Medical Abortions – “Abortion Pill” (RU-486)

We offer a medical (medication) abortion option for women up to 10 or 11 weeks. A medical abortion is less invasive and allows patients to be in their own home when the abortion occurs.

Southwestern Women’s Surgery Center – Dallas, Texas

Up to 10 Weeks Gestational Age by LMP

The medication abortion process offered up to 10 weeks LMP. A medication abortion is a medication induced miscarriage. Therefore, it is less invasive and allows the patient to be in their own home when the abortion occurs. The initial visit to the office 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. Texas law requires that you wait at least 24 hours from that time before the first medication can be administered.

Medications

The first medication you will receive is Mifepristone; known as Mifeprex, or RU-486.  The medication works  by blocking progesterone. Progesterone is 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. RU-486 also helps to soften and dilate, or open, the cervix. While you are at the clinic on your second visit, you will take 200 mg of mifepristone. In addition, you will be given Misoprostol to take at home 24-48 hours after the administration of mifepristone in our office. 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 abortion.

What to expect

Cramping and bleeding are an expected part of ending a pregnancy. Usually, these symptoms mean that the treatment is working. However, cramping and bleeding can happen, yet the medications do not completely pass the pregnancy. This is why you must have follow up approximately one week after the initial visit. It is rare but possible to begin bleeding after taking the first medication, mifepristone. Additionally, once you take the second medication, misoprostol, your body will begin the miscarriage  process. Your bleeding may be similar to, or greater than, a heavy period. After passing the pregnancy, lighter bleeding 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 our 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.
• Put NOTHING in the vagina until after the follow-up exam has determined the abortion is completed.
• No vaginal intercourse
• Use sanitary pads only, no tampons.
• 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.

Call our office if:

  • Bleeding is excessive (soaking 4 pads over 2 hours).
  • Abdominal pain that you experience is severe.
  • Temperature is ever 100.4 degrees.
  • You have any foul-smelling vaginal discharge.
  • Fatigue or extreme malaise is severe.
  • Nausea or vomiting is severe .