Medical Abortion at Home – Abortion Pills (Telemedicine) UAE

The abortion pill for Medical Abortion at Home involves taking two medicines, mifepristone and misoprostol.

The first medicine, mifepristone, ends the pregnancy. It works by blocking the hormone progesterone. Without progesterone, the lining of the uterus breaks down and the pregnancy cannot continue.

The second medicine, misoprostol, makes the womb contract causing cramping, bleeding and loss of the pregnancy similar to a miscarriage.

If at any point you decide to continue the pregnancy after taking the
medications, it is important to know that there could be risks to the developing fetus. Misoprostol can cause birth defects and both mifepristone and misoprostol can cause miscarriage. Contact us for further information and advice about the Medical Abortion at Home.

The timing when you administer your medication for a Medical Abortion at Home is important. If your pregnancy is of 10 weeks gestation you will need to come into the clinic to take your medications.

Step 1 – Mifepristone

Swallow the mifepristone tablet with water.

You may have nausea or vomiting after swallowing the mifepristone. If you do vomit, you should still use the misoprostol as outlined below.

Please telephone if you have any concerns or if you vomit within 30 minutes of swallowing the mifepristone.

Most women do not have bleeding or pain until they take the second medication (misoprostol). Bleeding can occur after taking mifepristone but it is usually light.

If you have started bleeding after step 1, you should still use the misoprostol (step 2), but placing the misoprostol in your mouth is preferred (placing between cheek and gum).

If you place these tablets between your cheek and gum, you are more likely to experience nausea and diarrhoea. Contact us if you have any concerns. Order medical abortion pills UAE today.

Step 2 and 3 – Misoprostol (to be taken 1-2 days after the mifepristone in Step 1)

Misoprostol tablets are placed in the vagina or between the cheek and gum. See below for more detail.

Misoprostol (the second medication) causes strong, painful cramps and heavy bleeding.

Step 2 – misoprostol

You have 6 tablets of misoprostol in total.

Use 4 tablets placed either in your vagina or between your cheek and gum.

Keep the other 2 tablets safe for step 3.

Into the vagina

Insert 4 tablets as high as possible in the vagina; the exact location is not important only that they do not fall out. We recommend doing this lying down to avoid the tablets falling out, but you can do this whilst, squatting or standing with one leg up – whatever is most comfortable for you doing Medical Abortion at Home.

The tablets should remain inside your vagina for 30 minutes. You could lie down for 30 minutes after insertion. Don’t worry if they fall out after this time or you see them pass once you start bleeding, it’s just the chalky residue of the medication, as long as they remain inserted for 30 minutes.

OR

Into the mouth between cheek and gum

Place 4 misoprostol tablets into the mouth between the upper cheek and gum and allow the tablets to dissolve for 30 minutes. If the tablets have not completely dissolved within 30 minutes, you may swallow what is left with water.

Some people describe the taste of misoprostol as unpleasant and the texture as chalky. Placing the tablets between the cheek and gum is associated with higher rates of nausea, vomiting and diarrhoea.

Step 3 – additional misoprostol if needed

If 4 hours have passed and vaginal bleeding has not started or is minimal (meaning only spotting or smearing – only seeing blood on a tissue when wiping with a tissue), use the additional 2 misoprostol tablets either inside the vagina or between the cheek and gums.

Use the bleeding pictures in the “Bleeding” section below to help assess your bleeding.

Please note the foil on the reverse of these tablets is marked with a warning that says ‘Do not use in pregnancy’. This is because misoprostol can cause miscarriage which is why it is used in abortion care. Start Medical Abortion at Home today.

The Medical Abortion at Home using abortion pill causes bleeding and pain that can last several hours or more. Pain usually begins 1-2 hours after misoprostol tablets, sometimes sooner.

Bleeding usually starts within 2 to 4 hours after using the misoprostol tablets. Please refer to the ‘Bleeding’ section below for more information about bleeding.

For some people, pain and bleeding can start more quickly but for others it can take longer. Pain and bleeding are often greatest when the pregnancy is being expelled.

Most women pass the pregnancy within 4 hours of using the misoprostol however timings vary; and almost all women pass the pregnancy in the first 24 hours.

People have different experiences of pain. Some will experience intense pain, but some will only have mild pain.

There are some things that you can do to help reduce the pain you experience:

Wear comfortable and loose clothing

Stay in a familiar and relaxing place

Apply a heating pad or hot water bottle to your lower stomach

Take pain relief medicines. Please read the following guidance for ibuprofen,
paracetamol and codeine.

Take IBUPROFEN (also known as Brufen® or Nurofen®)

Ibuprofen is the best pain relief option as it targets the cause of pain. You should take ibuprofen unless you have been told not to by a healthcare professional.

Where to get ibuprofen:
It can be bought from most shops and supermarkets as well as pharmacies.

How to take ibuprofen:
Take 800mg when you start to feel pain after using step 2 (misoprostol).

Check which strength tablets you have:

Take either 4 x 200mg

Or 2 x 400mg

Every 8 hours if you need to.

Note: This dose is higher than recommended on the box for Medical Abortion at Home, but is the best dose
for helping pain caused by taking abortion pills.

Safety warning: Do not take more than 2,400mg of Ibuprofen in 24 hours. (That
is 12 x 200mg tablets or 6 x 400mg tablets).

Take PARACETAMOL

You may choose to take paracetamol to help with your pain relief.

Where to get paracetamol:
It can be bought from most shops and supermarkets as well as pharmacies.

How to take paracetamol:
Take 1,000mg when you start to feel pain after using step 2 (misoprostol):

Take 2 x 500mg tablets

Every 4 hours if you need to.

Safety warning: Do not take more than 8 paracetamol tablets in a day (4,000mg
in 24 hours).
Do not take with any other paracetamol containing products (co-codamol, Lemsip®, cold and ‘flu tablets).

Codeine

Most people should not take codeine as the side effects can be harmful and it doesn’t work well for the type of pain experienced when taking abortion pills during a Medical Abortion at Home.

Codeine may be offered as an option after discussion at your appointment if you cannot use other options.

Where to get codeine:
Co-codamol can be taken if you are unable to take Ibuprofen. This can be purchased from pharmacies if needed.

Alternatively, codeine could be prescribed for you and included in your pack if it’s agreed that codeine is right for you and needed.

How to take codeine/co-codamol:
Take as directed on the pack. Incase you need to do the Medical Abortion at Home contact us for assistance.

Use sanitary towels (maternity pads or thick overnight pads) to monitor your bleeding during abortion pill treatment. The amount and type of bleeding can vary for each person and each abortion. Bleeding is usually moderate to heavy but for some women it can be light.

You should telephone us for advice if:

24 hours after taking the misoprostol, you do not bleed at all, have spotting / only see blood on a tissue when wiping.

You experience flooding or heavy bleeding soaking 2 maternity pads or thick overnight pads for 2 hours in a row.

Call us if you experience very heavy bleeding and feel unwell

Prolonged moderate to heavy bleeding can lead to significant blood loss and anaemia so please get in touch if this occurs after a Medical Abortion at Home.

Not everyone will pass blood clots during a medical abortion, but for those who do, the clots should be no larger than a lemon. You may see other tissue when you pass the pregnancy. This is larger and more recognisable at higher gestations, but in most cases the fetus cannot be seen without magnification.

Once the pregnancy passes, the amount of bleeding and pain should noticeably reduce. It is likely you will feel cramping on and off for a week or so but this should be easily managed with ibuprofen or paracetamol.

Most women have light bleeding for about 2 weeks, but you may have spotting up to your next period. Sometimes you may have a short episode of pain with a gush of blood or a clot several weeks after the abortion – contact us if this continues.

Since you will pass the pregnancy at home/ after a Medical Abortion at Home, you can decide how you wish to dispose of the pregnancy remains. They can be flushed down the lavatory or wrapped in tissue, placed in a small plastic bag and put in the dustbin.