I've read too many horror stories online, and question the validity of some of them.
I kept a timeline on my BlackBerry so I could keep track of how long things were taking/lasting, when I took medication, and how I felt and what I saw, because I really wanted to share an accurate description with women who are considering this, and might be scared to death as I was after reading terrible stories on line.
I was 5 weeks gestational age when I underwent a medical abortion. Received my first pill at the clinic at 9 a.m. and took the second set of 4 pills vaginally 6 hours later (3 p.m). I also took a mega antibiotic at the clinic, which I think was Cipro.
One hour before I inserted the pills I took a Darvocet (got the extra pain meds at the clinic).
Within 50 minutes I started to feel a few "twinges"
At 5 pm, two hours after inserting, I took another Darvocet
I was using a heating pad on high or medium on my abdomen, and drinking lots, and I mean lots of water. Between 2 pm and midnight I counted 12 regular sized bottles of water. I ate light and easily digested foods - buttered noodles, crackers, some chips, bananas.
3.5 hours after inserting I started having heavier cramps, but would rate them a 2/10.
4 hours and 15 mins. after inserting I had some drops of blood when urinating.
30 mins after that, I had some more drops of blood and a little heavier bleeding and cramps that were a 2/10.
5 hours after inserting I took an 800 mg ibuprofen
5.5 hours post insertion cramps were 5/10 and had heavier drops and blood when urinating
6.5 hours post insertion cramps were every 5 mins, blood and tissue (very fragmented, like small pieces of a squished tomato - nothing recognizable) and I was feeling a little woozie and starting to drift off.
7 hours post insertion I had blood on the tissue only after I would use the bathroom.
8.5 hours post insertion I took another Darvocet and went to bed with the heating pad on my abdomen
9 hours post insertion I was feeling a little sick to my stomach, but attributed that to the Darvocet and ate some toast with peanut butter. Cramps were still in the 5-6/10 range, but very, very tolerable. One last trip to the bathroom (I had chills for a minute or two when I got out of bed, but that was it)and had some heavier blood when using the bathroom, but still had yet to even spot on a pad. (and I went out and bought all kinds of heavy duty pads that proved to be useless)
Slept all night - got up at 7:30 a.m. the next day and took an 800 mg Ibuprofen, and kept a heating pad on my abdomen on medium or high during the day while I relaxed on the couch and watched movies most of the day. I was still a little crampy, but nothing terrible.
I started my course of 2 doxycyline antibiotic pills that morning as well - one in the a.m. and one in the p.m. I experienced nausea and gas from the pills - made sure to take them with food and avoid dairy, and drank lots and lots of water - found myself somewhat constipated which was probably from the Darvocet. The worst part of all of this was the side effects of the antibiotic! I did, however, finish the entire course.
Also, I took another Darvocet the next day, and that was a mistake. I had a bit of a freak out from the Darvocet (anxious, jittery, jumpy) and promptly put away the rest of the Darvocet I was given and did not take another.
I kept a digital themometer by my side and monitored my temperature, which never went above 99.0.
The next day I had bleeding only when I went to the bathroom - nothing whatsoever on the pad. I was wearing pantyliners by now. When I went to the bathroom, I would not describe what I saw as clots - but rather drops of blood or sometimes a very small trickle of bright red blood, with very small pieces (like centimeters) of tissue that came out in the drops. No big clots, no identifiable tissue, never "felt" anything happening.
2 days after insertion, which was Sunday, I was again only having bleeding when going to the bathroom - just very small drops - no blood on the tissue. Still felt a little tired, but was off any pain medication, and used the heating pad just as a precaution every now and then. I took it easy again that day, spent most of the day on the couch, with a little housework that tired me out.
Monday, 3 days after insertion, when I woke up and went to the bathroom, I had much more blood - similar to a period. The bleeding was similar to a moderate period, and I changed my maxi pad three or four times that day - only once was it close to being "soaked" in one area, and that was because I could not change it. At no time did I need a towel on the bed or couch, and I never soiled my underware or pants.
The bleeding slowed the next day, Tuesday. By Thursday I was barely spotting brown blood and was wearing a light and very thin pad which I changed more for hygine reasons (and because I bought too many and might as well use them).
By Friday (one week later) I was just using a panty liner, and by Saturday, didn't need to use anything at all. I have not had any additional bleeding, cramping, etc. Life is pretty much back to normal. No more feelings of food aversion, swollen boobs, or bloating. That all went away within a week.
Took a pregnancy test a week after insertion, knowing full well it would likely be positive, but wanted to keep track given I was taking notes - positive.
Took a pregnancy test two weeks after insertion - negative.
Have to report back to the clinic with the results of a pregnancy test next week (3 weeks). I also started YAZ a week after insertion so as to get my hormones back on track.
All in all, a very positive experience. I realize this is not everyone's experience, but mine was very positive, realtively pain free, and not like a lot of what I read about - and I didn't have to drop my pants for anyone and take the risks associated with surgical. I was really second guessing my decision to go medical, thinking that surgical would be som much quicker and reliable, but I am so glad I went this route.
I hope this helps some women.