What is an Abortion Pill?
An Abortion Pill (RU 486 / Mifepristone and Misoprostol) is taken orally and results in the termination of a pregnancy without surgery or any invasive measures.
The Abortion Pill is also referred to as a Medical Abortion and can only be taken if you are less than 10 weeks pregnant or it has been 70 days since you last menstruated.
Will it Hurt?
Most women compare the experience to a heavy period, cramping, and heavier than usual bleeding. The longer you’ve been pregnant, the greater the cramping and bleeding.
We will provide you with a prescription for pain medication. The medication is not always necessary and is optional.
How Successful is a Medical Abortion?
This method is successful in about 98% of cases.
What Should I Do if I Choose a Medical Abortion?
Unless you live more than 100 miles from our facility, you should expect to attend two appointments:
The first is a “pre-op” visit in which you will have an ultrasound that will be read to you by our physician. (The Texas Ultrasound Law 2011 mandates this.)
The next day you will come to our clinic for instructions and to take the first Abortion Pill. You will take the second pill home with you and swallow it within 24 to 48 hours of the first pill.
You will need a follow-up visit to make sure you are in good health, that the abortion was successful and to be provided with birth control options.
How Does the Abortion Pill Work?
The Abortion Pill is actually two pills:
1st pill: Mifepristone or RU-486 is taken at the clinic. Mifepristone has been used safely by millions of women. The pill works by blocking a hormone called progesterone. This will terminate the pregnancy by causing the tissues to separate from the uterus lining – basically resulting in a miscarriage.
2nd pill: Misoprostol tablets are taken in the privacy of your home sometime between 36 and 48 hours after you’ve taken the Mifepristone pill. Misoprostol causes uterine contraction, the cervix to soften and bleeding – which is necessary to abort the pregnancy.
How Long Does the Medical Abortion Take?
Typically, anywhere between 2-24 hours after taking the Misoprostol pill.
Are There Ever Complications with Taking the Abortion Pill?
The Abortion Pill is a very reliable method, with a success rate of 98%.
In the rare situation when the bleeding is heavy or goes on too long, it will be necessary to have a suctioning of the uterus performed. This is only in the rarest of cases and will be done at no extra cost or fees.
When Shouldn’t I Take the Abortion Pill?
You should not take the Abortion Pill if you…
• Are more than 10 weeks pregnant.
• Are taking anti-clotting medication or have blood clotting disorders.
• Have severe heart, liver, or active inflammatory bowel disease.
• Have certain severe kidney problems.
• Have a serious immune system problem, such as HIV.
• Have seizures more than once a week.
• Take any medicine that should not be combined with Misoprostol.
Can I Get Pregnant After Having a Medical Abortion?
Yes! Therefore, it is very important that you start using birth control within 2 weeks after your abortion. We will provide you with birth control options at your follow-up visit.
How Can I Be Certain that the Abortion Was Successful?
We can confirm that you are no longer pregnant when you come for a follow-up visit about 2 weeks after your abortion. At this time, you will be given an ultrasound to make certain that the abortion was successful and that you are no longer pregnant.
What Should I Do if I Think I Am Experiencing Complications from the Abortion?
Complications are extremely rare. But we don’t want you to worry! If you have any concerns, we will provide you with a 24-hour phone number, which you should never hesitate to call.
Call us immediately with any issue that might arise. Most concerns are typically addressed and resolved on the phone when you speak with our experienced staff.
Only in the rarest of occasions will we ask patients to come in, or direct them to an emergency room.
When Will I Get My First Period After the Abortion?
Most women have their first normal period about 6 weeks after the abortion. Between the abortion and that first period, you may experience some spotting. Your first period will be heavier than usual but subsequent periods should be normal.
What Do I Do if the Abortion Pill Doesn’t Work?
We always follow-up a Medical Abortion with an ultrasound. In the unlikely event that the Abortion Pill is unsuccessful, we will perform a Surgical Abortion with no extra charges.
If you haven’t begun to bleed within 24 hours of taking the Misprostol at home, you will need to contact us. We will decide together what our next steps will be.
Why Do I Need an Ultrasound?
It is the law in Texas that you have an ultrasound performed and read to you (at least) 24 hours prior to your abortion.
Additionally, an ultrasound is a necessary for determining how far along your pregnancy is. After 10 weeks, you are no longer eligible for the Abortion Pill and will need a Surgical Abortion.
An ultrasound is also essential in diagnosing if your have an ectopic pregnancy. This is extremely rare – and occurs when the fetus grows outside the uterus. Ectopic pregnancies are very serious health risks and must be terminated.
What Do I Do if I’m RH Negative?
If you are an RH Negative blood type, you will need to be given an injection called RhoGAM which will prevent you from developing any harmful antibodies.