If you have strong cramps and heavy bleeding and think you might have passed the pregnancy, you may call the clinic the next clinic day to discuss with a doctor if you should use the misoprostol pills or come in for a check.
If you are concerned about the amount of bleeding, call at any time. Preparing for your misoprostol insertion Pick a place to insert the pills that is comfortable and private.
You should have a phone, a bathroom, and your support person with you for the day. If you are hungry, eat a light meal before you start and drink plenty of water during the day. Since the process may take five to seven hours or more , many women prefer placing the tablets in the morning or early afternoon. Make sure you have: Your misoprostol tablets Your pain medication Vicodin and ibuprofen handy A box of maxi-pads How to place the misoprostol in your vagina Wash your hands well with soap and water.
Lie down on your back and bend your knees. Hold one pill between your first and second fingers your pointer and your middle fingers and push the pill as high up into your vagina as you can reach with one of the fingers. Repeat this procedure with all four pills. If one of the pills comes out in your hand, push it back up. If any of the pills fall out within 30 minutes, replace it into your vagina. If a pill falls out more than 30 minutes after you insert them, you do not need to replace it. Wash your hands when you are done and rest for 30 minutes.
You may do regular activities around the house after placing the misoprostol. This means no sex and no tampons. What to expect after the misoprostol Cramping, moderate to heavy bleeding, and moderate pain are normal parts of the abortion process as your uterus passes the pregnancy.
Cramping usually starts one to four hours after you place the misoprostol in your vagina. That said, some women may find that it takes two or three cycles for their periods to return to normal.
If this does not happen, they should speak to their doctor. Women can start using birth control straight after an abortion. If they want to use an intrauterine device IUD , they can ask a healthcare professional to fit one during the same appointment as the abortion.
IUDs are an effective form of birth control. The advantage of copper IUDs is that they do not affect mood, but they may cause heavier periods. Which contraception method to use is a personal choice, and different options work for different people. If a woman experiences very heavy bleeding after an abortion or pain that is not manageable with over-the-counter pain medication, she should speak to her doctor.
Blood clots up to the size of a lemon are normal during postabortion bleeding. Blood clots that are larger than this are something to discuss with a doctor. Symptoms that may include dizziness , sweating, and nausea during or after an abortion are typical. However, women who feel very faint or have a high temperature should talk to their doctor. If a woman experiences any symptoms that worry or alarm her, speaking to a doctor for reassurance is a good idea.
Abortions lead to the menstrual cycle restarting. Most women get their period 4—8 weeks after an abortion. The first periods after a medical abortion may be heavier and longer than before. The first period after a surgical abortion may be shorter and lighter.
Postabortion bleeding is normal. If this is very heavy, continues for more than 2 weeks, or contains blood clots larger than a lemon, a woman should speak to her doctor. It is important for your doctor to know whether you: Have access to a telephone, to call if you have problems. Have transportation to a health care facility if you need to be evaluated. Will be able to return for a follow-up appointment. Are prepared for the cramping pain and bleeding that will occur as the uterine contents are passed.
Understand that a surgical abortion will be needed if a medical abortion fails to complete the process. These medicines are used: For cramping pain caused by uterine contractions. To prevent nausea or vomiting. To prevent infection. If you need to call your doctor about your symptoms during a medical abortion , be prepared to provide information about: How heavy the bleeding is, compared with your normal menstrual bleeding.
The heaviest bleeding should stop 1 to 2 hours after passing the pregnancy tissue. The number and types of pads used in 1 hour and the total number of soaked pads used. The presence and size of blood clots. Whether any pregnancy tissue has been passed. The severity of your cramping or pain. Care after a medical abortion Carefully follow all of your doctor's instructions and review what-to-expect information after a medical abortion. Follow these instructions: Most women can return to normal activities in 1 to 2 days after the uterus has cleared.
Avoid strenuous exercise for 1 to 2 weeks. Do not have sexual intercourse for 1 to 2 weeks or as advised by your doctor.
Be sure to use birth control when you start having sex again. And use condoms to prevent infection. For more information, see the topic Birth Control. Do not rinse the vagina with fluids douche. This could increase your risk of infections that can lead to pelvic inflammatory disease.
Normal symptoms that most women will experience after a medical abortion include: Bleeding or spotting for up to 14 days. Bleeding may last longer for pregnancies of more than 7 weeks. Generally, post-abortion bleeding will be darker and possibly even slightly brown. You also may notice blood clots, which tend to be much darker since the concentration is denser. Spotting may be tinged brown from the old blood which is completely normal.
If you notice these symptoms, you should call your doctor. An abortion resets your menstrual clock. Thus, you should expect your first period after an abortion to start approximately 4 weeks from that point. However, because each woman bleeds differently after an abortion, it can be difficult to distinguish between a period, spotting, or abnormal bleeding. Read on for some clarity on how to recognize your period or lack of post-procedure. After an abortion, you may experience a change in the length and strength of your normal period.
It could be shorter, longer, lighter or heavier. In any case, it should return to normal the following month. Post-Medical Abortion : A heavy period after a medical abortion is common. It could extend beyond your normal cycle length or fall short of it. Post-Surgical Abortion : A lighter flow or spotting is commonly experienced with the first period after a surgical abortion.
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