A medically induced miscarriage using Mifepristone (200 mg) followed by Misoprostol (200 mcg) typically takes about 24 to 48 hours to begin working after taking Mifepristone. Here’s how the process usually unfolds:

• Mifepristone is taken first to block the hormone progesterone, which is essential for maintaining pregnancy. This causes the lining of the uterus to break down.
• Within 24 to 48 hours, Misoprostol is taken to induce uterine contractions, which help expel the pregnancy tissue.
• You can expect uterine bleeding and cramping during this time, which may last for several hours to days.
• Bleeding can be heavy and may continue for up to 30 days, but this varies among individuals.
• It is important to understand that absence of bleeding immediately after taking the medication does not mean the process is complete.

Because the duration and intensity of symptoms can vary, close medical supervision is essential. Your doctor will likely perform an ultrasound to confirm that the miscarriage is complete and to rule out complications such as incomplete abortion or infection.

When to seek medical help:

• Excessive or prolonged bleeding (soaking more than two pads per hour for two hours)
• Severe abdominal pain not relieved by medication
• Fever or chills
• Signs of infection such as foul-smelling discharge

This process can be emotionally and physically challenging, so support and follow-up care from a gynecologist are highly recommended to ensure safety and well-being.

If you experience any concerning symptoms or have questions during the process, please contact your gynecologist promptly. In emergencies, call Apollo Emergency at 1066.