Confirming whether the procedure was successful

So you have taken all the medicines according to the instructions, great!

Now you need to confirm whether the procedure was successful or not.

Bleeding is not a necessary indicator of success. In some cases, there is bleeding but the abortion was not completed.
An incomplete abortion can lead to serious health risks for the mother, and can lead to serious birth defects.
Urine test strips will show false positives for up to 5 weeks, even if the procedure was successful.

Follow these steps to confirm that the medical abortion completed:

Get the "Beta hCG levels" blood test done as soon as possible after using the tablets.
Wait at least 4 days.
Get the same "Beta hCG levels" blood test done again.
You should try to get confirmation as soon as possible so that in case you have to reattempt, it's not delayed too much.

If the body is processing the miscarriage, the Beta hCG values should start to drop.

This is why you need to get it done twice, to see if the levels are falling or rising.

If the numbers fall a few days apart, that means the body is processing the miscarriage.

If the numbers are rising, that means the body resisted the miscarriage and you will have to reattempt.

An example of Beta hCG test results of a successful medical abortion

If the values are rising, you can attempt the medical abortion again right away.

You don't need to use Letrozole again, when reattempting.

Just skip "Days 1-3" described above, and take 12 tablets of Cytotec again as described above on "Day 4".