I am the consultant who covered in the previous blog on medical termination of pregnancy (MTP), currently practicing Obstetrics and Gynecology. pills In Muscat – by Mifepristone and Misoprostol 1

First and viewer, a big thank you for the overwhelming response to our last blog. We truly appreciate your reading, , and the questions you’ve asked in. Today’s blog is a continuation of that content—where I’ll try to solve your most frequently asked questions, clear up doubts, and explain things in detail for your better understanding Abortion pills In Muscat – by Mifepristone and Misoprostol.

Most Common Question: How to Take the MTP Kit?

The MTP kit generally contains five tablets. Here’s how MTP-pills should be taken:

first day : Take the first pills of Mifepristone— drink with water, just like any regular tablet.
After 24 to 48 hours: Take the remaining four —Misoprostol, must not be swallowed. Instead, place them under the tongue or in the vaginal area. 4 tablets are designed to dissolve and work through absorption. many reports say Swallowing them reduces their effectiveness.

al Though there are many ways to take these tablets, the method described my me here is the most scientifically proven and widely recommended in medical literature in university.

in case If you swallow them and suddenly start vomiting soon after, the effect may be compromised. However, proper placement (sublingual or vaginal) ensures the tablets works even if vomiting occurs later.

When Does Bleeding Start and How Long Does it Last?

Bleeding can start any time between one hour to 24 hours after using the 4 Misoprostol drugs. For the majority of women, bleeding start within this time and can last for 7 to 10 days. The first signs of bleeding is usually heavier more than a normal menstruation cycle and may include clots or tissue, especially if the pregnancy is slightly advanced.

there is 99 % chance to get start bleeding, If no bleeding even after 24 hours, consult a doctor—it could mean the medication hasn’t worked. you might be suggested to repeat the same does.

What If I Start Bleeding After the First Tablet?

Abortion pills In Muscat – by Mifepristone and Misoprostol 1 ,That’s fine. Even if you begin bleed after taking the first tablet (Mifepristone 200mcg), you must still complete the course by placing the remaining four (Misoprostol 800 mcg) tablets or inserting. The two types of tablets work differently and are both essential for a complete and safe termination, Abortion pills In Muscat – by Mifepristone and Misoprostol.

Blood Group Concerns: Does Rh-Negative Matter?

Yes, it does. If your blood group is Rh-negative, and the pregnancy was more than 7 weeks, or if any surgical intervention was needed, you might require an Anti-D injection to prevent future complications in subsequent pregnancies.

However, if the abortion was medically complete and early (within 7 weeks), this injection may not be needed. Always consult your doctor.

I had a C-Section before? Can I Still Take Pills?

Yes, women who have had a previous C- section can still take abortion pills. however extra cautious is needed—a prior C-section may raise the risk ofcomplication such as ectopic pregnancy like uterine rupture. An ultrasound is essential before taking any medication to rule out these risks.

What If I Change My Mind After Taking the First Pill?

Unfortunately, Mifepristone is a Category X drug, which means it is known to cause harm to a developing fetus. Once taken, you should not continue the pregnancy due to the risk of fetal malformation. Please complete the abortion process for your safety.

How Often Can I Use the Abortion Pill?

The MTP pill is not a form of contraception. Repeated use can lead to serious health risks like anemia, infections, and long-term damage to your reproductive organs. It should be used only in emergencies and under medical supervision, not as a regular method of birth control.

When Will My Period Return?

Your menstrual cycle typically resumes 4 to 6 weeks after a successful abortion. If your menstrual cycle was previously regular (typically 28–32 days), your next period will likely follow a similar pattern. However, if you don’t get your period after 6 weeks, take a pregnancy test or consult your doctor.

Can I Get Pregnant Right After Abortion?

Yes! You can get pregnant as early as two weeks after the abortion, even before your next period. So it’s essential to use contraception immediately if you don’t want another pregnancy.

Is Ultrasound Necessary Before Taking Pills?

Absolutely. Taking abortion pills without an ultrasound is risky—just like riding a bike without a helmet. Ultrasound helps confirm:

The age of the pregnancy, and
That the pregnancy is intrauterine, not ectopic.

Skipping this step can lead to dangerous complications, especially in cases of ectopic pregnancies, which cannot be treated with pills.

Can I Take Painkillers or Anti-Nausea Tablets?

Yes, you can take pain relief and anti-nausea medication to manage discomfort. It does not interfere with the abortion process.

What Should I Eat After Taking the Pills?

There’s no specific diet required, but we recommend:

Iron-rich foods like pomegranate, jaggery, dates
Leafy greens and milk or curd for calcium
Stay hydrated

Avoid alcohol and smoking. And no, papaya, pineapple, or “hot” foods do not have any scientifically proven effect on the process. Abortion pills In Muscat – by Mifepristone and Misoprostol 1

Why Is My Pregnancy Test Still Positive After Abortion?

Pregnancy hormones (hCG) can remain in your body for up to 20 days to 28 after an abortion. Therefore, do not take a urine pregnancy test within the first 30 days—it may show a false positive. To confirm if the abortion is complete, get an ultrasound after 10–14 days, not a home test. Abortion pills In Muscat – by Mifepristone and Misoprostol 1

How Is Pregnancy Duration Calculated?

We begin counting from the first day of your last menstrual period (LMP)—not the date of intercourse. Even if you had contact on a specific date, that is not the reference point. Accurate pregnancy dating relies on a regular menstrual history and may be confirmed with an ultrasound.”

Final Note

Please do not self-medicate. These are prescription drugs and should only be taken under a qualified gynecologist’s supervision. Misusing them can lead to serious, even life-threatening, consequences. Always consult your nearest women’s health specialist and follow proper medical guidance.

Abortion pills In Muscat – by Mifepristone and Misoprostol 1