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

Infections following medical abortions are very rare. If you feel weakness, nausea, vomiting, diarrhea, fever that lasts more than 24 hours or is higher than 100.4 F/ 38 C, pain in your belly, if your belly feels sore or tender, if you bleed a lot or for a long time, or if you have vaginal discharge that smells bad, you might have an infection and you should go to a doctor immediately. The infection should be treated with antibiotics.

A fever that starts soon after Misoprostol administration and lasts less than 24 hours and is less than 100.4 F/ 38 C is a common side effect. If the fever lasts longer than 24 hours or is greater than 100.4 F/38 C, you should seek medical attention.

Medical abortion is a safer alternative in places where surgical methods are dangerous for a woman’s health, or in places where the availability of safe abortion is restricted. The risk of infection is greater when a woman has a child than when she has a medical abortion.

More scientific information:
“Post-abortion infection is not well defined as one particular type of infection in studies of medical abortion 33 . The most common type of infection reported is endometritis, which is an infection of the lining of the uterus, and genital tract. It may involve infection of reproductive organs and the urinary system. Clostridium sordellii sepsis is another type of post-abortion infection that is extremely rare. Doctors analyzed one case in which a woman died from complications associated with Clostridium sordellii infection, and determined that even though the infection was associated with medical abortion, the case “does not alter the overall proven safety of medical abortions induced with Mifepristone and Misoprostol 11 . Clostridium sordellii can also cause fatal infections in women who have just given birth 39 . It is not an infection that only affects women having medical abortions.

Clostridium sordellii specifically called attention to the somewhat unusual and rather distinctive signs and symptoms associated with these infections — an absence of fever but the presence of refractory hypotension, hemoconcentration, effusions in multiple serous cavities, and dramatic leukocytosis. A Canadian woman died in 2001 of the same bacterial infection under similar circumstances. Disturbing aspects of the cases described by Fischer et al. in this issue of the Journal (pages 2352–2360) include the following: all the women were young and healthy; they had apparently successful procedures (there was no evidence on autopsy of retained products of conception); their clinical presentations were somewhat cryptic because they had cramping, which is very common after the procedure, and no fever; and they all died remarkably rapidly after presentation. As tragic as the deaths of these young, healthy women are, they remain a small number of rare events without a clear pathophysiologic link to the method of termination. Patients should be informed of this risk before they consent to the procedure and should be vigilant for symptoms after the procedure. 62

“Most medical abortion studies have reported no infections, although a few have mentioned isolated cases 26 . 10 cases of infection were reported out of 80,000 women who had medical abortions using Mifepristone in the United States 15 . A group of researchers reviewed many medical studies and concluded, “Infection after medical abortion procedures is an infrequent event, occurring in <1% of over 46,400 cases, substantially lower than the frequency of infection after surgical abortion 33 . They also stated, “… the overall frequency of reported infection after medical abortion procedures (0.92%) is lower than that reported after either surgical abortion procedures or childbirth 33 .

Help me, I have an unwanted pregnancy, what can I do?

If you live in a country where it is permitted to have abortion safe and…

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…

Which brand of misoprostol should I use and can different brand names can be used together?

Misoprostol alone has the following brand names: Cytotec (200µg Misoprostol…

Which type of pill containing Misoprostol is the most effective to cause an abortion?

All brands are effective. The most important thing is that the pills contain…

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…

I am more than 12 weeks pregnant and can travel; where can I find clinics that can help?

Late abortions are available in the following countries: England Abortions up…

Can Misoprostol be used if you have Chlamydia?

An infection with Chlamydia is one of the main causes of infertility and must…

Are there injections that could end my pregnancy?

The only injection that can successfully end a pregnancy is methotrexate. This…

What is Methotrexate?

Methotrexate can be used to induce an abortion in combination with Misoprostol…

Do antibiotiocs have an effect on the contraceptive pill and/or Misoprostol?

Antibiotics can diminish the effectiveness of the contraceptive pill as it may…

Does Provera (a progesteron) help to induce an abortion?

No it does not. Provera does not contain a working substance to make the womb…

คุณจะรู้ได้อย่างไรว่าท้อง และ ท้องได้กี่เดือนแล้ว?

ผู้หญิงส่วนใหญ่รู้ว่าตัวเองท้องเมื่อมีเพศสัมพันธ์และเมนส์ไม่มา อาการคลื่นใส้…

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 but the chance of…

I am 20 weeks pregnant; can I use Misoprostol?

Misoprostol should never be used after 20 weeks pregnancy. The fetus is able to…

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…

ระดับของ hCG ในระหว่างตั้งครรภ์เป็นอย่างไร ?

ระดับของฮอร์โมน hCG ในสัปดาห์ต่างๆ หลังการมีเมนส์ครั้งสุดท้าย (LMP) 3 สัปดาห์…

ถ้าคุณมีกรุ๊ปเลือด RH- ?

โดยทั่วไปหมอจะแนะนำให้ผู้หญิงที่ทำแท้งด้วยยา หรือแท้งธรรมชาติ หรือคลอดบุตร…

When you should not do a medical abortion?

You should not use the medicines if: someone is forcing you to end your…

มีข้อห้ามใช้อะไรบ้าง และคุณจะรู้ได้อย่างไรว่าคุณห้ามใช้ยานี้ ?

ข้อห้ามใช้คือเงื่อนไข หรือสถานการณ์ที่อาจจะทำให้คุณไม่สามารถใช้ไมเฟพริสโตน

การตั้งครรภ์นอกมดลูกคืออะไร และคุณจะรู้ได้อย่างไรว่าคุณตั้งครรภ์นอกมดลูก ?

การตั้งครรภ์นอกมดลูกคือการตั้งครรภ์ที่เกิดขึ้นนอกบริเวณมดลูก…

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…

ทำไมคุณจึงไม่ควรอยู่คนเดียวเมื่อคุณทำแท้งด้วยยา และถ้าคุณอยู่คนเดียว มันจะเป็นอย่างไร ?

ขอแนะนำให้คุณอยู่กับคนที่คุณไว้ใจในขณะที่คุณใช้ยา อย่างไรก็ตาม…

ทำไมคุณจึงควรอยู่ใกล้โรงพยาบาลหรือสถานพยาบาลขั้นต้นในระยะที่สามารถเดินทางไปถึงภายใน 1 ชม. เมื่อทำแท้ง?

เป็นสิ่งที่จำเป็นอย่างแน่นอนในการอยู่ในระยะ 1…

What painkillers can you use?

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

Can (homeopathic) medication that decreases menstrual pain be used with Misoprostol?

Because some of these medications might counter the contractions of the womb…

How should you use Misoprostol (cytotec)?

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

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…

จะปลอดภัยไหมที่จะทำแท้งด้วยยาอีก หลังจากที่เคยใช้แล้วครั้งหนึ่งในอดีต ?

ผู้หญิงจะอยู่ในภาวะเจริญพันธุ์เป็นเวลาประมาณ 40 ปี…

Can I take part of the Misoprostol/Cytotec orally and part vaginally. Is this effective?

We strongly advice women to use Misoprostol under the tongue (dissolve under…

คุณสามารถกินหรือดื่มได้ในระหว่างกินยาหรือไม่ ?

คุณไม่ควรดื่มเครื่องดื่มแอลกอฮอล์หรือใช้ยาเสพติดในช่วงนี้…

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

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

Can you go to work while doing the abortion? For how long must you rest before returning to work?

It is best to take Misoprostol on the weekends or when you can rest for a bit.

I took the first dose of Misoprostol and started bleeding. Should I take the next doses?

Yes, you must take the next doses, despite the blood loss. Scientific research…

How much and what colour is the blood loss?

The general rule is that fresh blood is red and old blood is brown. While…

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…

I've used Misoprostol a few days ago and I'm still in a lot of pain. Is this normal?

If the treatment was successful, you should no longer have any pain, just blood…

I've used Misoprostol but the pregnancy test is still positive. What should I do?

Sometimes, pregnancy test are still positive 3 or 4 weeks after the abortion

การทำแท้งที่สำเร็จและสมบูรณ์เป็นอย่างไร และจะรู้ได้อย่างไร ?

การทำแท้งที่สมบูรณ์หมายถึงการที่ร่างกายได้ขับส่วนต่างๆของครรภ์ (เลือด

คุณจะรู้ได้อย่างไรว่าคุณเกิดอาการแทรกซ้อนและควรจะทำอย่างไร ?

ถ้ามีการทำแท้งด้วยยาในระยะ 10 สัปดาห์แรก…

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…

Can Misoprostol be detected in a blood test?

Misoprostol disappears from the blood after 12 hours, and it does not show up…

คุณจะรู้ได้อย่างไรว่าคุณท้องต่อ ?

การท้องต่อคือครรภ์ที่ยังพัฒนาต่อเนื่องแม้หลังจากใช้ยาไมเฟพริสโตน และ…

มีโอกาสมากแค่ไหนที่ตัวอ่อนจะเติบโตอย่างผิดปกติถ้าคุณยังท้องต่อ ?

ถ้าคุณยังตั้งท้องต่อหลังจากใช้ไมโซพรอสทอล…

จำเป็นต้องทำอุลตร้าซาวด์หลังจากทำแท้งด้วยยามั้ย ?

ถ้าคุณไม่ได้มีอาการแทรกซ้อนอะไร ก็ไม่จำเป็นต้องอุลตร้าซาวด์หลังจากทำแท้งด้วยยา…

คุณจำเป็นต้องได้รับการปรึกษาด้านจิตวิทยาหลังจากทำแท้งแล้วหรือไม่ ?

ผู้หญิงส่วนใหญ่ไม่จำเป็นต้องได้รับการปรึกษาหลังจากทำแท้ง…

What are the risks?

Many illegal abortions are unsafe and are carried out without proper…

I used Misoprostol, there was some blood loss but not that much, has the abortion been successful?

It is very difficult to determine whether an abortion has been successful and…

I used Misoprostol; bleeding is like during menstruation. Should I go to the hospital?

You do not have to go to a hospital, but you should get an ultrasound or do a…

Can you get pregnant again immediately after using Misoprostol?

Yes. You must immediately start taking precautions. For contraceptive methods…

การทำแท้งด้วยยาเพิ่มความเสี่ยงในการเป็นมะเร็งเต้านมหรือไม่ ?

ไม่ การทำแท้งด้วยยาไม่ทำให้เกิดโอกาสในการพัฒนามะเร็งเต้านมเพิ่มขึ้น

How long must you wait before starting to have sexual intercourse again after the abortion?

It is best to wait 4-7 days after taking the Misoprostol to have sexual…

Is a medical abortion dangerous?

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

คุณจะยังสามารถท้อง และ มีลูกหลังจากทำแท้งด้วยยาได้หรือไม่ ?

การทำแท้งด้วยยาไม่มีผลต่อความสามารถในการมีลูกอีกในอนาคต ความจริง…

คุณจะท้องได้อีกเมื่อไหร่หลังจากทำแท้งแล้ว?

ถึงแม้ว่าหลังทำแท้งแล้วจะต้องรออีกหลายสัปดาห์กว่าจะมีเมนส์อีกครั้ง…

คุณจะป้องกันการท้องไม่พร้อมครั้งต่อไปได้อย่างไร ?

ประมาณร้อยละ 85…

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

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

Do I have an infection?

Do I have an infection? A fever could indicate that you have an infection. If…

I've tried Misoprostol but had no or very little blood loss. Did the treatment work?

If you still do not bleed and you are positive that you were pregnant, then you…