Frequently Asked Questions

At safe2choose we have compiled the usual questions shared by women facing unwanted pregnancies and going through a safe abortion with pills. If you can’t find what you are looking for then send us an email or chat with one of our trained counselors. We are happy to support you!

US$ 65.00 + shipping.

The US$ 65.00 fee covers:

  • Online consultation
  • Abortion pills
  • Counseling services (as many times as you need)

Get in touch:  help@safe2choose.org

Our team of trained counselors will be ready to answer your questions.

If your abortion pills do not arrive within a week or so, please get in touch with our team (help@safe2choose.org). Our counselors will be able to track the product and, if necessary, arrange a new order.

There are different reasons why pills may not arrive on time:

  • The package got lost (rare cases).
  • The address provided did not exist.

If your pills got lost, safe2choose will send you a new order free of charge.

safe2choose is committed to offer alternative and innovative ways for women to access quality and affordable abortion pills and care globally. We are currently expanding our reach.  We hope to cover as many countries as possible in the near future.

We are sorry if we cannot help you today! Speak to women’s health organisations where you live for additional support.

 

We want to ensure that as many women around the world as possible have access to safe abortion care and information.  In order to sustain our operations, maintain a high standard of quality and invest in expanding our coverage, we need to charge clients a fee that covers the cost of the pills, cost of Licensed Medical Practitioner responsible for assessing clients case and issue Medical Prescription when appropriate, the time of our staff, courier services and other operational costs. We hope you understand that and will contribute to our mission.

Our health professionals are certified Licensed Medical Practitioners which will assess each clients case and prescribe the abortion pills to those women that are fit for an abortion will pill.

Most women are eligible to use abortion pills. Only women who report a known allergy to mifepristone or misoprostol or an ectopic pregnancy may not receive a prescription to use abortion pills.

An ectopic pregnancy is a pregnancy that is growing in the Fallopian tubes.  These pregnancies are not viable.  Local health providers can help you to terminate this type of pregnancy (even in countries where abortion is not legal).

Over 40 million abortions are performed worldwide each year, and around 22 million are unsafe…why? 

Every woman has a story!  But their reasons are similar:

  • They don’t feel ready to have a child.   
  • They need to care for their existing children.
  • They can’t afford another child.
  • They weren’t able to get contraceptives.
  • Their partners said “no” to the use of a contraceptive method.
  • The contraceptive method failed.
  • They didn’t have correct information about how their body works and when they can get pregnant.
  • They were raped.
  • They have a health problem. A pregnancy can, in some cases, worsen or threaten women’s health and lives. 

Abortion pills are medicines or tablets that are very effective at causing an abortion in the first 10 weeks of pregnancy. There are two proven ways (regimes) of doing it: using a combination of two medicines called mifepristone and misoprostol; or using misoprostol alone.

Most organizations recommend home-use of abortion pills up to 9 weeks from Last Menstrual Period calculation (63 days).  This information is based on World Health Organization guidance. However, a recent study by The American College of Obstetricians and Gynaecologists confirms that the method is an efficacious and acceptable alternative to end pregnancies of up to 10 weeks (70 days).

We will always use the latest evidence available to guide you through a safe abortion with pills.

No. Mifepristone is a stable medicine at room temperature, but all medicines should be manufactured with Good Manufacturing Practices to be sure that the correct amount of Active Pharmaceutical Ingredient (the ingredient that makes it work) is in the medication. In one known case, a patient ordered mifepristone from the internet. The company that distributes mifepristone in the U.S. sent this pill to an independent laboratory. The pill contained absolutely no mifepristone—it contained acetaminophen.

Misoprostol is sensitive to heat and humidity. There are at least 30‐40 manufacturers of misoprostol worldwide and some manufacturers subcontract, which makes it difficult to enforce Good Manufacturing Practice and ensure quality across all brands. Even misoprostol manufactured in high‐quality conditions and packaged well can become inactive if it is shipped or stored in conditions that expose it to heat or humidity for prolonged periods of time. High-quality misoprostol packaged in double‐aluminum blister packs (aluminum on top and bottom) retains the most active ingredient compared to other types of packaging or bottling.

Rest assured that safe2choose is committed to procuring, storing and distributing quality medicines that meet international specifications so you can have a safe abortion with pills. That is safe2choose ultimate goal! 

Young women have the same or higher rates of success as older women when using abortion pills.

No, use the same abortion pills and the same number of pills we recommend for everyone. Studies have shown that the success of abortion pills isn’t lower for large or heavy women. You don’t need to take a different dose or more pills.

You don’t need to change the dose or the number of pills if you find out you’re pregnant with twins. The abortion pills are used for twin pregnancies.

No. Women with no children have a higher rate of success using abortion pills.

Yes! Some women will experience more bleeding than others, but you should know that bleeding is a sign that the abortion pills are working. If you do not bleed through the process, that may be a sign of an ectopic pregnancy.

Contact our team if you do not experience any bleeding after using the pills or contact your local Certified Doctor or Hospital.

No, each pregnancy is a unique event. If have you used the abortion pills before, you don’t need a higher dose if you use them again for a different unwanted pregnancy.

You can get pregnant again as soon as 8 days after using the abortion pills. If you have sex, you should use contraceptives to prevent an unplanned pregnancy.

Misoprostol, one of the abortion pills, can stay in the mother’s milk for few hours (about 3 to 4). The misoprostol in the milk may cause diarrhea in the baby. Follow these instructions:

  • If you are taking the combination of mifepristone and misoprostol, you can breastfeed the baby, take misoprostol, and then start breastfeeding again in 4 hours.
  • If you are using misoprostol alone you can breastfeed, then use the first 4 pills of misoprostol, wait for 4 hours, breastfeed again, use the other 4 misoprostol pills, wait for additional 4 hours, breastfeed again and then take the last dose of misoprostol. After 4 hours of the last dose, you can start breastfeeding normally again.

No, there is no evidence that abortion pills will affect future pregnancies.

No, there is currently no evidence that abortion pills will make it harder for you to get pregnant in the future.

If you use misoprostol pills in the cheek, nobody can tell you have had an abortion. You’re going to swallow everything after 30 minutes. No one will be able to tell you used abortion pills. If someone asks, you can say you had a natural miscarriage.

If you use misoprostol in the vagina, the pill usually does not dissolve completely. If you need to seek urgent medical care, and it’s only been a day or two since you used misoprostol, the healthcare provider may see the white coating of the pill in your vagina. If abortion is illegal in your country, you may prefer to put abortion pills in the cheek instead.

No, using abortion pills early in pregnancy is safe even if you had a previous C-section delivery.

No. Because you had a tubal ligation, we know there is scarring in your tubes (Fallopian tubes). That’s probably why your last pregnancy was an ectopic pregnancy.

The Fallopian tubes are where a female egg is fertilized with a male sperm. The pregnancy starts to grow and move along the tube to the womb. If your tube is scarred, the early pregnancy can get trapped in the tube. As the pregnancy grows, it can cause the tube to break open. If the tube breaks open, this can cause major bleeding inside you, which is life threatening.

You are at risk for another ectopic pregnancy. You should not use the abortion pills on your own until a healthcare provider is sure that the pregnancy is in the womb, not in your tubes.

Fallopian-tubes

On average, most women will bleed or spot for about two weeks. It may be less. Some women may have light bleeding or spotting for 45 days. If you continue to bleed heavily for more than 45 days then immediately contact your Local Certified Doctor or Hospital.

98 women in 100 will complete an abortion using the combination of mifepristone and misoprostol. About 95 will complete the abortion using misoprostol alone. If the abortion pills didn’t work for you, then you can have a surgical abortion. Find a trained healthcare provider who can perform a safe procedure.

First, you may want to know that 3 to 4 babies out of 100 are born with birth defects in the general population (not a result of using the abortion pills). Some of these birth defects are not serious and some are very serious.

There has been no link found between one of the abortion pills, mifepristone, and birth defects. However, the other pill, misoprostol, does cause a slightly increased rate of birth defects. If you take misoprostol and you are still pregnant after taking the pills, you might have a natural miscarriage. If you do not have a miscarriage and have the baby, the risk of birth defects increases by 1% (one baby in 100).

If you are living with HIV, you can use the abortion pills as long as you’re not getting sicker, you’re on anti-retroviral medicines and your health is otherwise good.

If you have anemia, you can use the abortion pills. However, If you’re very anaemic (have weak blood) and have heavy bleeding after using the abortion pills, you could be in a dangerous situation. Find a health center where you could get help if you need it and plan in advance for unexpected situations.

You will experience cramping and bleeding when you start using the abortion pills.

These are the main side effects.  Cramping and bleeding are good because it shows the medicines are working. But, how much cramping and bleeding will you have?

  • For some women, cramping is very strong – much more painful than menstrual cramps (if you have menstrual cramps).
  • For some women, bleeding is much heavier than a menstrual period. You might have blood clots up to the size of lemons in the first few hours after taking misoprostol.
  • For other women, cramping is mild and bleeding is like a normal menstrual period.

We want you to be prepared! 

  • Do not be alarmed if you have heavy bleeding and bad pain. If you’re prepared to accept heavy bleeding and bad pain for several hours, you’ll be relieved if the pain and bleeding aren’t as bad as you expected.
  • If you experience bad cramping, ibuprofen is a good medicine to cope with pain. You can buy ibuprofen 200 mg strength over the counter (without a prescription) in most countries. Take 4 pills every 6 hours. This should make your cramping better.

Be alert:

  • If you soak 2 large pads (made of cloth or disposables) per hour for 2 hours in a row, this is very heavy bleeding. You should seek immediate medical help if you bleed this much. Soaking means that the large pad is completely soaked with blood, front-to-back, side-to-side, and through-and-through.
  • If you have extreme pain that does not get better even after you take ibuprofen, seek medical help. This kind of extreme pain may mean that you could have an ectopic pregnancy which was not detected before the abortion and that is breaking out of the tube. Your life could be at risk!
  • You may have fever, nausea and vomiting the day you take misoprostol. You should feel better and better the day after using abortion pills, not sick.  If you feel very sick any day after you use misoprostol, you should seek urgent medical care.

Yes. Women who have been diagnosed or suspect a sexually transmitted infection (STI) or a reproductive tract infection (RTI) can use abortion pills along with the treatment recommended by a health provider. Symptoms of STIs/RTIs include: foul-smelling, white, yellowy or greenish discharge, itching or sores in the genital area, or frequent painful urination.

After you use mifepristone, it is common to have some bleeding or spotting. But you usually can do whatever you normally do, such as take care of your family or go to school.

Once you take misoprostol, you will usually start bleeding and cramping in the next hour or two. Bleeding and cramping need to happen to have an abortion—it shows the pills are working.

  • You should be in a private place where you can lie down if the cramping and bleeding are heavy.
  • Other side effects you may experience after taking misoprostol are nausea, vomiting, diarrhea, fever or chills. These side effects should be gone by the next day.

Blood type incompatibility may happen when a Rh negative pregnant women is carrying a Rh positive foetus. If the foetus Rh positive blood enters the women Rh negative bloodstream, the women’s imune system will produce antibodies as a protection mechanism and that may affect future pregnancies.

However, research on early medical abortion (up to 12 weeks) has shown little blood exchange and consequently non-harmful amounts of antibodies are produced within the first trimester.

Some doctors recommend the Rh negative women take Rh immunoglobulin injection the same day they are taking the pills or not later than 72 hours.

Thus, if you want to be sure and safe, speak to a health professional.

Sometimes you won’t have a choice — only one method is available. If you do have a choice, you may be interested in learning about why women prefer one method over another.

Abortion pills

  • It feels more natural – like a heavy menstrual period or miscarriage.
  • More private, you can do it at home or any other place of your choice under supervision.
  • You can buy the pills or receive them from a healthcare provider.
  • No instruments inserted in your vagina to suction the pregnancy. You’re in charge of putting the pills on your vagina or in your cheeks/mouth.

Surgical abortion

  • Faster.
  • More effective. Only 1 woman in 100 won’t have a successful abortion.
  • Over in a predictable amount of time.
  • Overall fewer days of bleeding.
  • Can be done later than 9 weeks of pregnancy.

A surgical abortion is a procedure that uses instruments inserted into the womb to remove the pregnancy with suction.

Many women choose this method because is highly effective, fast, performed in a predictable amount of time and it can be done later than 10 weeks of pregnancy.

Key facts about surgical abortion:

  • Surgical abortion is a safe procedure when performed by trained healthcare providers: this method of abortion is safe when performed by trained healthcare providers. Complications are rare and they are usually not serious. The most common complication is that you’ll need to have the procedure repeated, usually because there’s some pregnancy tissue left in the womb that is causing bleeding. This happens in about 1 woman in 100.
  • Surgical abortion is an effective method to perform an abortion:
  • As long as you’re in the first 12 weeks of pregnancy, you go to the clinic, you have the procedure, and 99% of the time, you´re no longer pregnant when you leave the clinic.
  • Many women are satisfied with this method.
  • You can get pregnant again as soon as 8 days after taking the abortion pills or having a surgical abortion.
  • The good news is that you have many contraceptive options to avoid another unwanted pregnancy: intrauterine contraceptive devices, contraceptive implants, contraceptive injections, birth control pills, condoms, and many more.

Contraceptives

  • If you have an abortion in a clinic, ask your healthcare provider for information about these contraceptive methods.
  • If you choose to use abortion pills remember to start a method of contraception next time you have sex. The only method you should not use until a healthcare provider examines you in 2 to 3 weeks is an intrauterine contraceptive device –because you need confirmation that your womb is empty. Other than the intrauterine contraceptive device, you can start any contraceptive as early as the time you take the first abortion pills.
  • Remember, male and female condoms are the only methods that protect against sexually transmitted infections (including the HIV), but only if they are worn every time you have sex.

If your partner, daughter, friend or someone you know is having an abortion with pills you may able to provide support:

  • Make sure you respect her decision.
  • Do not be judgmental.
  • Help her find a comfortable place to use the abortion pills under supervision.
  • Once she takes misoprostol, she may have several hours of painful cramping and heavy bleeding. You can give her some words of support, offer her water, make tea or food, rub her back, or treat her with kindness in any way that helps.
  • Also, in the rare event that she needs urgent medical care, make sure you accompany her to receive the care she needs.

Although your pregnancy is unplanned, you may still find this is the right time to give birth, raise and love a child.

You know what is best in your case. We all make important decisions in life; and all decisions have advantages and disadvantages.

  • Parenting can bring happiness and rewards.
  • Parenting can also be a challenging experience if you can’t afford a child’s needs.
  • Parenting changes your daily routines, your sleeping habits and the way you manage your own time.
  • If you decide that you really want to have a baby, you will have to face the risks associated with childbearing. Risks vary according to your age, your health, the place where you live and many other factors.

If you have children, you know already about the positive and challenging aspects of parenting. If you don’t, you may want to chat with friends or relatives who have children to learn about their experiences.
If you have decided parenting is the best choice for you, then make sure you receive the best medical care available for pregnant women in your area. It is called antenatal care. A healthcare provider will advise you about how to stay healthy, potential complications, and birth and emergency plans.
When you have the baby, remember you can get pregnant again. Contraceptives are the best way to avoid a future unplanned pregnancy.

Although your pregnancy is unplanned or unwanted, you may still consider carrying the pregnancy to term –give birth- and let someone else raise your child.

You know what is best in your case. We all make important decisions in life; and all decisions have advantages and disadvantages.

  • Adoption can give your child the opportunity to be cared by someone who feels ready.
  • Adoption can be a very emotional process. You carry the pregnancy for 9 months, you give birth and then you let someone else raise your child.

If you think adoption is the best choice for you, it is highly recommended to look for legal and psychological support. There may be different types of adoption in your country. Some types of adoption allow you to keep in touch with your child and the adopting family. Other types of adoption will forbid such interaction.
If you have decided adoption is the best choice for you, then make sure you receive the best medical care available for pregnant women in your area. You may look for social services or simply inform the hospital about your decision towards adoption whenever you go for your antenatal consultations. A healthcare provider will advise you about how to keep yourself healthy, potential complications and birth and emergency plans, as well as how to deal with adoption once the child is born.
When you have the baby, remember you can get pregnant again. Contraceptives are the best way to avoid a future unwanted pregnancy.