How To Lose Weight After Medical Abortion

Although most home remedies aren’t considered safe or effective for terminating a pregnancy, certain prescription medications can be safely administered at home.

Self-managed medication abortion refers to a person obtaining and administering “the abortion pill” without the real-time supervision or guidance of a healthcare professional or other clinician.

If you’re not sure how or where to get abortion pills, the advocacy organization Plan C has you covered. There are legal risks to self-managed at-home medication abortion. Some states restrict access to telehealth abortion or receiving abortion pills by mail. This means discretion and privacy are absolutely paramount. If at all possible, tell as few people as you deem necessary about your pregnancy and your decision to terminate the pregnancy. Clear any internet search, private message, or phone call history that might connect this to you. Trying to make sense of the limitations in your state? Our state-by-state guide to abortion restrictions can help.

Caring For Yourself After An Abortion

Preliminary data from the Guttmacher Institute suggests that as of 2020, medication abortion accounts for more than half of all abortions in the United States.

Form of medication abortion involves taking a combination of mifepristone (Mifeprex) and misoprostol (Cytotec). They work together to cause the pregnancy to pass from your uterus like a heavy period or miscarriage.

With either method, you’ll experience cramping and bleeding. You may also experience strong pain, chills, nausea, or diarrhea. This is to be expected and typically isn’t a cause for concern.

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Which method you use and what dosage you need both depend on how far along the pregnancy is. You can determine how far along the pregnancy is by identifying the first day of your last menstrual period — or, if your period is irregular, a rough approximation of when a period would occur — and counting the number of days until the present day. Although mifepristone must be administered orally (swallowed), misoprostol can be administered buccally (inside the cheek), sublingually (under the tongue), or vaginally. This article focuses on oral, buccal, and sublingual administration.

For example, keeping a phone, phone charger, and emergency contact information nearby can help provide peace of mind and ensure that help is only a phone call away should you need it.

You may find it helpful to stock up on menstrual pads or disposable period underwear designed for use with heavy periods. This can help reduce or eliminate time spent changing or washing clothes and linens.

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A stick-on heat therapy patch, heating pad, or hot water bottle can also help soothe cramps. A thermometer can help monitor your temperature and check for fever.

About 24 hours after taking mifepristone, take 800 mcg (four 200-mcg tablets) of misoprostol by inserting two tablets into each cheek pouch (the space between teeth and cheek) or by placing all four tablets under the tongue.

About 24 hours after taking mifepristone, take 400 mcg (two 200-mcg tablets) of misoprostol by inserting one tablet into each cheek pouch (the space between teeth and cheek) or by placing both tablets under the tongue.

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Take 800 mcg (four 200-mcg tablets) of misoprostol by inserting two tablets into each cheek pouch (the space between teeth and cheek) or by placing all four tablets under the tongue.

Take 400 mcg (two 200-mcg tablets) of misoprostol by inserting one tablet into each cheek pouch (the space between teeth and cheek) or by placing both tablets under the tongue.

Choose a time — preferably in the morning — when you can rest for a while after taking the medication. The abortion starts when you take the first pill.

Surgical Abortion (first Trimester)

Keep acetaminophen or ibuprofen on hand and take the recommended dose on the bottle at the first sign of pain or discomfort. Continue to drink water throughout the day.

If you’re less than 12 weeks pregnant, take 800 micrograms (mcg) — which is four 200-mcg tablets — of misoprostol by inserting two tablets into each cheek pouch (the space between teeth and cheek) or by placing all four tablets under your tongue.

Hold the misoprostol tablets in each cheek pouch or under your tongue for 30 minutes, then wash down anything that’s left with a glass of water. Continue to drink water throughout the day.

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If you’re 12 or more weeks pregnant, take 400 mcg (two 200-mcg tablets) of misoprostol by inserting one tablet into each cheek pouch (the space between teeth and cheek) or by placing both tablets under your tongue.

After 3 hours, take an additional 400 mcg (two 200-mcg tablets) of misoprostol. Repeat the same misoprostol dose again 3 hours later if you have not yet developed any cramping or bleeding.

Eat a light meal and take the recommended dose of acetaminophen or ibuprofen. Wait at least 30 minutes before moving on to the next step.

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About 24 hours after taking mifepristone — if you’re less than 12 weeks pregnant — take 800 mcg (four 200-mcg tablets) of misoprostol by inserting two tablets into each cheek pouch (the space between teeth and cheek) or by placing all four tablets under your tongue.

About 24 hours after taking mifepristone — if you’re 12 or more weeks pregnant — take 400 mcg (two 200-mcg tablets) of misoprostol by inserting one tablet into each cheek pouch (the space between teeth and cheek) or by placing both tablets under the tongue.

Side effects usually start within 30 minutes to 10 hours after taking the misoprostol pills. After taking both medications, it usually takes about

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You should expect to experience cramping. This is because the medication causes strong uterine contractions to help your body pass the pregnancy.

Take 600 mg of acetaminophen or ibuprofen as soon as you begin to feel cramps. Repeat this dose every 6 to 8 hours alongside a light meal until the pregnancy passes and discomfort subsides.

You should also expect vaginal bleeding — sometimes heavier than your usual period — as the pregnancy leaves your body. It may also contain clots and tissue. Continue using pads for a few more days to help keep track of your bleeding.

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The sooner a medication abortion is performed, the more likely it is that the embryo (gray or white tissue) will pass unnoticed within a blood clot. Cramping and bleeding will slow after it comes out.

Embryos are less than 1 inch in size until about 9 weeks after the first day of your last menstrual period. At 10 weeks, the cells, now called a fetus, are about 1.5 inches in size and may have recognizable details.

Depending on your comfort level, it may be helpful to enlist someone you trust to look at any clots that pass to determine if the pregnancy has been terminated.

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You may experience a “second wave” of heavy bleeding a few days after passing the pregnancy. Cramping may increase, along with bleeding and clotting, particularly around the 4th to 5th day.

Depending on how you’re feeling, having someone rub your back, sitting on the toilet, or taking a shower may help ease any discomfort.

If you’re experiencing heavy bleeding, gently massage the abdominal, uterine, and pelvic areas for about 10 minutes. You can take acetaminophen or ibuprofen, apply a heating pad, and decrease all other physical activity, too.

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If you’re feeling feverish, take your temperature twice daily for 48 hours. It becomes a medical emergency if your temperature reaches 101.4°F (38.6°C) or higher for more than 12 hours in a row.

Feelings of relief, sadness, joy, or depression are common and may be strong due to the hormonal changes that occur after an abortion. Some people find these feelings don’t last very long.

It’s common to pass clots, especially when getting out of bed, during the first 1 to 2 weeks after a medication abortion.

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You may find it helpful to wear menstrual pads or period underwear during this time. This can make it easier to tell how much you’re bleeding.

You can switch to tampons or other period products after the heavy bleeding lets up. Spotting or other light bleeding may last up to 4 weeks or more.

This is because your hormone levels are still reflecting your previous pregnancy, and it takes a little time for them to go back to their typical levels.

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We recommend taking a pregnancy test about 2 weeks after taking all medications or passing the pregnancy. Take note of the date and the result received, then take another pregnancy test the following week.

If the results of the first and second tests are different (i.e., one is positive and one is negative), you may need to take a third test the following week or consult with a doctor or other healthcare professional.

If the results of the first and second tests are positive, a surgical abortion may be needed to help terminate the pregnancy.

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You may be able to consult with a clinician online or over the phone if you have questions about your eligibility or potential side effects.

A prescribing pharmacy or other healthcare platform may also be able to answer any questions via online chat or email before dispensing the medication.

It’s important to be aware of any laws or restrictions in your state. You might consider describing your symptoms as heavy menstrual bleeding or a possible miscarriage, for example. Complications of a natural miscarriage and a medication

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