abortion pill
(Medication Abortion) We offer the Abortion Pill up to 11.0 menstrual weeks
We offer the Abortion Pill / medication abortion up to 11.0 menstrual weeks
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On your 2nd visit, we may draw blood (finger stick) to determine if you are anemic and for blood typing (Rh testing only).
Process Description
Mifepristone is a drug that has been approved by the Food and Drug Administration with a second drug called misoprostol to end pregnancies under 11.0 weeks from the last menstrual period. Mifepristone is a hormone modulator, which means it prevents progesterone from fully supporting the pregnancy and stops development. You will take mifepristone while you are in the office. Twenty-four to 48 hours after taking mifepristone, you will take misoprostol, which comes in the form of 4 tablets. You will place 2 tablets each on each side of your mouth between your cheeks and gums and let them dissolve for 30 minutes. Anything left after 30 minutes can be swallowed normally. In general, patients will begin to bleed and cramp within 4 to 6 hours after ingestion of the tablets. Patients can sometimes also have blood clots.
Heavy bleeding usually lasts 24 hours and then subsides. We ask that you return to the office in 2 weeks to ensure you have passed the pregnancy safely. Our patients usually report minimal bleeding during this visit.
Side Effects
Arizona law requires that mifepristone (the 1st pill) be taken in the office. Most patients do not report significant side effects and can return to work, school, or their usual activities without interruption. Twenty-four to 48 hours after taking the initial dose, you will take the 4 misoprostol tablets as directed. The bleeding and cramping that happens afterward can be heavy enough to disrupt your regular activities. You may need to plan around this. You should also consider that you may have associated nausea, vomiting, fever, and diarrhea.
Risks
The biggest risk is that bleeding could be heavy enough for you to seek emergency care (.3%). There is an even smaller risk of infection (< .3%). The overall risk for the entire process is approximately 14 times less than the risk associated with a vaginal delivery.
Aftercare
Ideally, we like our patients to get some rest during and immediately after taking misoprostol. This tends to decrease the amount of cramping and bleeding during the recovery period. We will prescribe a mild pain reliever (ibuprofen 800mg) and something for nausea (promethazine 25mg). We offer our patients a 2-week follow-up appointment free of charge.
*You are responsible for the cost of your prescriptions
**You are responsible for all costs associated with care outside of our office
Our mission at Choices Women’s Center is to offer SAFE, CONVENIENT, and AFFORDABLE medication abortion (by pill) services to the women of southern Arizona.