An MTP Kit contains Mifepristone and Misoprostol. These pills work to end an early pregnancy. Mifepristone is the first medication taken orally with water. This 200mg pill is a progesterone blocker that stops pregnancy from developing by shedding the endometrial lining. It is also known by other names viz. Generic RU486 or Mifeprex, but MTP Kit is the wholesome pack with authentic pills.
The second medicine, Misoprostol is a set of 4 x 200mcg pills. Belonging to the prostaglandin analog class, it causes uterine contractions to expel the pregnancy contents. It also softens and dilates the cervix to cause easy exit of the pregnancy tissues. The pregnancy products disperse via vaginal bleeding.
Let us know more about the common questions about MTP Kit and safe medical abortion:
1. What Preparation Is Needed Before Taking the MTP Kit?
Before you begin with the MTP Kit procedure, confirm if the pregnancy is present or not, and if it is situated inside the uterus. The pills do not work to end a pregnancy outside the uterus. After pregnancy check, you must stock the essentials such as maxi pads, light snacks, hydration liquids, over-the-counter meds for pain / fever / nausea / stomach upset and other side effects.
Ensure that you get a couple of days rest after the abortion. Keep an emergency contact number in reach in case you need to seek immediate medical attention. Similarly, talk to your friend, partner, family member, or peer if you would want to arrange for support during the procedure.
2. Is It Safe to Undergo an In-Home Abortion With MTP Kit?
The medication abortion process with MTP Kit is effective up to 95-98%. It is a non-invasive protocol, which means there is no use of surgical equipment or tools, nor is there any need for anesthesia. Mifepristone and Misoprostol are FDA-approved, and recommended by the WHO for in-home pregnancy termination.
There is heavy research and clinical trials that support the efficacy of MTP Kit medicines. It is safe to take this medicine during early pregnancy when the gestation age is less than 12 weeks. The pregnancy should be inside the uterus and not ectopic for the pills to function properly.
3. How Does the Medical Abortion Pain and Bleeding Are Like?
The pain intensity and experience may vary across individuals. However, the uterine contractions are strong and the abdominal cramps and pain resemble intense menstrual cramping. For pain management, you can apply a heating pad or hot water bag for some ease and comfort. You also take 600-800mg Ibuprofen to reduce the pain.
There is heavy bleeding from the vagina to pass the pregnancy tissues. It is normal to see small to medium blood clots after Misoprostol administration. Use large sanitary pads rather than tampons and menstrual cups as it is advised to avoid inserting anything in the vagina during the abortion, and till the bleeding lasts.
4. Do I Need Emergency Care and How Do I Know the Pills Worked?
Understanding if the MTP Kit worked successfully requires knowing what is normal and what isn’t, and when you require medical assistance. For instance, the bleeding is intense for the initial 4 to 6 hours when it begins, followed by moderate or light bleeding / spotting for the next 2-3 weeks. However, if you soak 2 or more maxi pads every hour for the next 2 consecutive hours, it indicates excessive bleeding.
Similarly, normal pain is moderate to severe cramping, which is at peak when the uterus is being emptied. However, if the pain is intolerable and pain medicines do not reduce it, you will require medical help. Lastly, mild fever for a short time post Misoprostol use is okay and expected but not a continued high fever over 100.4°F (38°C), lasting for over a day.
Vaginal discharge is all about bleeding, and if you encounter a foul-smelling discharge, it could be a possible infection that requires medical attention. To confirm the success of abortion, get an ultrasound scan for pregnancy check, after a couple of weeks of a successful pregnancy termination. The uterus scan should come clean if it is devoid of any pregnancy tissues.
5. Will Using the MTP Kit Affect My Future Fertility?
It is a myth that MTP Kit impacts future fertility and pregnancy. Evidence indicates that a person can ovulate as soon as 8-11 days if not after 4 to 6 weeks of the abortion. So, it is best to use non-hormonal birth control if you are getting intimate to prevent a pregnancy from taking place. Since no surgical tool is used, there is no risk of scar tissue or uterine injury. This means there is a chance for pregnancy even before the first period occurs after abortion.
Frequently Asked Questions
Here are the FAQs about MTP Kit:
1. Can I take only Mifepristone or Misoprostol for the abortion?
Mifepristone is effective to begin the abortion process but it does not work alone to expel the pregnancy. Misoprostol pills are needed to generate uterine contractions, aiding in vacating the uterus. However, higher doses of Misoprostol pills alone can be used to end the pregnancy.2. What happens if the MTP kit does not work completely?
If an incomplete abortion occurs, the doctor may recommend additional Misoprostol dose or perform a surgical process to remove the pregnancy leftover.
3. Can I eat or drink normally while taking the MTP kit?
Yes, you may continue with plain and light food to remain healthy and safe during the abortion. Avoid spicy meals, but switch to nutritional food instead. Drink herbal teas and stay hydrated on water.
4. Is it okay to experience moodiness and emotional turbulence after abortion pill use?
Hormonal fluctuations can cause some changes in mood and emotions. Feelings like sadness, relief, grief are okay and part of the experience. However, professional counselling can overcome any other unpleasant psychological impact.
5. When will my menstrual period return?
It may take 4 to 6 weeks after successful medical abortion, for the body to normalize the menstrual cycle and initiate the period. Thereafter, the menstruation should occur as per the usual cycle.