Medical Abortion User Guide

1. Medical Abortion User Guide Safe Medical Abortion Guide Safe abortive care guide, intended to facilitate the practical application of the recommended guideline for safe medical pregnancy termination. This user guide intends to deliver best recommended practices and protocols which are medicinal evidence based in respect to the safe abortion care. *Disclaimer: This user guide is for women seeking to terminate their pregnancies at home with abortion pills. Nevertheless, this user guide shouldn’t be considered as a substitute to a professional’s advice. Content Courtesy: Online Abortion Pills www.buyabortionmtppill.com

2. Table of Content PRE-ABORTION •Information on abortion pills •Decision/ Counseling for abortion •Eligibility •What to expect •Physical examination DURING ABORTION •Regimen for Abortion pills •Side effect Management •Infection Control •Interactions with other drugs •Overdose Dose AFTER ABORTION or POST-ABORTION •Efficacy Table •Follow - up •Post abortion contraceptive discussion •Post-abortion diet for fast recovery •Pregnancy/ Infection/ Sexual activity after abortion procedure BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

3. Pre-abortion Abortion is an irreversible procedure. One who wants to undergo through the procedure needs to get some information, which is mentioned in the below section. This information will assist women in undergoing the procedure smoothly. Information on abortion pills The abortion pill is the medicament used to end an early pregnancy, i.e. within the 10 weeks’. There are two type of abortion pills used for a medical pregnancy termination. These two abortion pills are either anti-progesterone in nature or prostaglandin analogue. •The above mentioned medications are generally fulfilled by generic abortive medication - Mifepristone [anti-progesterone] and Misoprostol [prostaglandin analogue]. •Nevertheless, abortion pills of other brands such as Mifeprex and Cytolog work in the similar manner as Mifepristone and Misoprostol respectively. •Mifepristone / Mifeprex -As an anti-progesterone, this type of abortion pill subdues the progesterone hormone which is responsible for building the uterine wall that keeps the embryo attached. In the absence of this progesterone hormone, the uterine wall keeping the embryo attached breaks away. Therefore, the embryo detaches. •Misoprostol / Cytolog - Prostaglandin analogues such as these are ecbolic in nature. They cause uterine contractions, which assist in ousting the detached embryonic cells from the body through vaginal discharge. •These two medication can even come in one pack in their prescribed dosage like the MTP Kit which contains 1 pill of Mifepristone [200 mg] and 4 pills of Misoprostol [ 800 mcg total]. There is also Abortion pill pack which contains the same amount of abortion pills as the MTP Kit, but additionally it also contains side effects management medication like anti- emetic pills, blood-coagulants, and pain-killer etc. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

4. Decision/ Counseling for abortion: •Making a decision regarding having an abortion can be hard enough. Looking for support from a counselor, a healthcare professional, family members or your partner is recommended. Your healthcare professional will be able to talk through your decisions that can include keeping the child, adoption or having a pregnancy termination. •It is crucial to keep in mind that the end decision should be made by your. Women must not be burdened for making a choice she is not comfortable with. •You are available with variety of advice and information to help you reach your decision. Considering your doctor should be the first priority because they can assist you with medical advice, make you clear with abortion process and can point you in the exact direction. The discussion between me and GP will be completely confidential. •If you do not wish to talk to your physician, there are various organizations and trained abortion counselors as well. A counselor will not recommend you what to do; rather they will look to help you process your own thoughts and feelings, allowing you to make an informed decision. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

5. Eligibility – Contra / indications The medical pregnancy termination is allowed when the gestation is within 10th week. The procedure involves two medication Mifepristone and Misoprostol to be administered to women seeking abortion. Not all women however are eligible for medical abortion. So, what are the factors that may make one un-eligible for medical abortion? Contradictions: •High blood pressure •If you are taking anti-coagulants •A suspected case of ectopic pregnancy •A medical history of heart/liver/kidney disease •Allergy to anti-progesterone or prostaglandins i.e. abortion pills •If you are taking long-term corticosteroids •Medical condition of any hemorrhagic disease of porphyria •Suffering from poorly controlled inflammatory bowel disease •Adrenal failure •An IUD in place which cannot be removed prior to the procedure •Medical history of sickle cell disease, myotonic/ muscular dystrophy and myasthenia gravis. MEDICAL ABORTION INDICATIONS Medical abortion may be preferable if • The woman wants to avoid surgery (anesthesia or any invasive procedure) • For severely obese women • In the presence of fibroids, uterine malformations or previous cervical procedure • If surgical intervention is not possible [however she needs to be within 10 weeks of gestation]. If you don’t associate with any of the above symptoms, then it is safe to take the abortion pills. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

6. What to expect: •At your initial appointment, you must be given the chance to discuss your condition. Women will be told regarding the methods available and which method is appropriate for her and her gestational period. At this point she will be told as well about any related risks and complications. •Early abortion can only be done if the pregnancy of women is up to 10 weeks. This includes taking two different medications between 36 and 48 hours apart. The drugs basically break down the lining of the womb so that the uterus can be eliminated from the body. The results are similar to those of an early natural miscarriage. Physical examination: •The easiest way to know if you are pregnant is a home pregnancy test. A few home pregnancy test or medical tests like blood tests and STI tests may also be performed, which can be easily available at an online or local pharmacy, or can visit doctor’s clinic. •According to much research, ultrasound is not a necessary procedure to have if the woman knows about her gestation age. If the woman suspects ectopic pregnancy [by pain on either side of her womb] she can have an ultrasound. Even so, medical evidence say that abortion pills do not have any effect on ectopic pregnancy- good or bad. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

7. Abortion procedure An abortion is a process of discontinuing a pregnancy before it results in the birth of a child. This is also known as pregnancy termination. This can be carried out with medications, depending on how many weeks you have been pregnant for. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

8. Regimen for Abortion pills •A medical abortion is done by using a combination of Misoprostol and Mifepristone pills. •These pills are FDA approved for ending early pregnancies. The drugs together play a vital role in eliminating the pregnancy parts from the uterus. •The optional is surgical method that uses invasive techniques to empty the womb. Following is the regimen of abortion pills: ROUTE Instructions for Use Regimen Information Swallow with water ORAL 1 pill of Mifepristone [200 mg] on Day 1 4 pills of Misoprostol [ 800 mcg] 2x2 in each cheek pouches on Day 2nd or 3rd. BUCCAL In cheek pouches Insert Misoprostol pills 2x2 inside the vagina at once, till your finger reaches. [ No specific position is required to place the pills] VAGINAL Insert in the vagina BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

9. Infection prevention control •The procedure involves removing embryonic tissues from the uterus, thus it requires approx. 2-3 weeks to fully heal. After an abortion, the tissues in the uterus and cervix are more vulnerable to infection for a time being. Rinse your hand thoroughly with water before taking pills, especially while consuming it vaginally. This can help you to prevent infections. •Pelvic infection is the commonest complication of pregnancy termination. The presence of lower genital tract infections raises the risk of complications, and women asking for abortion are at major risk of harbouring STD. •Treatment of Prophylactic antibiotic can reduce the rate of post- abortal sepsis; however the best possible regime is vague. Especially, patients with bacterial vaginosis and Chlamydia trachomatis infection would seem to be at bigger risk and discovering and treatment of these conditions can lower this risk. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

10. Drug interactions For Anti-Progesterone like Mifepristone and Mifeprex •Some antibiotics and azole anti-fungi drugs [ these may increase the possibility of undesired side effects] •Anti-coagulants / Corticosteroids – taking them with abortion pill may cause excessive bleeding •Anticonvulsant medication – they are known to reduce the effectiveness of anti- progesterone •Dietary supplements •Non-prescription drugs •Herbal products For prostaglandins like Misoprostol and Cytolog •Gastric ulcer treatment medicines like Ranitidine, Omeprazole, Cimetidine, Pantoprazole etc. •Oral corticosteroids – Dexamethasone and Prednisone •Antibiotics – Amoxicillin, Moxifloxacin and Clarithromycin •Blood Coagulants/ Blood thinners – Heparin, Coumadin and Warfarin etc. Avoid the above given medication during the abortion procedure as the drugs may interact negatively. Overdose An overdose of abortion pills can cause seizures, extreme dizziness, and spasmodic/moderate heartbeats. In case, if you take any overdose get in touch with a healthcare provider right away. Also, try not to miss the dosage. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

11. Post-abortion Medical Abortion Regimen Advantages Overall Efficacy Requires only five pills compared to using Misoprostol alone [ which require 12 pills] Has more efficacy rate than Misoprostol alone. 97% Mifepristone & Misoprostol Requires only one type of abortion pill 88% Misoprostol alone BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

12. Follow – up •14 days after the abortion, you will need to go to doctor for a follow-up visit. At your follow-up visit, you will meet with the doctor for a pregnancy test and ultrasound, and review how you have been feeling since your procedure. •The last part of the medical abortion procedure is to confirm with an ultrasound that you passed the pregnancy. It is very significant because the pills you took can result into birth defects if the pregnancy carried forward. At this visit, women will be given a birth control method if desired. YOU CAN’T BE SURE THE ABORTION PROCEDURE IS ENTIRELY DONE UNTIL YOU HAVE YOUR ULTRASOUND. Note: (Avoid doing a pregnancy test on your own, because it may still come out with a positive result in the weeks following your abortion. This is because the pregnancy hormone hCG doesn’t leave the body immediately even after the pregnancy is terminated. Therefore, if you want an accurate result out of the pregnancy test, you must wait for at least 4 weeks). BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

13. Post abortion contraceptive discussion It is necessary that use of contraception is discussed with your doctor to prevent further unplanned pregnancies. Here are some of the common questions asked about contraception after abortion. What contraception is right for me? You can arrange a meeting with a gynecologist and discuss your options for contraception. You can also ask basic questions about your lifestyle – are you forgetful? How much sexual activity you participate in a week? Would you prefer to take a contraceptive a day or you want something permanent etc. After answering these questions, you may find the right type of birth control for you. E.g. if you are forgetful, it is best that you forgo birth control pills in favor of vaginal rings or IUDs. Will my birth control work immediately after the abortion? Implants, coils and contraceptive injections are all effective immediately after the abortive procedure. Nevertheless, healthcare professionals recommend women to avoid any sexual activity [ especially if it requires penetration] for at least two weeks after the abortion procedure to minimize the risk of infection as well as pregnancy. When should I start taking the contraceptive pills? You should start taking your birth control pills the day after your abortive procedure. You will be fully protected by the time you can resume sexual activity 2 weeks [ 14 days] later. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

14. How soon after an abortive procedure, can one become pregnant? Your fertility bounces back to its original state right after the abortion, so it is possible to get pregnant right away if the woman resumes sexual activity immediately. Furthermore, Mifepristone abortion pills widens and softens the cervix for passing the conception parts through. Therefore, during this time, your body is vulnerable to infection as well as pregnancy. Is my method of birth control is making me bleed? After a medical abortion, some women can bleed on and off for weeks. If she is still bleeding after near eight weeks, and is using contraceptive injection, implant, progesterone-only tablets or coils, then contraception may be the cause of bleeding. For most women, however, this temporary side effect wears off on its own or by medication. I haven’t had my menstrual cycle yet- do I need to use a contraception? Even if your periods take time to return to their natural state, your fertility certainly returns to its normal state after the pregnancy termination. So it is pertinent that you use contraceptive even if your menstrual cycle hasn’t returned yet. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

15. Post-abortion diet for fast recovery Abortion, be it medical or surgical can take a toll on one’s body. During the pregnancy the body needs nutrition to support the fetus and when it is terminated, vaginal bleeding occurs. Due to the bleeding, various vitamins [ B12, B9. B2], iron and riboflavin are lost from the body. A specific diet needs to be followed, so that the body can regain the nutritional value lost during the abortion process. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

16. 1.Protein rich food One of the most essential type of food you need to recover is protein rich food stuff, as it is necessary to make new blood cells. Protein rich foods are great to increase the amount of blood count. Some of the best protein rich foods are – Meat [ Chicken, Turkey, Beef, Pork, Jerky], Seafood [ Tuna, Salmon, White fish, Shrimp], Dairy [ Milk, Cheese, Greek Yogurt), Eggs, Tofu, Edamame beans, Beans/Legumes, Nuts etc. These food stuffs contain an amazing amount of B vitamins, proteins and iron. To maintain a healthy weight, it is recommended to eat two servings of protein rich food which contain low fat – tuna, cod, skinless chicken and beef sirloin etc. It is also recommended to eat fish after an abortive procedure, as it is proved to efficient in alleviating depression during or after the pregnancy or its termination. 2.Calcium rich products The low fat dairy products may satisfy your cravings, all the while keeping your calories intake low. The dairy products support the calcium stores in your bones and teeth. It will also increase the vitamin D intake for calcium absorption and all required vitamins B with 1- 2 servings of milk. 3.Iron rich foods To make up for the blood loss during an abortive procedure, you need to eat iron rich foods to prevent anemia. Iron rich foods such as- Seafood [ Oysters, mussels, clams], red meat, dairy products, chicken liver as well as veggies like Squash/Pumpkin seeds, spinach, beans and whole grains and chocolate or cocoa etc. It is recommended to eat vitamin C with meats for better iron absorption. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

17. 4.Fruits, Vegetables To fulfill your mineral and vitamin content, you can eat veggies and fruits. Fruits and veggies also act as dietary fiber to enhance your digestive system and enhance your nutrient absorption rate. You can have 4 to 5 helpings of each vegetables and fruits from 1 to ½ cup of servings. 5.Grains Meanwhile whole wheat breads, brown rice and cereals are an incredible source of dietary fiber. They are enriched with minerals, irons and vitamins- therefore they can prevent any nutrient deficiencies, while being low in calories. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

18. Pregnancy/ Infection/ Sexual activity after abortion procedure •You may resume your usual activity as you feel prepared, but we advise you wait some days before starting strenuous exercise schedules and/or heavy physical activities and labor. •You are starting with the birth control, ask your doctor as when to start it. For many women, they will start their birth control pills on the Sunday right away after their process. For at least two weeks, only make use of sanitary pads. •Do not insert anything inside the genital area for at least 2 full weeks. Doing so will avert the danger of infection as the body recovers itself. It consists, but is not limited to: Intercourse, sex toys, feminine, tampons, sprays and so forth. Additionally, hot tubs, baths, or no swimming (showers and normal washing with mild soap is fine). Finish any prescribed infection. •Many women are worried about a risk of becoming pregnant right after a pregnancy termination. Most women do not recognize that they can get pregnant even if they are still bleeding. It is vital that a reliable form of contraception is used. •Contraceptive pill is best begun during the week after the abortion. If unprotected intercourse occurs 8 or more days after a pregnancy termination, it is best to use emergency contraception plan B. BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM

19. Medical Abortion Support Our website provides a convenient way to order the products required for an abortion. The above user guide can assist you with procedure. For any additional help our customer care service is always available for you. www.buyabortionmtppill.com support@buyabortionmtppill.com Buy abortion pill online, Mtp kit, Mifepristone, Misoprostol, Mifeprex, Cytolog BUY ONLINE ABORTION PILLS, INFORMATION, UPDATES, SUPPORT, LIVE HELP WWW.BUYABORTIONMTPPILL.COM