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Medical Abortion at Home - Step by Step Guide.
Abortion is the most common medical procedure done in the world. According to the World Health Organization, each year 45 million women choose to have an abortion for all sorts of private reasons. However many women do not have access to safe abortion centres and are forced to risk their health and life. They try to end their pregnancies with hangers, knitting needles, soap solutions, blows to the abdomen. They get abortions from individuals without medical training in the most unhygenic conditions.
A medical abortion uses a medicine or a combination tablets to cause the non-surgical termination of an early pregnancy up until the 9th week of pregnancy. The safest, most effective type of medical abortion requires the use of two set of medications to be taken orally. These medicines, called Mifepristone and Misoprostol, causes the spontaneous expulsion of the pregnancy from the uterus.
Can you use Mifepristone and Misoprostol on your own.
Yes - if you have all the information to use it safely. Is it difficult to use Mifepristone and Misoprostol byourself
Mifepristone and Misoprostol are potent medications and should be used with all the care and precautions that you would use any other medications.
You will get all the information you need about how to use the drugs, what to expect, and when to go to a doctor. If you have questions about any step of the process, you can contact a helpline.
A medical abortion does not need to take place in a hospital or first aid clinic. The risks of a medical abortion are the same as those of a miscarriage. About 15% of all pregnancies end in a miscarriage. These miscarriages do not happen in a hospital but usually at home. Most women know how to deal with it themselves and only go to a hospital in case of problems like heavy bleeding or fever.
A medical abortion provokes a miscarriage. You can take the medicines yourself at home as long as you are not longer than 9 weeks pregnant and live within one hour of medical center where you can receive help in case of a rare medical emergency.
Medical abortions performed in the first 9 weeks of pregnancy have a very low risk of any medical complications. This risk is the same as when a woman has a natural miscarriage. These problems can easily be treated by a doctor. Out of of every 100 women that do medical abortions, less than one woman have to go to a doctor, medical center or a Hospital to receive further medical care. In countries where childbirth is safe, 1 in every 10.000 women dies during childbirth. Less than 1 in every 500,000 women who use a medical abortion die, making medical abortions safer than childbirth and about as safe as naturally occurring miscarriages. This means that a safe abortion with Mifespristone and Misoprostol is always lifesaving to any women who takes a informed decision about abortion.
Face to Face consultation v/s Online consultation
A consultation on the internet is very similar to a face to face consultation. In the online consultation the doctor asks you questions in order to get all the information needed to make sure you can safely have a medical abortion. The doctor depends on the information you give and is very similar in a face to face consultation.
Misoprostol v/s Misoprostol and Mifepristone
In some countries women can get Misoprostol at their local medical shop and use it alone, without also taking the Mifepristone. But only Misoprostol is not recommended.
If a woman uses both Mifepristone and Misoprostol for medical abortion, it is much more likely she will have a successful abortion than if she uses Misoprostol alone (99.5% compared to only 80%).
In some places women can get Misoprostol from their local pharmacies but in many countries women have trouble getting the medicines. Many women acquire the medications from a local quacks or a local source. The quality of these medicines is questionable and in some cases the pills provided might not be Misoprostol at all. It is crucial for women to get Mifepristone and Misoprostol from reliable sources and receive all the instructions about how to take the medications and what to expect and what to do at times of minor or major complications.
Abortion Pill Doctor is a reliable resource for Medical abortion for women who do not have easy and legal access to Medical abortion.
How do we know that you are pregnant?
Most women find that they are pregnant if they are sexually active and have missed a period.
Nausea, breast soreness, and fatigue are also common symptoms in early pregnancy.
Ultrasound or pregnancy tests are the only ways to immediately be sure that a woman is pregnant.
If an ultrasound is performed, the doctor can tell a woman exactly how long she has been pregnant.
The doctor can also estimate the length of the pregnancy without using ultrasound.
A pregnancy test cannot provide this information.A woman can also decide the duration of pregnancy.
She should calculate the duration of pregnancy from the first day of the last menstrual period to the present day.
Medical abortion and Duration of Pregnancy
Important question - Till how many weeks of pregnancy is it possible to get a medical abortion.
The medical abortion works best in early first trimester pregnancy. We recommend early termination till about 9 weeks. The medical pill can work even beyond the 9 weeks - however with a fairly high chance of incomplete abortion.
Abortion pill doctor do not recommend Medical abortion for pregnancies beyond 9 weeks.
Another question - What if you attempt a medical abortion beyond 9 weeks.
If you have been pregnant for longer than 9 weeks and do a medical abortion at your own risk, the medicines still work and cause an abortion. However, the risk of complications increases and it is more likely that you will need to receive treatment from a doctor in a hospital or a medical centre. Therefore, it is strongly advised that the pills for advanced pregnancy are taken in the waiting room of a hospital or in a cafe very close to a hospital. In that case, should you need urgent medical attention, you will be nearby. The symptoms are exactly the same as a miscarriage. The symptoms and treatment are the same. If you have no other means, doing the medical abortion is still much safer than dangerous methods for causing an abortion, such as inserting sharp objects into the vagina, ingesting toxic chemicals such as bleach, or punching the abdomen. Never ever use these dangerous methods for Abortion pill doctor has strong opinions about abortion done in any of the above manner.
Abortion Pill in a Non Pregnant woman
What if you are not pregnant but take the medicines anyway?
There is no major harm in taking an abortion pill if you are not pregnant. However, you may still experience the common side effects of the medicines, including nausea, vomiting, diarrhea, or a low fever for up to 24 hours - you would experience no or little bleeding and all the symptoms will soon subside.
Pregnancy and B hcg levels
What are hCG levels during pregnancy?
B hcg levels in weeks from the first day of the last menstrual period
>3 weeks LMP: 5 - 50 mIU/ml
4 weeks LMP: 5 - 426 mIU/ml
5 weeks LMP: 18 - 7,340 mIU/ml
6 weeks LMP: 1,080 - 56,500 mIU/ml
7 - 8 weeks LMP: 7, 650 - 229,000 mIU/ml
9 - 12 weeks LMP: 25,700 - 288,000 mIU/ml
13 - 16 weeks LMP: 13,300 - 254,000 mIU/ml
17 - 24 weeks LMP: 4,060 - 165,400 mIU/ml
25 - 40 weeks LMP: 3,640 - 117,000 mIU/ml
Abortion and Blood group
What if you have a RH Negative bloodtype?
Doctors advice women with Rh Negative Blood group who have an (surgical) abortion or miscariage or delivery to take an injection with anti D globuline. The reason is that if the fetus has a positive bloodtype and if there is an exchange in blood the woman can make antibodies in her blood that can affect the next born baby.
However research with early medical abortion and first trimester (first 9 weeks) spontaneous abortions have shown that no or very little exchange in blood between the woman and the fetus takes place and that the a woman does not make any significant amount of antibodies that could affect the next fetus. So we do not advice you to get an injection with Anti- D globuline. But if you feel unsure, you should to a doctor or hospital shortly after having the medical abortion, say you had a miscarriage and that you are rhesus Negative, the doctor might decide or not that he thinks he should give Anti-D globuline anyway depending on his opinion.
Medical Abortion and The Pills
How should you use the Medical Abortion Pills?
To end a pregnancy the medicines should be used in the following way.
First you should swallow one tablet of Mifepristone. This medicine blocks the effects of progesterone, the hormone that is necessary to maintain the pregnancy.
48 hours later you should put 4 tablets of Misoprostol in the space between gum and cheek (the buccal cavity) and keep there there for at least 30 minutes, until the tablets are dissolved. You can swallow your saliva. After 30 minutes you can swallow the remains of the tablets.
Why should the Misoprostol be placed in the buccal cavity?
48 hours after swallowing the Mifepristone, the Misoprostol tablets can be used in one of two ways: vaginally or buccally (in the space between gum and cheek). Both methods are equally effective in causing an abortion.
We strongly advise you to use Misoprostol in the space between your gum and cheek. This way, no remains of the pills can be found in the event that you need to go to a hospital. There are no blood tests that can show that you have taken Mifepristone or Misoprostol, so there will be no way to prove that you tried to do an abortion.
In countries where women can be prosecuted for having an abortion, it is not necessary to tell the medical staff that you tried to induce an abortion. You can say that you had a spontaneous miscarriage. The doctors cannot make the difference. The treatment is also the same. The treatment is curettage, also known as vacuum aspiration, during which a doctor will remove remaining tissue from the womb. Doctors have the obligation to help in all cases.
Mifepristol without Misoprostone
What if you take the Mifepristone and then decide not to take the Misoprostol?If, for some reason, you take the Mifepristone and then decide you will not take the Misoprostol part of the medical abortion regimen, there are a few things that could happen.
You might experience a complete abortion without ever taking Misoprostol. You might experience a missed abortion, which means that the fetus is no longer viable, but the products of pregnancy (blood, tissue) do not leave your body. This has to be treated with a vacuum aspiration or surgical aspiration by a doctor in a medical center or a hospital.
Misoprostol - Early or Late
What happens if you do not use Misoprostol in time?
The doctor advises you to use the Misoprostol 48 hours after swallowing the Mifepristone tablet. However it can also be used earlier or later the duration may vary from 12 hours to 72 hours after swallowing Mifepristone.
Medical abortion and Breast feeding
Can you use Mifepristone and Misoprostol if you are still breastfeeding?
It is better not to breastfeed during the first 12 hours after taking Mifepristone and after using Misoprostol. It is best to throw away the milk produced in the first 12 hours.
Repeat Medical Abortion
Is it safe to have a medical abortion if I've already had one in the past?
Once again - Medical abortion is safe.
Women are fertile for about 40 years. Some women need more than one abortion because for example contraception fails or some women cannot choose when to have sexual relations, or because contraception or information about it is inaccessible.Having a safe abortion, or more than one safe abortion, does not impact a woman's health or ability to have children in future.
The Process of Abortion
What to expect after taking the Medical Abortion pills?
Mifepristone alone usually does not cause any side effects before taking Misoprostol, although some women may experience light bleeding or nausea. After using Misoprostol you should expect bleeding and cramps. Bleeding usually starts within six to twelve hours of using the pills, but it sometimes starts later. For some women, the bleeding and cramping and also other side effects like nausea, vomiting, diarrhea, headache, dizziness, and hot flashes or fever may occur shortly after taking Misoprostol.
Bleeding is often the first sign that the abortion has begun. If the abortion continues, bleeding and cramps become more severe. Bleeding is often heavier than a normal menstruation, and there can be clots. The longer the pregnancy has developed, the heavier the cramps and the bleeding will be. If the abortion is complete, the bleeding and the cramps diminish. The moment of abortion can be noticed with a peak of heavier blood loss and more pain and cramps.
Normally the bleeding will continue lightly for one to two weeks after the abortion, but times may vary. The normal menstrual period usually returns after four to six weeks.
Ectopic pregnancy and Continuation of Pregnancy
What if you don’t bleed after you use the medications?
If you do not start bleeding within 6-12 hours of taking Misoprostol, you should apply another 2 tablets. If you still do not bleed and you are positive that you were pregnant, then you either have an ectopic pregnancy or a continuing pregnancy. You should have an ultrasound. If you experience complications such as fever, faintness, or extreme abdominal pain, then you should get medical help immediately, because you could have a ruptured ectopic pregnancy. If you have an ectopic pregnancy, the doctor will treat it. This procedure is not considered an abortion and it is necessary to save the woman’s life. If the ultrasound shows a continuing pregnancy, you can do the medical abortion again.
Products after Medical Abortion
Can you see the products of the abortion (placenta, embryo, blood) and what should you do with them?
Most of the time women can see blood and tissue in their sanitary napkin or in the toilet. The (very small) embryo is usually passed within this blood and tissue in such as way that it goes unnoticed by the woman. However, it is possible that you might see the (very small) embryo. Depending on the length of the pregnancy, a small pregnancy sac with some tissue around it may be visible. For instance, if you are only five to six weeks pregnant, there will be no visible sac. At nine weeks, you might be able to find a sac in the blood and it is possible that you might see the embryo. With a pregnancy of 8 or 9 weeks, the embryo is about 2 cm.
It is best to flush everything down the toilet or to wrap the sanitary pads in a plastic bag and throw them away.
Medical Abortion and Side effects
What are the side effects of the medicines?
The medical abortion treatment normally causes side effects such as pain and cramping, as well as bleeding accompanied by the passage of blood clots and tissue. Nausea, vomiting, diarrhea, headache, dizziness, and hot flashes or fever may also occur. A fever that starts soon after Misoprostol administration and lasts less than 24 hours and is less than 100.4 F/ 38 C is a common side effect. If the fever lasts longer than 24 hours or is greater than 100.4 F/38 C, you should seek help from a medical doctor.
Successful Medical Abortion
What is a complete, successful abortion and how do you know you've had one?
A complete abortion means that the body has expelled all the products of pregnancy (blood, tissue, embryo) and there is no need for surgery (vacuum aspiration) afterwards. The only way to make sure that you've had a complete abortion is to have an ultrasound 14 days after using the medicines. You should not have extreme pain, prolonged heavy bleeding, or fever.
Medical Abortion Complications
If performed in the first 9 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 1000 women who do medical abortion, 1to 2 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 0.5% of medical abortions).
Symptom: Bleeding that lasts for more than 2 hours and soaks more than 2 maximum sanitary pads per hour. Feeling dizzy or light-headed can be a sign of too much blood loss. If you have these symptoms, it is best to consult a doctor and undergo treatment.
Treatment: a vacuum aspiration (curettage.) Very rarely (less than 0.2%) a blood transfusion is needed.
Symptoms: heavy or persistent bleeding and/or persistent severe pain.
Treatment: a vacuum aspiration (curettage)
An incomplete abortion is an abortion that has only been partially successful. The pregnancy has ended— no fetus will develop, but your body has only expelled part of the tissue and products of pregnancy. If you have prolonged bleeding, too much bleeding (much more than a regular menstrual period), pain in your belly that does not go away after a few days of taking the Misoprostol, pain that is unbearable, fever, continued bleeding after three weeks, or pain when pushing on your belly, you may have an incomplete abortion. You must go to a hospital or a doctor to complete the abortion if you have any of these symptoms. This is absolutely necessary because the tissue and blood that remains in the body can cause heavy bleeding or an infection. The treatment of an incomplete abortion is legal everywhere.
In countries where women can be prosecuted for having an abortion, it is not necessary to tell the medical staff that you tried to induce an abortion; you can that say that you had a spontaneous miscarriage. There are no tests that can show that a woman has done a medical abortion. It is extremely important to treat an incomplete abortion. The treatment for incomplete abortion is called a vacuum aspiration, or “curettage." Any clinic that can deal with complications of miscarriage can also help women with incomplete abortions, because the symptoms are the same.
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.
Handling complications of Medical Abortion
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 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.
The symptoms 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 took the pills buccally, between the gums and the cheek as our protocol recommends, the pills should have dissolved within three hours of taking them. 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 0.2% of women experience ongoing pregnancy. This can be determined by a pregnancy test after 4 weeks or an ultrasound after 14 days. 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.
Post Abortion Infections
Infections following medical abortions are very rare. If you feel weakness, nausea, vomiting, diarrhea, fever that lasts more than 24 hours or is higher than 100.4 F/ 38 C, pain in your belly, if your belly feels sore or tender, if you bleed a lot or for a long time, or if you have vaginal discharge that smells bad, you might have an infection and you should go to a doctor immediately. The infection should be treated with antibiotics.
A fever that starts soon after Misoprostol administration and lasts less than 24 hours and is less than 100.4 F/ 38 C is a common side effect. If the fever lasts longer than 24 hours or is greater than 100.4 F/38 C, you should seek medical attention.Medical abortion is a safer alternative in places where surgical methods are dangerous for a woman’s health, or in places where the availability of safe abortion is restricted. The risk of infection is greater when a woman has a child than when she has a medical abortion.
Dilatation and curettage v/s Vacuum Aspiration
Curettage or dilation and curettage (D & C) is a surgical intervention to remove the contents of the uterus. Sometimes this treatment is necessary if there are complications after medical abortion or spontaneous miscarriage. However in some countries doctors are accustomed to performing a curettage even though it might not be needed for medical reasons. You do NOT need a curettage if the ultrasound shows that there are still some small remains in the uterus (incomplete abortion) or experience some bleeding after 3 weeks AND you do not have any complaints like pain, fever or heavy bleeding. Small remains in the uterus can be treated with an extra doses of Misoprostol or you can just wait until your next menstruation. The uterus will most likely empty itself. Regular menstruation comes back 4 to 6 weeks after a medical abortion. After a normal menstruation you should not have any remaining tissue left over in the uterus.
However, in case you do have complaints like fever, persistent pain and heavy bleeding, a surgical intervention called vacuum aspiration is needed. Ask the doctor what kind of procedure she/he uses because it is better to have a vaccum aspiration than a sharp curettage or D&C (vacuum aspiration is less painful and has less risks)
Continuing Pregnancy after Medical Abortion - A rare possibility
Continuing pregnancy is a pregnancy that continues to develop even after the use of Mifepristone and Misoprostol. In this case, the abortion has failed completely and the woman remains pregnant. Even if you bleed, you can still have a continuing pregnancy. Bleeding does not mean that you have had a successful abortion. If you still have symptoms of pregnancy such as sore breasts or nausea, you may be experiencing a continuing pregnancy. You should have an ultrasound or do a pregnancy test 3 weeks later to confirm that the pregnancy has ended. Most pregnancy tests that are done 4 weeks after the abortion are reliable. It is necessary to wait 4 weeks after the abortion because the pregnancy hormones can remain in the body and can make the pregnancy test falsely positive. If you have an ongoing pregnancy after you did a medical abortion you can try to do a medical abortion again or have a surgical abortion. Because Misoprostol can increase the risk of fetal malformations, we advise women with continuing pregnancies undergo surgical or medical abortion to terminate the pregnancy.
If you have an ongoing pregnancy after using Misoprostol, the risk of having a baby with fetal malformations is increased. However, this risk is still small, less than 1 in 1000. This risk is smaller than the normal risk of having a baby with Down Syndrome. We advise women with ongoing pregnancies to undergo surgical or medical abortions to terminate the pregnancy in order to entirely avoid the risk of having a malformed fetus.
Post Abortion Blues
Most women do not need any psychological help after an abortion. Feelings of regret after abortion are rare. Indeed, the most common emotional response after abortion is relief. Transient feelings of guilt, sadness, or loss are common but most women can overcome negative feelings that might affect them. It is normal to feel emotional after an abortion. While you may experience sadness or grief, these feelings usually go away after a few days. But in countries where the taboo and social stigma is big, it is more common for women to suffer feelings of guilt and shame. If you are not sure if a medical abortion treatment is right for you, we encourage you to discuss it with a trusted friend.
Medical Abortion and Breast carcinoma
Does medical abortion increase the risk of breast cancer?
No, having an induced abortion does not increase a woman’s chance of developing breast cancer.
Post Abortion Fertility
Will you be able to get pregnant and have children after a medical abortion?
A medical abortion does not affect your ability to conceive or bear a child in the future. In fact, if you do not want to become pregnant at this time, it is important to start using contraceptives as soon as you start having sexual relations again.
Sexual relations post abortion
When can you start to have sexual relations again after having a medical abortion?
It is best to wait 14 days after taking the Misoprostol to have sexual relations. Right after the abortion, the cervix might be slightly open, and there is a greater risk of infection if you have sexual relations during this time. It is normal to have irregular light bleeding for up to two weeks after a medical abortion (sometimes even longer). You can have sexual relations even if you are still bleeding. However, if you do not wish to become pregnant, it is important to use contraception every time you have sexual relations. Although it may be several weeks after your abortion before you get your menstruation again, you could ovulate in the first week or two after your abortion, which means you could get pregnant right away. If you do not want to become pregnant right away, it is very important to start using contraceptives immediately.
Abortion and Contraception
Post abortion care and contraceptionYou can use condoms and other birth control methods right away. An IUD can be put in place as soon as 4-14 days after you take the Misoprostol, even if there is still light bleeding. You can also wait to insert an IUD until your next regular period, but you will need to use another contraceptive method in the meantime if you do not want to risk becoming pregnant. You can start any other contraceptive method (pills, patch, ring, shot) on the day you take the Misoprostol. However, if for some reason the medical abortion did not work and you are still pregnant, the hormones used in the birth control pills, patch, ring and shot are not dangerous to a developing fetus. Nevertheless we recommend that you have an ultrasound if possible to confirm that the abortion was successful. If you start birth control pills before your menstrual cycle starts, it is best to use a barrier method (condom) as well, as the pills are slightly less effective during this time.If you do want to become pregnant again after doing a medical abortion, it is also better to wait until after the first normal menstruation, so please use contraceptives until then.
Prevention of Pregnancy
How can you prevent a future unwanted pregnancy?
You can use condoms and other birth control methods right away. An IUD can be put in place as soon as 4-14 days after you take the Misoprostol, even if there is still light bleeding. You can also wait to insert an IUD until your next regular period, but you will need to use another contraceptive method in the meantime if you do not want to risk becoming pregnant. You can start any other contraceptive method (pills, patch, ring, shot) on the day you take the Misoprostol. However, if for some reason the medical abortion did not work and you are still pregnant, the hormones used in the birth control pills, patch, ring and shot are not dangerous to a developing fetus. Nevertheless we recommend that you have an ultrasound if possible to confirm that the abortion was successful. If you start birth control pills before your menstrual cycle starts, it is best to use a barrier method (condom) as well, as the pills are slightly less effective during this time. If you do want to become pregnant again after doing a medical abortion, it is also better to wait until after the first normal menstruation, so please use contraceptives until then.
DIAPHRAGM is a rubber disk with a flexible rim that covers the cervix and must be used together with spermicide. It is available by prescription only and must be fitted for size by a health professional. The diaphragm protects for six hours and should be left in place for at least six hours after intercourse but not for longer than a total of 24 hours.
ORAL CONTRACEPTIVES protect against pregnancy by the combined actions of the hormones estrogens and progestin. The hormones prevent ovulation. The pills have to be taken every day as directed and do not work after vomiting or diarrhoea. Side effects of the pill can be nausea, headache, breast tenderness, weight gain, irregular bleeding, and depression.
DEPO-PROVERA is a hormonal contraceptive injected into a muscle on the arm or buttock every three months. The injection must be repeated every 3 months. The menstruation can become irregular and sometimes even absent.
IMPLANTS (such as Norplant or implanon) are made up of small rubber rods, which are surgically implanted under the skin of the upper arm, where they release the contraceptive steroid levonorgestrel. Their protection lasts from 3 to 5 years. Side effects include menstrual cycle changes, weight gain, breast tenderness and loss of bone mass.
IUD is a T-shaped device inserted into the uterus by a health-care professional. The IUD can remain in place for 5- 10 years. IUD’s have one of the lowest failure rates of contraceptive method. Sometimes the IUD can be expelled and a woman has to check each month after her period with her finger if she can still feel the threads of the IUD. Other side effects can include abnormal bleeding and cramps, but this usually only occurs during and immediately after insertion.
FEMALE STERILIZATION is done surgically. The tubes are ligated, preventing the egg-cells from encountering the sperm cells and preventing any future pregnancies. It is a permanent form of contraception.
EMERGENCY CONTRACEPTION must be taken within 72 hours of unprotected sex in order to prevent an unplanned pregnancy. A woman must take 1 Norlevo and a second pill 12 to 24 hours later. Beside Norlevo, most combination (estrogens and progesterone) birth control pills can also be used. Take within 72 hours of unprotected sex. One dose 100 µg ethinylestradiol + 500 µg levonorgestrel (2-4 birth control pills), 12 hours later a second dose.
MORNING-AFTER IUD must be inserted within 5 days of unprotected intercourse. The IUD can stay for 5 to 10 years.
CONDOMS are usually made from latex rubber and can be used only once. Some have spermicide added to kill sperm. They act as a mechanical barrier, preventing direct vaginal contact with semen, infectious genital discharges, and genital lesions. Condoms are the most effective method for reducing the risk of infection from the viruses that cause AIDS and other sexually transmitted diseases (STD’s). It is important to put a condom on properly before intercourse.
MALE STERILIZATION also known as vasectomy, is a quick operation performed under local anaesthesia with possible minor postsurgical complications, such as bleeding or infection. The ability to get an erection and an ejaculation does not disappear. The sperm cells are just a very small part (1%) of the fluid and a man will not notice any difference in ejaculation. The body will absorb the sperm cells.
Medical Abortion - Contraindications
When should you not use Medical abortion?You should not use the medicines if:
Pregnancy and Ectopic Pregnancy
What is an ectopic pregnancy and how do you know you have one?
An ectopic pregnancy is a pregnancy that grows outside the womb, usually in a fallopian tube. It is a life threatening situation because if the pregnancy grows too large it can cause the tube burst. This must always be treated with an operation or medicines. A medical abortion does not treat a pregnancy outside the womb!
You can make sure that your pregnancy is inside the womb by having an ultrasound. If you use Mifepristone and Misoprostol to end a pregnancy and you do not do an ultrasound first, there is always a chance that you could have an undetected ectopic pregnancy. If you do not pass tissue and blood after taking the Misoprostol, you might have an ectopic pregnancy. If you have sudden severe pain in your belly or back, if you feel you might faint or if you do faint, or if you feel pain in the shoulder area, you might have an ectopic pregnancy that has burst and you should go to a hospital immediately. Ectopic pregnancies are treated everywhere, even in places where abortion is severely restricted.
IUD - Intrauterine Contraceptive Device
What is an IUD.An IUD is a contraceptive, a small coil of about 3 cm inserted by a doctor in the womb to prevent pregnancy. A woman who has an IUD and is pregnant must have an ultrasound because the risk of an ectopic pregnancy is higher. If the ultrasound shows that pregnancy is in the uterus, it is necessary to have the IUD removed before doing the abortion.
Medical abortion - Going Solo!
Why shouldn't you be alone when you do a medical abortion and what if you do it alone anyway?
You are strongly advised to use the medicines in the presence of someone you trust. However, if you choose to do the medical abortion alone, it is not necessarily hazardous. Make sure you are near a phone or some way of contacting medical professionals. You should consider telling someone (a neighbor, a family member, or someone who is nearby) that you are not feeling well and you are going to rest. You can ask them to check on you later in the day after you use the Misoprostol. This way someone will know if you are experiencing complications and can help you, but they do not have to know that you have done a medical abortion. You can say that you think you have had a miscarriage. Have a Friend with You!
Access to Doctor and Hospital - Medical abortion
Why should you be within 60 minutes of a hospital or Medical center when you do the abortion?
It is absolutely necessary to be within one hour of help, in case you lose too much blood. This is also the case when a woman miscarries or gives birth. It is not necessary for you to live in an urban area to do a medical abortion. Almost all areas with internet access will also have a basic first aid centre nearby.
Hospitals and first aide centres must have basic medical equipment and staff. This equipment and expertise is the same that is required to care for women who have complications related to miscarriage or birth.
Medical abortion and Painkillers
Do you need pain killers for Medical abortion.
Mostly not. If you must.
You can use Paracetamol or Tylenol (acetaminophen) or Aspirin (salicylic acid) or NSAID’s like Ibuprofen, Naproxen and Diclofenac.
Privacy and Confidentiality
Is our communication confidential.
Yes - Absolutely.
Every communication is confidential and all emails are destroyed after the services are rendered.
Everything you submit to our company is done through SSL, which means that all your information is encrypted and confidential. We maintain our SSL with Geotrust to ensure that your privacy is guaranteed! Once your order is placed, your private information is encrypted in our database and accessible only to key staff and the pharmacy responsible for fulfilling your order. At no time is your information accessible by any party not involved in the fulfillment of your order. We do not sell, rent, or give away for free any information you provide us. Your order will always arrive discretely packaged to the name and address provided
Shipping of Medications
How much time it takes to ship the medications to you?
Generally about 3 working days.
Urgent shipping options are available.
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