Medical Abortions

We offer a medical (medication) abortion option for women up to 10 weeks. A medical abortion is less invasive and allows women to be in her own home when the abortion occurs.

Dallas, Texas

Dallas, Texas

Up to 10 Weeks Gestational Age by LMP

We offer a medication abortion option for women up to 10 weeks LMP. A medication abortion is less invasive and allows a woman to be in her own home when the abortion occurs. The initial visit is a consultation with the physician and a session with a trained counselor. You should expect to be in the office for two to three hours on this first day. The law requires that you wait at least 24 hours from that time before the first medication can be administered.

Medications

Mifepristone (Mifeprex, or RU-486) is a medication that blocks the action of progesterone; a hormone needed to maintain pregnancy. It alters the endometrium, the lining of the uterus, causing an early pregnancy to detach from the uterine wall. It also helps to soften and dilate the cervix. While you are at the clinic on your second visit, you will take 200 mg of mifepristone and receive Misoprostol to take at home 24-48 hours after the mifepristone. Misoprostol is very effective at causing the uterus to contract (cramp) and thus expelling the pregnancy.

Other requirements

While the medication abortion is 98% effective, there is a 2% failure rate. Because the medications used are toxic to the pregnancy, a medication abortion failure could require an aspiration procedure. Follow up is required to ensure the completion of the process.

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 you must return to your provider approximately one week after the initial visit. If you are not already bleeding after taking mifepristone, you probably will begin to bleed once you take misoprostol. Your bleeding may be similar to, or greater than, a normal heavy period. Lighter bleeding could last two to three weeks and spotting may continue until the start of your next menstrual period. If you soak through two thick, full-size sanitary pads per hour for two hours or if you are concerned about heavy bleeding, contact your provider.

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.
• Please put NOTHING in the vagina until after the follow-up exam has determined the abortion is completed.
• Do not have intercourse.
• Do not use tampons; use sanitary pads only.
• Do not douche, go swimming, or take tub baths; showers are fine.
If your temperature is over 100.4 degrees, please call us.
You will have an appointment scheduled for your check-up one week after your abortion.

Be sure to call if:

  • Your bleeding is excessive (soaking 4 pads over 2 hours).
  • You experience severe abdominal pain.
  • Your temperature is ever 100.4 degrees.
  • You have any foul-smelling vaginal discharge.
  • You have severe fatigue or extreme malaise.
  • You have severe nausea or vomiting.
Albuquerque, New Mexico

Albuquerque, New Mexico

Up to 10.0 Weeks

We offer medical abortions, commonly known as the abortion pill, for women up to 10 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 medical abortion consists of two sets of medications, the first, taken in our office and the second, at home.

Medications

Mifepristone (Mifeprex, or RU-486) is a medication that blocks the action of progesterone; a hormone needed to maintain pregnancy. It alters the endometrium, the lining of the uterus, causing an early pregnancy to detach from the uterine wall. It also helps to soften and dilate the cervix. While you are at the clinic you will take Mifepristone.

Misoprostol is the second medication that you will receive. Misoprostol is very effective at causing the uterus to contract (cramp) and thus expelling the pregnancy like a miscarriage. Misoprostol will be sent home with you, along with instructions to take this medication between 24 to 48 hours after the Mifepristone.

Other requirements                                 

While the medical abortion is 95% effective, there is a 2-5% failure rate. An in office follow up for in town patients and follow up labs for out of town patients is required in one week. Because the medications used are toxic to the pregnancy, a medical abortion failure will require an aspiration abortion procedure at no extra cost.

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 you must return to our office in for in town patients, and to a specified lab for out of town patients, in 6-10 days after the initial visit. If you are not already bleeding after taking Mifeprex, you probably will begin to bleed once you take misoprostol. Your bleeding may be similar to, or greater than, a normal heavy period. If you soak through two thick full-size sanitary pads per hour for two hours or if you are concerned about heavy bleeding, contact us.

Your next normal period should begin in 6 to 8 weeks. A pregnancy test may still show a slight positive during this time as the pregnancy hormones leave your body. If you do not have a period within 8 weeks from the procedure date, please call us. It is possible to get pregnant before your first period begins. Therefore, if you want to avoid another pregnancy, you should use the birth control method which has been advised for you by our counselors and/or your physician. 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.
  • Do not have vaginal intercourse
  • Do not use tampons- 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:

  • Your bleeding is excessive (soaking 2 pads over 2 hours).
  • You experience severe abdominal pain.
  • Your temperature is ever 100.4 degrees or more.
  • You have any foul-smelling vaginal discharge.
  • You have severe fatigue, or extreme malaise.
  • You have severe nausea or vomiting.

$ Please call our office for updated pricing information.