SELF ABORTION, PILLS AND IMPLICATIONS. FOR EDUCATIONAL PURPOSES ONLY!

This post must not be construed as a medical compendium. It is not a guidance on self abortion. It is all part of general knowledge and education. Knowledge is power and ignorance is bliss.

This is a disclaimer. Please disregard if abortion is illegal in your country. The post is particularly designed for our US readers mainly. Thank you.

How to do an Abortion with Pills (misoprostol, cytotec)?

The best and safest way a woman can do an abortion herself until the 12th week of pregnancy is with the use of two medicines called Mifepristone (also known as the abortion pill, RU 486, Mifegyn, Mifeprex), and Misoprostol (also known as Cytotec, Arthrotec, Oxaprost, Cyprostol, Mibetec, Prostokos or Misotrol). If you live in a country where there is no access to safe abortion services and you would like to obtain a medical abortion with Mifepristone and Misoprostol, please go to Women on Web (www.womenonweb.org).

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Using Misoprostol (or Cytotec) alone to cause an abortion will be successful 90% of the time. If it is not effective the first time, you can try again after 3 days. The information is based on researchby the World Health Organization.

Women who live in a country where they have the possibility to have a safe and legal abortion, should go to a doctor. For abortion clinics worldwide, seewww.womenonwaves.org/article-456-en.html

Some women attempt to have an abortion by placing sharp or dirty objects into the womb or by punching the belly. This is very dangerous and should never be done because there is a very high risk of wounding the insides of the woman, infection, heavy bleeding and even death.

For many women, ending a pregnancy is a difficult decision. When the woman cannot discuss the abortion or alternatives with a healthcare provider, we advise her to talk about it with a good friend or a relative. We strongly advise any young girl to talk with her parents or another adult she trusts about her situation, her decision and the abortion procedure.

Women who are sure that they want to end their pregnancy and have no other means should print and study the instructions carefully first. It is best to discuss them with a friend. A woman should never do this alone.

If you have any questions about this method or experiences you want to share, after reading the information below, send email toinfo@womenonweb.org

Misoprostol for medical abortion works best in the first 12 weeks of pregnancy.  After that, there is an increased risk of a complication and need for medical attention.  If you are considering using misoprostol after 12 weeks, please contact info@womenonweb.org for instructions; these instructions are for women who are 12 weeks or earlier in their pregnancy.

A woman should make sure she is pregnant.

She can do a pregnancy test or have an ultrasound.

Misoprostol should only be used if a woman is 100% sure that she wants to end the pregnancy.

A woman should try to have an ultrasound before taking Misoprostol.

An ultrasound shows whether the pregnancy is in the womb and the length (number of weeks) of a woman's pregnancy.

Misoprostol should not be used after 12 or more weeks of pregnancy.

A pregnancy of twelve weeks means 84 days (12 weeks) after the first day of the last menstrual period. If a woman thinks she has been pregnant for more than twelve weeks, or if the ultrasound shows this, we do not advise to take Misoprostol unless the woman has medical supervision.

The medicine still works, but the risk of heavy bleeding, serious pain and complications increase the longer the pregnancy lasts.

A woman should not do the abortion alone.

While having the abortion, it is important to have someone close by; this can be the partner, a friend or a relative who knows about the abortion and who can help in case of complications. Once the bleeding starts, someone should stay in contact with the woman to be able to help in case complications occur.

Misoprostol can only be used without medical guidance when a woman has no serious illness.

Most illnesses are no problem. Some serious illnesses, such as, for instance, severe anaemia, can create problems because of the heavy blood loss involved.

Serious illnesses are sometimes a reason for a legal abortion, even in countries with restrictive laws.

Do not use alcohol or drugs during the treatment!!! The woman must be able to pay close attention to what is happening in her body.  If the cramps are very painful, she can use Ibuprofen, or a hot water bottle or heating pad, but never alcohol or drugs.

Misoprostol should not be used when there is a possibility of an ectopic (or extra-uterine) pregnancy.

An ectopic (or extra-uterine pregnancy) is not in the womb (uterus). An ectopic pregnancy can be detected by having an ultrasound. Treatment by a gynaecologist is then necessary to ensure the health of the woman. If not treated, there is a risk of heavy internal bleeding due to rupturing of the fallopian tube.

Gynaecologists treat women for this condition in all countries, even in countries where abortion is illegal. An ectopic pregnancy cannot be treated with Misoprostol.

Misoprostol should not be used if the woman has an intra uterine device (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 made because the risk of an ectopic pregnancy is higher. If the pregnancy is in the uterus, it is necessary to have the IUD removed before using doing the abortion.

Misoprostol should only be used when transportation within a few hours to a hospital is possible.

That way, if complications occur, medical aid will be near.

Misoprostol should never be used if the woman is allergic to Misoprostol or any other prostaglandin.

This is a rare condition, which a woman will be aware of if she has used these medicines and had such a reaction before. If she has never used the medicine before, she cannot have experienced an allergic reaction.

There is a possibility that the attempt to cause an abortion with Misoprostol will fail.

The chance that using Misoprostol will cause an abortion is 90%. The treatment has failed if the medicines do not cause any bleeding at all or there was bleeding but the pregnancy still continued. The woman can try to use the medicines again after a few days, but this can fail again. The failure could be due to the medicines being fake, to an ectopic pregnancy, or because 10% of the time, the medicines do not work. There is only an ongoing pregnancy in 6% of cases.

If more than 14 days after the use of Misoprostol no abortion has occurred, and if no doctor is willing to help, there remains no other option than to travel to another country to have a legal abortion, contact women on web, or to keep the pregnancy.

There is a small increased risk of birth defects such as deformities of the hands or feet and problems with the nerves of the foetus, if the pregnancy continues after attempting abortion with these medicines. Some doctors might consider this as a reason for a legal abortion, so try to find one.

A possible sexual transmitted infection should be treated.

If there is a risk of a sexual transmitted infection (STI, also known as a sexually transmitted disease, STD) such as Chlamydia or Gonorrhoea, arrange an examination with a doctor so that the infection can be treated properly. The risk of such an infection is increased after rape (in a lot of countries a reason for a legal abortion, should pregnancy occur), or when one has had sex with an unknown person.

Having an untreated sexual transmitted infection increases the risk of an inflammation of the womb and fallopian tubes. Such an inflammation is called a pelvic inflammatory disease (PID) or salpingitis or adnexitis.