Abortion pill
The term "abortion
pill" is most commonly used to refer to the drugs mifepristone and
misoprostol, which are taken to terminate a pregnancy in a developing baby.
Some people confuse the day
after tomorrow pill or emergency contraception with the abortion pill. It's not
the same thing.
Methotrexate is another
abortion-related medication, possibly called the abortion pill. In any of these
surveys, people interested in this drug are considering terminating their
pregnancy.
If you're having an unplanned
pregnancy, you're not alone! It is important to ask about the abortion pill to
make sure you have all the information you need about your options. You can
also ask questions about the possible medical, physical, and emotional side
effects of an abortion, the abortion pill itself, and resources that can help
you if you decide to keep your child, put him up for adoption, or continue with
the abortion. pregnancy.
When should you take abortion pills?
Abortion pills are approved
for pregnancy termination within the first 10 weeks after the last menstrual
period. This means that the abortion pill can be taken for 70 days or just over
2 months after the first day of the last period.
If you are more than 10 weeks
pregnant and considering an abortion, you need to consider surgical abortion
options because the embryo is too developed for these medications to completely
destroy it.
How effective are abortion pills?
Abortion pills are quite
effective, they do not work in about 2-8% of cases. The earlier your pregnancy,
the greater the chance of a successful abortion. An 8% higher failure rate is
associated with the use of abortion drugs later in pregnancy and possibly
outside the expected approval period.
Approximately 2 to 4 out of
100 people will find a failed abortion attempt with a continued pregnancy. The
choice is yours: consider carrying a child to term and become a parent yourself
or choose the child's parents through adoption; or return to the clinic for a
second attempt at medical abortion or, more likely, a surgical option.
How does the abortion pill work?
The first step is to discuss
your options, learn about the resources available to you, and learn more about
medical abortion. From there, you will undergo a medical examination including
the following:
- Medical education
- Laboratory work
- Physical examination
After the medical examination,
you will be asked to sign a liability waiver. Your abortion specialist should
give you guidance explaining the process of taking medications and terminating
a pregnancy. The three-step process of medical abortion includes the following:
- Take Mifepristone: A
medicine used to block the activity of progesterone. Progesterone is one of the
pregnancy hormones that is essential for the ability of the uterus to support a
pregnancy. Mifepristone blocks your body's ability to recognize progesterone in
the uterus, causing the lining of the uterus to break down and ending the life
of the developing embryo. If you change your mind about having an abortion and
decide to carry your baby to term, you can reverse the effects of mifepristone
with an abortion pill withdrawal protocol.
- Take Misoprostol: This medication is taken to cause the uterus to contract and push out the embryo, embryo sac, and uterine lining, pushing the developing baby out. This process usually takes 24-48 hours and is often accompanied by heavy bleeding and severe uterine cramps.
- Return to clinic:
You will need to return to the clinic for a follow-up after 2 weeks to confirm
whether the medical abortion was completely successful or not. *This is a very
important step because if the abortion is not completed, any remaining part can
cause infection and permanent scars.
How long does it take for an abortion to complete?
The second pill, misoprostol,
is taken 24 to 48 hours after the first pill, mifepristone. About half
experience the severe spasms and bleeding necessary to expel the embryo,
uterine lining, and embryo sac within the first five hours. For most women, the
expulsion is completed within a few days.
Your abortion specialist will
usually recommend that you attend to the toilet to drain blood and fetal
tissue. Your doctor will also schedule a follow-up visit to make sure the abortion
is final.
This appointment usually
occurs between 1 and 2 weeks after the start of the abortion process, but can
last up to three weeks.
What to expect during a medical abortion?
After you take the second
regimen, misoprostol, you should expect heavy bleeding, seizures, and possibly
other symptoms.
Although there may be some
bleeding before taking the second pill, in most cases, heavy bleeding and
cramping occur after taking the second pill. Other symptoms or side effects
that you may experience:
- Dizziness
- Intense cramping
- Nausea (with or without vomiting)
- Diarrhea
- Abdominal pain separate from cramping
- Mild fever or chills
- Light lactation
Bleeding should mimic very
heavy periods. You may also notice the passage of blood clots and body tissues.
Avoid using a swab during this process and for a short time after stopping. It
is best to use compresses at night to soak up the blood and expelled tissue.
You should start feeling
better the next day and continue to improve every day after that, unless you
are in the percentage of women who experience the adverse effects of an
abortion attempt. If you have any of the physical risks listed below, contact
your doctor immediately.
Why are abortion pills dangerous?
Like any procedure or
medication, there are risks associated with the abortion pill. Although rare,
an incomplete abortion poses a risk that can lead to a repeat procedure with
additional side effects.
Other risks associated with
medical abortion include:
- An allergic reaction
- Infection
- Blood clots
- Heavier bleeding than expected
- A continued pregnancy
Although extremely rare,
serious drug reactions can be fatal. An ectopic infection or pregnancy can be
serious and even life-threatening. The abortion pill does NOT terminate or
treat an ectopic pregnancy.
A Finnish study found a link
between abortions and high mortality rates. Therefore, it is imperative that
you contact your abortion provider if you experience any of the following
concerns:
- Excessive bleeding that fills more than two pads in one hour and continues for two or more hours.
- Blood clots that occur over two or more hours
- Nausea (with or without vomiting) for more than 24 hours
- Diarrhea for more than 24 hours
- Foul smelling discharge
- Symptoms of pregnancy
- Extreme depression or suicidal thoughts
When should my periods return?
Once the pregnancy is over, it
is considered the end of the menstrual cycle. You should expect your period to
return within the next two months. It is rare when menstruation is absent for
more than two months.
Support after the abortion procedure
It is important that you
consult with your doctor about your post-abortion treatment plan. Most advise
you to wait at least a week before having sex. This may be extended up to two
weeks depending on your situation.
If it was an unplanned
pregnancy, you may need to abstain from sex again until you are ready for the
outcome of the reproductive process. During the first month, ovulation and
re-pregnancy are possible. Conception is possible if you have sex again, even
within the first two weeks.
Cautions for those considering
taking abortion pills
Abortion is a personal choice
and, like all medical and surgical procedures, it comes with side effects.
You should be careful before
taking abortion pills if:
- You are past the 10-week window
- You believe it is taking a baby’s life
- You are morally opposed to abortion
- Someone is forcing you to choose abortion
- You will refuse a surgical abortion if the medication fails
- You are taking blood clotting medication
- You have a blood clotting condition
- You are using an intrauterine device
- You are emotionally unstable or have depression or anxiety
Emotional problems are more
likely in those who believe they are ending their lives. It is important that
you talk to a specialist about your views on abortion.
What about getting pregnant in the future?
Mifepristone and misoprostol are not considered harmful to future fertility. However, the long-term effects of these drugs have not been studied as extensively as surgical procedures.