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there are many pregnant women who want to have an abortion with medication. Due 
to the demand for confidentiality or fear of abortion, some patients want to 
abort using drugs. You should consult your doctor about how to use drugs. 
Sometimes the use of these drugs can be risky. Therefore, use the abortion 
medicine with the help of a doctor, not yourself. Abortion Drugs are Cytotec 
and Misoprostol. Sale and use of these drugs is prohibited.
What do I need to do before I take the abortion pill?
Before you take the abortion pill, you'll meet with your nurse, doctor, or 
health center staff to talk about whether abortion is the right decision for 
you, and what your abortion options are. You'll get an exam and lab tests, and 
you may get an ultrasound to figure out how far into your pregnancy you are.
Your nurse or doctor will let you know if there's anything else you need to do 
to prepare for your abortion. They'll give you written instructions on how to 
take your pills. You will have access to a caring professional through the 
process — you'll get a number you can call 24/7 if you have any questions or 
concerns.
You'll have a lot of bleeding and cramping after you take the second medicine, 
so plan ahead to make the process more comfortable. You can be at home, or 
wherever is comfortable for you to rest. You may also want to have someone you 
trust with you (or nearby) that you can call for support if you need anything
Stock up on maxi pads, food, books, movies, or whatever you like to help pass 
the time, and a heating pad for cramps. Make sure you have some pain medicine — 
but don't take aspirin because it can make you bleed more.
What happens during a medication abortion?
The abortion pill process has several steps and includes two different 
medicines.
First, you take a pill called mifepristone. This medicine stops the pregnancy 
from growing. Some people feel nauseous or start bleeding after taking 
mifepristone, but it's not common. Your doctor or nurse may also give you 
antibiotics to take to prevent infection.
The second medicine is called misoprostol. You'll either take the misoprostol 
right away, or up to 48 hours after you take the first pill — your doctor or 
nurse will let you know how and when to take it. This medicine causes cramping 
and bleeding to empty your uterus.
For most people, cramping and bleeding usually starts 1-4 hours after taking 
the misoprostol. It's normal to see large blood clots (up to the size of a 
lemon) or clumps of tissue when this is happening. It's kind of like having a 
really heavy, cramps period, and the process is very similar to an early 
miscarriage. (If you don't have any bleeding within 24 hours after taking the 
second medicine, misoprostol, call your nurse or doctor.)

The cramping and bleeding can last for several hours. Most people finish 
passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping 
and bleeding slows down after the pregnancy tissue comes out. You may have 
cramping on and off for 1 or 2 more days.
You can take pain medicine like ibuprofen about 30 minutes before you take the 
second medicine, misoprostol, to help with cramps. You can also take 
anti-nausea medicine if your doctor or nurse gives it to you. Don't take 
aspirin, because it can make you bleed more.
It's normal to have some bleeding and spotting for several weeks after your 
abortion. You can use pads, tampons, or a menstrual cup — whatever's the most 
comfortable for you. But your nurse or doctor may recommend you use pads for 
the first few days after the abortion so you can track how much you're bleeding.
The last step is to follow up with your nurse or doctor. You may go back into 
the health center for an ultrasound or blood test. Or you'll get a pregnancy 
test to take at home, followed by a phone call with your nurse or doctor. These 
tests will make sure the abortion worked and that you're healthy.
In the unlikely case that the abortion doesn't work and you're still pregnant, 
your doctor or nurse will discuss your options with you. You may need another 
dose of medication or to have an in-clinic procedure to complete the abortion.
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