User Q & A

These are questions asked by website users on reproductive health matters. The answers provided are by RRAAM members in the health field. Wherever and whenever possible, we will strive to keep these answers accurate and updated. However, we cannot assume liability for the veracity of information provided. No personally identifiable information is included in the questions and answers.

If you have any specific questions about reproductive health matters, please use the form on the right of the site to “Ask a Question“, and our network of providers will get back to you with an answer as soon as possible.

  1. Can eating pineapple prevent pregnancy after intercourse?
    No. Pineapples may bring about uterine contractions during early pregnancy. They contain bromelain, an enzyme which can soften the cervix. Their efficacy as an abortifacient or emmenagogue, however, has not been scientifically proven. For more information on myths, misconceptions and facts about contraception, contraceptive methods and abortion, see this section.
  2. Where are the abortion clinics in SS15? Subang Jaya? Subang? Kuala Lumpur? Seremban? Near Brickfields? Melaka? Penang?
    For information about locating an abortion clinic, please visit this section of the site.
  3. Do oral contraceptives reduce sexual pleasure?
    There is no evidence that COCs affect a woman’s sex drive. Although some women using the pill have reported either an increase or decrease in sexual interest and performance, it is difficult to say whether such changes are a result of COCs or other life events. A woman’s interest in sex is due to many factors, such as her well-being, her relationship with her partner, and issues dealing with her children, among others. Interest in sex may wax and wane and it is usually not related to the pill. If, however, you believe this to be true for you, try changing COCs. For more information on myths, misconceptions and facts about contraception, contraceptive methods and abortion, see this section.
  4. Does the Intra-Uterine Contraceptive Device (IUCD) cause cancer?
    IUCDs do not cause cancer in otherwise healthy women, but should not be used for women with suspected cancer of the genital tract or breast. IUCDs do not increase the risk of contracting STIs, including HIV. However, women who are at high risk of exposure to gonorrhea or chlamydia should not use it. An IUCD should not be inserted in women who currently have a PID.Overall, levels of PID in IUCD users are low. IUCD use neither causes multiple pregnancies after removal nor increases the risk of birth defects, whether the pregnancy occurs with the IUCD in place, or after removal.Research has shown that COCs will not cause birth defects and will not otherwise harm the fetus if you should become pregnant while on the pill, or if you accidentally start taking it when already pregnant. Though there may sometimes be side effects with the pill, it has not been conclusively linked to cancer; the most recent research suggests that the pill has little, if any, effect on the risk of developing breast cancer. In fact, according to Planned Parenthood, women who use the pill are only 1/3 as likely to get cancer of the ovaries or lining of the uterus as those who do not. Protection against developing these cancers increases with each year of use and can last up to 30 years after stopping COC use.In summary, there is a minimal increase in breast cancer risk but a reduced risk of ovarian cancer, which is a much more dangerous disease. For more information on myths, misconceptions and facts about contraception, contraceptive methods and abortion, see this section.
  5. Am I allowed to abort my pregnancy if the reason is I am not ready for it?
    The Malaysian Penal Code includes risk of injury to the *mental health* of the woman as a legitimate reason for allowing a termination of pregnancy. If you are clearly distressed and upset by an unintended pregnancy, then you are legally entitled to ask for an abortion.However, if the doctor you consult is not convinced of your distress, then you can seek a second opinion.Most doctors, unfortunately, do not consider the fact that being forced to continue an unintended pregnancy may be a very distressing situation for some women. This interpretation of the abortion law in Malaysia is similarly interpreted in the UK, which has a similar clause in their penal code.
  6. I have missed my period for more than a week. Am I pregnant or am I too stressed due to my exams? If I’m pregnant, how can I abort it safely and where can I do it?
    Yes, the mental stress of pending examinations can cause a delayed period of 1-2 weeks. But if you suspect a possible pregnancy, do a urine pregnancy test when your period is two weeks late just to be sure.RRAAM can provide you with relevant information on where to get a safe abortion. Visit this section of the site.
  7. Can you get pregnant four weeks after a vaginal delivery?
    Yes, it’s possible. Ovulation has to occur before you can get pregnant and, for some women, ovulation may happen four to six weeks after delivery. For more information on myths, misconceptions and facts about contraception, contraceptive methods and abortion, see this section.
  8. Can you ovulate four weeks after birth?
    Yes. Some women ovulate four to six weeks after delivery. Others, particularly breast feeding mums, may have their first ovulation much later.How can you tell if you’ve ovulated? If you have a period. For more information on myths, misconceptions and facts about contraception, contraceptive methods and abortion, see this section.
  9. Can I get RU 486 or Mifepristone in Malaysia? If yes, may I ask where?
    Mifepristone or RU486 is not registered in Malaysia, which means you can’t get it from government hospitals or pharmacists. But it is a safe World Health Organization (WHO) approved drug for medical abortion. They are produced and available legally in many neighbouring countries, and some supplies come here via unofficial channels.However, the best way of obtaining these tablets with full instructions is via the website WomenOnWeb.org. This is a non-profit organization helping to make medical abortion available at lower costs. This website is a partner of RRAAM and is totally reliable. There are many existing websites selling fake abortion tablets and you would be advised to avoid them.If you need more information, please text me at +6012-477-2551. 
    Dr. SP Choong, RRAAM Helpline.
    N.B. In making your decision, you should know that any use or sale of a drug that is not registered by the Drug Control Authority in Malaysia is illegal and the user is wholly responsible for any complications/ adverse events that may arise.
  10. How would an unmarried foreign Muslim woman in Malaysia get an abortion?
    Abortions are legal in Malaysia. There is no distinction of race, nationality or religion as far as the medical profession is concerned.There are, however, reports that government hospitals now have a policy where single Muslim women treated for any pregnancy-related problem may be referred to an Ustaz for counselling and a possibility of being prosecuted in a Syariah court for ‘zina’ (sex out of wedlock). Muslim women are therefore advised to avoid this problem by going to a private clinic or private hospital.Dr SP Choong Co-chair RRAAM
    Text to HP +6012-477-2551 for further info.
  11. If I want to buy the medicine for abortion, do I need a doctor’s permission letter?
    The abortion pill available in Malaysia is Misoprostol under trade name Cytotec. It is available on prescription but many pharmacies don’t strictly adhere to rules. They should cost between 4-5 ringgit for a 200 mg. tab. You will need about 12 tabs in divided doses to cause the abortion. Read up on the WomenOnWeb.org website for fuller information before you buy them.
  12. Do you give referrals for people seeking a medication abortion?
    Very few doctors in Malaysia provide medication abortion (MA) as a routine.
    We advise all clents seeking medication abortions to go into the WomenOnWeb.org website, read the instructions carefully and, if you are a suitalble client for MA, then get the medication from their site. It will be cheaper that seeking surgical abortion in a local clinic. We are affiliated to WomenOnWeb.org and can vouch that their drugs are totally reliable. You can also mention you got the introduction from RRAAM.If you require more info, text me at +6012-477-2551.
    Dr SP Choong, Co-chair RRAAM.
  13. Can an 18 year old Malaysian Chinese girl, non-Muslim, legally have unmarried sex, and obtain oral contraceptives?
    The age of consent for sex in Malaysia is 16 for both males and females. Oral contraceptive pills are an ‘over the counter’ medication, i.e. not requiring a doctor’s prescription. However, some pharmacists may be reluctant to supply girls under 18 years. There are no special rules for Muslims, but Muslim pharmacists may have their own idea of imposing their own personal moral values by asking if the girl is married!
  14. Can an unmarried foreign Chinese girl get an abortion at RRAAM and can she get further information via calling 012 477 2551?
    Abortions are legal in Malaysia. There is no distinction of race, nationality or religion as far as the medical profession is concerned. RRAAM only provides referrals to clinics that offer safe abortion services. It does not provide abortion services. The phone number given is RRAAM’s help line. By calling that number, further information can be obtained.
  15. Where can I get Mifepristone and Misoprostol in Malaysia?
    Mifepristone is unregistered in Malaysia. There are some doctors who have “unofficial” supplies but don’t publicise that. Misoprostol is available by prescription and can cause abortions. It would be best to get them with instructions from the website WomenOnWeb.org, which is a very safe and reliable source.
  16. If I were to get an IUD, what is the percentage and circumstances that the IUD will fall out on its own? Can I still get pregnant after I remove it a few years later? What will be the full cost of having an IUD, including insertion, test and all? Will the procedure to insert an IUD be complicated? Will it hurt? Will I gain weight after inserting a copper IUD?
    The copper IUD is a very reliable and convenient contraceptive method. The accidental expulsion rate is less than 5% in the first year and decreases with time. Copper IUDs are officially licensed for 3-5 years of use but actually long term studies have found no loss of efficacy up to 10 years. Fertility will return to normal after removal.Its main problem is that it causes some women to experience more cramps and bleed more during menses but often those symptoms are temporary and ease off after 2-3 months. Otherwise, you may need a hormone-impregnated IUD called Mirena which lasts 5 years.The copper IUD would cost RM100-150 for check up and insertion. The Mirena is expensive, costing RM700-800. Insertion is a simple 10 minute procedure under local anaesthetic.The failure rate resulting in pregnancy is less than 1%, excluding incident of expulsion for both types.Copper IUDs don’t contain any hormones, so there is no weight gain.
  17. I’m a single Muslim woman, pregnant for more than 9 weeks. I found out late as my periods have been irregular since I was very young. Where can I go to get an abortion as I am not ready to have this child? I don’t think continuing with this pregnancy is a good idea since I’m having other medical complications and it is causing me a very bad depression. Where can I go to seek treatment and whom can I consult? I am located in the Northern region.
    Abortions are legal in Malaysia. There is no distinction of race, nationality or religion as far as the medical profession is concerned.There are, however, reports that government hospitals now have a policy where single Muslim women treated for any pregnancy-related problem may be referred to an Ustaz for counselling and a possibility of being prosecuted in a Syariah court for ‘zina’ (sex out of wedlock). Muslim women are therefore advised to avoid this problem by going to a private clinic or private hospital.Dr SP Choong Co-chair RRAAM
    Text to HP +6012-477-2551 for further info.
  18. How much would it cost for medical (medication) abortion (including ultrasound, consultation etc)?
    There is no rule on pricing of ultrasound scan and surgical abortion because of clandestine attitude of many clinic staff. Private clinics may charge anything from RM600/- to over RM1,500/-.
    We try to recommend those charging RM800/+ or less for a surgical abortion.
    Medical or medication abortion is provided by some doctors using smuggled mifepristone. Because it is technically illegal unlike surgical abortion, it is also expensive. We have heard reports of RM400/- to RM600/-.
  19. I’m a foreigner. I got pregnant while I’m in Malaysia. How can I terminate my early pregnancy if I don’t have the will to continue my pregnancy?
    See answers to Question 10, Question 14, Question 9 and Question 12.
  20. Where does it say that abortions cannot be conducted beyond 22 weeks? I can’t seem to find the provision in the Penal Code. Thanks!
    The viability of a fetus keeps getting earlier and earlier, thanks to progress in medical science. Viability means the age at which, if the fetus were to be delivered, it can survive outside the womb if given proper medical support. This is now usually taken as 22 weeks from the last menstrual period. This is still controversial as the chances of their survival without serious physical and mental disabilities is quite low.
    Abortions are usually not performed on viable fetuses, except under extenuating circumstances such as to save the life of the mother. In many cases, the laws will state the conditions under which abortions are permitted depending on the size/age of pregnancy. However, where it is not stated, as in Malaysia, the state of viability of the fetus is taken as the absolute limit for the performance of the abortion.
    In so far as the Penal Code is concerned there is no stipulation of any period in relation to performing abortions. It is silent. Therefore the decision would be based on the prevailing medical opinion as to the safe period. However, there is mentioned of the number of weeks in the Medical Termination of Pregnancy Act of India as well as the Singapore Termination of Pregnancy Act.
  21. What is abortion and can I have the statistics of abortion cases in Malaysia and other countries for recent years? I need it for my school project. Thank you.
    We cannot send any information to you if you do not include your email address.
    However, according to Malaysian Ministry of Health guidelines (2012), abortion is defined as “the expulsion or removal of an embryo or fetus from the uterus at a stage of pregnancy when it is incapable of independent survival (500gms or 22 weeks gestation). It may be spontaneous miscarriage, or induced for medical or social reasons.”
    Statistics for abortion cases in Malaysia and other countries can be obtained from the Guttmacher Institute website here or by googling on “abortion statistics by country”.
  22. Is it possible to miss one period entirely in a month and eventually continue back on the next month?
    Most women have regular menstrual cycles every month soon after they have started having menses. Often the initial cycles may be irregular but become regular soon afterwards.
    The regulation of the hormonal cycles that cause the cyclical bleeding is controlled by the hypothalamus, a part of the brain which can be effected by emotions or stress. So this is often the cause of delayed menstrual bleeding apart from pregnancy. This may be caused by the stress of changing a job, moving house or marital breakups.
    However, many women experiencing a delayed period followed by a ‘normal’ period the next month may have been pregnant and the delayed ‘period’ could be an early miscarriage, or ‘spontaneous abortion’ in medical parlance. This may be a likely cause especially if the menstrual loss is slightly excessive or prolonged. Careful statistical studies on pregnancy outcomes suggest that up to 25% of all pregnancies end up in miscarriages.
    SP Choong, (Dr).
  23. Hello i’m 18 and i live in Malaysia. I have a question regarding the WomenOnWeb.org and about the abortion pills. I’ve filled out the forms and it said ‘The medical abortion will be delivered to the address that you provide’. Is this true? It will be delivered? I have doubt in my mind and what are the costs for these pills? For me it looks like the organization is helping women without any cost. I need the abortion pills immediately. Hopefully it will be delivered to the address provided. Thank you, need reply ASAP.
    Thanks for the query.
    Womenonweb.org is a virtual non-profit NGO supporting women’s rights to safe abortion with volunteers from many countries. They receive some support from donors but they also rely on donations from their clients. They usually ask for a donation of €90/- to cover drug and admin costs. However, if the client finds the cost too high they can ask for a discount or a waiver. Perhaps because of your age they have decided to give you a waiver.
    They are a partner organisation of RRAAM and their drugs are totally reliable and delivery by courier usually takes about 5 days.

    SP Choong, Co-chair RRAAM.

  24. I am a single Muslim girl and still a student aged 22 years and I have just discovered I have an unplanned pregnancy. My boyfriend and I have both decided this is not the time to have a child but I am worried about my situation if I have an abortion even though the website says it is legal. Is it against Syariah law and can I be charged if it is found out after a I have the abortion?

    Thank you for your question. Doctors recommended by RRAAM operate under our Constitution and the Penal Code on abortion which do not discriminate on the basis of marital status or religion.
    All doctors are also by required by medical ethics to maintain absolute confidentiality regarding their client’s information which may not be divulged to a third party without the clients consent.
    However, we have received reports of some Muslim clients treated at Government hospitals being reported to the Majlis Agama for sex related religious transgressions. You are therefore advised to avoid them in seeking any pregnancy related problems.

    SP Choong, Co-chair RRAAM.