In 1971, as part of their work with their feminist reproductive collective, Lorraine Rothman and Carol Downer invented menstrual extraction (ME), a suction process to pass the entire period all at once and abort an unwanted early pregnancy. An underground network of providers has kept ME alive ever since, and in a post-Roe era the demand is surging. Written by an anonymous medical professional, this zine provides a short history of ME and detailed instructions and diagrams about how to safely and effectively perform a manual exam, use a speculum, assemble a Del-Em kit, and complete a menstrual extraction procedure.