In 2025, the World Health Organization reaffirmed what generations of people have already practiced in quiet confidence:
abortion with misoprostol can be safely guided by the body itself.
This wasn’t new science — it was a return of memory.
A recognition that care does not only live in clinics, but in the community, intuition, and informed self-trust.
The WHO’s latest Abortion Care Guidelines officially acknowledge that self-managed abortion (SMA) with misoprostol is safe, effective, and can be carried out without direct medical supervision when reliable information and support are present.
This is known as demedicalization — a shift from institutional control to embodied knowledge.
The Rhythm of the Process
For pregnancies up to 12 weeks, the WHO describes this misoprostol-only rhythm:
800 micrograms (four 200 µg tablets)
taken under the tongue, in the cheek, or in the vagina,
repeated every 3 hours, three times — a total of 12 tablets over about six hours.
This rhythm creates contractions and softens the cervix so the uterus can release its contents.
Cramping and bleeding are the language of the body — not pathology, but power in motion.
The Intelligence of the Womb
The body knows when it has finished.
You might feel a shift — a deep exhale, a sense of clearing, the bleeding easing into a steady flow.
You might also feel that something remains: a tightness, heaviness, or inner pull that says not yet.
This is your intuition speaking.
If that sense of incompletion arises, WHO confirms it is safe to take another 800 µg dose.
Completion is not a clock or a rule; it’s a dialogue between you and your body.
Your womb leads.
You listen.
That’s the medicine.
The Energetic Release
Self-guided abortion is not only physical. It is an energetic ceremony of release — one that reconnects you with your own power and the cycles of death, renewal, and choice.
Each contraction is an ancient remembrance.
Each wave of release is a reclamation of what the world tried to take — your right to know your own body.
There may be tears, stillness, or relief. There may be dreams, visions, or a new direction.
All of it is part of the alchemy.
When to Reach for Support
Certain signs mean it’s time to reach for help:
Bleeding that soaks more than two pads per hour for several hours
High fever, foul smell, or severe pain
Pregnancy symptoms that persist for days after tissue has passed
These are rare, but important.
Seeking care does not undo your autonomy — it affirms that safety and self-trust coexist.
Returning to the Lineage
This practice is part of a long continuum — healers, midwives, herbalists, and kin who held this knowledge before it was named “medical.”
WHO’s 2025 guidance is the system finally catching up to what our bodies have known all along:
that abortion is a process of intelligence, not deficiency;
that the womb knows her own timing;
That intuition is a vital sign.
Author’s Note — Self-Guided Abortion
Self-Guided Abortion (SGA) exists to return abortion knowledge to the body and to the community.
We root our guidance in the science of WHO and the wisdom of lived experience.
We believe that self-managed abortion is not only safe — it is sacred.