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Womens Medical Abortion clinic with Mifepristone and Misoprostol

Medical abortion is a procedure that uses various medications to end a

pregnancy. A medical abortion is started either in a doctor’s office or

at home with visits to your health care provider.

Medical abortion doesn’t require anaesthesia or surgery, but it should

be done early in pregnancy. Unlike a surgical procedure, a medical

abortion usually is done without entering the uterus.

During the procedure

Medical abortion can be done using the following medications:

Oral mifepristone and oral misoprostol. This is the most common type of

medical abortion, likely due to the ease of oral rather than vaginal

dosing. These medications must be taken within seven weeks of the first

day of your last period. Mifepristone (mif-uh-PRIS-tone) — also known as

RU-486 — blocks the action of the hormone progesterone, causing the

lining of the uterus to thin and preventing the embryo from staying

implanted and growing.

Misoprostol (my-so-PROS-tol) causes the uterus to contract and expel the

embryo through the vagina. If you choose this type of medical abortion,

you must visit your health care provider twice to take the medications

and then afterward to make sure the abortion is complete.

Methotrexate injection and vaginal misoprostol. This type of medical

abortion must be done within seven weeks of the first day of your last

period. Methotrexate is given as a shot by your health care provider and

the misoprostol is later used at home. You must visit your health care

provider within a week of getting a methotrexate shot for an ultrasound

to confirm if the abortion is complete. If the pregnancy continues,

another dose of misoprostol will be given.

Vaginal misoprostol alone. This method may be used over a broader range

of gestational ages, but requires scheduling multiple doses of the

medication. Vaginal misoprostol alone can be effective in promoting the

completion of a miscarriage — a spontaneous abortion where the embryo

has died.

The medications used in a medical abortion cause vaginal bleeding and abdominal cramping. They may also cause:

Nausea, Vomiting, Fever, Chills, Diarrhea, Headache.

You may be given medications to manage pain during and after the medical abortion. You may also be given antibiotics.

Your health care provider will explain how much pain and bleeding to

expect, depending on the number of weeks of your pregnancy. You might

not be able to go about your normal daily routine during this time, but

it’s unlikely you’ll need bed rest. Make sure you have plenty of

absorbent sanitary pads.

If you have a medical abortion in a health care provider’s office or

clinic, you’ll have a pelvic exam before you’re given additional doses

of misoprostol to see if the foetus has been expelled. The frequency and

strength of your uterine contractions also will be monitored. While the

most discomfort may last one to two hours, spotting before and bleeding

after could last two weeks.

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