I need an abortion

A medical abortion uses a combination of pills to cause the non-surgical termination of an early pregnancy up until the 9th week of pregnancy. The safest, most effective type of medical abortion requires the use of two different drugs. These medicines, called Mifeprisone, (also known as Mifepristone, RU486, RU or Mifeprex, the abortion pill or mifegyne) and Misoprostol (also known as Cytotec , Arthrotec or Oxaprost or Cyprostol, Cyprostoll or Misotrol) provoke the spontaneous expulsion of the pregnancy from the uterus.

Women on Web helps to create access to safe abortion services with abortion pills. This website acts as a referral service in forwarding your information and request for a medical abortion service to a licensed doctor.
The doctor can provide you with an abortion with pills after a medical consultation which takes place online. To enable the doctor to decide whether you can obtain an abortion with pills without risk, it is crucial that you provide accurate and complete information. Omitting any information requested could result in damage to your health.

  • You do the consultation and answer all questions according to the truth.
  • You will be obliged to provide a valid e-mail address and provide your address and phone number.
  • You will be asked to make a minimal donation (no sale). This way we can guarantee the service remains available for other women as well. In case you cannot make a minimal donation you can contact Women’s Wallet to receive a donation on your behalf.
  • You will receive a confirmation by e-mail from the doctor to whom you have been referred.
  • The medical abortion will be obtained from a pharmacy. A consultant will ensure that the medical abortion service is delivered by express courier at the address you gave to the doctor.
  • Normally, the shipment takes less than 10 days to arrive.
  • After 2 to 3 weeks you will receive an e-mail with the follow-up consultation.

Click here to start the online consultation.

In some countries Misoprostol is available in pharmacies and it might be a better option for you to do the abortion with Misoprostol alone. Follow the instructions "How can I do an abortion?" on the Women on Waves website.

Questions and Answers

General:

Why is this help service needed?
What is a medical abortion?
Is it difficult to use Mifepristone and Misoprostol by yourself ?
Is a medical abortion dangerous?
Is it safe to get a consultation for a medical abortion over the internet?
How is this protocol different than using only Misoprostol?
Is it legal?

Pregnancy:

How do you know if you are pregnant and how long you have been pregnant for?
How many weeks into your pregnancy can you do a medical abortion?
What will happen if you do a medical abortion after the first 9 weeks?
What if you are not pregnant but take the medicines anyway?
What are hCG levels during pregnancy?
What if you have a RH-bloodtype?

Precautions:

When should you not use the medicines?
What is a contraindication and how do you know if you have one?
What is an ectopic pregnancy and how do you know if you have one?
What is an IUD?
Why shouldn't you be alone when you do a medical abortion and what if you do it alone anyway?
Why should you be within 60 minutes of a hospital or first aid centre when you do the abortion?
What painkillers can you use?

Medical abortion with pills

How should you use the medicines?
Why should you use Misoprostol buccally, in the space between the gum and cheek?
What happens if you do not use Misoprostol in time?
What if you take the Mifepristone and then decide not to take the Misoprostol?
Can you use Mifepristone and Misoprostol if you are still breastfeeding?

The abortion process

When will you start bleeding and how long will it last?
What if you don?t bleed after you use the medications?
Can you see the products of the abortion (placenta, embryo, blood) and what should you to do with them?
What are the side effects of the medicines?
What is a complete, successful abortion and how do you know if you've had one?

Complications of Medical Abortion

How do you know if you have a complication and what should you do?
How do you know if you have a post-abortion infection?
How do you know if you have an incomplete abortion?
What is a curettage/vacuum aspiration and is it necessary after medical abortion?
How do you know if you have a continuing pregnancy?
What are the chances that the fetus will be malformed if you have an ongoing pregnancy?

Abortion After-Care

Do you require psychological counseling after an abortion?
Does medical abortion increase the risk of breast cancer?
Will you be able to get pregnant and have children after a medical abortion?
When can you start to have sexual relations again after having a medical abortion?
When can you get pregnant again after having a medical abortion?
How can you prevent a future unwanted pregnancy?
Reference List

Research about the Women on Web services published in the BJOG, August 2008 has shown that it is acceptable and safe for women to do medical abortions at home in countries where there is no access to safe abortion services. The study showed that with a 78% follow up, 6,8% of women have received a curettage or vacuum aspiration by local doctors, this is in the same range as other abortion services provided in outpatient settings. Click here read the abstract or full article online.
Click here for the press statement of the Royal College of Obstetricians and Gynecologists.
Video about www.yada-yada.co.uk/podcasts/Blackwell/video/BJOG_July08/index.html
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