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Pro-Choice and Pro-Voice

Posts tagged medication abortion

Apr 14 '14
Apr 12 '14

Anonymous asked:

Can you get a normal abortion when you have an ectopic pregnancy?

thewaitingplatypus:

bebinn:

(For those who don’t know, an ectopic pregnancy is when a fertilized egg implants and starts growing somewhere other than the uterus - usually in one of the fallopian tubes. This can cause serious health problems, such as internal bleeding, rupture of the tubes, fertility issues, and, if not treated, death.)

There are two ways to treat an ectopic pregnancy: medication known as methotrexate, or surgery. Methotrexate is sometimes used in regular medication abortions to stop cell growth, which prevents the rupturing and internal bleeding that occur if the embryo grows too large. It’s given in a single shot or a series of injections, and doctors monitor the patient’s hormone levels over a period of days to make sure it worked. As far as I can tell, this is usually what doctors try first.

If a patient is already showing dangerous symptoms, the fastest way to end an ectopic pregnancy is to remove it surgically. There are a few ways surgeons can go about this, and it sometimes meaning removing part of the fallopian tube, which affects the patient’s future ability to get pregnant.

The medical definition of abortion is the termination of a pregnancy, so removing an ectopic pregnancy is an abortion. You’ll find a lot of confusion about the issue in the pro-life community, though. Some believe women shouldn’t get treatment, but either wait for a miscarriage or pray for a miracle. Some believe that since it’s a life-saving procedure on a pregnancy that isn’t viable, it’s not an abortion. They don’t seem so generous toward those with nonviable later pregnancies, but we don’t really expect consistency from them anyway.

Hope this answered your question!

Keep in mind that using methotrexate means that the pregnant individual will have to make at least three visits over the course of a month. If the methotrexate fails the first time and the pregnant person doesn’t go back, well… You can imagine. 

A surgery is a one-time, one visit thing.

The reason I am bringing this up is because, where I live, a lot of people experience severe financial/transportation constraints and will often opt for the methotrexate because it is cheaper. However, due to financial constraints or whatever, they do not attend all three (minimum) visits to verify that the ectopic pregnancy has been terminated. 

Doctors will contact the pregnant person and tell them that they need to come in for their next methotrexate appointment, but sometimes they cannot get in contact with the pregnant person.

Long short short, if you are going to have trouble attending all of your methotrexate appointments, opt for the surgery instead. 

<3

Thank you, that’s really helpful to know!

Apr 12 '14

Anonymous asked:

Can you get a normal abortion when you have an ectopic pregnancy?

(For those who don’t know, an ectopic pregnancy is when a fertilized egg implants and starts growing somewhere other than the uterus - usually in one of the fallopian tubes. This can cause serious health problems, such as internal bleeding, rupture of the tubes, fertility issues, and, if not treated, death.)

There are two ways to treat an ectopic pregnancy: medication known as methotrexate, or surgery. Methotrexate is sometimes used in regular medication abortions to stop cell growth, which prevents the rupturing and internal bleeding that occur if the embryo grows too large. It’s given in a single shot or a series of injections, and doctors monitor the patient’s hormone levels over a period of days to make sure it worked. As far as I can tell, this is usually what doctors try first.

If a patient is already showing dangerous symptoms, the fastest way to end an ectopic pregnancy is to remove it surgically. There are a few ways surgeons can go about this, and it sometimes meaning removing part of the fallopian tube, which affects the patient’s future ability to get pregnant.

The medical definition of abortion is the termination of a pregnancy, so removing an ectopic pregnancy is an abortion. You’ll find a lot of confusion about the issue in the pro-life community, though. Some believe women shouldn’t get treatment, but either wait for a miscarriage or pray for a miracle. Some believe that since it’s a life-saving procedure on a pregnancy that isn’t viable, it’s not an abortion. They don’t seem so generous toward those with nonviable later pregnancies, but we don’t really expect consistency from them anyway.

Hope this answered your question!

Apr 2 '14
Mar 15 '14
Mar 11 '14
Mar 11 '14

Anonymous asked:

Why are abortions so expensive? According to Planned Parenthood's website they start at $300. Would I really have to pay $300 for a little pill?

Well, to start off, every clinic prices it differently according to the facility’s needs and services. Some clinics offer sliding scale fees, where you only pay what you can, or allow for payment plans. It’s also possible for abortion to be covered by your state’s Medicaid program (note: this uses state funds, not federal funds, which are prohibited by the Hyde Amendment) or by your own insurance.

In addition, to take the abortion pill, you have to first undergo a medical exam and bloodwork, including an ultrasound to determine how far along you are. After you take the pill, you need to go in for a check up to be sure everything went well, and to get antibiotics to prevent infection. So the price actually includes two doctors’ visits, a physical, tests, an ultrasound, antibiotics, and the pill itself.

Many clinics that provide abortions also provide a range of reproductive and general health care - Pap smears, cancer screenings, flu shots, birth control, counseling, and so on. Reproductive health clinics often try to price their services as low as possible to allow patients to access the care they need, while still keeping the clinic open and functioning. Some clinics receive state or federal grants, but others may rely heavily on donations, fundraising, and money made from their services to pay their employees, keep their equipment up to date and working, and maintain their facility.

Finally, I would be remiss if I didn’t point out the astronomical health care costs in the United States and assume that also plays a role. Generally, however, I see most reproductive health clinics as more aware of and committed to supporting low-income patients, given that their line of work is very intimate, often thankless, and downright dangerous to their own lives, so I’m honestly not sure how much the state of health care costs factors in with each individual clinic.

Feb 24 '14
Women on Web is an online service that helps women in countries where abortion is restricted or illegal. The website will refer patients less than 9 weeks pregnant to a doctor who can provide them with a medical abortion.
WoW is associated with Women on Waves, an organization that sails a ship to countries where abortion is illegal. Setting anchor in international waters, Women on Waves can provide legal medical abortions on their ship. Women on Waves has sailed to Ireland, Poland, Portugal, Spain, and Morocco.
Keep up with Women on Web on Facebook and Twitter.

Women on Web is an online service that helps women in countries where abortion is restricted or illegal. The website will refer patients less than 9 weeks pregnant to a doctor who can provide them with a medical abortion.

WoW is associated with Women on Waves, an organization that sails a ship to countries where abortion is illegal. Setting anchor in international waters, Women on Waves can provide legal medical abortions on their ship. Women on Waves has sailed to Ireland, Poland, Portugal, Spain, and Morocco.

Keep up with Women on Web on Facebook and Twitter.

Feb 19 '14
Jan 22 '14

No, my abortion did not involve dismemberment or a vacuum

sherlocked-bridesmaid:

pro-choice-or-no-voice:

sherlocked-bridesmaid:

I took a pill that causes an induced miscarriage. It is painful physically to me at this moment and there is blood.

If you have a heating pad, try using that to help ease the pain, I hope you’re doing ok, stay strong hon, and if you need anything, please feel free to message us. - Paige

I have a rice pad, it works wonders!

I’m sure if you’ve got a rice pad, you’re all set, buuuut just in case I hope you are also taking this time to treat yo self!

Seriously, medication abortions are no joke. Strength and love to you!

8 notes (via & ) Tags: medication abortion
Nov 4 '13
Sep 25 '13
"The safety thing’s a canard, anyway. Imagine a literally perfectly safe abortion pill. No drug interactions, no side effects, just a painless, safe abortion on demand. Do you really think all these people who [are calling for] “safety” today would just say, “Oh, now it’s perfectly fine, keep a bottle in the bathroom cabinet”? No, of course not, and I think we all know that. It’s really not about safety, and never has been. It’s about who has control over women’s bodies."
Sep 19 '13
she-who-loves-the-rain:

I Help Desperate Women, and I Could Go To Jail for It
The job that could put me in jail started at the same time that the desperate emails did. Women searching for abortion-related terms online found something I had written, and started sending me desperate pleas.
These women had dire stories. Many were mothers already. They needed abortions, but the nearest clinic was three, four, six hours away. They’d need to go on more than one visit. They’d need childcare. They’d need more disposable income than they would have for the next three months. They had exhausted all their funding, and their state’s abortion fund didn’t have enough money to help them that week. Every week that passed made surgical abortions cost more, a cycle that kept some women perpetually on the brink of affording termination.
They told me they’d try anything: herbs, soaps. One asked if I knew how, exactly, it was that you went about using a wire hanger to abort.
Two or three days later, they would receive a small, unmarked envelope. Inside the envelope were doses of two different drugs that, when used together, will abort nearly any first-trimester pregnancy.
I am one of America’s unlicensed, untrained illegal abortionists.
I don’t know how many people like me are in the United States. I suspect most are women. I know that most of them so far are immigrants, and most of them, like me, never get near surgical abortion implements like cervical dilators or vacuum machines (much less crude methods like coat hangers).
In the United States, contrary to popular belief, it’s not illegal to bring in prescription medications from somewhere else. As long as the medication isn’t scheduled (a classification reserved only for addictive drugs), Americans can feel free to import a supply of up to 90 days’ worth of any medication they like. Immigrants, who often know pharmacies they can trust in their home countries and have family able to ship medication across the border, are some of the most likely people to have access to these medications.
It’s possible to get misoprostol (which will induce an early abortion about 80 percent of the time on its own) for just a dollar or two per dose from online pharmacies around the world. Mifepristone, which is added to misoprostol to make the over 95 percent effective drug combination sometimes called RU-486, ranges from $10 to $50 per dose. The higher per-pill pricing of mifepristone, however, means that the drug is prone to counterfeiting.
I send women what I can—misoprostol, or mifepristone/misoprostol in combination when I have some stocked. I know, when I do it, that it could be a devil’s bargain—that this could be the envelope that gets traced back to me. This could be the one that lands me in prison. Or, even worse, it could be the one that kills someone. The abortion drugs rarely cause major complications (less often than birth), but they do happen. I don’t know what I would do with that on my conscience. I haven’t had to find out yet.
Since I’m an illegal abortionist these days, it might surprise you to know that I don’t make any money from it. In fact, I’m out of pocket a little over a thousand dollars in total, due to purchasing and then giving away abortion pills. Some women have sent Paypal contributions when I send them pills, but if they don’t, I don’t argue. I’d rather get them what they need.
http://jezebel.com/i-help-desperate-women-and-i-could-go-to-jail-for-it-1320076409

We don&#8217;t have to wait for Roe v. Wade to be overturned - illegal abortions are happening now. This is what happens when safe, legal abortion isn&#8217;t affordable and accessible.
As a reminder, the National Network of Abortion Funds may be able to help you access a safe, legal abortion.

she-who-loves-the-rain:

I Help Desperate Women, and I Could Go To Jail for It

The job that could put me in jail started at the same time that the desperate emails did. Women searching for abortion-related terms online found something I had written, and started sending me desperate pleas.

These women had dire stories. Many were mothers already. They needed abortions, but the nearest clinic was three, four, six hours away. They’d need to go on more than one visit. They’d need childcare. They’d need more disposable income than they would have for the next three months. They had exhausted all their funding, and their state’s abortion fund didn’t have enough money to help them that week. Every week that passed made surgical abortions cost more, a cycle that kept some women perpetually on the brink of affording termination.

They told me they’d try anything: herbs, soaps. One asked if I knew how, exactly, it was that you went about using a wire hanger to abort.

Two or three days later, they would receive a small, unmarked envelope. Inside the envelope were doses of two different drugs that, when used together, will abort nearly any first-trimester pregnancy.

I am one of America’s unlicensed, untrained illegal abortionists.

I don’t know how many people like me are in the United States. I suspect most are women. I know that most of them so far are immigrants, and most of them, like me, never get near surgical abortion implements like cervical dilators or vacuum machines (much less crude methods like coat hangers).

In the United States, contrary to popular belief, it’s not illegal to bring in prescription medications from somewhere else. As long as the medication isn’t scheduled (a classification reserved only for addictive drugs), Americans can feel free to import a supply of up to 90 days’ worth of any medication they like. Immigrants, who often know pharmacies they can trust in their home countries and have family able to ship medication across the border, are some of the most likely people to have access to these medications.

It’s possible to get misoprostol (which will induce an early abortion about 80 percent of the time on its own) for just a dollar or two per dose from online pharmacies around the world. Mifepristone, which is added to misoprostol to make the over 95 percent effective drug combination sometimes called RU-486, ranges from $10 to $50 per dose. The higher per-pill pricing of mifepristone, however, means that the drug is prone to counterfeiting.

I send women what I can—misoprostol, or mifepristone/misoprostol in combination when I have some stocked. I know, when I do it, that it could be a devil’s bargain—that this could be the envelope that gets traced back to me. This could be the one that lands me in prison. Or, even worse, it could be the one that kills someone. The abortion drugs rarely cause major complications (less often than birth), but they do happen. I don’t know what I would do with that on my conscience. I haven’t had to find out yet.

Since I’m an illegal abortionist these days, it might surprise you to know that I don’t make any money from it. In fact, I’m out of pocket a little over a thousand dollars in total, due to purchasing and then giving away abortion pills. Some women have sent Paypal contributions when I send them pills, but if they don’t, I don’t argue. I’d rather get them what they need.

http://jezebel.com/i-help-desperate-women-and-i-could-go-to-jail-for-it-1320076409

We don’t have to wait for Roe v. Wade to be overturned - illegal abortions are happening now. This is what happens when safe, legal abortion isn’t affordable and accessible.

As a reminder, the National Network of Abortion Funds may be able to help you access a safe, legal abortion.

Aug 22 '13

Just submitted my opposition to ban abortions via telemedicine in Iowa

Next Wednesday, there will be a public hearing in Des Moines on a ban on first-trimester medication abortions provided via telemedicine in Iowa. After the hearing, the Iowa Board of Medicine will consider the rule. All 10 members of the board were recently replaced by anti-choice governor Terry Branstad. Most of the public comments are typical anti-choice hysteria and exaggerations, so it’s really important to provide fact-based testimony.

Here are my comments:

To the Executive Director, Mark Bowden,

I would like to register my opposition to the proposed rule to limit the practice of first-trimester medication abortions provided via telemedicine. My opposition is based on the following:

Safety:

  1. First-trimester medication abortion is safe, with less than 1% of patients experiencing complications (Trussell et al., Obstetrics & Gynecology, 2012). You can read more about the safety of this procedure here.
  2. There is no evidence the outdated FDA-approved procedure is safer - simply more expensive. Further, off-label use of the medications is allowed. 
  3. The deaths cited by petitioners were never proved to be linked to the use of mifepristone. As cited by the petitioners, complications of any kind arose in 2207 patients…out of 1.52 million. That’s a less than 0.15% complication rate, a fact the petitioners somehow failed to note.
  4. Follow-up appointments are already routinely scheduled under the current model. If a patient is unable to return to the clinic where they had a safe, legal abortion, they visit another practitioner.

Privacy and the Constitution:

  1. Medication abortion via telemedicine allows the patient the privacy of their own home. Medication abortion is essentially an induced miscarriage, and patients generally feel safer and more comfortable in their homes and under the care of loved ones during this time.
  2. The right to an abortion is protected under the constitution, and according to the ruling in Planned Parenthood v. Casey, regulations on the procedure may not pose an undue burden on the patient - that is, it may not pose a substantial obstacle to safe, legal abortion.
  3. Banning first-trimester abortions via telemedicine poses a substantial obstacle to accessing safe, legal abortion for patients living in rural areas. You can see in this interactive model of the geography of abortion access that there are a substantial number of Iowans who live hours away from the nearest clinic.
  4. Legally forcing Iowans seeking safe, legal medication abortion to visit a physician, rather than a nurse practitioner, requires long drives - this means losing income from work (or losing a job entirely) and losing income to care for children and dependents (61% of abortion patients are already parents).
  5. In addition, forcing patients to return to the abortion clinic for a follow-up, rather than visiting their own family care provider in their community, places yet another unnecessary burden on them. General practitioners and OB/GYNs in the patient’s community are competent enough to perform these checkups.
  6. Finally, forcing patients to visit abortion clinics exposes them to harassment by anti-abortion protestors outside clinics and compromises their right to privacy.

Patient’s preferences:

  1. Patients are competent enough to decide for themselves how they would like to access safe, legal abortion. A 2011 study of nearly 600 abortion patients in Obstetrics & Gynecology (Grossman et al.) found that telemedicine patients were more satisfied with their experience, and 75% preferred not being in the same room as the physician. I would highly recommend reading this study for a better understanding of the standard of care provided during telemedicine. The physician, while not physically present, reviews the patient’s medical history and ultrasound, discusses the procedure with the patient via webcam, then observes the clinic staff’s administration of the pills.
  2. The signatures on the petition were gathered by Iowa Right to Life, an organization with an established anti-abortion stance (clearly apparent on the petition itself). It is not difficult to conclude that the signers are not, in fact, interested in making an already safe and legal procedure safer - they are interested in reducing access to safe, legal abortion and understand that is all this rule will accomplish.

Thank you for your time.

The hearing will be Wednesday, Aug. 28 at 2 pm at the Wallace State Office Building in Des Moines. Please be there if you can, or email your comments to the Iowa Board of Medicine: ibm@iowa.gov.

Aug 7 '13