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Medical abortion is a safe and effective method of terminating a pregnancy up to 16 weeks gestation using medication (abortion pill) rather than surgery. Medical abortion, also known as non-surgical abortion, is now available all over South Africa. Our Pregnancy Termination Pills Are Effective 100% Of The Time After A Pregnancy Termination Procedure You May Experience Slight Nausea, Vomiting & Light Bleeding Which Is Normal During An Abortion Process. Abortion Or Pregnancy Termination Is Legal In South Africa. You Do Not Need The Permission Of A Parent Or Partner To Terminate Your Pregnancy.. How does a Medical Abortion Work? It works by blocking the hormone progesterone, which is necessary to sustain pregnancy. Without this hormone, the lining of the uterus breaks down, the cervix (opening of the uterus or womb) softens, and bleeding begins. Within a few hours days after taking the medication medication it will cause the uterus to contract and empty. This ends the pregnancy. If you are pregnant and cannot afford surgical abortion which is very expensive then consider medical termination with a pill. You will achieve exactly the same results, safely, quickly and cheaply.

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Having a medical abortion is a highly personal decision based on your own circumstances. Someone may choose to have a medical abortion because they’re concerned about passing along a congenital or inherited disease. Some may want to end an unwanted pregnancy. Providers sometimes use the same pills to treat a miscarriage that hasn’t expelled yet, known as a missed abortion. Your provider might refer to this as completing a miscarriage. A medical abortion may also be an option if carrying the pregnancy could be life-threatening.

Everyone’s situation is different. Reaching out to a healthcare provider who understands your medical history and healthcare needs can help as you weigh your options.

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.

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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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