abortion using pills

Medical Abortion: Understanding Abortion Using Pills

Medical abortion is a procedure used to terminate an unwanted pregnancy. It is the alternative to surgical abortion, especially for women in the early stages of pregnancy.

 

While it is possible to receive medical abortion pills over the counter or through online portals, it is always best to consult with your healthcare provider before doing so. With abortion still being taboo and the constantly changing laws around abortion, many women often have to resort to procuring abortion pills illegally.

 

When used correctly medication abortion is safe and effective at terminating an unwanted pregnancy.

 

What Is A Medical Abortion?

 

Medical abortion is the use of medication to terminate a pregnancy. The two pills used are mifepristone and misoprostol.

 

During your clinical visit, your healthcare provider will first instruct you to take mifepristone. This first step usually takes place at the clinic. Mifepristone lowers the levels of progesterone, by preventing its further release. It also limits the activation of the progesterone receptors. The declining levels of progesterone prevent the pregnancy from progressing further. Since the pregnancy is no longer viable, the uterus softens and begins to contract.

 

Your healthcare provider will then instruct you to take misoprostol within 24 to 48 hours after mifepristone. This step is often done at home. Misoprostol assists with softening your cervix. The softening of the uterus and cervix favors the progression of medical abortion.

 

Bleeding should begin within 24 hours of taking misoprostol. If it doesn’t it would be advisable to contact your abortion clinic.

The process of abortion usually takes 4 – 6 hours to complete. You will notice heavy bleeding and clots. Lighter bleeding can follow for several days to a week.

 

Are Abortion Pills Safe?

 

Medication abortion is safe when conducted in a clinical setting following the consultation of a medical professional.

 

Some women might experience adverse effects from abortion pills. Nausea, diarrhea, vomiting, extreme cramping, and intermittent bleeding patterns are the most common side effects recorded. Most of these effects subside in a day or two. Women can notice regular menstrual cycles begin about six to eight weeks following a medical abortion.

 

Only 2% of abortions face complications. In a significant portion of these cases, the complications are minor such as extended bleeding, pain, and infection.

Severe complications are rare with medical abortions. The primary concern with medical abortions is heavy bleeding lasting for more than two days. Ideally, after the first day, bleeding significantly subsides and stops within a week. If the bleeding is profuse even after 24 hours (soaking more than two maxi pads an hour), it is vital to consult with your doctor.

 

Another concern related to medical abortions is incomplete abortions. This is why two weeks after your medical abortion, you usually have a follow-up visit to confirm the completion of your abortion. A second dose of misoprostol or surgical intervention is considered for incomplete abortions.

 

For How Many Weeks of Pregnancy is Medication Abortion Effective?

 

Medical abortion can be considered for women who wish to terminate their pregnancy up to 12 weeks after their last menstrual period.

 

However, not all pregnancies falling within this 12-week time frame can resort to medication abortion. Such cases include ectopic pregnancies, use of IUDs, women with bleeding disorders, significant anemia, concurrent use of steroids, or allergies to either medication.

 

Medical abortions are most effective within the first eight weeks of pregnancy, with almost 98% effectiveness. This slowly declines as the pregnancy progresses. Chances of complications also increase if medical abortions are conducted later in pregnancy.

 

How Will I Feel After My Medical Abortion?

 

With the guidance of a healthcare professional, you should feel safe and have all your abortion-related queries attended to. Medical abortions allow women to make the personal choice to end their pregnancy within the safe environment of their homes.

 

The decision to have an abortion is often difficult. Studies have shown that women rarely regret their decision for having an abortion right after the procedure. This assurance increases as the years following the abortion progress.

 

Even so, it is always advisable to receive professional counseling before and after your medical abortion. Most of the concerns related to abortions are based on the procedure itself and recovery after. Since medical abortions are also not always freely accessible, legal methods to obtain a medical abortion can also be a concern.

 

Conclusion

Medication abortion is a safe way to terminate an unwanted pregnancy. In an ideal situation, when you decide that you no longer wish to continue with your pregnancy (when it is less than 12 weeks), you consult with your healthcare provider. They can guide you through the process of abortion using pills. A mifepristone and misoprostol combination is used for medical abortion. Cramping and bleeding are expected for a day or two. When conducted early in pregnancy, medical abortions are 98% effective.


know all about menstruation

What is Menstruation? A Women Health Clinic Guide

Periods. What are they good for? Absolutely nothing! 

At least that’s how many women feel about menstruation. Menstruation can be a downright downer. If you’ve somehow managed to make it through with even the mildest menstrual symptoms, you’re still probably dealing with cramping, bloating, bleeding, and ruined underwear. 

A survey report by a renowned Women’s Health Clinic revealed that menstruation is uniquely mammalian and even within the class, only 10 species of primates, 4 species of bats, 1 species of spiny mouse, and the Elephant Shrew menstruate. 

It is said that most other mammals go through estrous, in which the uterine lining is reabsorbed rather than shed. 

Even more unique is that you’re a human, reading this, and you menstruate or know someone who does, and one thing that sets you apart from your mutually menstruating mammal friends is that you can comprehend the natural and necessary process of periods.

Once a woman reaches puberty, the transition from adolescence to adulthood, she’ll start menstruating. 

 

How Menstruation Cycle Works?

 

Menstruation is also referred to as a period, a visit from Aunt Flow, monthlies, menses, and “the curse”, among other things.  It’s generally characterized by bleeding from the vaginal opening. It’s not all blood though, it’s also mucosal tissue. 

Specifically, it’s the unused endometrial lining, the endometrium, of the uterus. The uterus is a pear-shaped reproductive organ in the lower abdomen of women. It’s located above the vagina and is connected to the ovaries via fallopian tubes. The ovaries are two glands that produce va (eggs), each located on either side of the uterus. They’re also responsible for the production of the hormones, progesterone, and estrogen.

 

Duration Of Menstruation Cycle

 

Menstrual cycles vary from woman to woman but on average last 28 days. While menstruation itself lasts anywhere from 1-7 days. The rise and fall of hormones dictate the menstrual cycle. There are two major phases of the cycle, each lasting about 14 days: the follicular phase, and the luteal phase. 

During the follicular phase, which begins on the first day of menstruation, the follicle-stimulating hormone starts the process of ova development. This means that even while you’re cursing a leaky pad to the depths of a bathroom trash can, your ovaries already have next month’s menses in mind. 

An ovum will develop in one of the two ovaries, and estrogen cues the endometrial lining of the uterus to thicken and become enriched with blood. After approximately two weeks of uterus preparation and ovum development, ovulation occurs. 

Ovulation is when the ovum travels from the ovary, where it was developed, into the fallopian tube, and comes to rest in a portion of the tube called the ampullary-isthmic junction. Here the ovum awaits fertilization via insemination; the introduction of semen into a woman’s uterus by way of the vagina.

Ovulation signals the end of the follicular phase and beginning of the luteal phase. While the ovum awaits fertilization, it’s sustained by the supply of blood to the uterus. Meanwhile, the ovary that sent the ovum, also sends a care package in the form of progesterone. 

 

Hormone That Is Responsible For Menstruation

 

This hormone is produced from the same follicle where the ovum developed by a temporary structure called the corpus luteum. Progesterone signals the endometrial lining to stop thickening and is also necessary for embryonic development.

The ovaries ensure that the uterus is bathed in it during the beginning of the luteal phase in the off chance fertilization. The ovum will descend into the uterus and, if fertilized, will implant itself into the thickened endometrium.

 However, more often than not, the ovum is not fertilized and around day 21 of your cycle, that same progesterone will peak then begin to drop off. This kicks off the process of menstruation. The endometrial tissue breaks down and the cramping begins. 

Cramping aids the uterus in detaching the tissues which, along with the accompanying blood, flow out of the vagina and ruin your favorite pair of khakis. Menstruation signals the end of the luteal phase and ushers in the follicular phase once again. 

An ovum begins development when your period begins and in true, out with the old, in with the new, fashion, the endometrium starts to thicken as soon as you trashed your last tampon.


Average Volume of Menstrual Fluid

 

The average volume of menstrual fluid discharged is between 2.5 to 4.5 tablespoons. That’s approximately ¼ cups of panty wasting period blood. 54% of women surveyed in a pool of 36,000 say they’ve ruined every pair of underwear they own thanks to Aunt Flow and her hygiene hijinks. 

You can fight her though, menstrual management comes in many forms and each woman finds her own preferred method. 

Disposable pads and tampons are the most common but menstrual cups and reusable pads are making a strong comeback in today’s more eco-conscious environment. No matter what you choose to use, know that even if you picked the wrong sanitary napkin this month, the menstrual cycle will give you another crack at it next month, and the next month, and probably the next month, because it’s a cycle that lasts from puberty to menopause.

If you have questions or concerns about your period, you should talk to your healthcare provider. Her Smart Choice is a reputed women health clinic and offers free, comfortable and confidential consultations. Our doctors are experts on women’s healthcare and are here to provide you with the best clinical care options that suit your needs. 

Please don’t hesitate to reach out and make an appointment or call our 24/7 answering service. Your peace of mind is important to us.


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