Get your questions cleared about the medical abortion

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2. Table of Contents 1. Abortion in General 3 2. About Medical Abortion 4-5 3. Buying Abortion Pills 6 4. Abortion Pills Information 7-10 5. After Medical Abortion 11-15 2

3. Abortion in General 1. How safe are abortions? Abortions in the first eight weeks are the safest; problems that occur in this time period are extremely rare. Medical abortion is only allowed in the first 10 weeks of gestation and has about 96%-97% of success rates without any complications. 2. How soon can you have an abortion? Medically you have to be within 8 weeks after your last menstrual period (LMP) [or within 10 weeks’ gestation limit]. The Abortion tablet is an option as soon as pregnancy can be determined by ultrasound (sonogram). On the other hand, you can take abortion pill to end a pregnancy which is as early as a week [it takes at least one week for pregnancy to form]. 3. When can you get an abortion? A woman generally can get a medication abortion up to 10 weeks (i.e. 70 days) after the first day of your last menstrual cycle. If it has been 71 days or more since the first day of her menstruation, she can have an in-clinic abortion to terminate her pregnancy. 3

4. About Medical Abortion 1. What is a medical abortion? A medical abortion is a type of non-surgical procedure in which abortion pills are used to induce the procedure. Abortifacient pharmaceutical drugs are an oral preparation for medical termination of pregnancy. 2. How long does it take to have a medical abortion? Following a medical abortion, women experiences cramping and bleeding and you may pass clots. The pregnancy termination may take place within 4-5 hours and is typically completed within 1-2 days. Sporadically, it can take up to two weeks to pass the pregnancy. 3. Is it painful to have an abortion? 4

5. The medical abortion procedure usually takes several hours for the abortion to take place. Follow-up scheduled two weeks from the first appointment, from mild to very strong cramping off and on throughout abortion (Commonly 1 to 3-hour period). Pain pills are provided for use as needed. 4. What to do or follow before an abortion? Don’t drink, smoke or eat or chew anything starting at midnight on the night before your appointment. Do not use alcohol or drugs for 48 hours before your starting your procedure. Wear comfortable clothes for you start. Carry along with you a change of underwear, and 2-3 sanitary pads. 5. When can you get an abortion? You normally can get a medical abortion within 10 weeks (70 days) after the first day of your last menstrual cycle. If it has been 71 days or more since the first day of your last menstrual cycle, you can have an in-clinic procedure to end your pregnancy. 5

6. Buying Abortion Pills 1. Where can I get an abortion pill? You can get a prescription of abortion pills at a clinic or you can buy abortion pills online for more privacy and affordable cost at www.buyabortionpillsrx.com 2. How much does it cost to do an abortion? The average cost of an abortion is more than $490 at a local pharmacy. The price may vary as per your location and your insurance. Many women buy abortion pills online on www.buyabortionpillsrx.com, which averagely costs $199 for a cheaper deal. 6

7. Abortion Pills Information 1. Which abortion pills can I get? There are two types of abortion pills - anti-progesterone and prostaglandin analogue. Both are needed for an optimal medical abortion regimen. Anti-progesterone abortion pills - Mifepristone - Mifeprex - RU-486 Prostaglandin analogue pills - Misoprostol - Cytolog You can get both medicines in prescribed dosage in- - MTP Kit - Abortion pill pack [ which also includes side-effects management pills 7

8. 2. What happens when you go to get abortion pills? Many females can resume their normal lives at work or home after taking Mifepristone, but may have period-like pains and some bleeding. It is unlikely that the pregnancy termination will take place after taking the first pill. 3. How do you take Misoprostol/Cytolog [prostaglandin analogue]? Take 4 tablets of 200mcg either buccally or vaginally and hold them there for 20-30 minutes until they dissolve. In case, the pregnancy has not been ended three hours after using the second set of pills and bleeding, you need to take 4 more pills of misoprostol. 4. What happens after taking Mifepristone? Many women don't feel anything after taking Mifepristone and usually begin bleeding and cramping after 1 to 2 days [after taking Misoprostol] but some women may feel light abdominal pain and bleed earlier than this. 5. How long does it take for Misoprostol to take effect? 8

9. In majority of cases, Misoprostol will have an effect within 4 hours and you will begin bleeding and cramps. The symptoms (blood loss, pain, nausea, diarrhea, etc.) can last for up to 12 hours but should reduce when the pregnancy termination is complete. 6. Do the abortion pills hurt? Usually, there is little to no cramping or bleeding after taking the first abortion pill, which is anti-progesterone like Mifepristone or Mifeprex. Most women feel cramping sensations and bleeding after taking the secondary set of pills. If you buy abortion pill pack on www.buyabortionpillsrx.com, you will get medication to manage the side-effects. 7. How does the abortion pill work? Medical abortion needs two pills. The first one, Mifepristone blocks the pregnancy hormones and causes the embryo to be detached. The Misoprostol introduced a day later causes uterine contractions and assists in ejection of conception parts. 8. What are the side effects of abortion pills? The primary benefit of the abortion drugs lies in the capability to terminate the pregnancy in the privacy at patient's home. There are some side effects of mifepristone and misoprostol, which is very rare but get away on their own in short time. These include heavy vaginal bleeding, vomiting, diarrhea, nausea, headache, fatigue, dizziness and backache etc. 9. Can one eat after taking Misoprostol? It is possible to eat after taking Misoprostol. However, some women experience nausea after taking Misoprostol pills, therefore it is advised to take the pill unfed. You must also avoid alcohol and other drugs while having an abortion procedure. 10. Can Mifepristone alone terminate a pregnancy? The action of Mifepristone in a pregnant woman on the uterus can induce abortion. As not all females will abort with mifepristone alone, they are given the prostaglandin misoprostol 24- 48 hours later after mifepristone. The recommended dose of mifepristone is a single 200 mg pill. 9

10. 11. How to do abortion with Misoprostol alone? - Put four pills of 200mcg (800 mcgin total) Misoprostol buccally or vaginally for 30 minutes. - After three hours put another four pills of Misoprostol buccally or vaginally for 30 minutes. - After three hours take other four pills of Misoprostol buccally or vaginally again for a third time. 10

11. After Medical Abortion 1. How much do you bleed after a medical abortion? After a medical abortion, you will experience cramps and bleeding- you may pass blood clots. The abortion procedure may take 4 to 5 hours and is usually completed within 1 to 2 days. Rarely, it may take some women approximately 1 to 2 weeks. 2. What is normal after an abortion? The uterus was enlarged and is returning to its usual size. Cramping can take place and on for 2-3 weeks after the process, and may be worse than period cramps. Most females complain of increasing cramps on 3rd or 4th day after the abortion and when they pass clots. Some women do not have cramps. 3. What are signs and symptoms of incomplete abortion? If you currently had a pregnancy termination and experience any of the following symptoms, seek medical help right away: - Very low or very high body temperature 11

12. - Heavy bleeding - Severe pain - Dizziness, restlessness, or fatigue - Shaking chills - Low blood pressure, especially when standing" 4. Can you get pregnant after having an abortion? Even though your menstrual cycle may not come for several weeks following your pregnancy termination, you can ovulate (be fertile) at any time after the procedure. This means you can get pregnant immediately, even if you are still having some light bleeding. 5. Can having an abortion affect fertility? Abortion, especially done by abortion pill are really safe and do not affect the fertility of the women. Nevertheless, multiple [surgical] or unsafe procedures done may damage the nerves situated in the uterus which may lead to infertility. 6. How long after an abortion can you get pregnant? As ovulation can take place within 1 to 2 weeks after an abortion, getting pregnant is probable and most likely to happen if you unprotected intercourse up to 5 days before ovulation. Therefore, it is important that you use a contraception that takes effect immediately to avoid getting pregnant after aborting. As anti-progestogen like Mifepristone pill widens and ripens the cervix, you are vulnerable to getting pregnant. (Note- In case birth control pills are being used, it is important to note that they take seven days to take effect.) 7. How long after abortion do you ovulate? The current positive pregnancy test confirms you as your partner after fertile. Even after you have aborted [without complications] it has no negative effect on your fertility. As abortion pills are taken at an extremely early stage of pregnancy, they are incredibly safe. As a consequence, your next ovulation will occur around after two weeks. You can also get pregnant immediately after pregnancy termination, if you are not using a reliable birth control method. 12

13. 8. How long does it take to have a period after an abortion? In most cases, women get their regular menstrual cycle around 4 to 8 weeks after an abortion. If you do not get your periods after 8 weeks, it is best that you consult a healthcare professional. 9. How long does the cramping last after taking Misoprostol? Cramping usually starts after 1 to 2 hours of taking Misoprostol pills. Meanwhile bleeding starts 1 to 4 hours after the dosage. Nevertheless, it can take up to 24 hours for some women. Heavy cramps and bleeding usually last up to four hours after they began. 10. What to eat after an abortion? Protein rich food is good after an abortion, as it helps increase blood count. Other food stuffs like iron rich food, grains, calcium [low fat-dairy products], vegetables/fruits etc. 11. What not to eat after an abortion? Soy products, low fiber foods, greasy/ junk food, high-fat milk, sugary foods and meat food stuffs should be avoided after an abortion as they can prevent recovery process. 13

14. 12. Are blood clots after abortion normal? Bleeding, i.e. passing clots and tissues as well as cramping are a normal part of the abortion process. 13. Can you take a bath after an abortion? Do not swim or take baths in tub for at least 2 weeks following the abortive procedure. 14. When can I exercise after an abortion? Do not lift anything over 15 pounds for at least 2 weeks after abortion. Also avoid gym, horse riding, swimming and other activities that exert lot of energy during this time period. 15. Can you drink after having an abortion? Drinking alcohol will increase your bleeding. A Woman may experience some mild cramping for a day or two after her abortion and she may feel somewhat more discomfort if you are passing clots. After an abortion, cramping is normal; your uterus is contracting back to its normal size. 16. How long does it take you to recover after an abortion? After a medication abortion, you will experience cramping and bleeding and you may pass blood clots. The termination of pregnancy may take place within 4-5 hours and is normally complete in 1-2 days. Sometimes, it can take up to 2 weeks to pass the pregnancy. 17. How long does it take to begin bleeding after abortion pill? This is normally within one-two days after taking the Misoprostol (second tablet), but occasionally takes up to 2 weeks to bleed. Following a medical abortion, an individual experiences bleeding and cramping and you may pass blood clots. The pregnancy termination may take place within 4-5 hours and is usually completed within 1-2 days. 14

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