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There are two main ways abortion can be done: the abortion pill (also called medication abortion) and an abortion procedure (also called in-clinic abortion). Whether you have a medication abortion or an abortion procedure will depend on how far along you are in pregnancy, what the provider you choose offers, and also your own preference. We have more information about how to decide between these two types of abortion.+971563407584



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The abortion pill is generally available earlier in pregnancy. Each provider will have their own rules about how far along in pregnancy they’ll offer it–some will offer it through 13 weeks of pregnancy and others will stop offering it much earlier in pregnancy. Later on in pregnancy, your only option will be the abortion procedure.+971563407584



You can get abortion pills from most in-person abortion providers. Depending on what state you’re located in, you may also be able to get abortion pills online using telehealth.+971563407584



Some people have what is called a self-managed abortion. This is when someone gets abortion pills outside of the formal health care system and ends a pregnancy, often without the help of a doctor or licensed health care provider. The main difference between self-managed and provider-managed medication abortion is how the pregnant person gets the medications.



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Medication abortion is often called the abortion pill, but in reality, it’s not just one pill. And there are multiple ways to use abortion pills to have an abortion. Depending on availability and other factors, you may take two different medications (mifepristone and misoprostol) or only one type of medication (just misoprostol) for a medication abortion.



How does taking the abortion pill work?

Mifepristone and misoprostol medication abortion regimen

If you’re having a medication abortion using two different medications (mifepristone and misoprostol), here’s how it usually works when you get them from an in-person provider:+971563407584



Step 1: Counseling, maybe an ultrasound, and maybe a waiting period

First you’ll fill out some paperwork. You’ll talk with a health care provider, and you may have an ultrasound to find out or confirm how far along you are in your pregnancy. If you are further along in pregnancy, then medication abortion may not be an option for you.



If the state where you’re getting your abortion has a mandatory waiting period, you’ll have to wait some number of hours between the counseling appointment and the appointment when you’ll take the first medication. If there is a waiting period, and you are going to have to travel a long way for your abortion, ask if virtual counseling is an option when you call to make your appointment.+971563407584



Step 2: Get the medication at a health center

Your health care provider will give you both medications and explain when and how you'll take them.



The first medication is called mifepristone. Mifepristone blocks the hormone progesterone. Because progesterone is necessary for pregnancy to continue, blocking it starts the process of ending the pregnancy. Mifepristone doesn’t usually cause any symptoms, so you probably won’t feel anything after you take it. Your provider may have you take the mifepristone at the health center, or you may take it at home.



+971563407584 Your provider will give you the second medication. Usually, you’ll get it when you get the mifepristone, but you may have to go back to the provider to get it. Make sure to follow the instructions the provider gives you because they may differ from one provider to the next.



Step 3: Take the second medication up to 48 hours later

Up to 48 hours after taking mifepristone, you’ll take a dose (which is usually four tablets) of the second medication, called misoprostol.



For this step, you need to be somewhere you can relax and where you’ll have easy access to a bathroom. Misoprostol empties your uterus, expelling the pregnancy. It causes cramping and bleeding.



There are a few different ways to take misoprostol: you can take it orally, by swallowing the pills; you can take it vaginally, by putting the pills inside your vagina; you can take it sublingually, which means that you place the pills under your tongue and let them dissolve; or you can take it buccally, which means putting the pills in your mouth between the inside of your cheek and your gum and letting them dissolve there.



You may take one or more doses of misoprostol depending on how far along you are and how your body responds to the first dose—your provider will let you know. Misoprostol starts working about 30 minutes to a few hours after you take it. When it kicks in, it’s normal to experience bleeding. The bleeding could range from medium to very heavy. You will likely pass some blood clots. You’ll also likely have cramps, which can be severe. You may experience diarrhea or vomiting, and you may also have a mild fever on the day you take the misoprostol.



Your provider may also prescribe anti-nausea medicine for you to take before you take the misoprostol.



You can take over-the-counter pain medication, or your health care provider may prescribe a prescription-strength pain medication. But after a few hours, the symptoms will usually pass. Bleeding will decrease over the next few days. You can go back to work, school, taking care of your kids, or your other normal activities the next day. You can have sex again as soon as you’re ready.



You should get your next period within 8 weeks of having a medication abortion. If it’s been 8 weeks or more since your abortion, and you haven’t had a period, contact a health care provider. You can also contact a health care provider sooner if you think you may still be pregnant.



It is possible to get pregnant again within two weeks of having the abortion, meaning that you can get pregnant again before you get your next period.



Some health care providers will recommend a follow-up appointment a few weeks after your medication abortion to make sure the pregnancy is over. This appointment could take place via telehealth, a phone call, or in person, depending on the provider.



Misoprostol-only medication abortion regimen

If you’re having a medication abortion using only one medication (misoprostol), the steps are a little different:



Step 1: Counseling, maybe an ultrasound, and maybe a waiting period

First you’ll fill out some paperwork. You’ll talk with a health care provider, and you may have an ultrasound to find out or confirm how far along you are in your pregnancy. If you are further along in pregnancy, medication abortion may not be an option for you.



If the state where you’re getting your abortion has a mandatory waiting period, you’ll have to wait some number of hours between the counseling appointment and the appointment when you’ll get the medication. If there is a waiting period, and you are going to have to travel a long way for your abortion, ask if virtual counseling is an option when you call to make your appointment.



Step 2: Take the pills

There are a few different ways to take misoprostol: you can take it orally, by swallowing the pills; you can take it vaginally, by putting the pills inside your vagina; you can take it sublingually, which means that you place the pills under your tongue and let them dissolve; or you can take it buccally, which means putting the pills in your mouth between the inside of your cheek and your gum and letting them dissolve there. You will take several doses of misoprostol. You may take some doses one way and other doses in a different way.



Different providers may give different instructions, so make sure to read any instructions that are given to you. In general, you will take four pills three times, every three hours. So, for example, if you take the first dose of four pills at noon, you’d take the second dose of four pills at 3 pm and the third dose of four pills at 6 pm. You’ll be taking a total of twelve pills over the course of 6 hours. Your provider may also tell you to take a fourth dose. It’s important to take all of the pills that your provider tells you to take to end the pregnancy.



With a misoprostol-only medication abortion, bleeding will probably start within four hours of taking the first dose. It may be heavy. You may have very strong cramping and pass large blood clots. Some side effects of the medication may include nausea, vomiting, diarrhea, chills, back pain, headache, dizziness, and feeling tired. You may also have a mild fever on the day you take the pills.



You may keep feeling nauseated and tired for a couple of days after you pass the pregnancy. The bleeding should get lighter after you pass the pregnancy, but it may continue for four to six weeks. It may stop and start. Any cramping should also get better over time.



To help with the cramping and other pain, you can take over-the-counter pain medication, or your health care provider may prescribe a prescription-strength pain medication. Your provider may also prescribe anti-nausea medicine for you to take before you take the first dose of misoprostol.



You will need to rest all day on the day you pass the pregnancy. The day after your abortion, you can go back to work, school, taking care of your kids, or your other normal activities if you feel well enough, but don’t do hard physical labor or heavy exercise for a few days. You can have sex again as soon as you’re ready.



After your abortion, you should get your period within 8 weeks. It’s possible to get pregnant again within 2 weeks of having the abortion, meaning that you can get pregnant again before you get your period again.



Some health care providers will recommend a follow-up appointment a few weeks after your medication abortion to make sure the pregnancy is over. This appointment could take place via telehealth, a phone call, or in person, depending on the provider. You may get an ultrasound, a blood test, or a different kind of pregnancy test.



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The abortion pill is a medicine called mifepristone that ends an early pregnancy. In general, it's used up to 77 days — 11 weeks — after the first day of your last period. Patients over this mark can have an in-clinic abortion procedure.



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