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most people, the 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, crampy 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. It's normal to have some bleeding and spotting for several weeks after your abortion. You can use pads, tampons, or a menstrual cup — whatever's the most comfortable for you. But your nurse or doctor may recommend you use pads for the first few days after the abortion so you can track how much you're bleeding. The last step is a follow up with your nurse or doctor. You may go back to the health center for an ultrasound or blood test. Or you'll get a pregnancy test to take at home, followed by a phone call with your nurse or doctor. These tests will make sure the abortion worked and that you're healthy. In the unlikely case that the abortion doesn't work and you're still pregnant, your doctor or nurse will discuss your options with you. You may need another dose of medication or to have an in-clinic procedure to complete the abortion. How does a medication abortion feel? For most people, medication abortion feels like having an early miscarriage. You might have: lots of cramping and aches in your belly very heavy bleeding with large clots (If you don't have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.) an upset stomach and vomiting (Your doctor or nurse may give you medicine to help with nausea.) diarrhea dizziness tiredness mild fever (99-100° F) or chills on the day you take the misoprostol (If you have a fever after the day you take the misoprostol pills, call your doctor or health center right away.) To help ease pain and make you more comfortable, you can: Take pain medication like ibuprofen (Advil or Motrin). Don't take aspirin because it can make your bleeding worse. Put a heating pad or hot water bottle on your belly. Take a shower. Sit on the toilet. Have someone rub your back.Previous Overview Next What can I expect after I take the abortion pill? 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