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What Is The Reason For Absence Of Bleeding After Taking The MTP Kit?

Posted on Mon, 8 Dec 2014

Question: my wife missed her periods by 7 days and we did a pregnancy test which came negative but after an hour or so we saw a very faint second line so thought that she would be pregnant and decided to go for the mtp kit. 1 tab she took the first day of mife.

2nd day- 1 tab orally of misoprostol and 1 tab vaginally

3rd day- 1 tab orally of misoprostol and 1 vaginally

and still the periods didnt start.

then she took 2 tab of misoprostol vaginally.

periods have not yet started. what should be done? is she still pregnant? should we take another pregnancy test? and since she always has regular periods we are worried as we dont want a child right now. waiting for your reply.

Answered by Dr. Soumya (27 minutes later)

Brief Answer:
Serum beta hCG blood test

Detailed Answer:
Hello

Welcome to healthcare magic.

1. I doubt if your wife was pregnant. First you need to confirm pregnancy by serum beta hCG blood test. This predicts pregnancy accurately.

2. Faint line after one hour is not significant and not relied upon.

3. If she has taken Misoprostol yesterday you need to wait for 2 more days for bleeding to start.

4. Meanwhile let me know serum beta hCG blood test done.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Soumya (32 minutes later)

i l get the hcg test today and hopefully will get the reports and post you the same. the only last question i wanted to ask was that can the pregnancy strip test also be done side by side the hcg test? and does the strip test get affected cause of the medication taken currently?

Answered by Dr. Soumya (6 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hi

Yes. You can do the pregnancy strip test along side. These medicines won't affect the test results.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (5 minutes later)

i may not be able to contact you soon enough so i am asking you this. what if the tests indicate that she is not pregnant? then in how much time will she resume her cycle? and what if she is pregnant and her periods didnt start?

Answered by Dr. Soumya (4 minutes later)

Brief Answer:
Further management

Detailed Answer:
Hi,

If tests indicate negative pregnancy, she should resume her cycle by one week. If she is pregnant and her periods don't start, You need to confirm location of pregnancy by ultrasound scan and decide further ways of management as per scan report.

Pleas send me scanned copy of ultrasound then. I can advice seeing report.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (19 minutes later)

thanks doctor. i just had a word with her over the phone. she just had her periods. heavy bleeding has started. should any vitamins and minerals be taken to overcome weakness?

Answered by Dr. Soumya (2 minutes later)

Brief Answer:
Good

Detailed Answer:
Hi,

I hope you are relieved now as periods have started. She does not need any vitamins and minerals. Don't worry

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju