What is an ectopic pregnancy and how do you know you have one?

An ectopic pregnancy is a pregnancy that grows outside the womb, usually in a fallopian tube. It is a life threatening situation because if the pregnancy grows too large it can cause the tube burst. This must always be treated with an operation or medicines. A medical abortion does not effect a pregnancy outside the womb!
You can make sure that your pregnancy is inside the womb by having an ultrasound. If you use Mifepristone and Misoprostol to end a pregnancy and you do not do an ultrasound first, there is always a chance that you could have an undetected ectopic pregnancy. If you do not pass tissue and blood after taking the Misoprostol, you might have an ectopic pregnancy. If you have sudden severe pain in your belly or back (mostly on one side), if you feel you might faint or if you do faint, or if you feel pain in the shoulder area, you might have an ectopic pregnancy that has burst and you should go to a hospital immediately. Ectopic pregnancies are treated everywhere, even in places where abortion is severely restricted.

More scientific information:
An ectopic pregnancy occurs when a fertilized egg does not implant and grow in the uterus as usual, but instead implants and begins to grow elsewhere, usually in the fallopian tube 25 . The fallopian tube is a tiny passage that the fertilized egg passes through as it goes from the ovary to the uterus. If the pregnancy continues, the embryo will grow and become too large for the fallopian tube, causing the fallopian tube to burst. Ectopic pregnancies cannot be carried to term, and must be removed to save the life of the woman. Treatment by a gynaecologist is then necessary to ensure the health of the woman. If not treated, there is a risk of heavy internal bleeding due to rupturing of the fallopian tube.

A medical abortion using Mifepristone-Misoprostol does not cause ectopic pregnancy, but it does not treat an ectopic pregnancy either 7 . If a woman has an ectopic pregnancy, there are no additional complications associated with her doing a medical abortion. “…There is no evidence to suggest that medical abortion treatment leads to unusual complications for women with ectopic pregnancies 34 .
If an ectopic pregnancy goes untreated the embryo could continue to develop outside the uterus even after taking Mifepristone and Misoprostol 26 . It will continue to grow, and if not removed, will cause the fallopian tube to rupture when the embryo grows too large for the space. If not treated, there is a risk of heavy internal bleeding due to rupturing of the fallopian tube. Gynaecologists treat women for this condition in all countries, even in countries where access to abortion is very restricted.

A pregnant woman who is experiencing any of the following symptoms, may have an ectopic pregnancy 25 : increasing abdominal or pelvic pain, cramping on one side of the pelvis, small amounts of unusual vaginal bleeding, breast soreness, nausea, lower back pain.

Can I have an abortion if I have an IUD?

An IUD is a contraceptive, a small coil of about 3 cm inserted by a doctor into…

کمک کنید، من دچار حاملگی ناخواسته شدم، چیکار باید بکنم؟

اگر شما در کشوری زندگی‌ می‌کنید که سقط جنین از راه مطمئن و قانونی امکان پذیر…

What is a medical abortion?

A medical abortion uses a medicine or a combination of tablets to cause the non

Is it difficult to use Misoprostol by yourself?

No. You can take Misoprostol on your own. Using Misoprostol is no more…

How to use misoprostol (cytotec) to cause an abortion?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each. To cause an…

How can I get Misoprostol?

Instead of using Misoprostol alone it is much more effective (99%) to do a…

چه مارکی‌ از misoprostol را استفاده کنم و آیا مارک‌های مختلف را با هم می‌تونم استفاده کنم؟

‏Oxaprost و Arthotec حاوی یک مسکن میباشند. ممکن است که برای خیلی از خانوم‌ها…

کدام قرص حاوی misoprostol از همه موثر تر می‌باشد؟

همه مارک‌ها موثر میباشند. مهمترین مساله این است که قرص حاوی ۲۰۰میکروگرم…

I cannot get Misoprostol. Could you please send them to me?

If you live in a country where there is no access to safe and legal abortion…

آیا خانوم‌هایی‌ که دچار به کلامیدیا بوده میتوانند از misoprostol استفاده کنند؟

عفونت کلامیدیا یکی‌ از علل ناباروری می‌باشد و باید قبل یا هنگام استفاده از…

آیا دارویی که تزریق بشود برای پایان دادن به حاملگی وجود دارد؟

تنها داروی تزریقی که حاملگی را با موفقیت پایان دهد Methotrexate می‌باشد. این…

‏Methotrexate چیست؟

‏Methotrexate همراه با Misoprostol (بد از گذشت ۳ تا ۷ روز ۴ عدد قرص ۲۰۰…

آیا آنتی بییوتیک‌ها در کار آیی قرص سقط جنین یا misoprostol اثری میگذارند؟

ممکن است در کار آیی قرص ضاد حاملگی در صورت بروز اسهال تاثیر بذارند ولی‌ در کار…

آیا Provera (یک پروژسترون) میتواند باعث القا سقط جنین شود؟

خیر، نمی‌تواند. Provera حاوی ماده فعالی‌ که باعث انقباض رحم یا عاملی دیگر برای…

How do you know if you are pregnant and how long you have been pregnant for?

Most women determine that they are pregnant if they are sexually active and…

How many weeks into your pregnancy can you do a medical abortion?

You can do a medical abortion at home until the 12th week of your pregnancy.

I've been pregnant for more than 12 weeks. Can I still use Misoprostol?

Misoprostol still works after 12 weeks of pregnancy. However 4% to 8% of women…

What if you are not pregnant but take the medicines anyway?

Your health will not be harmed if you are not pregnant but take the medicines…

What are hCG levels during pregnancy?

hCG levels in weeks from Last Menstrual Period :

What if you have a RH - bloodtype?

Usually doctors advice women who have an (surgical) abortion or miscariage or…

When you should not do a medical abortion?

You should not use the medicines if:

What is a contraindication and how do you know if you have one?

Contraindications are conditions or situations might keep you from being able…

Why shouldn't you be alone when you do a medical abortion and what if you do it alone anyway?

You are strongly advised to use the medicines in the presence of someone you…

Why should you be within 60 minutes of a hospital or first aid centre when you do the abortion?

It is absolutely necessary to be within one hour of help, in case you lose too…

What painkillers can you use?

NSAID's like Ibuprofen, Diclofenac and Naproxen are the most effective…

آیا از داروهای هومیوپاتی که دل‌ درد عادت ماهانه(رگل) را کم میکنند را همراه با misoprostol استفاده کرد؟

به دلیل اینکه بعضی‌ از این داروها ممکن است که جلوی انقباض رحم را بگیرند، توصیه…

How should you use Misoprostol (cytotec)?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each.

Are there other ways to use the Misoprostol?

We strongly advise you to use Misoprostol under your tongue. This way, no…

Can you use Misoprostol if you are still breastfeeding?

It is better not to breastfeed during the first 5 hours after taking…

Is it safe to have a medical abortion if you've already had one in the past?

Women are fertile for about 40 years. Some women need more than one abortion…

آیا می‌توانم قسمتی‌ از misoprostol, cytotec را از طریق دهان و قسمتی‌ را از طریق واژن مصرف کنم؟

به خانوم‌ها توصیه می‌کنیم که یا قرص‌ها را از طریق واژن یا به صورت زیر زبانی…

Can you eat or drink while you are taking the medicines?

You should not drink any alcohol or use drugs, as it can affect your judgment.

When will you start bleeding and how long will it last?

After using Misoprostol you should expect bleeding and cramps. Bleeding usually…

آیا هنگام سقط با misoprostol به محل کار می‌شه رفت؟ چه مقدار استراحت لازم است؟

بهتر است که آخر هفته یا هنگامی که امکان استراحت داریم از misoprostol استفاده…

بد از خوردن دور اول قرص ها، خونریزی شروع شده است، آیا دور دوم و سوم از قرص‌ها را لازم دارم؟

بله، با وجود خونریزی هنوز باید از دور دوم و سوم استفاده کرد. تحقیقات علمی‌ نشان…

رنگ و مقدار خون از دست رفته چه می‌باشد؟

به طور کلی‌ خون تازه قرمز و خون قدیمی‌ قهوه‌ای می‌باشد. هنگام سقط جنین شما خون…

Can you see the products of the abortion (placenta, embryo, blood) and what should you do with them?

Most of the time women can see blood and tissue in their sanitary napkin or in…

What are the side effects of Misoprostol?

The medical abortion normally causes side effects such as pain and cramping, as…

از misoprostol استفاده کرده و همچنان درد شدید دارم، آیا این طبیعی می‌باشد؟

اگر که درمان موفق بوده در این صورت دردی نباید داشته باشید، فقط خونریزی. درد…

‏Misoprostol مصرف کرده‌ام اما تست حاملگی هنوز مثبت می‌باشد، چه کار کنم؟

گهی اوقات تست حاملگی بد از گذشته ۳ یا ۴ هفته همچنان مثبت می‌باشد، چون هورمون…

What is a complete, successful abortion and how do you know you've had one?

A complete abortion means that the body has expelled all the products of…

How do you know if you have complications and what should you do?

If performed in the first 10 weeks, a medical abortion carries a very small…

How do you know if you have a post-abortion infection?

Infections following medical abortions are very rare. If you feel weakness

How do you know if you have an incomplete abortion?

An incomplete abortion is an abortion that has only been partially successful.

What is a curettage/vacuum aspiration and is it necessary after medical abortion?

Vacuum aspiration (MVA)is a surgical intervention to remove the contents of the…

آیا misoprostol در آزمایش خون تشخیص داده میشود؟

بله، امکان تشخیص آن وجود دارد ولی‌ فقط در صورتی‌ که آزمایش مخصوص تشخیص این دارو…

How do you know if you have a continuing pregnancy?

Continuing pregnancy is a pregnancy that continues to develop even after the…

What are the chances that the fetus will be malformed if you have an ongoing pregnancy?

If you have an ongoing pregnancy after using Misoprostol, the risk of having a…

Do you need to have an ultrasound after doing a medical abortion?

If you do not have symptoms of a complication, it is not necessary to have an…

Do you require psychological counseling after you have had an abortion?

Most women do not need any psychological help after an abortion. Feelings of…

خطرات چیست؟

بسیاری از سقط جنین‌های غیر قانونی‌، خطرناک بوده و بدون داشتن آگاهی‌‌های لازم…

چقرد طول خواهد کشید تا Misoprostol شروع به کار کند و عوارض جانبی چقدر همراه خواهند بود؟

در بیشتر مورد میسپرستل بد از 4 ساعت شروع به کار کردن خواهد کرد با شروع دل درد و…

از Misoprostol استفاده کردم، مقدار خیلی کمی‌ خونریزی داشته ام، آیا سقط کارساز بوده؟

به سختی می‌توان تشخیص داد که سقط جنین اتفاق افتاده است. تنها راهی‌ که بی‌ شک…

آیا امکان حاملگی مجدد بد از مصرف misoprostol وجود دارد؟

بله، فورا باید احتیاطات لازمه را کرد، برای راهای پیشگیری از بارداری به این…

Does medical abortion increase the risk of breast cancer?

No, having an induced abortion does not increase a woman’s chance of developing…

بعد از سقط جنین برای ارتباط جنسی‌ دوباره چقدر باید صبر کرد؟

شما میتوانید هر موقع که دوباره احساس راحتی‌ کردید رابطه جنسی‌ داشته باشید. فورا…

Is a medical abortion dangerous?

Medical abortions performed in the first 12 weeks of pregnancy have a very low…

Will you be able to get pregnant and have children after a medical abortion?

A medical abortion does not affect your ability to conceive or bear a child in…

When can you get pregnant again after having a medical abortion?

Although it may be several weeks after your abortion before you get your…

How can you prevent a future unwanted pregnancy?

About 85% of sexually active women who do not use contraceptives become…

Where can I buy the abortion pill (RU 486, mifepristone, mifeprex, mifegyne, Zacafemyl)?

RU 486 (the abortion pill, Mifepristone, Mifegyne, Mifeprex, Zacafemyl)) is…

آیا دچار عفونت شده ام؟

آیا دچار عفونت شده ام؟ بالا بودن دمای بدن میتواند به این معنی باشد که عفونت…

من از Misoprostol استفاده کرده‌ام ولی‌ خونریزی خیلی کمی‌ داشتم یا اصلا خونریزی نداشته، آیا درمان کارساز بوده؟

من از Misoprostol استفاده کرده‌ام ولی‌ خونریزی خیلی کمی‌ داشتم یا اصلا خونریزی…