Less bleeding after misoprostol


  • Bleeding After Abortion: What to Expect
  • After an Abortion
  • Medication Abortion
  • Bleeding After Abortion: What to Expect

    Most important, studies show that the overwhelming majority of women surveyed are satisfied with whatever method they choose. One woman describes why she choose a medication abortion: This was a very personal and private procedure, which enabled me to have some control over this difficult situation. The bleeding and cramping last longer [than an aspiration abortion] and are somewhat unpredictable. The hardest thing is the waiting between taking the medication and finishing the abortion.

    Aspiration would have been faster. I was comfortable being in my own home. Even though I did have side effects, this was an easier procedure, both emotionally and physically. A medication abortion is different from using emergency contraceptive pills ECP, otherwise known as morning-after pills such as Plan B, which can be taken up to three days after unprotected intercourse to prevent conception, or ella, which can be taken up to five days after unprotected intercourse.

    Find out more about emergency contraception. As anti-abortions laws make it increasingly hard for women to find a doctor that will provide an abortion, some women use or consider using abortion pills on their own, without a doctor or clinic. Fewer than one in women who have a medication abortion have a complication serious enough to require hospitalization.

    Effectiveness Medication abortion is about 95 to 98 percent effective. It is more effective when performed earlier in the pregnancy. In 2 to 5 percent of cases, women will need a vacuum aspiration procedure to complete the abortion. What to Expect Mifepristone works by blocking progesterone, a hormone that is needed to sustain a pregnancy. Without progesterone, the embryo detaches from the uterine lining. Misoprostol, a prostaglandin that is either inserted into the vagina or allowed to dissolve inside your mouth between your cheeks and gums or under your tongue , causes the cervix to become soft and the uterus to cramp.

    The embryo is then expelled in what seems like a heavy period. Even if you have bleeding, it is very important to take the misoprostol as instructed.

    Most clinics recommend that you use the misoprostol 24 to 48 hours after the mifepristone, at home or wherever you feel most comfortable. The waiting time is important and increases the likelihood that the medications will work. Cramping and bleeding, possibly heavier than your normal period, will usually begin within a few hours.

    You can take over-the-counter pain relievers such as Tylenol or ibuprofen for the pain. You may want to avoid taking aspirin, as it can make you bleed more. Some people find that a heating pad or hot water bottle helps relieve the cramping.

    Other common side effects include nausea, vomiting, diarrhea, fever, chills or fatigue. It is normal to have more bleeding than a normal menstrual period and pass blood clots. You may also see light pink or whitish wispy tissue, which is the gestational sac. The embryo is less than half a centimeter long at this stage and is often embedded in a blood clot. Severe lower abdominal cramps typically mean that pregnancy tissue is passing out of the uterus.

    The cramping may occur in waves. Read more about controlling pain and coping techniques. The bleeding will gradually decrease over the next few days, and light spotting often continues for one to three weeks. Complications Though complications are rare, if you have heavy bleeding — meaning enough to soak through two or more thick full-size sanitary pads per hour for two consecutive hours — have sharp abdominal pain or pain in your lower back, or have a fever of The clinician will do a physical examination, ultrasound or blood pregnancy test.

    Sometimes these services can be managed by phone without having to return to the clinic. If the pregnancy is continuing, you will need to have a vacuum aspiration abortion. If the embryo has stopped growing but some pregnancy tissue still remains in the uterus sometimes called an incomplete abortion , the clinician may give you more misoprostol, empty the uterus with suction, or ask you to return for another visit.

    You will likely get your next period within about four to six weeks after using the misoprostol. This first period after a medication abortion may be heavier or it may have more clots than normal. A small percentage of women have an episode of extra heavy bleeding about three to five weeks after the misoprostol.

    Learn more about general aftercare.

    What to Expect After taking the first pill mifepristone you may: Have bleeding and cramps, however most people will not have any side effects from this medication. After taking the second set of pills misoprostol , you may: Experience nausea, chills, cramps, upset stomach, fever, and diarrhea.

    Have moderate to very severe cramps and increased bleeding 30 minutes to 4 hour after taking the 4 misoprostol pills. Cramps and bleeding will become more intense, usually until the pregnancy has passed. Have clots as large as lemons. Have very light bleeding or spotting for a few weeks afterwards. Cramps May be very intense as the pregnancy passes.

    May reduce if you rest and apply a hot water bottle or heating pad. Call the emergency number you were given at your appointment or proceed to the nearest emergency room if you: Soak 4 or more maxi pads in 2 hours. Pass very large blood clots larger than the size of a lemon. Have a fever: Have chills or shaking 24 hours after taking misoprostol.

    Have unusual vaginal discharge green or yellow in colour or discharge that has a bad odour. Where to get help Call the emergency number you were given at your appointment or proceed to the nearest emergency room. The following are normal after a medical abortion: Within hours Nausea, vomiting and breast tenderness lessen.

    Within weeks Pregnancy symptoms fatigue, bloating, and mood changes lessen. Pregnancy hormones can stay in your body after a pregnancy has ended.

    It is possible to still have a positive pregnancy test within 6 weeks of an abortion. Within weeks You should have a normal period. Important: You can get pregnant at any time after your medication abortion. Follow up: It is very important to get your bloodwork done a week after your appointment and to be available for phone follow up. Post-Abortion Counselling We offer free post abortion counselling to those living in Manitoba, no matter where you had your abortion.

    After an aspiration abortion: Important: Do not drive or make any important decisions for 24 hours. Take care of yourself. Where to get help: Our staff can help you by telephone at ext. You can also: Call Health Links or Go to the Emergency Department HSC if in Winnipeg or your nearest hospital The following are normal after an abortion: Within hours Nausea, vomiting and breast tenderness lessen.

    Nipples may leak fluid. Within weeks Important: You can get pregnant at any time after your procedure. Eating Disorders.

    As anti-abortions laws make it increasingly hard for women to find a doctor that will provide an abortion, some women use or consider using abortion pills on their own, without a doctor or clinic. Fewer than one in women who have a medication abortion have a complication serious enough to require hospitalization. Effectiveness Medication abortion is about 95 to 98 percent effective.

    It is more effective when performed earlier in the pregnancy. In 2 to 5 percent of cases, women will need a vacuum aspiration procedure to complete the abortion. What to Expect Mifepristone works by blocking progesterone, a hormone that is needed to sustain a pregnancy. Without progesterone, the embryo detaches from the uterine lining. Misoprostol, a prostaglandin that is either inserted into the vagina or allowed to dissolve inside your mouth between your cheeks and gums or under your tonguecauses the cervix to become soft and the uterus to cramp.

    The embryo is then expelled in what seems like a heavy period. Even if you have bleeding, it is very important to take the misoprostol as instructed. Most clinics recommend that you use the misoprostol 24 to 48 hours after the mifepristone, at home or wherever you feel most comfortable.

    The waiting time is important and increases the likelihood that the medications will work. Cramping and bleeding, possibly heavier than your normal period, will usually begin within a few hours. You can take over-the-counter pain relievers such as Tylenol or ibuprofen for the pain.

    You may want to avoid taking aspirin, as it can make you bleed more. Some people find that a heating pad or hot water bottle helps relieve the cramping. Other common side effects include nausea, vomiting, diarrhea, fever, chills or fatigue.

    It is normal to have more bleeding than a normal menstrual period and pass blood clots. You may also see light pink or whitish wispy tissue, which is the gestational sac.

    The embryo is less than half a centimeter long at this stage and is often embedded in a blood clot. Severe lower abdominal cramps typically mean that pregnancy tissue is passing out of the uterus. Have moderate to very severe cramps and increased bleeding 30 minutes to 4 hour after taking the 4 misoprostol pills. Cramps and bleeding will become more intense, usually until the pregnancy has passed. Have clots as large as lemons.

    After an Abortion

    Have very light bleeding or spotting for a few weeks afterwards. Cramps May be very intense as the pregnancy passes. May reduce if you rest and apply a hot water bottle or heating pad.

    Call the emergency number you were given at your appointment or proceed to the nearest emergency room if you: Soak 4 or more maxi pads in 2 hours. Pass very large blood clots larger than the size of a lemon.

    Medication Abortion

    Have a fever: Have chills or shaking 24 hours after taking misoprostol. Have unusual vaginal discharge green or yellow in colour or discharge that has a bad odour. Where to get help Call the emergency number you were given at your appointment or proceed to the nearest emergency room. The following are normal after a medical abortion: Within hours Nausea, vomiting and breast tenderness lessen. Within weeks Pregnancy symptoms fatigue, bloating, and mood changes lessen.


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