Signs of incomplete abortion after misoprostol

Incomplete abortion after taking Misoprostol can occur when the process of terminating a pregnancy is not fully successful. This can be indicated by a number of signs and symptoms such as persistent or heavy bleeding, cramping and pain, presence of tissue or clots, no change in pregnancy symptoms, and a persistent positive pregnancy test. It is important to seek medical attention if any of these signs are present as a healthcare provider can confirm whether the abortion is complete or if further treatment is needed.


If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.

Signs of incomplete abortion after misoprostol

An abortion is the termination of a pregnancy. There are two main types of abortion: 

  1. Medical Abortion: Medical abortions involve the use of medication to end a pregnancy. The medication is typically taken in the form of a pill, and it works by blocking the hormone progesterone, which is necessary for maintaining a pregnancy. Without progesterone, the lining of the uterus breaks down and the pregnancy is terminated. 
  2. Surgical Abortion: Surgical abortions involve a procedure to remove the pregnancy from the uterus. There are several different surgical abortion procedures, and the one that is used will depend on the stage of the pregnancy. In early pregnancy, a suction aspiration procedure may be used, in which a vacuum is used to remove the pregnancy tissue from the uterus. In later stages of pregnancy, a dilation and evacuation (D&E) procedure may be used, in which the cervix is dilated and the pregnancy tissue is removed using surgical instruments.

The most common side effects of medication abortion include nausea, vomiting, diarrhoea, headache, and dizziness. These side effects are usually mild and can be managed with over-the-counter or prescription medication. Less common but more serious side effects of medication abortion can include heavy or prolonged bleeding, infection, and allergic reactions to the medication. In rare cases, medication abortion can also result in incomplete abortion, which can lead to ongoing bleeding and infection. On the other hand, the most common risks of surgical abortion include bleeding, infection, and allergic reactions to the anaesthesia used during the procedure. These risks are generally rare and can be managed with appropriate medical care. Less common but more serious risks of surgical abortion can include damage to the cervix or uterus, injury to other organs, and excessive bleeding.

It is important to discuss the potential risks and side effects of medication and surgical abortion with a healthcare provider before undergoing the procedure. Your healthcare expert can help you understand the potential risks and guide how to manage any side effects that may occur. They can also provide emergency care if necessary.

Incomplete Abortion

Incomplete Abortion

An incomplete abortion is one in which some of the pregnancy tissue is left in the uterus after the abortion. This can lead to ongoing bleeding, infection, and other complications. In severe cases, an incomplete abortion can even be fatal. This can occur with any type of abortion, but it may be more of a concern for women who order the abortion pill online without the guidance of a trained healthcare provider.

Symptoms of an Incomplete Abortion 

Symptoms of an incomplete abortion may include ongoing vaginal bleeding, abdominal pain or cramping, and the presence of tissue or clots in the vagina. If you have taken misoprostol and are experiencing any of these symptoms, it is important to seek medical attention right away. A healthcare provider can perform a physical exam and other tests to determine whether an incomplete abortion has occurred, and can provide the necessary treatment to address the situation.

How does an abortion remain incomplete after consuming Misoprostol?

There are several reasons why an abortion may remain incomplete after taking misoprostol. One possible reason is that the correct dosage of the medication was not taken, or that it was not taken according to the recommended instructions. Another reason may be that the woman’s uterus did not respond adequately to the medication, or that there were complications with the pregnancy that made it difficult for the medication to work.

If you have taken misoprostol and are concerned that you may have an incomplete abortion, it is important to seek medical attention right away. A healthcare provider can determine whether an incomplete abortion has occurred and can provide the necessary treatment to address the situation. This may include additional medication or a surgical procedure to remove any remaining pregnancy tissue from the uterus.

What happens if an incomplete abortion takes place?

What happens if an incomplete abortion takes place

If any material remains in your womb, it may create complications such as an infection if it is not removed. The doctor may advise an ultrasound scan to confirm the diagnosis. If you experienced an incomplete abortion after taking the abortion pill, you may be able to take another dose of misoprostol to compress your womb more. The doctor may suggest a surgery to empty the womb if this doesn’t work or isn’t right for you. Manual vacuum aspiration of a dilatation and curettage technique may be possible. You shouldn’t need to spend the night in the hospital for either procedure because it can usually be done without a general anaesthetic.

The same techniques are used to treat women who have experienced an incomplete miscarriage or who have tissue remaining in their womb after giving birth. As these techniques are also used to accomplish surgical pregnancy terminations, you may already be familiar with them. The procedure ought to guarantee that no tissue is left in your womb. There should be a rapid improvement in your symptoms and no longer be any chance of more severe problems. Nevertheless, you should continue to be alert for any indications of an infection or other issues and get in touch with your doctor if you have any worries.

Final Words

sign of incomplete abortion final words

Misoprostol is a medication that is commonly used to induce abortion. It is typically taken in combination with another medication, such as mifepristone, and is effective in terminating a pregnancy in most cases. However, there is a risk of incomplete abortion after taking misoprostol, which can be a potentially dangerous and life-threatening situation. Moreover, misoprostol is a powerful medication, and it can have serious side effects. If you have taken misoprostol and are experiencing severe abdominal pain or excessive bleeding, you should seek medical attention immediately. In these cases, emergency care may be necessary to prevent serious complications or death. By seeking medical attention right away, you can ensure that you receive the necessary treatment to address the situation and avoid potentially serious complications.


  1. Redinger A, Nguyen H. Incomplete Abortions. [Updated 2022 Jun 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. 
  2. Henriques A, Lourenço AV, Ribeirinho A, Ferreira H, Graça LM. Maternal death related to misoprostol overdose. Obstet Gynecol. 2007 Feb;109(2 Pt2):489-90. doi: 10.1097/01.AOG.0000253248.64065.94. PMID: 17267868. 
  3. Ngo TD, Park MH, Shakur H, Free C. Comparative effectiveness, safety and acceptability of medical abortion at home and in a clinic: a systematic review. Bull World Health Organ. 2011 May 1;89(5):360-70. doi: 10.2471/BLT.10.084046. Epub 2011 Mar 4. PMID: 21556304; PMCID: PMC3089386.

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