Medical Abortion Information
Evidence-based. WHO-recommended. Judgment-free.
What is a Medical Abortion?
A medical abortion is a safe and effective method of ending an early pregnancy using medication rather than a surgical procedure. The medicines work together to safely end the pregnancy by first stopping the pregnancy from continuing and then helping the uterus expel the pregnancy tissue. Medical abortion is recommended by the World Health Organization as a safe option for eligible pregnancies when accompanied by accurate information, appropriate support, and access to healthcare if needed.
Our Counselors Guide You On:
- How abortion pills work
- Whether medical abortion may be suitable for your situation
- How and when to take the medication
- What bleeding and cramping to expect
- Pain management
- Warning signs that require medical attention
- How to confirm the abortion is complete
- Emotional support after abortion
- Contraception after abortion
Every person receives individualized guidance based on their needs.
How Medical Abortion Works
Mifepristone — The first medicine blocks the hormone needed for the pregnancy to continue and begins separating the pregnancy from the wall of the uterus.
Misoprostol — The second medicine causes the uterus to contract and expel the pregnancy. Our counselors will guide you throughout every step of the process.
Before Using the Pills
- Sufficient Ibuprofen for pain relief
- Two Emitino tablets in case you experience nausea or vomiting
- A supply of sanitary pads
- Access to a phone in case you need support
- A comfortable, private place where you can rest during the process
If you have any questions before starting, contact your Senje counselor.
How to Use the Pills
The following guidance reflects Senje Hotline’s clinician-approved protocol, informed by current WHO recommendations.
Day 1
Take one Emitino tablet. Thirty minutes later, swallow one Mifepristone tablet with water. This medicine begins separating the pregnancy from the wall of the uterus. Some people experience light bleeding or spotting after taking Mifepristone. Wearing a sanitary pad is recommended. You may continue with your normal daily activities while waiting for the next step.
After 48 Hours
Take one Emitino tablet. Thirty minutes later, place four Misoprostol tablets under your tongue at the same time and allow them to dissolve as instructed by your counselor. This medicine causes the uterus to contract and expel the pregnancy. After the tablets have dissolved, take Brufen (Ibuprofen) for pain relief as advised by your counselor. Within approximately one hour, you can expect cramping and bleeding. Many people experience bleeding with clots over the next several hours as the pregnancy passes. Your counselor will explain what to expect and remain available if you need support.
What to Expect
- Cramping
- Bleeding heavier than a normal period
- Passing blood clots
- Fatigue
- Chills
- Nausea
- Diarrhea
Bleeding usually becomes lighter over the following days and may continue as spotting for up to several weeks. Everyone’s experience is different.
⚠️ Warning Signs
Seek urgent medical care immediately if you experience:
- Very heavy bleeding
- Severe abdominal pain that does not improve with pain medication
- Fever that persists after the first day
- Foul-smelling vaginal discharge
- Loss of consciousness
- Any symptoms that concern you
If you are unsure whether your symptoms are normal, contact Senje Hotline immediately.
Aftercare
- Rest and stay hydrated
- Maintain good personal hygiene
- Avoid sexual intercourse while you are still bleeding
- Discuss contraception with your counselor if you wish to prevent another pregnancy
- Contact us if you have any concerns during your recovery
Our counselors are available to provide follow-up support and answer your questions.
Fast, Discreet Delivery
We understand that timely access matters. Once your consultation is complete and payment has been confirmed, we aim to dispatch your order as quickly as possible.
Nairobi, Kisumu and Mombasa: Typically dispatched within 1–2 hours of payment confirmation.
Surrounding towns: Orders are typically dispatched within 1–2 hours, with delivery time depending on courier availability and distance.
Delivery Hours: Monday–Saturday, 10:00 a.m. – 5:30 p.m.
Senje Hotline Operating Hours
Our counselors are available Monday–Saturday, 8:00 a.m. – 8:00 p.m. Need support outside delivery hours? Send us a WhatsApp message and we’ll respond as soon as a counselor is available.