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(medical) abortion can be performed with mifepristone and misoprostol or with misoprostol alone. This page contains information about the use of mifepristone and misoprostol for abortion along with the pills. If you are able to use just misoprostol, please refer to this guide .
before starting
Remember that this information is useful for abortion with pills in pregnancies that are 11 weeks or less from the first day of your last period

[1]. We are not trained to support you if you are over 11 weeks pregnant, but we will do our best to refer you to an organization that is able to do so.
The combination of mifepristone and misoprostol is very effective (98-100%)

[2] for termination of pregnancy that is 11 weeks or less .
To confirm that this method is absolutely safe for you, we offer you to use abortion pills Virodhabaso recommend reading the last part about. If you are not sure if this procedure is a good option for you.

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Mifepristone and Misoprostol Dosage
– Dosage of Mifepristone and Misoprostol for women less than 9 weeks pregnant : You will need 1 tablet of Mifepristone and 4 tablets of Misoprostol.

[3]– to pregnant women between 9-11 weeks mifepristone and misoprostol dose: You’ll need at least 4 tablets 1 tablet of misoprostol mifepristone, although misoprostol additional 4 tablets to recommend is (8 tablets total of misoprostol), since you are between 9-11 weeks pregnant.

[4] The Mifepristone tablet should be 200 mg (or the equivalent of 200 mg) and each misoprostol tablet should be 200 mcg .

[5] If the tablets you are taking have different dosages of mg and/or mcg, you will need to recount the total number of tablets so that you are using the correct amount of medicine.
If you have any questions, please don’t hesitate to contact us . We are here to support you in your abortion process.

How to use Mifepristone and Misoprostol for Safe Abortion:
How to Abort With Mifepristone and Misoprostol

Step 1: Swallow the mifepristone tablet with water.
If you vomit within the first 30 minutes after swallowing mifepristone, it is likely that the pill will not work. In this case, if you have additional mifepristone, you will need to repeat Step 1 . If not, contact us.
Wait 24-48 hours after swallowing mifepristone.
You can choose to wait 24 hours, 48 ​​hours, or any time frame in the meantime. Within that time frame, there is no difference in the effectiveness of misoprostol.
Keep in mind that most of the symptoms you experience will begin soon after using misoprostol, so choose a time that is most convenient for you and your schedule. It is recommended to choose a time when you are at home without obligations.

Step 2: Take 800 mg of ibuprofen 1 hour before using misoprostol.
This step is not required, but we highly recommend it. Ibuprofen will reduce the intensity of spasms and help relieve possible side effects of misoprostol such as headache, fever, and/or chills

[6] . Remember, you can use ibuprofen when needed during and after the procedure. Women who are allergic to ibuprofen and NSAIDs (nonsteroidal anti-inflammatory drugs) can seek advice on pain relief

If you have any anti-nausea medicine, you can use it at this time.
Step 3: Place 4 tablets of misoprostol under your tongue (sublingual) for 30 minutes.
It is very important that the tablets remain under your tongue for 30 minutes so that they dissolve well in your system. If there is still some trace of the pills after 30 minutes, you can drink water to swallow them.

[7] If you vomit during the 30 minutes when the misoprostol tablets are under your tongue, it is likely that the tablets will not work. In this situation, it is necessary to repeat step 4 immediately.

If you vomit after placing the tablets under your tongue for 30 minutes, there is no need to repeat step 4 as the tablets have already completely dissolved in your system.
wait 3 hours
– If you are less than 9 weeks pregnant then step 5 solamente si han pasado 3 horas desde la ltima toma de Misoprostol y aún no ha comenzado el sangrado, o éste ha sido leve o muy ligero.
Follow up but only if you haven’t had any bleeding after 3 hours of using misoprostol or the bleeding is less than your normal period.
If you are 9-11 weeks pregnant then follow step 5.
You can also contact us .

(Step 4): Place 4 other tablets of misoprostol under your tongue (sublingually) for 30 minutes.
[For women who are 9-11 weeks pregnant or who have not had bleeding]
If 3 hours have passed and you still have no bleeding or cramping, contact us. We do not advise you to use more pills until we can assess the situation together.
Expected Symptoms of Mifepristone and Misoprostol
After taking mifepristone, most women don’t have any noticeable symptoms, which means they don’t feel anything. If you have bleeding after taking mifepristone, it is still very important that you use misoprostol for the procedure to be effective.

[8] You will have cramping and bleeding after using misoprostol. Some women (not all) also have blood clots out of their bodies. It is not possible to know exactly when the pain and bleeding will begin, often within 1-2 hours or a few hours after using misoprostol

. [9]

Expected bleeding must be greater than or equal to your period. Bleeding may continue for several days or even weeks after using the pills. Your bleeding and pregnancy symptoms should gradually improve over the next few weeks. [10]
Women who are between 10-11 weeks pregnant will have symptoms of bleeding and cramping, although you can feel and see the fetus coming out [1]. It is usually found in the fetus, blood, and clots, and it often goes unnoticed, but it is important to know that it is normal if you are diagnosed. Don’t panic, it can be disposed of by wrapping it in a sanitary pad or flushing it down the toilet.
Remember that each miscarriage experience is different and the symptoms may vary from woman to woman.
Most women who have pregnancy symptoms go away about 5 days after using misoprostol. If your pregnancy symptoms begin to subside and disappear after using the pills, it is a good sign that you are no longer pregnant [11].
Side Effects of Mifepristone and Misoprostol
After using misoprostol, some women feel side effects that can last for a few hours or days [12]. These side effects include:
Fever
Diarrhea
nausea vomiting
Headache
chills
Side Effects of Mifepristone and Misoprostol

Precautions
To avoid heavy bleeding and/or infection, it is important that you take the following precautions for the next few weeks, until your bleeding stops completely [13]:
Avoid inserting objects like tampons and menstrual cups into your vagina
Avoid vigorous and heavy physical activity (exercising with heavy objects, lifting, pushing or pulling, walking more than usual, or climbing too many stairs) Note: How long after using abortion pills is it appropriate to have sex is , in this regard there is no available evidence recommended. But it is generally advised that you wait until the heavy bleeding stops, and listen and understand your body and your will.

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