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Does taking abortion pills cause irregular bleeding and staining during menses?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had taken Mifepristone and Misoprostol abortion pills in the middle of the last month and had heavy bleeding and clots. I had a pregnancy test done by the end of the first week of this month, and it came back negative. I got my period in the second week of this month, but it was only staining.

Why is there no complete bleeding happening?

Kindly suggest.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

What was your last menstrual period date?

Do you have regular cycles?

Did you check your pregnancy or confirm your pregnancy before taking the abortion pills?

Hormones have their effects. It could give you irregular bleeding, and the body needs time to regulate its normal cycle along with the body's hormones and hormones used from outside to induce bleeding. In case of heavy bleeding, pain, and dizziness, report to the hospital.

After two weeks, it is better to have one beta hCG (human chorionic gonadotropin) test to clear the pregnancy to see if it subsided completely or needs any intervention. Minor spotting could be due to side effects or hormonal changes, which will subside in a few days. But if it is heavy bleeding associated or not associated with clots or recurrent spotting, it could be a sign of retained products after taking the abortion pills. Have iron supplements.

A nutritious diet with daily walks. Check for any other abnormal symptoms like a fever that will need antibiotics, as it indicates infection. It is better to have one transvaginal scan to exclude retained products and one blood test of complete blood count (to exclude any bleeding disorder). In the case of retained products, you may need evacuation. Follow the scan and CBC report and discuss them with a gynecologist.

Thank you.

Answered byDr. Uzma Arqam

Medically reviewed byiCliniq medical review team

Published At December 30, 2022
Reviewed AtJanuary 22, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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