HomeAnswersObstetrics and GynecologyabortionWhy did I not get my periods even after taking MTPs?

Pregnancy tests are positive even after taking 2 MTPs vaginally. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

iCliniq medical review team

Published At April 2, 2016
Reviewed AtJanuary 19, 2024

Patient's Query

Hello doctor,

I missed my period 18 days back. As the pregnancy test was positive had one tablet from MTP kit 15 days back. The same day night 2 tablets were given vaginally. On the next day, 2 tablets were given orally. Still I have not got my periods.

Answered by Dr. Sameer Kumar

Hello,

Welcome to icliniq.com.

You have already taken all the tablets, but unfortunately you have taken it wrongly.The second dose of 2 tablets of Misoprostol were to be taken after 36 hours and not before. The remaining two should have taken after 6 hours of the previous 2. Now you must wait for the bleeding and abdominal cramps to initiate on its own in next 48 hours. If the bleeding does not ensue in next 48 hours then get an ultrasound pelvis done to ascertain an intrauterine pregnancy or whether it is an ectopic pregnancy. If intrauterine then safely a surgical abortion can be performed under ultrasound guidance by a gynecologist. There is no role of repeating the kit again.

Patient's Query

Hello doctor,

Kindly specify the right way to use MTP kit. Should it be used vaginally or orally?

Answered by Dr. Sameer Kumar

Hi,

Welcome back to icliniq.com.

The route has to be orally and one should not use multiple routes for the MTP (medical termination of pregnancy) kit. As per norms vaginal route is preferred only for those women who have nausea and vomiting and unable to swallow medicines. Now that you have already consumed the kit once, so do not repeat it. Please seek a gynecologist opinion after 48 hours for further physical evaluation if no bleeding ensues as this would be a failed abortion then.

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

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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