Termination of pregnancy uses Mifepristone (known by the trade name RU486) and Misoprostal (Cytotec) together. It is found to be more effective, or Misoprostal can be used alone, but the effectiveness will be slightly reduced.
Mifepristone is used by taking it orally with water, with no side effects. For Misoprostal (Cytotec), it is used by placing it under the tongue without swallowing (like a thermometer), waiting for it to dissolve completely before swallowing or drinking water, or
inserting it into the vagina (as close to the cervix as possible). Inserting it into the vagina will have similar symptoms but less than placing it under the tongue: 1) chills and fever 2) fever 3) shivering 4) nausea and vomiting 5) diarrhea. Do not be alarmed; these are not dangerous. Once the drug’s effect wears off, these symptoms will disappear on their own. Prepare pain relief medication to alleviate any pain, such as 2 tablets of paracetamol, 2 tablets of Ponstan, or 2 tablets of Brufen. For diarrhea, let it pass normally. However, Misoprostal (Cytotec) should not be used by swallowing with water as it is ineffective.
After the tissue and blood clots have passed, abdominal pain and all side effects will disappear, and the woman will feel comfortable. However, there will be vaginal bleeding for 7-14 days, gradually decreasing. Use sanitary pads during this time. The method to dispose of the tissue and blood clots is to flush them down the toilet or pour water over them, or if they are in a sanitary pad, wrap and dispose of them normally.
The following cases may indicate incomplete abortion, and you should see a doctor:
1. No tissue has passed, or there is only slight bleeding for more than 6 hours.
2. After using Misoprostal for 7 days, there are still pregnancy-like symptoms such as breast tenderness, frequent urination, or nausea.
3. Bleeding lasts more than 14 days; a check-up is needed to see if there are any retained placental fragments.
If you wish to use a pregnancy test kit, you can test urine 15 days after using the abortion medication. Testing before this may result in a positive due to remaining hormones in the urine, even though you are no longer pregnant.