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What do I need to do before I take the abortion pill? Before you take the abortion pill, you'll meet with your nurse, doctor, or health center staff to talk about whether abortion is the right decision for you, and what your abortion options are. You'll get an exam and lab tests, and you may get an ultrasound to figure out how far into your pregnancy you are. Your nurse or doctor will let you know if there's anything else you need to do to prepare for your abortion. They'll give you written instructions on how to take your pills. You will have access to a caring professional through the process — you'll get a number you can call 24/7 if you have any questions or concerns. You'll have a lot of bleeding and cramping after you take the second medicine, so plan ahead to make the process more comfortable. You can be at home, or wherever is comfortable for you to rest. You may also want to have someone you trust with you (or nearby) that you can call for support if you need anything Stock up on maxi pads, food, books, movies, or whatever you like to help pass the time, and a heating pad for cramps. Make sure you have some pain medicine — but don't take aspirin because it can make you bleed more. What happens during a medication abortion? The abortion pill process has several steps and includes two different medicines. First, you take a pill called mifepristone. This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but it's not common. Your doctor or nurse may also give you antibiotics to take to prevent infection. The second medicine is called misoprostol. You'll either take the misoprostol right away, or up to 48 hours after you take the first pill — your doctor or nurse will let you know how and when to take it. This medicine causes cramping and bleeding to empty your uterus. For most people, cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It's normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It's kind of like having a really heavy, cramps period, and the process is very similar to an early miscarriage. (If you don't have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.) The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days. You can take pain medicine like ibuprofen about 30 minutes before you take the second medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your doctor or nurse gives it to you. Don't take aspirin, because it can make you bleed more. 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