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Womens Medical Abortion clinic with Mifepristone and Misoprostol



Medical abortion is a procedure that uses various medications to end a
pregnancy. A medical abortion is started either in a doctor’s office or
at home with visits to your health care provider.



Medical abortion doesn’t require anaesthesia or surgery, but it should
be done early in pregnancy. Unlike a surgical procedure, a medical
abortion usually is done without entering the uterus.



During the procedure

Medical abortion can be done using the following medications:

Oral mifepristone and oral misoprostol. This is the most common type of
medical abortion, likely due to the ease of oral rather than vaginal
dosing. These medications must be taken within seven weeks of the first
day of your last period. Mifepristone (mif-uh-PRIS-tone) — also known as
RU-486 — blocks the action of the hormone progesterone, causing the
lining of the uterus to thin and preventing the embryo from staying
implanted and growing.



Misoprostol (my-so-PROS-tol) causes the uterus to contract and expel the
embryo through the vagina. If you choose this type of medical abortion,
you must visit your health care provider twice to take the medications
and then afterward to make sure the abortion is complete.



Methotrexate injection and vaginal misoprostol. This type of medical
abortion must be done within seven weeks of the first day of your last
period. Methotrexate is given as a shot by your health care provider and
the misoprostol is later used at home. You must visit your health care
provider within a week of getting a methotrexate shot for an ultrasound
to confirm if the abortion is complete. If the pregnancy continues,
another dose of misoprostol will be given.



Vaginal misoprostol alone. This method may be used over a broader range
of gestational ages, but requires scheduling multiple doses of the
medication. Vaginal misoprostol alone can be effective in promoting the
completion of a miscarriage — a spontaneous abortion where the embryo
has died.



The medications used in a medical abortion cause vaginal bleeding and abdominal cramping. They may also cause:

Nausea, Vomiting, Fever, Chills, Diarrhea, Headache.



You may be given medications to manage pain during and after the medical abortion. You may also be given antibiotics.

Your health care provider will explain how much pain and bleeding to
expect, depending on the number of weeks of your pregnancy. You might
not be able to go about your normal daily routine during this time, but
it’s unlikely you’ll need bed rest. Make sure you have plenty of
absorbent sanitary pads.



If you have a medical abortion in a health care provider’s office or
clinic, you’ll have a pelvic exam before you’re given additional doses
of misoprostol to see if the foetus has been expelled. The frequency and
strength of your uterine contractions also will be monitored. While the
most discomfort may last one to two hours, spotting before and bleeding
after could last two weeks.



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