I'm a bit concerned because I took mifepristone and then 24 hours later, I followed it up with 4 tablets of misoprostol, just like my gynaecologist told me to. But I've only had a bit of spotting for a little while and then no bleeding at all, just some cramps and nausea. It's been over 21 hours since I took the misoprostol and I'm worried that it might not be working. Can you help me understand what's going on or what I should do next?

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

Consult Now

Given the lack of bleeding 21 hours after taking misoprostol, despite experiencing cramps and nausea, it's essential to follow up with your gynaecologist as soon as possible to assess the abortion's success and rule out any potential complications or ongoing pregnancy; you may recommend an ultrasound to confirm the outcome and provide further guidance.

Dr. Shubham Suggests...

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Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.