Medical abortion - is a way of early termination of pregnancy by receiving the two drugs, mifepristone and misoprostol. This option is suitable for abortion up to eight weeks or less.

During the first visit, you will receive a tablet of mifepristone. Then between 24 and 72 hours after that, you will receive a second means, misoprostol Mifepristone and misoprostol for abortion: two components of a single method . Misoprostol causes contractions of the uterus leading to miscarriage. The combination of these means provides 95-97% efficiency for two weeks.

How It Works

Mifepristone blocks the hormone progesterone, which is needed to maintain pregnancy. Due to the fact that progesterone is blocked, starts to flake endometrium, the cervix softens and may start bleeding. Followed by addition of a second drug, misoprostol, the uterus begins to contract and terminated the pregnancy usually within six to eight hours.

Some choose medical abortion because it can be completed at home. Other women feel more confident by taking part in the process.

Application

During the first visit, you will conduct an ultrasound to confirm that the term of your pregnancy is less than eight weeks. Then you explain all the features of the process and answer any of your questions. Then the doctor will examine the history of the disease, and if you have no contraindications, will give you mifepristone. Also, you will be given misoprostol to take between 24 and 72 hours after mifepristone. If miscarriage does not occur after the first dose, call your doctor, so he told you how to use replacement pills.

What to Expect

After mifepristone you may start bleeding. Since all women are different, the bleeding can be either weak or strong. Many women have no bleeding before misoprostol.

Uterine contractions can occur in waves - increasing and decreasing intensity. Bleeding will be more abundant than menstruation, with the release of clots. At that time it happens miscarriage, but you probably will not notice the embryo, because it is very small.

Follow

You should come to re-admission to the doctor in two weeks, to make sure the abortion is complete. If there was no miscarriage (it is found in 5% of cases), it is necessary vakuumaspiratsiya.

Side effects

Most side effects of medical abortion is the second agent, misoprostol. Side effects may include heavy bleeding, headaches, nausea, vomiting, diarrhea, severe cramps.

Risks

Vaginal bleeding after medical abortion can be very strong. In rare cases, you may need to vacuum aspiration, in very rare - blood transfusion.

If the pregnancy is continued after receiving the funds necessary to carry out a surgical abortion, because it is a high risk of serious defects in the fetus.

Criteria

Medical abortion is suitable if:

• Since the beginning of the last menstrual period has been less than eight weeks
• You want and can give informed consent
• You have the opportunity to go to the hospital or call your doctor after the procedure
• You can visit the doctor again from one to three times
• You agree to a surgical abortion if misoprostol have no effect.

To your health

Because of the risk of serious complications, mifepristone and misoprostol are not recommended if:

• Do you have problems with blood clotting, or you are taking anticoagulants
• You have severe anemia
• You have denied the adrenal glands
• You take a long systemic corticosteroids
• You may have an ectopic pregnancy
• You have a tumor of the ovaries or fallopian tubes
• You have hereditary porphyria
• You have an allergy to mifepristone, misoprostol or other means to prostaglandin.
• You have severe diarrhea

Reproductive ability

According to research, there is no long-term effects of mifepristone and misoprostol on the reproductive capacity in the future. A woman can get pregnant How to Get Pregnant: Recommendations to help   at any time when deemed necessary after medical abortion.

Other options of abortion in the early stages

If the ultrasound confirmed at least 6 weeks of pregnancy, you can choose a surgical abortion, in which the cervix is ​​expanding, and the contents of the uterus is removed by special suction.

Not to be confused with contraception

Emergency Contraceptive Pills such as Postinor Postinor - means of emergency contraception They contain the same ingredients as the conventional oral contraceptives. They are used to prevent pregnancy after unprotected intercourse. These pills are sold in pharmacies.

Means for abortion (mifepristone) sold only to doctors. Before giving you the pills, the doctor should make sure that you are pregnant, you deliberately want to have an abortion, you understand the need to implement all the instructions and know what to expect.

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