You should avoid vaginal intercourse for about a week after a medical abortion. You can get pregnant soon after an abortion, so talk with your health care provider about what birth control to use. Make sure you are using an effective contraception before you resume sexual activity.
You should get your regular period in about 4 to 8 weeks. Make a follow-up appointment with your provider. You need to be checked to make sure the abortion was complete and that you are not having any problems. In case it did not work, you will need to have an in-clinic abortion.
Most women have a medical abortion safely. There are a few risks, but most can be treated easily:. Medical abortions are typically very safe. In most cases, it does not affect your ability to have children unless you have a serious complication. Lesnewski R, Prine L. Pregnancy termination: medication abortion. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care. Philadelphia, PA: Elsevier; chap Women's health. These two drugs work together to end a pregnancy. A doctor or nurse will give you mifepristone in the office or clinic.
This drug blocks the hormone progesterone, which the embryo needs to implant in your uterus and grow. You take it a few hours or up to 4 days after the first pill. You can either take the medicine by mouth or by placing the pills into your vagina. Misoprostol makes your uterus contract to push out the pregnancy tissue. Most people pass the pregnancy within 4 to 5 hours after taking the pills.
Others take up to 2 days. You might want to take a couple of days off from work because of the discomfort. Once you ovulate, you can get pregnant again. Your doctor might recommend that you wait to have sex for a week or two after your abortion. The cost of the abortion pill varies from clinic to clinic.
Some insurance companies will cover the cost. Methotrexate and misoprostol MTX is an abortion method you can use in your first 7 weeks of pregnancy. Methotrexate is a cancer drug. Just as it stops cancer cells from multiplying, it stops cells in the embryo from multiplying.
Misoprostol then contracts the uterus to release its contents. Doctors mainly use it for women who have a pregnancy outside their uterus, an ectopic pregnancy. An ectopic pregnancy can be life-threatening if it continues. It comes as a shot or a pill that you take by mouth. The abortion will start within 1 to 12 hours after you take the medicine.
The bleeding may be heavy for 4 to 8 hours. It can take a few days or weeks for the abortion to finish. Some people take up to a month. Your doctor might advise you to wait a week or two before having sex again. Some insurance companies will cover it. Vacuum aspiration is done during the first trimester first 12 weeks or early second trimester 12 to 16 weeks of pregnancy. Some people choose vacuum aspiration as the main method for having an abortion.
Others need it after a medical abortion fails to end their pregnancy. Vacuum aspiration uses gentle suction to pull the fetus and placenta out of the uterus. Path to improved health What is a medical abortion? In general, this type of medical abortion is a 3-step process: A woman visits her doctor and takes the mifepristone.
She comes back a few days later to take misoprostol. Misoprostol makes the uterus contract and empty. Many women have bleeding for about 2 weeks after taking misoprostol. After about 2 weeks, the woman returns to the doctor for a follow-up visit. Her doctor checks to be sure that the medicine was effective.
Light bleeding or discharge called spotting may continue for several weeks. What does medical abortion feel like? But the doctor will want to know if any of the following occur: Bleeding through more than 2 sanitary pads in an hour.
Pain even after taking acetaminophen or ibuprofen. How effective is medical abortion? What is surgical abortion? There are 2 common procedures: Manual vacuum aspiration MVA.
What does surgical abortion feel like? How effective is surgical abortion? Things to consider Are abortions safe? Questions to ask your doctor Which type of abortion is best for me? What will I experience during the abortion?
Will I be given any anesthesia for a surgical abortion? How heavy will my bleeding be? A nurse will collect you and ask if you would like your support person to accompany you through this stage. The nurse will make sure that all your paperwork is complete and accurate. Your medical history will be confirmed. This will be explained in detail during your consultation.
All clients require at least 2 treatment appointments. On your first appointment you will be given the abortion pill, mifepristone to swallow while you are in the clinic — this will take around 1 and a half hours. You will go home and return for the rest of your treatment 1 or 2 days later. On your second appointment you will either return to a BPAS clinic to complete your treatment and should plan to be at the clinic all day and potentially overnight.
Clients can only bring someone with them to the clinic if the following applies:. If the client does not fall into any of the above categories, their escorts may drop them off and pick them up but cannot enter the clinic.
The client will be asked to advise their escort of the likely pick-up time and request their escort to stay local to the clinic.
Advice from A female adult of your choice can stay with you throughout your treatment and you need an adult aged 18 or over to take you home when it is finished - if this is difficult for you, please tell the clinic at the earliest opportunity so that your treatment can be provided safely. You will have a BPAS support person with you throughout treatment. We will also keep your own support person up to date with your progress if you wish and you can rejoin them as quickly as possible if you prefer.
More information for under 16s. For more detailed information about this treatment option, please click here.
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