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How To Induce An Abortion Or Take Emergency Contraception At Home With Proper Medications
How to Induce an Abortion or Take Emergency Contraception at Home with Proper Medications
Also includes how to use birth control pills as emergency contraception in case of emergency.
If safe for you to do so- please find a legitimate clinic - A list of legitimate US clinics is available here https://www.abortionfinder.org/ Do not do an internet search as fake clinics outnumber real clinics 12 to 1 in some parts of the US. "Crisis Pregnancy Centers" are FAKE Clinics.
If you need help obtaining funding contact one of these organizations: https://abortionfunds.org/need-abortion/
Abortion or EC, Which is right for me?
Medication Abortion: You are up to 13 weeks (91 days) pregnant but do not want to continue the pregnancy. Best results within the first 10 weeks of pregnancy.
Emergency Contraception, 'the morning after pill': Taken ASAP up to 5* days after intercourse. Use if you had unprotected sex or your contraception method failed and you do not want to become pregnant right now. EC will not terminate an existing pregnancy. EC is more effective the sooner it is taken, so if you are sexually active, obtain EC now so you have it on hand.
Medication Abortions:
What you need to know:
If you have an IUD you need to have it removed before inducing an abortion. The good news is those with IUDs are very unlikely to become pregnant.
Have a safety plan in case of rare emergency.
Do not breastfeed within 4 hours after taking these medications, best to pump before hand or use formula if you can.
Misoprostol is a common medication used to prevent stomach ulcers, you may also be able to find it for animal use.
Abortion With Mifepristone and Misoprostol:
You will need to take one 200mg pill of mifepristone and four to eight 200mcg pills of misoprostol (800-1600mcg). Ibuprofen is recommended for discomfort. Acetaminophen/paracetamol are not recommended.
Swallow one 200mg pill of mifepristone with water.
Wait 24-48 hours.
Place 4 misoprostol pills (200 mcg each for a total of 800 mcg) under your tongue and hold them there for 30 minutes as they dissolve. Do not speak or eat. After 30 minutes, drink water and swallow any remains. Then take ibuprofen. Bleeding and cramping should begin within within 3 hours.
24 Hour later: If you have not experienced bleeding or are unsure the abortion worked, place 4 additional misoprostol pills under your tongue, repeating step 3.
If mifepristone is not available, you can use misoprostol alone to end a pregnancy.
Abortion with Misoprostol only:
You will need to take twelve 200mcg pills of misoprostol (2400 mcg total). Ibuprofen is recommended for discomfort. Acetaminophen/paracetamol are not recommended.
Place 4 misoprostol pills (200 mcg each for a 800mcg dose) under your tongue and hold them there for 30 minutes as they dissolve, not speaking or eating. After 30 minutes, drink water and swallow any remains. Take ibuprofen.
Wait 3 hours.
Place another 4 misoprostol pills (200mcg each for a 800mcg dose) under your tongue and hold them there for 30 minutes until they dissolve. After 30 minutes, drink water and swallow any remains.
Wait another 3 hours.
Place a third set of 4 misoprostol pills (200mcg each for a 800mcg dose) under your tongue and hold them there for 30 minutes until they dissolve.
Make sure to take all 12 pills even if you start to bleed before you’ve taken all of them.
The World Health Organization recommends a follow-up with a doctor if:
You feel sick, or your pain is not getting better after 2 or 3 days. If this occurs, seek medical attention right away.
You still feel pregnancy symptoms two weeks after taking the abortion pills.
Your bleeding is heavy and not getting lighter after 2 weeks.
Emergency Contraception
If you have had unprotected sex or your contraception method has failed and you do not want to become pregnant. It is taken as one or two pills, according to the package directions, and is most effective if taken within 24 hours.
Which EC should I take?
There are two most common EC medications, Ulipristal (Ella) and Levonorgestrel (Plan B) and their generics. Ulipristal acetate (Ella) will be more effective and is a better choice for most people, but could be more expensive or difficult to obtain. It may also be possible to have an IUD implanted within the EC timeframe to prevent implantation, Talk to your doctor if this is an option.
"Plan B" (Levonorgestrel) may not work for you if you weigh more than 70 kg / 155 lbs, are currently ovulating, or it has been more than 3 days since intercourse. Take "Ella" (Ulipristal acetate) instead.
Levonorgestrel is a progestin medication. It stops the ovaries releasing eggs and prevents sperm from reaching and fertilizing any existing eggs. One dose is usually a 0.75 mg tablet.
Ulipristal acetate also delays ovulation, preventing your ovaries from releasing an egg when it normally would. However if an egg has been fertilized, Ulipristal also makes it difficult for the egg to embed in the uterus. One dose is usually a single 30 mg tablet.
Plan B reduces your risk of pregnancy by 88% if taken within 72 hours. It is most effective if taken within 24 hours (95% of cases).
Ella is even more effective at preventing pregnancy than Plan B. It is most effective if taken within 24 hours, is more effective than Plan B if taken within 72 hours. It will also prevent 85% of pregnancies if taken within 5 days (120 hours).
Plan B may be less effective if you weigh more than 70 kg / 155 lbs while Ella has been shown to be effective for individuals weighing up to 88kg / 195 lbs. Both pills are still effective for individuals who weigh more, but Ella is more recommended if this is a concern.
Do not breast feed within 35 hours of taking Ella, lactating people should "pump and dump" - discard that milk.
Side effects of EC like headaches and nausea should fade within a few days. Your next period might be delayed by up to a week, or it might be heavier than usual.
Ella might be harder or more expensive to obtain. Take what you have safe and quick access to., but do NOT take Plan B if you’ve taken Ella (ulipristal acetate) since your last period.
If you don’t get your period within a week of when it was expected, you should take a pregnancy test.
What if I can't get Emergency Contraception in time?
Luckily, traditional birth control pills can be taken in place of emergency contraception in cases of emergencies. However, one must take multiple pills to obtain the needed level or hormones. It is not the preferred method, because it causes more side effects (like nausea and headaches) and is less effective than other methods (75% effective).
Within 3 days of intercourse - Take at least 100 mcg (0.1 mg) of ethinyl estradiol, (the estrogen component of a birth control pill), and 0.5 mg of the progesterone (levonorgestrel) or 1 mg norgestrel.
Repeat the dosage 12 hours later.
You’ll need to take more than one pill in each dose. For example, if your birth control pills contain 0.02 mg ethinyl estradiol and 0.1 mg of levonorgestrel, you’ll need to take five tablets per dose.
This chart lists the amount of pills to take depending on the brand of bcp available to you. Not all bcp contain the needed hormones.
The Facts
Emergency Contraception can be taken as often as necessary, but traditional birth control coupled with condom or barrier use is more effective as a long term solution.
Having a safe abortion or using emergency contraception will not have an effect on whether you can become pregnant in the future.
Literally millions of women and afab people have had abortions and go on to have healthy babies if and when they decide it is right for them. This is your life. If you do or do not want to continue a pregnancy, do not let anyone pressure you into a decision you are not comfortable with.
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Our current landlady is the very image of one of those landlords who’d be spared the guillotine.
She’s an older, polite, maternal (white, middle class) woman who just happened to have enough money to buy a spare house, and is renting it to top up her pension. She reads The Guardian and asks after my family and does the occasional repair when necessary. She’s not one of those evil landlords.
She also just repeatedly lied to our faces about our contracts to try to get us to forfeit most of the rights we have as tenants. She also visits frequently, criticising how we live and reminding us that our home belongs to her. She also condescendingly and unnecessarily explains to us how boilers and washing machines and carpets work.
She explains to us how renting works.
She explains it with an indulgent smile, like a grandmother talking to a child, as if she’s being terribly patient about correcting our misunderstandings.
And she lies.
She lies because as much as she wants to convince us, everyone else, and even herself that she’s a good person, our entire relationship is based on the power she holds over us. She uses her wealth and position in society to extort payment from us, who have nowhere to live. We sacrifice to her the majority of the income we spend our lives earning, just so we can have a roof over our heads. But any time we don’t show proper deference to her, she could have us out on the street in weeks or months. We’d lose our home, because to her it is merely an asset which in no way belongs to us, the people who live there.
Today she repeatedly lied to us about our contract, and about the law, because she wanted us to have the minimum legal power possible. If I didn’t organise with a local tenants’ union, I wouldn’t have known my rights. And if I didn’t have the security of being a member of that union behind me, I never would have had the guts to challenge her. My housemate had no idea she was lying, and would have trusted her, signing away what few rights we had under the law.
As part of this tenants’ union, I’m always fighting with the worst landlords - the ones who keep people living in squalor, the ones with a dozen properties, the ones who are violent and abusive. But today has reminded me that even the “nice” landlords are still scum.
A genuinely good person who has enough spare money to buy a spare house (which is a lot of money! they wouldn’t need more!) would just let people who need a home live there, not bleed them of their income for the privilege of a warm place to sleep.
Never trust a landlord.
But more importantly, join a tenants’ union, and take back the power they hold over you. It was one of the most empowering things I’ve ever done.
In London, I recommend London Renters Union.
In Scotland: Living Rent.
In the rest of the UK: ACORN.
+ there are tenants’ unions all over the world, and housing co-ops where everyone who lives there part-owns their home and there’s no landlord to answer to
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