Understanding the MTP Kit and How It Works
The MTP Kit (Medical Termination of Pregnancy Kit) consists of two medications: Mifepristone and Misoprostol. Mifepristone blocks the pregnancy hormone (progesterone), causing the uterus lining to break down, while Misoprostol induces contractions to expel the pregnancy tissue. Bleeding usually starts within 4–48 hours after taking Misoprostol.
Causes of No Bleeding After MTP Kit
If there is no bleeding after taking the MTP Kit, possible reasons include:
Incorrect Dosage or Administration – If the pills were not taken as instructed, their effectiveness may be reduced.
Pregnancy Was Too Early or Too Late – The MTP Kit works best within 9 weeks of pregnancy; if taken too early or too late, it may not be effective.
Ectopic Pregnancy – If the pregnancy is outside the uterus (in the fallopian tube), the MTP Kit will not work and requires emergency medical intervention.
Hormonal Resistance – In rare cases, the body may not respond to the medication as expected, preventing bleeding.
Incomplete Abortion – Some tissue may remain in the uterus, causing the abortion process to be incomplete and delaying bleeding.
Misoprostol Not Fully Absorbed – If the pill was not properly dissolved under the tongue or in the vagina, its effectiveness may be compromised.
What to Do If You Have No Bleeding After MTP Kit?
If there is no bleeding within 24–48 hours after taking Misoprostol, follow these steps:
Wait a Little Longer – Some women experience delayed bleeding, but if there is no bleeding even after 48 hours, seek medical advice.
Repeat the Misoprostol Dose – A doctor may recommend taking an additional dose of Misoprostol (400 mcg) to induce contractions.
Ultrasound Examination – This can confirm whether the pregnancy is still intact or if there is retained tissue.
Surgical Intervention – If the abortion is incomplete, a D&C (Dilation and Curettage) or vacuum aspiration may be necessary to remove remaining tissue.
When to Seek Emergency Care?
Seek immediate medical attention if you experience:
Severe abdominal pain that does not subside
Dizziness or fainting
High fever (above 100.4°F) or chills
Vomiting and nausea that prevent taking medications
Signs of infection such as foul-smelling discharge
Precautions to Take After MTP Kit
Avoid heavy lifting, intense exercise, and sexual activity for at least 2 weeks.
Stay hydrated and eat light foods to help your body recover.
Take iron-rich foods to replenish blood loss.
Monitor your body and follow up with a doctor to ensure complete recovery.
Conclusion
No bleeding after taking the MTP Kit can be a cause for concern, but it is not always a sign of failure. Consulting a healthcare provider and undergoing an ultrasound can help determine the next steps. If needed, additional medical intervention will ensure a safe and complete abortion process. Always use MTP Kits under medical supervision for the best outcomes.