What if misoprostol comes out

The soonest you can use the misoprostol is six hours after the Mifeprex. Cramping, moderate to heavy bleeding, and moderate pain are normal parts of the abortion process as your uterus passes the pregnancy. Most women pass blood clots. For pain: Resting and using a heating pad or hot water bottle may help. Both Vicodin and ibuprofen usually help with the pain. You may use either one or both together. Call if your pain is not manageable with Vicodin and ibuprofen.

The following side effects are not dangerous and usually only last one to four hours. If any of these side effects make you very uncomfortable, you may treat your symptoms with over-the-counter medicines. Call if over-the-counter medicines do not relieve your symptoms. Most women have bleeding and painful cramping. As you pass the pregnancy, the bleeding is usually heavy and the cramping very strong. This usually lasts one to four hours. Most women pass some blood clots in the toilet and the pregnancy is often one of those clots.

After the pregnancy passes, the cramps decrease and the bleeding slows down significantly. Within a few hours after passing the pregnancy, cramps and bleeding should be much improved. The last part of the medication abortion process is to confirm with an ultrasound that you passed the pregnancy.

This is extremely important because the medicines you took can cause birth defects if the pregnancy continues. At this visit, you will be given a birth control method if desired. Happy with your care at the CWHC? Want to leave feedback for improvement? Take our short Patient Satisfaction Snapshot survey to tell us how we did. Take the survey.

Aftercare Instructions: Medication Abortion This information is a summary of the instructions you will be provided following a medication abortion.

When to go to the emergency room If you are having a life-threatening emergency, call immediately. Day One: The Day of Your Appointment at the Clinic What you should have when you leave the clinic 4 misoprostol tablets Possible prescription for pain medication These instructions and a summary of your procedure including medications and blood type Information on birth control methods that you are considering Antibiotics What to expect after you go home After taking Mifeprex mifepristone : Most women do not have side effects from mifepristone, although some women feel nauseated or have vaginal spotting or bleeding.

When to call the clinic If you vomited shortly after you took the Mifeprex pill, call the clinic and talk to one of the doctors. If you start to bleed heavily and you soak more than two maxi-pads in an hour for two hours in a row, please call the clinic or the doctor at any hour of the day or night. This does not mean you will definitely have to come to the hospital.

If you have strong cramps and heavy bleeding and think you might have passed the pregnancy, you may call the clinic the next clinic day to discuss with a doctor if you should use the misoprostol pills or come in for a check.

If you are concerned about the amount of bleeding, call at any time. Preparing for your misoprostol insertion Pick a place to insert the pills that is comfortable and private. You should have a phone, a bathroom, and your support person with you for the day. If you are hungry, eat a light meal before you start and drink plenty of water during the day. Since the process may take five to seven hours or more , many women prefer placing the tablets in the morning or early afternoon.

Make sure you have: Your misoprostol tablets Your pain medication Vicodin and ibuprofen handy A box of maxi-pads How to place the misoprostol in your vagina Wash your hands well with soap and water.

Lie down on your back and bend your knees. Instead, take ibuprofen Advil, Motrin. It may help to take pain medication around 30 minutes before the misoprostol. Bleeding may be lighter, while cramping may not feel so severe. Other side effects like fever or nausea should also disappear. It may take a couple of days for you to get back into your normal routine, as the process can make you tired. Be sure to tell your healthcare provider any concerns you have.

Around 4 to 6 weeks after your abortion, your period should return. Be aware that your body can start to ovulate around 3 weeks after taking the medication, meaning you can become pregnant once again. Your healthcare provider may also physically check the cervix and uterus, perform lab tests to check for the pregnancy hormone , and perform an ultrasound to determine whether the abortion pill worked.

Avoid taking an at-home test too soon after an abortion, as the pregnancy hormone may still linger in your body. You may be able to take another dose of the abortion pill, or you may need a surgical abortion instead. All-Options and Exhale offer various forms of free support, including over-the-phone counseling and a confidential text line. Lauren Sharkey is a U. She has also written a book profiling young female activists across the globe and is currently building a community of such resisters.

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How long does this process usually take? How does it work? How effective is it overall? What does it feel like? What can you expect at your follow-up appointment?