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What Causes Lack Of Vaginal Bleeding Despite Taking Unwanted Kit?

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Posted on Mon, 5 Oct 2015
Question: Hi I am 5 weeks pregnant and taken unwanted kit but even after 72 hours bleeding didn't start please tell me what to do I am feeling very depressed and also my mood swinging
doctor
Answered by Dr. Suresh Heijebu (56 minutes later)
Brief Answer:
2 drug WHO regimen is to be advocated in your case.

Detailed Answer:
Hello, Madam.

I understand your concern.

You are NOT supposed to take UNWANTED KIT( which contains levonorgestrel) once you are a pregnant.This drug will help the pregnancy to sustain rather than causing it to disrupt.

Mood swings are the expected side effects with this drug.

All you currently need is a First-trimester MTP-medical termination of pregancy.For this, I generally recommend an Oral tablet of Mifepristone 200 mg followed 48 hrs later by 800 mcg of Misoprostol(4 tablets of 200mcg each) intravaginally.

This will cause absolute elimination of products of conception in 98% cases.Vaginal bleed occurs in 2-4 days following intake of Misoprostol.

This is the currently followed regimen advocated WHO(world health organization). A transvaginal ultrasound has to be done both prior to drug intake and after 7-10 days of bleeding to confirm successful induced abortion.

Please check with your doctor if he can prescribe this WHO 2 drug regimen to you to induce MTP.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (12 minutes later)
Hello doctor ,
Thanks for your reply i already take this the producr name is unwanted mtp kit which containa these tableta the first tablet i took on 2nd september and took all dose according to prescription writtern on it Mifepristone 200 mg followed 48 hrs later by 800 mcg of Misoprostol but still I didint get bleedind however white discharge coming out since I took first tablet I also have a cyst 8 cm long in my ovary
doctor
Answered by Dr. Suresh Heijebu (14 hours later)
Brief Answer:
Repeat Mifepristone 200 mg alone.

Detailed Answer:
Hello, Madam.

Okay then, you have taken the right prescription.

In case if you have not had a bleeding episode, you can repeat the dose of Mifepristone 200mg alone.But this should be backed up with a prior ultrasound.Please cross check with your physician if she shares my view.

A repeat dose of 200 mg is likely to induce bleeding in 99% cases within 48 hours.This is also a part of WHO regimen.

Do not be tensed.Get an Ultrasound at the earliest to assess the state of the uterine endometrium.

Cyst inside the ovary will not hamper the bleeding episode.

The white discharge can be normally associated with Mifepristone.

Review with scan report and Post your further queries if any.
Thank you.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Causes Lack Of Vaginal Bleeding Despite Taking Unwanted Kit?

Brief Answer: 2 drug WHO regimen is to be advocated in your case. Detailed Answer: Hello, Madam. I understand your concern. You are NOT supposed to take UNWANTED KIT( which contains levonorgestrel) once you are a pregnant.This drug will help the pregnancy to sustain rather than causing it to disrupt. Mood swings are the expected side effects with this drug. All you currently need is a First-trimester MTP-medical termination of pregancy.For this, I generally recommend an Oral tablet of Mifepristone 200 mg followed 48 hrs later by 800 mcg of Misoprostol(4 tablets of 200mcg each) intravaginally. This will cause absolute elimination of products of conception in 98% cases.Vaginal bleed occurs in 2-4 days following intake of Misoprostol. This is the currently followed regimen advocated WHO(world health organization). A transvaginal ultrasound has to be done both prior to drug intake and after 7-10 days of bleeding to confirm successful induced abortion. Please check with your doctor if he can prescribe this WHO 2 drug regimen to you to induce MTP. Post your further queries if any. Thank you.