Abortion Services

Medication/Pill Abortion

(up to 11 weeks)

Medication abortion, also known as “the abortion pill” or a “pill abortion” is a multi-step process that involves taking 2 medications, mifepristone and misoprostol, to induce what would happen if you had a miscarriage. This process involves passing the pregnancy from the comfort of your own home. A medication abortion takes 2-3 days from start to end, depending on the timing of medication. A follow-up is needed to verify the abortion was completed.

We offer medication abortion until 11 weeks (77 days) of pregnancy. A staff member will review the process with you in-depth prior to your appointment.

If you have questions, please contact our office. For detailed appointment instructions, click here.

Resources

The following information is intended to help you decide if medication abortion is right for you, and answer some frequently asked questions. A staff member will review this information in more detail with you at the time of your appointment.

Medication Abortion – Patient Instructions.

Helpful Information:
Appointment Instructions 
• Information about Rhogam for people with a negative blood type can be found HERE.

If you measure 11 weeks or under, you may be eligible for either a medication abortion or an in-clinic abortion procedure. If you are having trouble deciding between medication or an in-clinic abortion procedure, HERE is some detailed information to help you decide!

Medication abortion is also known as “the pill abortion”. Medication abortion provides people with a non-surgical method of terminating a pregnancy. Medication abortion involves 2 different medications: mifepristone or misoprostol. A medication abortion is a process that involves swallowing a pill called mifepristone. Mifepristone blocks the hormone progesterone, and results in the pregnancy detaching from the uterus. 24 to 48 hours after taking mifepristone, a medication called misoprostol is inserted into the cheeks buccally, held in place for 30 minutes, and then swallowed with water. Misoprostol causes the uterus to contract and the cervix to open, expelling the pregnancy. In most cases, the abortion is completed within 24 hours. Medication abortion induces what happens during a miscarriage. A miscarriage is also referred to as a spontaneous abortion. After taking abortion-inducing medication, a follow-up is needed to verify completion of the abortion. We are currently offering both in-clinic and remote follow-up services as a part of your care.

Your medication abortion appointment consists of the following:
• Ultrasound
• Lab work
• Individual Patient Education
• Abortion-Inducing Medications
• Prescriptions for pain management and nausea

During a medication abortion, it is common to experience bleeding, cramping/pain, and feeling sick. These symptoms usually start after taking misoprostol (2nd step of the medication abortion process).

Bleeding can vary from person to person and may be moderate to heavy. Many people say this feels like a heavy menstrual period. Alongside bleeding, it is normal to pass clots of varying sizes. Bleeding is considered normal so long as it does not exceed 2 menstrual pads per hour, for more than one hour.

Cramping occurs when the uterus contracts. Cramping can vary from moderate to severe. Prescriptions for pain medication are provided. You can take pain medications as prescribed for your medication abortion. You can also use a heating pad, taking a shower, or have someone give you a backrub to help. In general, whatever you do for your normal menstrual cramps you can do to relieve cramping during this procedure.

It is normal to feel sick during a medication abortion. Nausea, vomiting, diarrhea, headache, backache, and fatigue are all normal side-effects. A slight fever or chills are also normal during this time. These symptoms should begin to improve by 24 hours after taking misoprostol.

We offer a follow-up as part of your abortion care. This follow-up is necessary in order to verify the abortion was successful. We are currently offering both in-clinic and remote follow-ups.

Risks associated with medication abortion are similar to the risks associated with an in-clinic abortion procedure. For most people, a medication abortion is just as safe as an abortion procedure.

These risks include:
• Hemorrhage (too much bleeding)
• Infection
• Failed or incomplete abortion

Risk of hemorrhage or infection occur in less than 1% of our patients, with risks for serious infection occurring even less frequently. Serious infection or hemorrhage can have serious negative health impacts if left untreated. For this reason, Hope Clinic provides all of our patients with access to a 24-hour emergency line for concerns, as well as detailed guidelines for reasons to call us or seek immediate medical attention.

Risks of incomplete or failed abortion vary depending on length of pregnancy, but are generally considered to occur in 3-7 out of every 100 people (3%-7%) undergoing a medication abortion. In rare cases, an incomplete passage of pregnancy tissue requires an in-clinic abortion procedure, also known as a dilation and curettage procedure, or D&C.

If you feel you may change your mind after taking mifepristone, do not take it. There is no evidence that a medication abortion can be successfully “reversed” once started.

It is possible for the medication abortion to fail. The recommended treatment for a failed medication abortion involves terminating the pregnancy through additional medications, or an in-clinic abortion procedure. Treatment options may depend on the gestational age of the pregnancy, your provider’s medical opinion, and your personal preferences.

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