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Medical abortion is a standard and safe method for ending an early pregnancy. However, many people considering this option have questions about what to expect, particularly regarding pain and discomfort. In this article, we’ll explore the physical sensations associated with medical abortion, such as whether medical abortion hurts, factors that influence the experience, and tips for managing any discomfort effectively. What Is a Medical Abortion? A medical abortion involves taking prescribed medication to terminate a pregnancy. Typically, this method is used during the first 10 weeks of pregnancy. It consists of two drugs: Mifepristone: This drug blocks the hormone progesterone necessary to sustain pregnancy. Misoprostol: Taken 24-48 hours later of Mifepristone, Misoprostol induces uterine contractions to expel the pregnancy tissue.
Steps of the Procedure: Induced labor for pregnancy termination involves several steps. Here is a general overview: Pre-assessment: Before inducing labor, a healthcare provider will conduct a thorough medical history evaluation and physical examination. They will also perform relevant tests, such as blood tests, ultrasound, and possibly an assessment of the gestational age. Preparing the cervix: In most cases, the cervix needs to be softened and dilated before the induction of labor. This can be achieved by using medication, such as Misoprostol or Mifepristone, or by mechanical dilation methods. Medication administration: Once the cervix is prepared, medications such as prostaglandins or synthetic Oxytocin (Pitocin) may be administered. These medications work by stimulating uterine contractions to induce labor.
The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramps on and off for 1 or 2 more days. It’s normal to have some bleeding and spotting for several weeks after your abortion. You can use pads, tampons, or a menstrual cup — whatever’s the most comfortable for you. But your nurse or doctor may recommend you use pads while the abortion is happening so you can track how much you’re bleeding. The last step is to make sure the abortion worked. You may go back into the health center for an ultrasound or blood test. Or you’ll get a pregnancy test to take at home, followed by a phone call with your nurse or doctor if you want. These tests will make sure the abortion worked and that you’re healthy. Find even more details at panda.healthcare.
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 eight weeks of having a medication abortion. If it’s been eight weeks or longer since your abortion, and you haven’t had a period, contact your abortion provider. You can also contact your abortion provider sooner if you think you may still be pregnant.