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Post-Abortion Effects: What to Expect and Potential Health Concerns


Question
QUESTION: Dear Dr. Pat G,
I am glad to know a site like this, which helps people around the world and solves there problems quickly.
I was 19 years old when i had my first abortion in dec 2008.
I did not visit any doctor i instead asked my friends and dey gave me dese pills called mifepristone & misoprostol which i took after every 10 hrs each like. then later after 1 year in 2009 i again got pregnant at the age of 20 and i got the same pills mifepristone and misoprostol which i again took each after 10 hrs, but after my second abortion meaning i took dese pills on 5 nov and started bleeding on 6 nov which lasted till the end of december.
after that my menstruation cycle was normal.
my last period date was on 14th feb, now my period date should be 14 or 16 march, but am getting crampings in my abdomen on both my sides. am scared that i've got pregnant again. if i got pregnant again can i take again mifepristone and misoprostol again for my 3 abortion. and will this affect my future pregnancy?
i cannot n have not visited any doctors as in my country its illegal.
pls advice.. as am too much worried.
thanks alot.

Regards,
Sehar

ANSWER: Hello, Sehar,

I am aware that abortion is illegal in UAE.

You are lucky you haven't been hurt from your previous abortions. These pills are dangerous and can kill you. The manufacturer of misoprostol says a pregnant woman should NEVER take it! There are several ways these pills can kill you. One is for you to bleed to death. It does happen, fairly frequently. Another thing is that they can cause toxic shock syndrome, which kills a woman within hours. This is true if a woman puts the pills into her vagina. Please don't use these pills again! Nobody knows what effect they will have on your future children, either.

You need to stop taking chances. You shouldn't be running the risk of getting pregnant. Don't try to use "protection". It doesn't work. Just don't have sex until you are married.

If it turns out you are pregnant, see if you can go to another country for awhile, where you will be safe. If necessary, you can have your baby and give him or her up for adoption and return home. If this is the case, you may find that if you go to the American Embassy and tell them what the problem is, they may be able to advise you on how to get permission to travel.

Please take care of yourself. Stay safe. Feel free to write back, and please let me know how you do.

---------- FOLLOW-UP ----------

QUESTION: Dear Dr. Pat G,
Thanks for your reply.

Yes over here its too difficult. As per my above question the crampings that am getting and my vagina at time feel heavier without any crampings, so does that mean that i am actually pregnant?

I actually have my family here, and they wont allow me to go abroad or anywhere without leaving them. My family members back in my home country are really conservative.
is there any other way that i can get out of it, if i am pregnant?

Regards,
Sehar

Answer
Hello, sehar,

You're welcome.

You said your family won't allow you to go abroad or anywhere without leaving them. Could you please explain that a little more? What family members are with you? Your parents, or your husband and children? Are you saying that if you went abroad you'd have to take them with you, or that if you went abroad, you'd have to go without them? How old are you?

Pregnancy ends naturally at approximately 9 months, but I'm guessing that you are afraid of what your family will do to you if they find out you are pregnant.

At this point, you don't even know for sure if you are pregnant. I am also guessing that if you went to a doctor to find out, he probably wouldn't say anything to your family about it if you are. Would I be correct? Also, if you are pregnant, you don't even know if you would be able to carry this baby, because the pregnancy might be weak.

It would be illegal for you to take the pills as well, and if you suffer a complication, your family WILL find out about it. It is far too common for a woman to have a complication for abortion to be a good way to try to hide your pregnancy. There really isn't a safe way to have an abortion. All methods are very dangerous.

Obviously, if you are not married, you need to stop taking chances on getting pregnant in the first place. If you are not having sex with anyone, you won't get pregnant. That doesn't solve your immediate problem if you are pregnant now, but you really need to stop this cycle of getting abortions, because it is very dangerous for you and your future children.

I will need to know more and give the situation some more thought, so let me know the answers to my questions. Please take care of yourself.