Minimum purchase quantity is 12 tablets, and so is the recommended minimum dosage.
How to execute an abortion with pills: Here
HOW TO USE MISOPROSTOL
In countries where abortion is illegal, Misoprostol alone can be used to cause an abortion. Incorrect use of Misoprostol can be harmful for the health of a woman!
- To cause an abortion, a woman must put 4 pills of of 200 micrograms (in total 800 mcg) Misoprostol under the tongue. Do not swallow the pills (at least until 30 minutes after putting the tablets under the tongue!!)
- After 3 hours she should put another 4 pills of Misoprostol under the tongue.
- After 3 hours she should put another 4 pills of Misoprostol under the tongue again for a third time. Do not swallow
The success rate when using this method is 90%.
After the first dose of Misoprostol a woman should expect bleeding and cramps. Bleeding mostly starts within four hours after using the pills, but sometimes later. Bleeding is often the first sign that the abortion starts. If the abortion continues, bleeding and cramps become more severe. Bleeding is often more and heavier than a normal menstruation, and there can be clots. The longer the pregnancy, the more heavy the cramps and the bleeding will be. If the abortion is complete, the bleeding and the cramps diminish. The moment of abortion can be noticed with a peak of heavier blood loss and more pain and cramps. Depending on the length of the pregnancy, a small pregnancy sac with some tissue around can or cannot be seen. For instance, if the woman is only five to six weeks pregnant, there will be no visible sac. At nine weeks, a woman could probably find a sac in between the blood.
If no bleeding occurs after the third dose, the abortion did not take place and the woman has to try it again after a couple of days or travel abroad to a country where it is legal or try again to find a doctor.
Ibuprofen is the most effective painkiller for cramps. You can also use other painkillers like Naproxen and Diclofenac. If you cannot obtain Ibuprofen, Paracetamol or Tylenol (acetaminophen) or Aspirin (salicylic acid) also help. For some women, additionally a hot water bottle on the belly brings relief. Please read the patient instructions of the package of painkillers you obtained for the maximum doses you can use.
Bleeding after the abortion
Bleeding continues lightly one to three weeks after the abortion, but sometimes shorter or longer. Every woman's body is different.
The normal menstrual period mostly returns after four to six weeks.
Making sure an abortion has occurred
Some women bleed without having an abortion. Therefore it is important that the woman makes sure that an abortion really occurred. It can take two to three weeks before a pregnancy test becomes negative. So if possible, have an ultrasound made about one week after the abortion to make sure that the pregnancy has ended. It is normal for some blood and tissue to be still in the uterus after 7-10 days; this will come out with the next menstrual period. As long as there is no fever, pain, heavy bleeding or vaginal discharge, remains in the womb is not a problem. .
The most common side effects are nausea, vomiting and diarrhoea. A woman can also have some fever. These are generally less severe if Misoprostol is used vaginally.
WHEN TO CONTACT A DOCTOR OR GO TO A HOSPITAL
If there is heavy bleeding:
Heavy bleeding is bleeding that lasts for more than 2-3 hours and soaks more than 2-3 maxi sanitary pads per hour. Feeling dizzy or light-headed can be a sign of too much blood loss, and means that there could be a danger to the woman's health.
If the strong bleeding does not diminish after 2-3 hours, it might be a sign of an incomplete abortion (remains of the pregnancy are still in the womb), which needs medical treatment. This can happen a couple of hours after taking Misoprostol but also two weeks or longer after the abortion.
In this case a woman should go to the nearest hospital or doctor to seek help.
In countries where women can be prosecuted for having an abortion, it is not necessary to tell the medical staff that one tried to induce an abortion, one can also say one had a spontaneous miscarriage. The doctor CANNOT see the difference. The treatment is also the same. A doctor will perform a dilation & curettage (D&C) or a vacuum aspiration to empty the womb.
Doctors have the obligation to help in all cases.
If fever occurs
Chills are a normal side effect of Misoprostol as well as some elevation of body temperature. However, if the woman has a fever (> 38 degrees Celsius) for more than 24 hours, or if she has a fever of more than 39 degrees, contact a doctor, because there might be an infection as a result of an incomplete abortion that needs treatment (with antibiotics and/or vacuum aspiration).
Disclaimer: Razdaar is in no way responsible for any consequences of tablet-induced abortion. Use at your own risk.