Telemedical Abortion

Your Journey – Taking the pills

Receiving your pack

An early medical abortion involves taking two different medications 24-hours apart – Mifepristone and misoprostol. If you choose for your pack to be sent in the post it should arrive within 3-4 days of proceeding with your decision. Posting your medication is free. If you choose to collect your pack from the pharmacy, your script will be ready within the next day of your decision. Your pharmacist will charge you a script fee.

Preparing to miscarry

We recommend you plan the days and times that work best for you to take your pills and miscarry. Our nurse will help you figure this out.

Stock up on sanitary pads, snacks (your preferred treat), a book, movies, or whatever you like to do to pass time. Make sure you have a comfortable space on the day you take the second lot of pills.

If you would like to invite someone on your journey, arrange for someone you feel comfortable with to support you as you need. They may be with you throughout to hold your hand, or be a text or phone call away.

Once you have taken the first pill (Mifepristone), you can continue your day as usual. But for the following day, when you take the second pills (Misoprostol), you will need to plan for you to have time and space for yourself. Take the day off from school, work, or any other commitments you may have.

Taking the pills

The first pill to take is called Mifepristone. Swallow this with a large glass of water. It is best to plan the day and time you wish to miscarry so you can take the Mifepristone 24 hours before. Mifepristone works by blocking your body’s production of progesterone – the hormone that is needed for the pregnancy to continue growing. Once you have taken the pill, you may either experience a few mild cramps and light bleeding or feel as if nothing changed. It is okay to continue about your normal day.

The second pills are called Misoprostol. This is taken 24 hours after the first pill. These pills aren’t swallowed. Instead, you place four tablets between your cheek and gum and let them slowly dissolve. Sometimes, the pills don’t fully dissolve, so after an hour, swallow what remains of the pills with a glass of water.

Misoprostol causes the miscarriage to begin. You will experience cramps and bleeding. This is your body emptying your uterus. It is like having a very heavy, crampy period. A period where you want to curl up into a little ball somewhere cosy.

What you experience is the same as a natural miscarriage. The Misoprostol triggers your uterus to contract. Your body then naturally continues the process.

What to expect – Once you have taken the pills

The first pill to take is called Mifepristone. Swallow this with a large glass of water. It is best to plan the day and time you wish to miscarry so you can take the Mifepristone 24 hours before. Mifepristone works by blocking your body’s production of progesterone – the hormone that is needed for the pregnancy to continue growing. Once you have taken the pill, you may either experience a few mild cramps and light bleeding or feel as if nothing changed. It is okay to continue about your normal day.

The second pills are called Misoprostol. This is taken 24 hours after the first pill. These pills aren’t swallowed. Instead, you place four tablets between your cheek and gum and let them slowly dissolve. Sometimes, the pills don’t fully dissolve, so after an hour, swallow what remains of the pills with a glass of water.

Misoprostol causes the miscarriage to begin. You will experience cramps and bleeding. This is your body emptying your uterus. It is like having a very heavy, crampy period. A period where you want to curl up into a little ball somewhere cosy.

What you experience is the same as a natural miscarriage. The Misoprostol triggers your uterus to contract. Your body then naturally continues the process.

After taking the Mifepristone

Once you take the Mifepristone you may experience light bleeding and a few mild cramps or feel normal. It is okay to continue about your day.

After taking the Misoprostol

Misoprostol causes the miscarriage to begin, usually happens within 1-6 hours. You will experience cramps and bleeding. This is your body emptying the uterus. It is like having a very heavy, crampy period. A period where you want to lie somewhere comfortable with a hottie on your tummy. Make the space and time you need to take it easy.

What to expect

Cramping

It is normal to experience significant cramping, discomfort, and aches in your belly. The cramps may be constant, come and go in waves, or stop and start. A medical abortion is an individual process, so everyone experiences different levels of cramping and discomfort. Cramping tends to build up until you have passed the pregnancy tissue. They then tend to ease off. The amount of cramping and discomfort is the same feeling as a natural miscarriage. If you are concerned about your level of cramping or how long it has been going on, you can always call us.

Bleeding

It is normal to bleed. You may pass pieces of tissue and blood clots of varying sizes. Gushes of fresh blood are also common. Everyone experiences a different level of bleeding. During this time, use pads, not tampons or a moon cup. This will help avoid infection. When bleeding is at its peak, many people tend to sit on the toilet instead of constantly changing their pads. Once the pregnancy tissue has passed the bleeding will start to lighten. If you are concerned about the amount of bleeding or how long it has been going on, you can always call us.

Other things you may experience

After taking the Misoprostol, it is normal to feel nauseous and have diarrhoea (just like period poos).

It is also common to experience:

Chills
Hot sweats and flushes
Lightheadedness
Headache
Lower back pain
Weakness
Fatigue

You may experience none, all, or a combination of these symptoms as your uterus works hard to release the pregnancy tissue. If you are concerned about your symptoms, you can always call us.

How to ease the cramps and discomfort

We will provide you with medication to help with the cramping and discomfort. Instructions on how and to take the medication are included in your early medical abortion pack.

To help with the discomfort, you can also:

Put a hot water bottle or heat pack on your lower belly or back

Have someone gently rub your backPut a blanket over your shoulders

Take a warm shower

Wear comfy clothes

Focus on your breathing

Sit on the toilet

Stay in a relaxing and familiar space

Choose what is best for you.

Passing the pregnancy tissue

The pregnancy will usually pass within 1-6 hours of taking the Misoprostol (the second medication). Your level of cramping and discomfort will significantly build and peak when the pregnancy tissue is about to pass. Once the tissue has passed your cramps will begin to ease. The toilet is a great place to sit when your cramps are at their strongest.

What might I see?

The pregnancy tissue will usually look like a large clot. It can be very hard to see the pregnancy if it is earlier than 7 weeks.

What should I do with the pregnancy tissue?

What you decide to do with the pregnancy tissue is your choice. If you would like to keep the pregnancy tissue and bury it you may. Place the pregnancy tissue into a little container or cloth. Bury this somewhere that is special to you. If you are sitting on the toilet when the pregnancy passes and you do not wish to keep it, it is okay to flush it through. If the tissue passes onto your pad, it is okay to place it in the bin.

Ready to take the next step in your journey?

Reach out online or call 0800 226 784 to speak to one of our nurses. We are here to support you every step of the way. This is your journey.

Take the next step