Medication abortion is a combination of two medications, Mifepristone and Misoprostol, which together induce a miscarriage. Some women choose medication abortion because they prefer completing the abortion in the comfort of their own home and setting the timing of their abortion around their work, childcare or life-demands.
With medication abortion, you take the first medicine, Mifepristone, in the clinic. Mifepristone blocks the hormone progestin, which is necessary for the growth of the pregnancy. Then, 24 to 48 hours after swallowing the first pill, you take a second medication, Misoprostol, at home. Within a few hours, your uterus will begin to contract and expel the pregnancy. Heavy bleeding and cramping are normal at this time, and will typically last from 1 to 3 hours. We will provide you with pain medication for the cramping. Then the bleeding will lighten and can last from 2-6 weeks. You return to the clinic in two weeks for an ultrasound to verify that the termination is complete. If the medication abortion fails (it is 97% effective), the pregnancy can be terminated with an aspiration abortion.
We will provide you with written after care instructions along with a 24-hour number where you can reach us if you have any questions or concerns.