The abortion pill uses two medicines to cause a miscarriage and end a pregnancy. The medication abortion is a safe and effective way to end a pregnancy, up to 77 days, in the privacy of your home.

This is a non-invasive procedure that feels more natural for some people. You can be with a spouse, partner, family member or trusted friend, for support with the medical abortion. Patients who want a less invasive procedure, prefer the medication abortion.

The first step involves an office visit, including an ultrasound, lab work and exam. Mifepristone ends the pregnancy. Pregnancies need a hormone called progesterone to grow and mifepristone stops your body from making this hormone.

Misoprostol helps your body pass the pregnancy and causes bleeding and strong cramping. 24-48 hours after your office visit you will take misoprostol and you must stay home for 12-24 hours.  During this time, should rest until your bleeding and cramping is light.

A few days later you will have a phone interview with one of our staff to talk about your experience. You may need to return to the office for us to confirm that you are not longer pregnant. Most of the time you will take a pregnancy test at home four weeks later, and if the test is negative you and we will know the medication abortion worked. Because if your pregnancy test is positive four weeks after the abortion you may still be pregnant. Call us immediately if this happens so we can schedule you for another ultrasound.

The pain will be the worst after you take the second medication, misoprostol at home. Cramps similar to heavy period cramps are common, and for some people the cramping and pressure can be very severe.

We will give you prescription pain medication.

If you want to feel less cramping you can take one of the pain medications 30 minutes before taking misoprostol. Take your pain medications on a regular schedule until your pain is gone or light. If you are not taking pain medication regularly, it will not help with your pain because it only works for 4-6 hours.

Unfortunately, if you wait until you are in pain to take medications you will be in pain longer, because the pain medication takes time to work.

Do not use any aspirin medications like Bayer, Excedrin, BC, or Goody’s.

Milder cramps, like period cramps or less, may last for a few weeks after you pass the pregnancy.

It is possible to have heavy bleeding and cramping and pass clots, but still be pregnant. In very rare cases, the pregnancy can continue to grow and progress after taking the ‘abortion pill’.

For follow-up, please call us a few days after you take the medication at home. We will send you a text reminder to call us as well. When you call we will talk for a few minutes about your experience and based on how that conversation goes, we will either ask you to return to the office or ask you to take the pregnancy test we gave you at your office visit, in four weeks.

Four weeks after the abortion pill process you should have a negative pregnancy test result most of the time. If your test is positive, you may still be pregnant. Please call us right away to schedule an office visit and ultrasound.

After you take the abortion pill, you must make sure the medicines worked. We will call you for a telephone interview. After this call we may ask you to come back to the office for another ultrasound. If you still feel pregnant or think that the medication did not work, call us right away. We will also ask you to take a urine pregnancy test 4 weeks after the abortion. If this test is positive call us immediately. You may still be pregnant.

If you are still pregnant after you take the medication abortion you have two options. Usually you can take more medicine or have a suction procedure to complete the abortion.

Rarely, some of the pregnancy may still be in the uterus after some pregnancy tissue passes. If this happens you could have heavy bleeding, infection, or both. To prevent these complications, you may need a suction procedure, more medications, more tests or treatments.

Sometimes clots in the uterus can cause cramping and pain in the belly and/or lower back. If this happens, you may need a suction procedure or medication to help pass the clots.

You will not have to make another payment if you need more medical care to complete the abortion. This means you will not be asked to pay more if you need more medications or a suction procedure in our office. You must return to our office if you think that you are still pregnant or if our staff ask you to come back. We provide abortion care up to 24 weeks but it you need to go to another clinic or hospital to complete the abortion you will be responsible for the cost of that care.

You can exercise the day after you take the second medication at home. However you should not exercise if you feel like you have not passed the pregnancy.

After you exercise, if your bleeding increases stop exercising. If this happens you should be less active and do not exercise again until your bleeding is lighter.

Your bleeding will be heaviest after you take the misoprostol at home on the second day. The type of bleeding you have will change. At first, the bleeding may be heavier than your normal period, and it may include blood clots.

Once the pregnancy has passed, bleeding will slow down. You may bleed or spot for 4 to 6 weeks after the abortion. The bleeding can stop and start again many times.

When your bleeding has been light for 24 hours you can use a tampon instead of a pad.

Approximately 1.75 million people in the U.S. and millions more worldwide have chosen the abortion pill to end a pregnancy. It is effective approximately 91-98% of the time. How well the medication works depends on how far along you are in the pregnancy.

If you take the abortion pill when you are 8 weeks or less pregnant it works about 98 out of 100 times.

If you take the abortion pill when you are 8-9 weeks pregnant it works about 96 out of 100 times.

If you take the abortion pill when you are 9-10 weeks pregnant it works about 91-93 out of 100 times. But if you take an extra dose of misoprostol it works 99 out of 100 times.

If you take the abortion pill when you are 10-11 weeks pregnant it works about 87 out of 100 times. But if you take an extra dose of misoprostol it works 98 out of 100 times.

You will take the Mifeprex in our office on ‘day one’ after having an exam, ultrasound, lab work and signing consents. You can go to work, school or make other plans that day, it is very rare that you would start to bleed or pass the pregnancy after taking the first medicine alone. You should make arrangements to be at home on ‘day two’ for at least 24 hours after taking the Cytotec (the second medication). The bleeding and cramping is moderate to heavy for most women and you should not be at school or work while you are passing the pregnancy. In most cases you can return to your regular obligations and activities the following day.

In person follow up visits are only required in special situations. In most cases we will have a five minute follow up phone call with you a few days after you take the medication abortion. If we feel confident that you are no longer pregnant, we will instruct you to take the pregnancy test provided to you in our office, four weeks after you pass the pregnancy. If that test is negative your follow up is complete. If that test is positive, you may still be pregnant and it is very important that you come in right away for an ultrasound.

If you are asked to come in for a follow up visit it is very important to keep that visit. If returning is impossible, you can speak with one of our medical staff members to make a plan for your care.