Cramping and Pain
What's Normal
- •Cramping is expected and can be strong, especially in the first few hours after taking misoprostol
- •Pain typically feels like strong menstrual cramps
- •Cramping usually improves significantly within a few days
- •Some mild cramping may continue for 1-2 weeks
Pain Relief Options
Medication
- •Ibuprofen (Advil, Motrin) - 400-600mg every 6-8 hours
- •Acetaminophen (Tylenol) - 500-1000mg every 6 hours
- •Avoid aspirin (can increase bleeding)
Comfort Measures
- •Heating pad or hot water bottle on belly
- •Warm shower or bath
- •Back massage
- •Rest in a comfortable position
Bleeding
What's Normal
- •Bleeding usually starts 1-4 hours after taking misoprostol
- •Heaviest bleeding typically occurs in the first 1-2 days
- •Bleeding is often heavier than a normal period, with blood clots
- •Light bleeding or spotting can continue for 9-16 days (sometimes up to 30 days)
- •Passing blood clots (especially in the first 24 hours) is normal
What to Expect
The amount of bleeding varies from person to person. Some experience bleeding similar to a heavy period, while others have more significant bleeding. Both are normal. The gestational age can affect the amount of bleeding - earlier pregnancies typically have lighter bleeding.
Common Side Effects
These side effects usually begin within a few hours of taking misoprostol and typically resolve within 24 hours:
Digestive Symptoms
- •Nausea
- •Vomiting
- •Diarrhea
General Symptoms
- •Fever and chills (mild, lasting less than 24 hours)
- •Headache
- •Dizziness
- •Weakness or tiredness
Managing Side Effects
- For nausea: Anti-nausea medication, ginger tea, crackers, small frequent meals
- For diarrhea: Stay hydrated, eat bland foods (BRAT diet: bananas, rice, applesauce, toast)
- For fever/chills: Rest, stay warm, monitor temperature
- For tiredness: Rest as much as possible for 1-2 days
When to Seek Medical Attention
Contact a healthcare provider immediately if you experience any of these symptoms:
- Heavy bleeding: Soaking through more than two maxi pads per hour for two consecutive hours
- Large clots: Passing blood clots larger than a lemon
- Severe pain: Pain not relieved by medication, rest, or heating pads
- Persistent fever: Fever of 100.4°F (38°C) or higher that starts more than 24 hours after taking misoprostol, or lasts more than 24 hours
- Severe digestive symptoms: Vomiting or diarrhea lasting more than 24 hours
- Signs of infection: Unusual vaginal discharge with strong odor, worsening pain
- No bleeding: No bleeding within 24 hours of taking misoprostol
Support is Available
If you have any concerns or questions during your medication abortion, don't hesitate to reach out for support. You can contact our support line or the M+A Hotline at 1-833-246-2632 for free, confidential support 24/7.
Need More Information?
Learn more about the medication abortion process, frequently asked questions, and available support resources.