Category: How does the Abortion Pill work

How does the Abortion Pill work

How does the Abortion Pill work, The first pill you will take works by blocking the essential pregnancy hormone progesterone that enables the lining of your womb to be suitable for the fertilised egg.

The second pill encourages the womb to contract. After taking it, the lining of the womb breaks down and is released, along with the pregnancy, through the vagina. This process of miscarriage is usually complete within 48 hours, but bleeding may continue for up to 2 weeks.

What is a medical abortion?

Medical abortion is when specific medication is administered to women for termination of pregnancy. We use the French Abortion Pill in our clinic. This specific medication is approved by the South African Medicines Control Council and must be taken strictly as prescribed.

When can a woman have a medical Abortion?

A woman can have a medical abortion as soon as her pregnancy has been confirmed.

Medical abortions are only effective within the first 56 days of a woman’s pregnancy. This implies 56 days since the first day of her last menstrual period.

The woman should be willing to have a surgical abortion if the medical abortion does not work.

The women should be willing to return to the clinic 14 to 21 days later for a follow-up visit.

When can a woman not have a medical abortion?

A woman cannot have a medical abortion if one of the following is present:

  • An entopic pregnancy is suspected (a pregnancy outside the womb)
  • Her adrenal glands do not function normally
  • If she is taking long-term corticosteroid medication. i.e. for asthma or blood thinning medication
  • She has a history of a bleeding disorder
  • She has severe and uncontrolled asthma
  • She has porphyria
  • She has an intra-uterine device in her womb
  • She has severe cardiovascular problems
  • She has severe high or low blood pressure
  • She cannot return to the clinic for her two-week follow-up visit
  • She cannot go to a clinic or hospital in case of emergency
  • She has severe anemia

How effective and safe is a medical abortion?

Medical abortion is effective in 95% of cases. When the abortion is not complete, the surgical procedure is performed at the follow-up appointment free of charge.

Having a medical or surgical abortion will not affect a woman’s chance of having a baby in the future.

How does medical abortion work?

Two sets of medication are administered to terminate the pregnancy

The first medication is given orally to the women at the clinic and will weaken the attachment of the pregnancy to the womb. The second set of medication causes the womb to contract and bleed. This expels the pregnancy.

According to data collected by Micromedex, women may experience:

  • headache (up to 44%)
  • nausea (43-61%)
  • vomiting (18-26%)
  • diarrhea (12-40%)
  • fatigue (10%)
  • cramping and pain (96%)

As with any major medical procedure, there are also chances of experiencing post-procedure hardships like PTSD and depression.

 How long will I bleed after taking the pill?

Your bleeding will be heaviest after you take the misoprostol at home on the second day. The type of bleeding you have will change. At first, the bleeding may be heavier than your normal period, and it may include blood clots.

Once the pregnancy has passed, bleeding will slow down. You may bleed or spot for 4 to 6 weeks after the abortion. The bleeding can stop and start again many times.

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