It has been 48 hours since I used misoprostol and my period has not started. When will it start? #658/12

I am 3 weeks and 3 days pregnant (June 26th).  I inserted 600 mcg of misoprostol and repeated it the next morning.  It is now 48 hours later and my period has not started.  Why did it not start and when will it start?


Answer sent on June 27th:

I am not an expert on the question you are asking.


As I understand it efficacy rates for 800 mcg of misoprostol vaginally every 8 to 24 hours are about 70% after one dose of misoprostol, 80% after 2 doses and 90% after 3 doses.


So you might proceed with a third dose and if not successful, switch to another pregnancy termination technique.


Where are you and are other pregnancy termination procedures available to you?


One expert in this field suggested the following:

“At that early gestation, I wonder how the pregnancy was confirmed – not necessarily visualizable on USG.  Could she have a non-viable pregnancy like an ectopic?  But your advice was good.”

Please send us a follow-up today as to where things stand with you.
Her email reply on 7-17: “I started having slight bleeding and spotting on the 7th and after a week and 2 days I started taking Primolut N.  I am still on it and am having abdominal pain, like an ovulation pain and menstrual cramp and still two positive pregnancy tests.  Am I okay?”

If you are continuing to have cramping and or pain, I would suggest that you return to your clinician who provided the misoprostol.

Her email reply on 7-23:”I tried using misoprostol, but it didn’t work so I went for a surgical abortion using MVA.  After 9 days I started having slight bleeding and spotting (which lasted for 7 days.  On the 8th day I started taking primolut N and was having slight abdominal pain, like I did with ovulation.  It stopped, I think, after 4 days.  Am I okay and when will I see my period? Help!

Her email reply on 7-25: “I went for a pregnancy test and it was positive.  I am having a thick white discharge (I guess cervical mucus) and am having pains, like ovulation pain.  Please, I am bothered.  Is everything okay with me?  Please reply!”

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Key Words:  pregnant, misoprostol, period, efficacy rates, switch, pregnancy termination, procedures, gestation, confirmed, non-viable pregnancy

Posted 6-29-2012, Updated 7-9-2012, Updated 7-17-2012, Updated 7-20-2012, Updated 7-26-2012


Posted on

July 26, 2012