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A medical abortion is one that is brought about by taking medications that will end a pregnancy.  A medical abortion uses two medications to end a pregnancy. The first medication, Mifepristone, weakens the attachment of the pregnancy to the uterus. The second makes the uterus cramp and causes bleeding, which expels the pregnancy.

Mifepristone is taken in the form of a pill. It works by blocking the hormone progesterone, which is necessary to sustain pregnancy. Without this hormone, the pregnancy detaches from the uterine wall, the cervix (opening of the uterus or womb) softens, and some uterine cramping can begin.

       Within a few days after taking mifepristone, a second drug, misoprostol, is taken.

Misoprostol tablets, which are taken orally, cause the uterus to contract and empty.

      There are three steps involved in a medical abortion:

  1. You will take the first medication at our clinic. It is not unusual to have some bleeding after the first medication but the procedure is not complete.
  2. Within the next few days (about 48 hours later) you will need to return to the clinic to take the misoprostol. Within a few hours of taking the medication, you will probably start to have strong cramps and bleeding, similar to a heavy period. Pain medicine or a heating pad can help with the cramps. You may also have nausea, vomiting, diarrhea, fever, chills, or feel tired. These symptoms usually last a short time and stop on their own. It is a good idea to have someone drive you home from taking the second medication as you may begin having cramps & bleeding before you arrive home. 
  3. It is important for you to return to the clinic for a follow-up to make sure that the abortion is complete. This follow-up appointment is FREE and is generally scheduled 7-14 days after taking the first medication. At this visit you will have a pelvic examination, a pregnancy test, or vaginal ultrasound. In the rare case that your abortion is incomplete, you may need to take an additional dose of misoprostol or simply wait and return for another visit in a week or two. If the pregnancy is still growing, however, you will need a suction abortion. In the rare case that you need to have a suction abortion, there are no additional fees if the procedure is completed at our clinic.

       Features of Suction versus Medication Abortion:

        Suction Abortion                                            Medical Abortion

            High success rate (about 99%)                                                                           High success rate (about 95-98%)

            Instruments inserted into the uterus                                                                Usually avoids aspiration procedure

            Can be done in one visit                                                                                      Requires at least three visits

            Procedure is completed in 5-15 minutes                                                         Abortion occurs within 24 hours of second medication for most women

            May be used early in pregnancy                                                                        May be used early in pregnancy

            Anesthesia or sedation can be used                                                                  Oral pain medication can be used if needed for cramps

            Procedure is done in a medical office or clinic                                                Some of the process may happen at home

            Health care provider provides the procedure                                                  Medications cause a process similar to a miscarriage


e-mail us at: info@RedRiverWomensClinic.com