Do you need to have an ultrasound after an abortion?

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Some states mandate the use of ultrasound in case of pregnancy termination, while others agree that medically speaking ultrasound is not important for an abortion.

According to a recent research, if you do not show any symptoms of complication, it is not necessary to have an ultrasound after a aborting with RU-486 (Mifepristone) and Misoprostol.

However, by ultrasound you can determine if the pregnancy has been eliminated even after few days since the procedure. Mostly, this done by women who are unsure if the pregnancy has been completely ended. An alternative to taking an ultrasound can be to take a home pregnancy test after about three to four weeks after taking the abortion pills. One point to remember is to avoid taking a test before three weeks past the procedure, as this can show false results, because pregnancy hormones take at least three weeks to completely leave the body.

Should ultrasound be done?

Medical pregnancy termination, is so similar to miscarriage that it can, albeit extremely rarely take several weeks to expel the conception tissues completely from the uterus. However, it is very normal. If you want to, you can take an ultrasound after ten days of taking the pill for confirming if the aborting process is completed.

Most women, however successfully terminate with abortion pills without any complications. The research has shown abortion pills to be more than 96-97% effective.

Rarely, if a woman feels strong stomach ache, has smelly vaginal discharge or fever, she may have an ultrasound. However, instead she can wait until next menstrual cycle or she may just take extra two tablets of misoprostol buccally (in the cheek pouches) in such situations.

That is why, when women buy abortion pill online, they get a double dosage in case of emergencies.

 

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Pregnancy prevention 101: What women should know about emergency contraception?

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Pregnancy prevention medications are a basic necessity for any adult woman who is sexual active. To prevent conception, most women access birth control pills or other methods of contraception. There are mainly two types of oral pregnancy preventing medicines; they are – normal birth control and emergency contraception.

Here are some facts about emergency contraceptives that every woman should know

How does it work?

The morning after pill stops pregnancy by delaying or prohibiting ovulation. One of the day after tablet, Plan B pill contains synthetic hormones levonorgestrel and progestin which contains two tablets that need to be taken within three days after the unprotected intercourse. If the egg is already fertilized and released, the tablet also stops it from being attached to the endometrial lining in the uterus. However, if the fertilized egg is already attached to the uterine lining, emergency contraception does not work.

Therefore it should not be used to remove the already implanted fertilized egg, which incidentally can be done with abortive medication.

Are there any side effects of day after pill?

According to a survey, fewer than one in four women experience minor side effects like cramps and nausea in the initial 24 hours but most go though the day without difficulty.

Which morning after pill is the most recommended?

Two of the most recommended emergency contraceptive is Plan B and Next choice – they both contain synthetic hormones progestin and estrogen combination.

How do I access the medication?

Plan B and Next choice both are over the counter medication which does not require prescription. Although, you will need an ID proof that shows you are above 17 years of age. In fact, many women buy Plan B online and keep a stock of it for emergency cases. Otherwise you can also buy it from a pharmacist or purchase it from a drug store (this probably needs an application).

When it is to be taken?

The emergency contraceptive medicine contains two pills. These pills need to be taken within three days, i.e. 72 hours. The second tablet is to be taken after a twelve hours gap after taking the first tablet. The medications are at their maximum potential when taken within 24 hours, and have about 95% effectiveness, however this efficacy decreases after this time bracket.

Research says that emergency contraceptives are effective till the fifth day of unprotected intercourse, although their effectiveness is really low comparatively.

Do not confuse it with different tablets

Even if their main ingredients seem the same, there is a difference between regular birth control and day after pills. Regular birth control pills like Ovral pills and Loette pills are different from Plan B. Ovral pill are only effective when taken every day and before the intercourse, while Plan B should not be taken every day, only in cases of emergency (accidental unprotected intercourse).

It should also be not confused with abortion pills, Mifepristone and Misoprostol. Abortion medication can only be taken when the fertilized egg is already implanted itself in the uterus. Day after pills can only prevent the pregnancy by delaying the ovulation process, fertilization and in most cases stopping the fertilized egg from implantation.

How to have an abortion by just Misoprostol?

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There are many countries where women use the secondary abortion drug, a prostaglandin analogue all in its own to terminate a pregnancy. The secondary abortion tablet also known as Misoprostol or Cytolog is generally used in a regimen where it is consumed 24-48 hours after the dosage of Mifepristone.

In many cases, women tend only buy Misoprostol online, (not with Mifeprex) for having their pregnancy terminated. About 95 out of 100 women have successful pregnancy terminations with Misoprostol only.

Pre-requisites of using prostaglandin analogue alone

How much should you buy?

You would need to buy abortion pill, Misoprostol worth 2,400 mcg that is 12 pills of 200 mcg each. While buy make sure that the pills are properly packaged and not tampered with. Moreover it is important to research your source, to find if they are genuine. You can also get information from midwives, healthcare provide or online research.

How should you use the pills?

General advice while taking the pills –

  • Eat light meal, like toast and crackers, before ingesting the pill. Light meal helps prevent nausea.
  • Drink a lot of water
  • A friend , family member or boyfriend/husband nearby to help you with the process (optional)
  • A private place- home or where you are comfortable to go through the procedure
  • Ready transportation option or a healthcare provider in the vicinity in case of a complication.

Regimen for Misoprostol

Before the new FDA requirement Misoprostol used to be generally administered orally by placing the tablets under the tongue. With need FDA updates, the pills are taken by –

  • Buccally, i.e. by placing them in between cheek pouches
  • Inserting the vaginally

Both ways are equally effective, but buccal administration is generally recommended. This is because there is less risk of pill residue remaining by oral administration, while the tablets may not completely dissolve when inserted vaginally.

Buccal administration

If you choose to abort by placing the pills inside your cheek pouches –

  • Put four tablets in your mouth ( two pills between teeth and cheek each side)
  • Wait for three to four hours and let them dissolve naturally
  • Repeat the dosage
  • Wait for 3-4 hours
  • Repeat the process
  • The abortion process usually starts within one day, 24 hours after taking all the misoprostol pills. Most women start bleeding within three to four hours of taking the pills.

Vaginal administration

If you buy Misoprostol and choose vaginal administration, follow the below instructions-

  • Gently push four capsules inside your vagina. Only push where your fingers reach.
  • Lay down and relax for half an hour
  • After three to four hours, repeat the dosage and again wait for three to four hours.
  • Again insert the last four capsules.
  • The termination process usually starts within five hours of taking the pills. However, it happens before five hours in many cases. Vaginal insertion method starts the process quicker.
  • Even so, doctor’s generally recommend oral method for safety purposes.

Generally, abortion pills online provide one pill of Mifepristone and four pills of Misoprostol to safely end a pregnancy. This combination is the most used method for medically induced termination.

This because the success rate of MTP Kit (combination of Mifepristone and Misoprstol) is higher than Misoprostol alone with 96-97% chances of safe procedure.

Visiting a healthcare provider

It is best to have an after checkup (about 2-3 weeks later) by a mid wife or a doctor to confirm if you have successfully aborted.

What foods to avoid after an abortion or miscarriage

Deciding to abort is difficult and going through an abortion is     more so. Be it miscarriage or abortion, they both take a lot of physical and mental strength out of you. Therefore there are foods that you must eat after an abortion which provide you with the necessary nutrient but also avoid foodstuffs that is not good for your body.

If both these components are balanced properly, you can have a healthy diet that is good for you especially after a miscarriage or abortion.

Here are few foods that you need to avoid after pregnancy termination or a miscarriage

Low-Fiber Starch food

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Foods with carbohydrates provide your body with the fuel it needs to function properly and control your body’s sugar levels. However, refined grains or low fiber starch foods can have a hazardous impact on your body. They can also cause frequent fluctuations in the body’s sugar levels. Therefore it is necessary to limit the amount of low fiber starch in your daily diet. Therefore you must avoid the following food –

  • Noodles
  • Pretzels
  • Instant rice and
  • Eggs

Sugary foods

It is important to avoid sugary foods as they contain high glycemic index which can possibly cause fluctuation in blood sugar levels. Therefore if someone offers you sweets like this, you need to say no.

  • Candies and soft drinks

Junk Food

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You may love Pizzas, burgers and other junk food and its okay when these food stuffs are eaten in moderation. However, after a miscarriage, it is necessary to avoid junk food as it will only fill you up with empty calories and stop you from eating food which nutrients you may actually need.

Fatty meats and dairy

After the pregnancy termination or miscarriage, it is important that you avoid inflammation which can cause you discomfort and pain. Fats in milk and various types of meats can cause inflammation. Therefore, it is necessary that you avoid such foodstuffs –

  • Lamb, Pork, Butter, Beef, Whole Milk and Cheese etc

Soy products

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Soy is good for health generally; however it also contains high levels of phylate which prevents your body from getting iron nourishment. Therefore you should definitely limit the amount of soy products after a pregnancy loss or cancellation.

Apart from the food stuffs mentioned above, there are other foods stuffs that attract bacteria which should be avoided. As these foodstuffs are breeding grounds of different types of bacteria, they can cause infection. Some of these include –

  • Seafood, Raw meats, Soft cheeses, and unpasteurized dairy products

After a pregnancy termination or a miscarriage, it is hard for the mind and well as for the body. As a medical abortion and miscarriage results in a lot of bleeding, there are very essential nutrients that are lost from the body. Therefore it is necessary to eat foods that are iron and calcium rich plus lots of vegetables and fruits.

Food may be not on your mind when you have just went through such a difficult time, but it may help you recover speedily as there are specific types of nutrients that your body needs at these times.

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Deadly abortion methods woman used in ancient times

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With fervent discussions and debates about abortion, we actually forget that this is a procedure that has a long history. Like the society now, historical communities from Egypt to Greek and Roman too discussed the rights and necessities for a woman to control her body. Evidence suggests that diverse ancient societies too performed abortions.

The difference between now and then? Modern women in most developed and developing societies can buy abortion pill online or otherwise and go through a procedure which is mostly safe and successful; a stark difference from the reality of women in history.

Historical texts

There is no particular method for abortion that is recorded in the official history. There are texts from the ancient Greek where scholars (all male) had long discussions about the procedure – suggesting it wasn’t uncommon back then. While Quran doesn’t mention the subject, but there are several debates going on which discuss Islam’s position in it.  Even so, there are several ancient medical texts that describe the deadly and dangerous methods of abortion that women endured in those times where safe abortion was not an option.

Today’s women have the option to end their pregnancy by Misoprostol and Mifepristone abortion pills and surgery. These options are also somewhat painful and not completely risk free, but the methods describe below only scratch the surface of the amount of risk women took for aborting.

Aborting with Pennyroyal tea

One of the most known and used method of aborting in history was by drinking a tea made with a herb called pennyroyal, otherwise known as mentha pulegium. This abortifacient is a classified as a mint, but is also known as successful abortive drug and deeply poisonous.  In fact, just five grams of this mint can be toxic. It’s been known for its mention in the play by Aristophanes. It was probably extremely effective, but its potent toxicity caused by a component called pulegone made this drug a deadly remedy.

Inserting Crocodile feces vaginally

The Kahun Papyrus, an ancient Egyptian creation is one of the earliest medical texts in the history. Even if it lays tattered now, modern interpreters think that it specified an abortifacient, namely crocodile dung. This dung was made into a pessary with dough and then inserted into the vagina. It was meant to operate as birth control and a drug to induce a miscarriage. Crocodile dung does have qualities of spemicide, but is estimated to be more effective as a birth control rather than abortifacient.

Jumping and kicking yourself from the backside

Hippocrates, the great Greek physician was opposed to abortion. Even so, he had recommended a technique in his text for abortion. This included jumping up and down while touching the buttocks with the heels of the foot with each leap. It was believed to shake the embryo loose and fall out. This method, Lacedaemonian leap (as it is now known) was proven to be false. Agitating the embryo through mild exercise is not enough to cause an abortion.

What are your options to end pregnancy?

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It is not easy to decide whether to keep or end a pregnancy. In many cases it is a life-changing decision therefore before taking that crucial decision, some time is necessary to think about what is best for you. If you are comfortable discussing such a private matter with a doctor or a therapist, that may make you realize your decision. There are family planning clinic all over the country that specialize counseling in such matters.

Pregnancy just doesn’t mean hosting a child for 9 months; it means giving birth and raising a child which completely changes your life emotionally and financially. Therefore a woman needs to know all her choices, i.e. Have the baby and raise it, give it up for adoption or have an abortion.

If you decide to have an abortion, there are several requirements that you will need to go through. But primarily what would be you options

Medical Abortion

Medicine induced abortion can only be done if the pregnancy has not been progressed further than 10 weeks, i.e 70 days. If the woman is progressed further than that, she may be recommended surgical or aspiration method of termination.

Before deciding to buy abortion pill, however she must go through a check up to ensure that she is eligible for medical abortion. That means, she must not be more than 10 weeks pregnant, not a case of ectopic pregnancy nor allergic to medication.

If she is clear on all that, she may proceed to take Mifepristone Online.

The medical abortion procedure

When first pregnancy cancellation tablet, Mifepristone is taken, there is no noticeable change in condition of the woman. She may even resume her day to day tasks after.

The second pill, Misoprostol, however causes uterine contractions and expels conception parts from the body. This causes heavy bleeding and cramping. Side effects also include vomiting, nausea and diarrhea etc.

Another option

Other option is surgical or aspiration procedure. In this case, women need to go through several tests to confirm their eligibility. A physical exam before the procedure includes taking vital signs, and checking blood pressure and heart rate.  Other tests include –

  • A pelvic exam to determine the size and shape of the uterus to estimate location of the pregnancy
  • Laboratory tests include urine check, a blood test, STD screening and an ultrasound.

The above tests show whether the woman is eligible for a surgical abortion.

What does surgical abortion include?

Surgical or aspiration procedure can be done from 6 to 16 weeks of gestation. Primarily, the woman in question will be given sedation for the pain. With her legs in the stirrups, a speculum will be inserted inside to open the vagina. The cervix will be then numbed before the suction tube is inserted as well. The doctor will then apply pressure and gently remove conception parts from the womb.

The procedure usually only lasts up to 10-15 minutes as most of the time is devoted in applying sedation. Your doctor will most likely provide antibiotics to help prevent infection.

Common questions about Abortion pills usage

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It has been more than two decade since first abortion pill was introduced and approved to the world. Since then various research and tests have been done on the pill to better its efficiency and usage.  The FDA just updated its protocol for Mifeprex to change its labeling, administering time period and REMS (Risk Evaluation and mitigation system).

Just as there are constant updates on its usage, the person using them also must be well informed before she decides to buy abortion pill. Here are some FDA guidelines that need to be adhered to consume Mifeprex –

  • Swallow a 200 mg tablet of Mifepristone. After taking the pill there might be a slight risk of light bleeding but this is a normal effect.
  • Wait for 24- 48 hours before you take Be careful not extend this time interval and for time being you may do things as you normally do like going to work or school. Avoid due activities that might require heavy lifting.
  • Take four tablets of Misoprostol of 200 mcg dosage. There are three types of methods of taking this dose – orally (under the tongue), buccally (between cheek and teeth) and vaginally.

 Taking pills within the vagina-

To do this, urinate first and wash your hands thoroughly. When you insert them, do not worry about putting them at a specific place, just push them in as higher as your finger reaches; after the process lie down for at least half an hour.

Taking pills orally

First swallow water and make your mouth moist. Then you either place the tablets under the tongue or place two tablets in each cheek pocket, this might make your mouth dry or taste weird until the tablets dissolve. Do not eat or drink anything while taking the drugs.  After half hour duration, rinse your mouth and drink the remains of the pills in your mouth.

The FDA guideline made a change in its requirement to take misoprostol and its brand variants like Cytotec buccally than orally.

After going through the process

Generally after taking Misoprostol, you will experience heavy bleeding, and cramps. Some of the side effects include vomiting, diarrhea, weakness and nausea etc. Therefore it is necessary to keep a thermometer, comfy blankets, pain killers, glucose tablets, Gatorade and lots of sanitary pads. You can drink and eat as normal. Many women feel better after 24 hours of side effects, if they don’t subside after a day you must contact a doctor.

Even you do feel these side effects, you must take a second trip to the clinic to confirm if the pregnancy cancellation pills were effective.

Where can you acquire them?

With websites selling over the counter and prescription medication, some online pharmacies have also started selling abortion pills for better access. Nowadays you can get abortion pills online with the benefit of discounts and home delivery.

There are even special packs containing both mifepristone and misoprostol called the MTP kit, as well as different brands like Mifeprex, Cytotec, RU 486, Korylm and Yasmin etc.

What happens during a medical abortion?

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The decision to abort is difficult for most women. When life is throwing so many hurdles at you it can be difficult to know what exactly you should do. There may be opposition of family, peers and society that may lead you to think that abortion is harmful. So, here are some facts about taking abortion pills that you may not know.

What is medical abortion?

A medically induced pregnancy termination is a process where the woman takes medicines to stop an early pregnancy. To buy abortion pill, you need a prescription from a professional. These pills are, namely Mifepristone and Misoprostol. To take these pills, you must be within 10 weeks of pregnancy (i.e. 70 days after the first day of your last menstrual cycle). If you are further than that, aspiration or surgical procedure may be an option for you.

Whether you want to go through it, or are concerned for a friend or just want to know generally what process women go through to get them; here is a general regimen while going through pregnancy termination –

  • 1st Step – Your doctor/health care provider will give you Mifepristone on day one, possibly along with some antibiotics.
  • 2nd Step- After a mandatory gap of a day or two, you will be given Misoprostol. This will cause bleeding, nausea, stomach cramps for a few hours. After the pain subsides and you have passed the pregnancy parts (like heavy bleeding on your periods), the procedure is complete. You may buy abortion pills online or have it from the clinic.
  • 3rd Step – After few days, you may visit the clinic once more to find if the pregnancy termination procedure was successful.

What does it do?

  • When you consume Mifepristone it blocks the progesterone hormone which is necessary for the pregnancy to continue. With progesterone blocked from your system, the uterine lining cannot support the embryo and thus it breaks away from the conception parts.
  • Misoprostol is used to eject the pregnancy part from your body. For this, it induces contractions in the uterine and therefore the embryo is able to pass out of the body.

Together these two pills are called the MTP Kit, which has both of them at recommended dosage for sale.

Things to remember before going through pregnancy termination

It is common for a person to be nervous and confused before going through abortion. There are things however that you must be clear of before taking the abortion pills. Here are some general things you could do before –

  • Have a counseling session with a person who will give you the exact details as well as pros and cons of all subjects. A biased person may push you into things against your wishes.
  • Discuss your options with a professional
  • Submit your medical history and inform them of necessary health conditions
  • Take laboratory test for confirmation
  • Go through an ultrasound and some physical tests
  • Read thoroughly before signing any documents

How Women Achieved Abortion Pills Access Over the Years?

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Since pregnancy termination was certified for use, million of women got the treatment for their unwanted conceiving, and ended an early phase of pregnancy at home. The facility helped many females get away from the only-available-procedure of the time the surgical method, and switch to a more convenient and safer option of abortion pills regimen, which comprises of Mifepristone and Misoprostol drugs to remove products of conception without tools from the body in few days time.

Women began feeling that they had freedom of choice about pregnancy termination, as more branded products such as Mifeprex and Cytotec too came in the market. Heavy demand for the drugs that ends pregnancy caught up the healthcare realm, but unfortunately along came restrictions for the access of medications, which imposed restrictions about when and why a pregnancy termination can be limited, and reach to the medicines. Since then, females face prohibitions in certain countries for accessing the tablets.

Why Healthcare Reach is Unequal for Women?

However, protests from pro-choice communities eased such restrictions at many places, yet in some areas women found it difficult to buy abortion pill online over-the-counter or at a clinic until and unless they could produce a valid prescription or get consent from the jury, especially the later condition still holds true for teenagers in most of the countries.

For some getting the medications have been not a problem, as they can afford traveling elsewhere where pregnancy termination is legal, and set them free from an unwanted pregnancy. But, expenses of travel and huge stress due to restrictions on termination were not something every female found feasible, especially those belonging from poor background financially or rural areas.

In fact medication method of any type is inadequate in some nations due to which women have to face brunt of health problems on not getting help on time. With abortion pill telemedicine services in limited areas, females have been able to enjoy a greater control over her conception cycle, and how to handle the same.

Why Pregnancy Termination is needed?

There is a big debate on pregnancy termination. Some are for it while some against. However, a pregnancy being important moment in woman’s life must not be controlled by anyone else other than herself, and she must have all rights to buy abortion pill, if she decides she cannot continue to have the child for herself.

For few females adoption is also not a comfortable option, especially the ones with health disorders, where completing a pregnancy safely itself is a challenge, or the one who faced sexual abuse or domestic violence etc. problems, leading to unwillingness or emotional and physical discomfort to carry on to full-term or child birth.

We cannot assess why pregnancy ending services should or should not be allowed to women. Because judging a person is difficult when we are not in their shoes, termination of pregnancy itself is a difficult decision, and must be thus dealt with proper counseling and support from others. Females must be given education about birth control, and emergency contraception as well.