Hello,
Thank you for your question.Medication
abortion side effects of an uncomplicated medication abortion often include gastrointestinal discomfort (nausea, vomiting,
diarrhea), thermoregulatory effects such as fever and chills, headache, and
dizziness. Vaginal bleeding and pelvic cramping are part of the abortion process, theses symptoms increases with increasing duration of gestation.
Abdominal pain and cramps are experienced by nearly all women undergoing medication abortion, and patients should be counseled about what to expect as part of the decision-making process betweeen medication and surgical aspiration abortion option. Increasing patient age and higher gravity and parity correlate with less pain, while dysmenorrhea and increased
gestational age correlate with increased pain with medication abortion. The pain is usually self limited and typically is most severe from shortly after
misoprostol is taken until the expulsion of the
pregnancy.
Many women require one or more medications for pain relief. Typically, nonsteroidal anti-inflammatory drug (NSAIDs) are sufficient, But some women experience a degree of pain that is relieved only with opoids. We advice patients to premedicate with an NSAID. If a patient calls with significant, persistent pain that unrelieved with usual measures with medicine or with pain that increases in severity after the bleeding has begun to subside, medical evaluation is required to asses for ectopic pregnancy, infection, ot other causes.
Hope I have answered your query. Let me know if I can assist you further.
Best regards,
Dr. Heang Chan Raksmey, General and Family Physician.