Medical Termination by Telemedicine

Abortion Pill by Mail

Available in New Mexico Only

Up to 8.0 Weeks

The medical abortion through telemedicine, commonly known as the abortion pill by mail, is available for patients up to 8 weeks from their last menstrual period (LMP). A medical abortion is a multiple day process and allows a woman to be in her own home when the abortion occurs. The abortion, which is a medically induced miscarriage, consists of two sets of medications, which now is available without an in-office visit.

During the appointment making process, we will gather medical and pregnancy history to see if you may be eligible for a telemedicine appointment. All paperwork is available electronically. At your appointment time, you will have a telemedicine visit with our providers.  The medications and all necessary instructions will then be sent to you by mail.

Medications

The first medication you will take is Mifepristone. Mifepristone (Mifeprex, or RU-486) is a medication that blocks the hormone progesterone. Progesterone maintains pregnancy. As a result, Mifepristone alters the lining of the uterus (endometrium), and causes an early pregnancy to detach from the uterine wall.

Misoprostol is the second medication that you will take. It is very effective at causing the uterus to contract (cramp) and thus expelling the pregnancy, similar to a miscarriage. You will take Misoprostol between 24 to 48 hours after the Mifepristone.

Other requirements                                 

While the medical abortion is very effective, there is a 2-5% failure rate.  Because of this, a telemedicine follow up is required one week after your abortion visit. If the medication abortion process is not complete, the clinic will provide the necessary aspiration abortion procedure at no additional cost. You can read more about the research surrounding these results on medication abortion from the Guttmacher Institute.

What to expect

Cramping and bleeding are an expected part of ending a pregnancy. Usually, these symptoms mean that the treatment is working. But sometimes you can get cramping and bleeding and still be pregnant. This is why the follow-up visit is essential.

Your next normal period should begin in 6 to 8 weeks after you are no longer pregnant. A pregnancy test may still show a slight positive for up to 6 weeks after your abortion, as the pregnancy hormones leave your body.

It is possible to get pregnant before your first period begins. Therefore, if you want to avoid another pregnancy, you should use a birth control method to prevent pregnancy. A prescription for birth control can be given by the physician during the televisit. Your counselor can discuss your birth control options with you during your televisit.

Hormonal birth control methods such as pills, the Depo Provera injection, the Nuva Ring, and the Ortho Evra Patch, Nexplanon, Mirena, may change your cycle. If you have questions, please call the office.

Instructions

  • During the abortion process you may eat and drink normally. It is best to avoid strenuous activity, avoid lifting over 10 pounds, and avoid spending a lot of time on your feet. Be guided by how you feel.
  • Apply a heating pad or hot water bottle to help relieve cramping
  • Put NOTHING in the vagina until after the follow-up exam has determined the abortion is completed.
  • No vaginal intercourse or tampon use – sanitary pads only.
  • Do not douche, go swimming, or take a tub bath- showers are fine.
  • You will have an appointment scheduled for your check-up or lab work one week after your abortion.

Be sure to report if:

  • Bleeding is excessive (soaking 2 pads over 2 hours).
  • Severe abdominal pain is experienced .
  • Temperature is ever 100.4 degrees.
  • You have any foul-smelling vaginal discharge.
  • Persisting fatigue, or extreme malaise.
  • Nausea or vomiting are severe .

$ Please call our office for updated pricing information.

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