The Abortion Pill Process

Mifeprestone, popularly known as The Abortion Pill, offers women who are at in early stages pregnancy a choice of a less invasive method to terminate their pregnancy. While it is not for every woman, the non-surgical abortion allows the patient greater privacy as well as more personal control over the process of her abortion.
Step One

The First Step in the non-surgical otherwise known as the abortion pill process is the office visit. When you arrive you will be asked to fill out a brief medical history. Once you have been registered we will perform some basic testing to verify your pregnancy and over all health. This includes a urine test, a blood test and a sonogram.
The doctor must make sure that you are at least 5 weeks into the pregnancy, where ectopic pregnancy can safely be ruled out by sonogram. Ectopic pregnancy is a serious medical condition where the pregnancy is developing outside of the uterus. When this occurs the abortion pill is not effective. As the pregnancy gets larger it can rupture the fallopian tubes and cause heavy bleeding. If the pregnancy is not seen on the sonogram you may be given blood tests to check for Beta HCG (The Human chorionic gonadotropin ). The level of this hormone in your blood can help indicate whether you are simply too early for the abortion pill or are at risk of ectopic pregnancy. This risk is why you cannot use the abortion pill before 5 weeks into a pregnancy.
You must also be less then 8 weeks gestation because beyond that point the effectiveness of the non surgical procedure drops dramatically. In cases where the pregnancy tissue is unable to pass on its own, patients would need a surgical procedure. This only happens in about 5 % of cases before 8 weeks of gestation. This is why we rarely provide the abortion pill in cases where a pregnancy is greater then 8 weeks.
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Your office visit also allows the doctor to rule out conditions which would keep you from being a good candidate for this the abortion pill. Certain medicines or medical conditions may make the abortion pill less effective or put your health at risk. Please make your physician aware of all medical conditions, especially bleeding or clotting problems which might increase your risk during the process.
This time also allows you to ask questions regarding how the abortion pill works and what you will experience. It gives you time to confirm your decision regarding not only your abortion, but whether you wish to have a non surgical procedure or switch to the surgical procedure or aspiration procedure.
Once you and your doctor are both satisfied that you are ready your doctor will have you take the Mifesprestone tablet, The Abortion Pill, in the office. You must take the abortion pill in the office because of the FDA regulations regarding distribution of this medication. This medication stops the development of the pregnancy by blocking the hormone Progesterone. While Mifeprestone can cause dizziness, nausea and period – like spotting however most women do not experience these side effects.
At this time the doctor will provide you with an envelope containing 800 mcg of a second medication, Misoprostol. This medication is for you to take at home twenty four to forty eight hours after you have taking the first pill.
Step Two :

We recommend that you find a time where you can be at home and comfortable. You will want to be near a bathroom and in a place where you can relax as much as possible. Once you are ready you will then put the tablets of the second medication, Misoprostol (Also known as Cytotec) inside your cheeks to let them dissolve. This medication makes your uterus contract and expel the pregnancy tissue. Usually women start to have cramping and bleeding between one to four hours after taking this medication. It is different for every woman. You are encouraged to take pain medication ever 4 to 6 hours to help moderate the cramping during this phase of the process. Even with pain medication you should expect to feel cramping. The medication serves to make it less intense and more tolerable. Pain may also be reduced by resting and using heating pads or hot water bottles on you back or stomach. If the pain medication does not seem to be having any effect please contact the office to discuss this with the nurse or doctor.
The Abortion Pill Process in NYC

Board Certified Gynecologists & Family Practitioners