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Medical abortion - concerns about failure?

Hi Everyone,

First of all I'd like to thank all of you for your kind words and sharing your experiences online. I had a medical abortion yesterday (took second set of pills yesterday afternoon) at 5 weeks, and in the run-up to the event, it was so comforting to know I was not alone, and to get an idea about what to expect.

I think my experience fits in with what most people have gone through here. I went through Marie Stopes who administer the misoprostol (second set of pills - the prostaglandin) "bucally" (through the membranes of the cheek - you're meant to hold them between your gum and your lip, with the idea that the medicine is absorbed into the bloodstream - apparently this is meant to be as effective, but less invasive than inserting them into the vagina). I had a bad time with this, as the pills took ages to be absorbed, and I'm sure I swallowed some of them rather than them being absorbed through the buccal membrane. I stayed at the clinic as I was quite worried about this, but the doctor said that until relatively recently, everyone at the clinic swallowed them, but the buccal method was meant to mean that ladies absorbed more of the medicine if they happened to vomit. Apparently you're meant to be left with a chalky residue in your mouth anyway (I was expecting them all to be absorbed) due to the bulking agents they put into the tablets; the active ingredients are meant to be absorbed.

Anyway, within about two hours of the pills being absorbed, I started to get strong cramps and felt very nauseous. The bleeding started, and though I wasn't aware of massive clots, I did get big globs/drops, and there has been heavy bleeding. I don't know whether I should have been more aware of massive "clots", even if I purposefully wasn't looking too much? I was only just 5 weeks so maybe I should not get such significant clots? I don't really even know what to expect in a "clot", and whether the globs I described count as such? I was sick about 4 times (the first time about 3 and half hours after the pills were absorbed, and the bleeding had already started), but I actually felt better afterwards, even if the pain was bad. The cramps continued into the night (very hard to sleep), but by about 12 hours after the pills had been absorbed, so about 3-30am this morning, things had settled, though I am still bleeding quite heavily.

I write to ask if anyone here has any idea whether this sounds usual? I'm so worried about the procedure failing though I have tried to do absolutely everything properly. I understand that there's about a 2%-3% failure rate for this procedure. Risk factors include being an older woman, and also multiparity ( having had lots of children), from my research of scientific journals online. I am not within either of these categories but I am still anxious. I have heard that some women don't start to bleed and I was worried about that initially but that didn't happen to me. Marie Stopes advise doing a pregnancy test after 3 weeks, but they give you two, to try another one in four days if the first one is positive. The idea of that happening terrifies me. I honestly don't know how I would cope. Is there any way to check earlier? My breasts were very tender and they are noticeably less so today. I had no morning sickness beforehand so I can't use that as an indicator. Maybe it's a case of just wait and see, but would be so grateful to hear whether this sounds like a "normal" experience?

Many thanks once again for all your contributions to this site, and kind words. I send anyone going through a similar thing lots of love and support.

x

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Update - negative at 3 weeks...

I just thought that I would post an update to say that I did a pregnancy test 3 weeks following the procedure (I took my second set of pills three weeks ago today), and it was negative.

I hope my experience above is helpful to people. I would say that even if tests come back positive after three weeks, this can be because each woman will have a different hormone profile, and for some the hormones will take longer to subside.

Sending you all good wishes, and thanks for your contributions and support to this site.

x

About me

Hi juliaetta1111
I just wanted to say at the moment you are concerned about your helath and well-being and it is easy to see that what you have been through is a disturbing experience. You have fears about still being pregnant and falling into the failure bracket. Later, maybe much later in your life, when the truth of this pregnancy reveals itself, you may wish that this had failed. Accept this pregnancy into your heart in order that you can mourn your loss and begin to heal.
Speedy health to you.
Casey

Me too...

i also had a medical abortion yesterday, and my experience was very similar to yourself. it was nowhere near as painful as expected and (although i tried not to look) i passed a couple of small clots around lunchtime. the nurse came into the bedroom to take away the bedpan and confirmed that the clots were what she believed to be the pregnancy. i was just under 6 weeks. i would try not to worry. i was told at the hospital that around 14 per 1000 procedures fail btw. please try not to worry...big hugs xx

Hi julietta

Today I also had a medical abortion at 5 weeks. I too am worried about whether the procedure has worked.
I took the second set of tablets at 14.45 today and by 15.45 i had started bleeding. The pills did not also fully dissolve, the lady at the clinic told me to keep them in my mouth for 30 mins, and by an hour they had not fully dissolved. I ended up swallowing some of them also.

I was also sick once (although this happened after the bleeding started). I had abdominal cramps and i also passed some 'clots', not really as many as i was expecting. Right now at 7pm i am feeling fine and the pain has almost gone, although i am still bleeding.

I too don't know whether the procedure has worked.



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