A medical (or medication) abortion is an alternative to surgical abortion. It is non-invasive. It uses a combination of two drugs (“pills”) to induce an abortion.

(1) Mifepristone – given by a healthcare provider in his/her office. It blocks the progesterone in a woman, which will cause the uterine lining to thin and the fetus to detach from the uterus.  (2) Misoprostol – taken at home 24-48 hours later. It causes the uterus to contract, bleed, and expel the fetus.

Typical side-effects after taking both drugs:

• Bleeding and cramping – starting 1-4 hours after taking second pill.
• Heavy bleeding and clots for several hours (a good supply of pads will be needed).
• Low fever and chills for about a day after taking second pill.
• Tiredness, nausea, and dizziness.
• Light vaginal bleeding may occur for several weeks after abortion.
• Emotions may vary more than normal.

Prior to a medical abortion, a physical exam and health history evaluation by a healthcare provider is required*. This usually includes:

• Physical exam.
• Confirmation of pregnancy.
• Ultrasound to view fetus in uterus, determine length of pregnancy, and rule out ectopic pregnancy.
• Blood and urine tests.
• Explanation of procedure, risks, and side-effects.
• Scheduling post-procedure follow-up for 2-3 weeks. This is an important appointment to keep and to let the healthcare provider know how your recovery was.

*Some states have already or may in the future relax/eliminate some of these requirements.

Reference:

For questions and more information contact Pregnancy Health Center (Camdenton MO).