Cramping and bleeding are an expected part of ending a pregnancy. Usually, these symptoms mean that the treatment is working. But sometimes you can get cramping and bleeding and still be pregnant. This is why you must return to your provider on Day 3 and about Day 14. If you are not already bleeding after taking Mifeprex, you probably will begin to bleed once you take misoprostol, the medicine you take on Day 3.
Bleeding or spotting can be expected for an average of 9–16 days and may last for up to 30 days. Your bleeding may be similar to, or greater than, a normal heavy period. If you soak through two thick full-size sanitary pads per hour for two hours or if you are concerned about heavy bleeding, contact your provider.
You may want to review the “How Much Am I Bleeding”1 guide for information on differences between scant, light, moderate and heavy bleeding. This guide provides basic information and does not replace medical advice or guidance from your provider. You should contact your physician with your medical questions, as s/he will have the most information about your specific situation.
Other common side effects include:
- Back pain
Side effects lessen after Day 3 and are usually gone by Day 14. You should discuss with your provider how to manage any pain or other side effects.
1. Developed by Planned Parenthood of Western Washington