Your healthcare provider will also schedule a follow-up appointment a couple of weeks later to check that the abortion pill worked. The abortion pill comes in two separate doses. The process usually takes 1 to 2 days to complete. At this appointment, the healthcare staff will give you the first pill, mifepristone. In many cases, they will ask you to take it there and then. The second pill, misoprostol, can be taken between 24 and 48 hours after the first one.
Some people return to their healthcare provider to take misoprostol, while others take it at home. A follow-up appointment with your healthcare provider usually takes place around 2 weeks after taking the pills. It blocks an important pregnancy hormone called progesterone. This results in the breakdown of the uterine lining and stopping the growth of the embryo.
The body does this by causing the uterus to contract, which leads to a similar level of cramping and bleeding as a miscarriage. The abortion pill is highly effective, but its effectiveness does decrease the further along the pregnancy is. For example, the medication works for 94 to 98 percent of people who are 8 weeks pregnant or less. This reduces to 91 to 93 percent effectiveness for those who are between 9 and 10 weeks pregnant. A research review found no evidence of a difference between the effectiveness of medical abortions and surgical procedures.
And, according to the University of California, San Francisco, only around 3 to 5 percent of people need a surgical abortion after a medical one. Healthcare staff will check all of the above and provide clear instructions before giving you any abortion medication. Many liken the feeling of a medical abortion to an early miscarriage.
Depending how far along the pregnancy is, you may pass larger tissues that are brown or red in color, and may be able to see the white pregnancy sac. Lying down with a hot-water bottle on your abdomen can help relieve any pain. Some find sitting on the toilet to be a more comfortable position.
Some clients describe the taste of misoprostol as unpleasant and the texture as chalky. Placing the tablets between the cheek and gum is associated with higher rates of nausea, vomiting and diarrhoea. Use sanitary towels to monitor your bleeding during abortion pill treatment. The amount and type of bleeding can vary for each person and each abortion. It is normal to experience light, moderate, or heavy bleeding during a medical abortion.
Not everyone will pass blood clots during a medical abortion, but for those who do, the clots should be no larger than a lemon. Pain usually described as cramping usually begins hours after misoprostol, sometimes sooner.
Bleeding usually starts within 2 to 4 hours after using the tablets. Bleeding and pain are often greatest when the pregnancy is being expelled. Most women pass the pregnancy within 4 hours - timings vary, but it is OK if this happens sooner or later. Almost all women miscarry within a few days.
You may be given codeine to help you manage the pain and you can also use pain relief from supermarkets and pharmacies. You may see other tissue when you pass the pregnancy.
This is larger and more recognisable at higher gestations, but in most cases the fetus cannot be seen without magnification. Once the pregnancy passes, the amount of bleeding and cramping should noticeably reduce. It is likely you will feel cramping on and off for a week or so and this should be easily managed with ibuprofen or paracetamol.
Most women have light bleeding for about 2 weeks, but you may have spotting up to your next period. Sometimes you may have a short episode of pain with a gush of blood or a clot several weeks after the abortion - contact us if this continues. You will pass the pregnancy at home or another place of your choosing. You can decide how you wish to dispose of the pregnancy remains.
They can be flushed down the lavatory or wrapped in tissue, placed in a small plastic bag and put in the dustbin. In rare circumstances, 0. If this happens to you please contact our Aftercare line for help, support and advice regarding disposal of pregnancy remains. If you have any other questions about the disposal of the pregnancy remains, please check our website for more information. During an early medical abortion, most women will have a strong cramping, similar to period pains.
There are many ways to lessen the pain:. You can buy ibuprofen tablets in mg or mg strengths and your pack may also contain codeine in 15mg or 30mg strengths. Codeine is not suitable for anyone under 12 years of age.
Ibuprofen is for mild to moderate pain. Codeine is for moderate to severe pain. Paracetamol can be used for mild to moderate pain by those who cannot take ibuprofen. You can start with ibuprofen or paracetamol adding codeine when you need stronger pain relief. Or you can just start with codeine. Or alternate the medicines depending on how you feel.
Ibuprofen: Do not take more than 2. Take mg to mg by mouth every 8 hours as needed. Paracetamol mg: Do not take more than 8 tablets in 24 hours.
You can take up to 2 tablets by mouth every 4 to 6 hours as needed. Codeine 30mg: Do not take more than 8 tablets in 24 hours. Take 1 or 2 tablets by mouth every 4 hours as needed. If you are aged between 12 and 18 years, take 1 or 2 tablets by mouth every 6 hours as needed. Codeine 15mg: Do not take more than 16 tablets in 24 hours. Take 2 or 4 tablets by mouth every 4 hours as needed. If you are aged between 12 and 18 years, take 2 or 4 tablets by mouth every 6 hours as needed.
Side effects of codeine include:. Click here for video instructions for pain management. The abortion pill is very effective and usually uncomplicated, but it is important to make sure it has worked. Having some cramping and bleeding does not guarantee that your treatment was successful. Misoprostol may cause serious birth defects if the pregnancy continues.
If the abortion pill does not work for you, you should contact us to discuss your options. Click here for video instructions. The pregnancy test we sent with your medication should be used 3 weeks after you swallow the first medication mifepristone. The pregnancy test should be performed using the first urine you pass after waking in the morning. Our Aftercare Line is open 24 hours a day, 7 days a week.
Recovery after an uncomplicated abortion usually happens fairly quickly, but it is different for every woman. There are some things to expect, which are normal, and other signs and symptoms that are not. Most women recover quickly after an abortion. How much pain and bleeding you experience afterwards can vary. This is a free service for women who have had treatment at BPAS. Symptoms of nausea, vomiting and tiredness usually stop within 3 days of an abortion. Sore breasts may last 7 to 10 days.
Take ibuprofen or paracetamol if necessary for the pain. You can have sex as soon as you feel sufficiently recovered from the abortion. You can get pregnant almost immediately after treatment, so it is important to use contraception if you do not want to get pregnant. Most women are fit and well enough to return to normal activities within a day or two. Rest until you feel ready to return to your normal routine. Both mifepristone and misoprostol pass into the breast milk but the amounts are small and should not cause any adverse effects in breastfed infants.
Breastfeeding may continue uninterrupted following mifepristone and misoprostol. If your abortion is uncomplicated, there should be no issues with future pregnancies as a result of the abortion. There are no proven associations between abortion and future infertility, ectopic pregnancy or placenta praevia.
Having an abortion may be associated with future pregnancies ending before the due date. Most of the requests came from states with strict abortion laws , like Texas.
On average, a first-trimester abortion in a clinic costs around five hundred dollars. Aid Access provides the pills for a hundred and five dollars, or less. Abortion pills are strictly regulated in the U. Mifepristone is under a special F. Your physician cannot call it into your local pharmacy. But Gomperts claims that the F.
The F. Gomperts responded by suing the F. There has been one recent victory for the abortion-telemedicine movement: during the pandemic, the F.
But reproductive-health advocates argue that the rule should be eliminated altogether, owing to the mounting evidence that the drug is extraordinarily safe. Less than one per cent of women who have taken the pills in the U. The practice is often assumed to be dangerous, but her data continue to suggest that, when pills are used, inducing an abortion at home is as safe as going to a clinic.
This is the vision that Plan C is promoting. Coeytaux, who fought for years to make the emergency-contraception medication Plan B available over the counter, sees abortion pills following a similar trajectory to the morning-after pill. Gomperts began advance-prescribing abortion pills soon after the Texas law S. In the meantime, abortion advocates see the U. In blue states, the pills will be one option among many. In the U. She has testified at the Texas statehouse, although her findings have yet to make the impact here that they did in Ireland.
But the connection goes deeper. The beautiful landscape, the ruralness. People here are like the people in Northern Ireland. Then, two years ago, she got pregnant.
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