This method of abortion is performed for pregnancies up to 9 weeks (See Pregnancy Calculator below) and is over 98% effective. The procedure is non invasive and completely safe.
On your first visit, you will be fully informed of the risks and benefits of this non-surgical method of pregnancy termination. We will review your medical history and perform a gynecological examination with a sonogram to verify and measure your pregnancy. A small blood sample will be drawn to test for the Rh factor. If needed, you will receive an injection of RhoGam during this visit.
If you would like to save time on the day of your first office visit, you can print the required forms below, complete them, and bring them with you. You must review your patient rights and responsibilities before you come in for your procedure.
Your medical history will be reviewed for any contra indications. Our physician will discuss your choice of non-surgical abortion, and you will have the opportunity to ask any questions. If you are eligible for the non-surgical abortion and choose to proceed, you will receive RU486. You will then be given Misoprostol tablets and instructions on how to take them orally.
The Misoprostol tablets should be taken 8 to 48 hours after taking the RU486. The vast majority of women will completely expel the uterine contents within 24 hours of the Misoprostol insertion. You will experience vaginal bleeding similar to a heavy menstrual period and cramps that may be intense. You will most likely experience heavy cramping within 7-8 hours from taking the RU486 and very likely the discomfort will only last 3 hours or so.
Prescriptions for Tylenol 3 (for cramping) and Compazine (for any nausea and vomiting) will be prescribed for you.
Do not use any other medications (such as Advil, Aleve, Midol, Bufferin, etc.) than those you have been given because they contain anti-prostaglandin's that may interfere with the prescribed medications. You should not engage in sexual intercourse once you have inserted the tablets.
Approximately, one week after you have taken the Misoprostol tablets you will be evaluated to determine the completeness of the pregnancy expulsion. Our physician will perform a sonogram. If your pregnancy termination has been complete, contraception will be discussed and the appropriate method may be prescribed. Most women will continue to bleed lightly for two to four weeks after expelling the uterine contents. If the pregnancy tissue has not passed, you will be scheduled for a D&C surgical abortion.
NOTES on medications:
Mifepristone, commonly referred to as RU486 is FDA approved and works by blocking the hormone progesterone, which is needed to maintain an early pregnancy.
Misoprostol is a prostaglandin like medication which has been FDA approved for several years. The drug has been used in obstetrics to induce labor and to treat stomach ulcers. The most commonly reported side effects are nausea, vomiting, and diarrhea of brief duration. No other side effects or adverse reactions have been reported at the dosage used in this method of pregnancy termination. Misoprostol will help the uterus to expel the pregnancy.
DISCLAIMER: The Pregnancy Calculator above is an estimation of weeks from reported last normal menstrual period and does not constitute medical advice. A missed period does not necessarily mean that you are pregnant, and having a period does not mean you are not pregnant. Only an exam, pregnancy test, or ultrasound by a physician can confirm pregnancy and approximate length of pregnancy. The calculator should be used as a guide only and should not be relied upon for weeks of pregnancy, conception date, or due date.