Before You Continue
We are pro-choice. We equally respect those who decide to go to full term. If you feel like you are being forced to have an abortion, please seek support. No one should force you to do anything pertaining to your own body against your will. We are here to support those who are thinking about having a medical abortion.
Myths and Reality
Unfortunately there are many rumors as to what can happen if you have a medical abortion. You will NOT go to hell. Read the about us page. If you practice religion we believe that this is a forgivable act. Religions have approved of wars and killed millions upon millions of men, women and children in the name of faith. Religious leaders have been caught in countless transgressions against humanity and they all ask for forgiveness from man and God. This specific act can be viewed as merciful.
Second, having a medical abortion will NOT affect your ability to have a full term pregnancy in the future. This is a scare tactic used by many conservative groups with zero evidence. The chances are extremely low and in fact many other life or environmental events are much more likely to cause issues.
Third, you will NOT “bleed” to death. This has not happened with abortions by misoprostol. Yes the bleeding will be heavy.
Fourth, abortions by pills are NOT “experimental”. This is hardly the case. It is true that in the USA a “surgical” abortion is more common. While the USA has very advanced medical techniques in many areas, we are actually very far behind the western word in this area. In most European countries the percentage of termination by pills is between 60-90%.
Other Things to Consider
Plan at least 24 hours of not working, 2-3 days is even better. If you have an intimate friend or family member that you trust 150%, ask them to stay close. If you don’t feel comfortable telling someone in advance, at least have someone in mind, to contact if you need help after you started the process. We are also here if needed. So there is NO reason to be alone.
Self-managed Abortion; Safe and Supported (you are not alone)
Until 12 weeks of pregnancy, a woman needs a total of 2400 mcg of misoprostol.
She needs: 12 pills of 200 micrograms each
3 doses of pills need to be taken, 800 mcg each time.
Step 1- A woman should take a normal dose of over the counter (OTC) pain medicines such as ibuprofen 1-2 hours prior to starting misoprostol.
Step 2– A woman should put 4 pills of 200 mcgs misoprostol under the tongue. The pills should stay for at least 30 minutes, or until the tablets are dissolved! She can swallow her saliva, but NOT the pills. After 30 minutes it is ok to swallow what remains of the pills.
Step 3– After 3 hours she should repeat: put another 4 pills of 200 mcgs misoprostol under the tongue. The pills should stay for at least 30 minutes, or until the tablets are dissolved.
Step 3 Alternative- After 3 hours: put 4 pills of 200 mcgs misoprostol into the vaginal cavity as deeply as possible and remain laying down for at least 30 minutes. Go to the bathroom prior to this step. (This has a slightly higher success rate that the 100% oral rate only but is optional)
Step 4– After 3 hours she should take the last 4 pills of 200 under the tongue again for a third time. The pills should stay for at least 30 minutes, or until the tablets are dissolved.
In between the doses of misoprostol, one can eat and drink normally. Do not drink alcohol, as it is important to pay attention to what is happening.
Our experience is that 9 women of every 10 women who use misoprostol correctly will have a safe abortion using this procedure.
Usually women do not feel anything after taking the mifepristone (the first pill that is swallowed). A few women have reported experiencing some nausea, dizziness, or very light bleeding.
After taking misoprostol, you may initially feel side effects from the misoprostol, including a light fever, chills, diarrhea, and nausea. These are normal side effects and usually pass within a few hours or so of using the misoprostol.
The misoprostol will cause cramping and bleeding as the uterus contracts and pushes out the pregnancy. If a woman uses mifepristone plus misoprostol, the cramps and bleeding usually start within 1-5 hours after using the misoprostol, but some women have cramps sooner and some later; every woman’s body is different. If a woman is using misoprostol alone, most women will start bleeding within 7 hours after using misoprostol; however it may start several hours sooner or later. It can be different in every case.
Bleeding is usually heavier than a period and often accompanied by clots. The heaviest bleeding typically occurs 2-5 hours after using misoprostol and usually slows within 24 hours. Some women may pass clots days or even weeks later. This is common and is not dangerous, if there are no symptoms of a complication.
Ibuprofen is the most effective painkiller for cramps. You can also use other NSAID’s like Naproxen and Diclofenac for the pain. For some women, a hot water bottle on the belly brings relief. Please read the instructions on the package of painkillers you obtained for the maximum doses you can use.
During and after the abortion, you should use sanitary pads, NOT tampons. This is to prevent infection and also to measure the amount of bleeding to make sure it is within safe levels.
There are many pages of information. Just search abortion by pill. There is actually so much information is can get confusing. Here are just a few links that you may find useful. If you have more questions, by all means, contact us and we will help you.
If performed in the first 10 weeks, a medical abortion carries a very small risk of complications. This risk is the same as when a woman has a miscarriage. A doctor can easily treat these problems. Out of every 100 women who do medical abortion, 2 or 3 women will have to go to a doctor, first aid center or hospital to receive further medical care.
These are the possible complications, their symptoms and treatment:
Heavy bleeding (occurs in less than 1% of medical abortions)
- Symptom: Bleeding that lasts for more than 2 hours and soaks more than 2 maxi sanitary pads per hour. Feeling dizzy or light-headed can be a sign of too much blood loss. This is dangerous to your health and must be treated by a doctor.
- Treatment: a vacuum aspiration (curettage.) When available, a woman should start taking 2 misoprostol under the tongue immediately at home before going to the hospital. Very rarely (less than 0.2%) a blood transfusion is needed.
- Symptoms: heavy or persistent bleeding and/or persistent severe pain.
- Treatment: 2 tablets of misoprostol or/ and a vacuum aspiration (curettage)
- Symptom: If you have a fever (more than 38 degrees Celsius) for more than 24 hours, or you have a fever of more than 39 degrees, there might be an infection that needs treatment.
- Treatment: antibiotics and/or vacuum aspiration.
If you think you might have a complication you should go to a doctor immediately. If you live in a place where abortion is a crime and you don’t have a doctor you trust, you can still access medical care. You do not have to tell the medical staff that you tried to induce an abortion; you can tell them that you had a spontaneous miscarriage. Doctors have the obligation to help in all cases and know how to handle a miscarriage.
The symptoms of a miscarriage and an abortion with pills are exactly the same and the doctor will not be able to see or test for any evidence of an abortion, as long as the pills have completely dissolved. If you used the misoprostol under the tongue as our protocol recommends, the pills should have dissolved within 30 minutes. If you took the pills vaginally, you must check with your finger to make sure that they are dissolved. Traces of the pills may be found in the vagina up to four days after inserting them.
Less than 1% of women experience ongoing pregnancy. This can be determined by a pregnancy test after 3 weeks or an ultrasound within a week. If the medical abortion treatment failed, there is a slight increase in the risk of birth defects such as deformities of the hands or feet and problems with the nerves of the fetus. To treat an ongoing pregnancy you must repeat a medical or surgical abortion.