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A medical abortion is a procedure in which a regimen of drugs is used to end a pregnancy. Sometimes, known as “the abortion pill,” this regimen is prescribed for abortions before 10 weeks gestation. This procedure typically costs between $250-$650.
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Before taking the abortion pill, it’s essential to consult with a nurse, doctor, or healthcare provider. This initial consultation involves discussing whether abortion is the right decision, reviewing abortion options, and conducting necessary exams, lab tests, and possibly an ultrasound to determine the stage of pregnancy.
The process of a medication abortion typically involves two medications:
1. **Mifepristone:** This pill halts the pregnancy’s growth.
2. **Misoprostol:** Taken after Mifepristone, Misoprostol induces cramping and bleeding to expel the pregnancy tissue.
Following the administration of Misoprostol, which can occur immediately or up to 48 hours later as per medical advice, expect significant bleeding and cramping similar to a heavy period. It’s normal to pass blood clots or tissue during this process, which resembles a natural miscarriage.
To manage discomfort, it’s recommended to prepare with maxi pads, pain relief medication (excluding aspirin), a heating pad, and items for comfort such as books or movies. Bleeding and cramping may persist for several hours to days after the procedure, and spotting can continue for weeks.
Post-abortion care involves a follow-up with healthcare providers to ensure the abortion was successful and to monitor your health. In rare cases where the abortion pills do not effectively terminate the pregnancy, additional medication or an in-clinic procedure may be necessary.
It’s crucial to prioritize safety and legality when considering abortion pills in these regions, seeking professional medical advice to navigate the process effectively and responsibly.
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The FDA approved regimen[1] involves two drugs administered on a prescribed timeline.
First, 200 mg of a drug called mifepristone is administered orally. Mifepristone blocks progesterone, a pregnancy-sustaining hormone. Without progesterone, the uterus becomes inhospitable and the baby stops developing.
The next drug, misoprostol, is administered orally or buccally (in the cheek) 48 hours later. Misoprostol is sometimes used to induce labor at the end of pregnancy.[2] The drug causes the uterus to contract and the cervix to soften and dilate, expelling blood and the remains of the baby and placenta. It can take a few hours or up to two weeks for this to occur.
About 7-14 days later, a healthcare provider performs pelvic exam to ensure the abortion is complete and that there are no complications.
Immediate Side Effects
Common side effects include vaginal bleeding that can continue for up to 4 weeks,[3] cramping, nausea, vomiting, fever, chills, diarrhea, and headache.[4]
Risks
A medical abortion does carry some risk for complication, including prolonged bleeding and infection. There is also a risk that the abortion fails or is incomplete. In some cases, it may require a trip to the emergency department.
Call your doctor immediately if you bleed through more than 2 or 3 pads every hour, have foul-smelling discharge, experience severe abdominal pain that does not subside with pain medication, have a fever or flu like symptoms, faint, or have any other symptoms that persist.
Long Term Side Effects
Medical abortions can have some long term side effects, including a greater chance for future preterm births,[5] infertility,[6] breast cancer,[7] and sexual dysfunction.[8] Some patients also experience long term emotional side effects and are at a greater risk for mental health challenges.[9]
Fetal Development
Medical abortions are prescribed between weeks 4 and 10 of pregnancy. During this time:[10]
The baby is beginning to develop its central nervous system (including nerves, brain and spinal cord)
The heart begins to beat
Eyes, arms, legs, lungs, and stomach begin to form
Hands and feet are forming
Caution Against Off-Label Medical Abortions
Some providers may prescribe medical abortion drugs outside the parameters set by the FDA, which pose increased risks to your health.
Examples of off-label use include:
Administering medical abortion drugs after 10 weeks gestation
Administering mifepristone and misoprostol at the same time
Administering misoprostol alone, without first administering mifepristone
Do not buy Mifeprex or other abortion pills over the Internet. All medical abortions require the oversight of a licensed health care provider who can appropriately assess your health history and the gestational age of the baby. They are also required to share a copy of the Mifeprex Medication Guide, detailing the FDA-regulated drug regimen and the potential risks. Medical abortion pills purchased online are not FDA-approved and are not subject to FDA-regulated safety protections.[11]
If you buy abortion pills online or take abortion pills without the supervision of a health care professional, you are bypassing safeguards that have been put in place to protect your health.
Your life and your body are important. If you have any questions about medical abortions, schedule an appointment with our team today.
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