken these medicines by your Obstetrician's advice and prescription. These medicines are not 'over the counter' medicines.

Usually the termination is completed within 24 hours to 7 days after Misoprostol consumption. These medicines make the uterus contract strong to effect the termination; hence there is strong pain in the lower abdomen. When the abortion takes place, you may find whitish clots (tissue) on your pads. Once the abortion is complete, your pains will start subsiding. Also the bleeding will start getting less after the abortion is complete. If the pains are intolerable, you may take some antispasmodic painkillers like spasmindon or meftal spas tablets. It is likely you may get nausea and vomiting also. You may take some tablet on vomitting from your doctor.

If the bleeding continues to be profuse, please report to your Obstetrician, you may need some intervention in such event. However, usually such intervention is needed in vary rare occasional cases.

I would advise you to get ultrasonography done after the abortion to confirm that it is complete. If the process is not complete by 7 days, please report to your Obstetrician. Even otherwise also, it is advisable to have a follow up visit to your Obstetrician after 7 days.

One word of caution: These medicines have very good success rate in terminating the pregnancy up to 9 weeks. However, if by chance, they fail, the decision should not be changed to continue the pregnancy as these medicines can cause developmental abnormalities in the baby.

I hope you got this message.

Please get painkillers and you may be somewhat comfortable.

I hope you will be relieved of your stress by now. If you find this advice and information satisfactory, you may please post a good review for me with 5 star rating. If you want to have any more information, I am always available for you, XXXXXXX I shall appreciate if you update me about the further developments.

---

Brief Answer:
Within 4-7 days after the complete abortion

Detailed Answer:
Dear XXXXXXX

The bleeding should stop completely within 4-7 days after the abortion is complete. This usually happens within 7 days after the complete dose of Misoprostol following Mifepristone. If it does not, you have to report to the Obstetrician keeping in mind the possibilities of incomplete abortion or failure of the medicine to terminate the pregnancy.

Every day, you have to watch your pads for the evidence of expulsion of the embryo. That indicated the completion of abortion.

I hope you have got the required information. If you want any more information, please feel free to ask me, XXXXXXX

Dr. Nishikant Shrotri

---

Brief Answer:
After about 5 weeks

Detailed Answer:
Dear XXXXXXX

The next period will start usually after 4-5 weeks after the completion of abortion.

However, I would advise you to start reliable birth control practise like birth control pills, condom or intrauterine device to avoid such situation again in your life. Please understand that Medical termination of pregnancy is not a method of birth control; it is an emergency help. Repeated abortions affect the reproductory system of a woman adversely.

If you start taking birth control pills after confirming that you have aborted completely, within 7 days after completing the pack of pills you will get menses.

I hope you are satisfied with this information. Of course, for any more information, I am available for you, XXXXXXX

Dr. Nishikant Shrotri

---