At Women’s Health, we are committed to helping patients understand all of their options when faced with an unexpected pregnancy. Our professional staff is dedicated to providing safe, high-quality medical services.
Women’s Health is a certified member of the National Abortion Federation (NAF), and meets its standards of care. Abortions are performed by licensed, experienced, specially trained physicians. Follow-up exams are performed by nurse practitioners.
What to Expect
You will receive an intake over the phone to get your medical history. They will email you the instructions and consents for the abortion. You will be set up with a time to be called 1-2 days prior to your appointment to review the abortion procedure, aftercare, questions, consent forms and contraceptive options. You will also be encouraged to choose a birth control method. We can provide you with information, counseling, and a prescription, and we will explain how to use the method you choose.
On the day of the abortion appointment, you will check in at the front desk; due to COVID you will be asked to sign the consent forms in your car. Next, if indicated, you will receive an ultrasound to confirm the duration of pregnancy. An ultrasound is not always indicated prior to an abortion procedure and may not be performed for every patient.
Some patients will require some simple lab work to determine whether you have an Rh-negative blood type or anemia. If you are Rh-negative, you will need medication following the abortion procedure, for which there will be an additional charge. If you are anemic, you will be given a handout recommending foods rich in iron.
Plan on 4-6 hours at the clinic for your abortion appointment. Medication abortion appointments generally take a little less time than in-clinic procedures.
Medication abortion is offered starting at five weeks from the first day of your last period up until the first day of the eleventh week.
At the clinic you will take, by mouth, 200 mg. of Mifeprex, a medication to end your pregnancy. You will also be given a second medication, misoprostol, to use at home anytime between 8-72 hours after taking the first medication. Misoprostol will expel the pregnancy and complete the abortion process. You will experience bleeding, pain and/or cramps, usually for 3-5 hours.
You can take ibuprofen (Motrin or Advil) up to 800mg every 8 hours and/or Vicodin up to 2 pills every 4-6 hours. You can also use a heating pad on your abdomen and/or gentle massage to relieve the pain.
Some patients have other symptoms like vomiting, diarrhea, headache, fever or chills after taking the second medicine. This is normal unless it occurs more than 24 hours after taking the second medication.
If you continue to have abdominal pain and weakness, nausea, diarrhea or vomiting, with or without fever, more than 24 hours after taking the second medication, call the clinic.
At your medication abortion appointment, you will be given a Patient Information sheet with detailed instructions regarding insertion of the misoprostol, use of pain medications, expected symptoms, and follow-up.
Call Women’s Health at 303-442-5160, 24 hours a day, if:
If you have persistent heavy bleeding for more than one day after you have passed the pregnancy (soaking 2 maxi pads per hour for more than 2 hours).
If you pass blood clots larger than the size of a lemon.
If you have severe pain for more than an hour that is not tolerable or managed with ibuprofen or the medication that was prescribed for you
If you have a fever of 100.4˚F or greater for more than 4 hours or anytime more than 24 hours after taking misoprostol.
If you have a possible drug reaction.
If you have abdominal pain/weakness, nausea, vomiting or diarrhea with or without fever more than 24 hours after taking misoprostol.
Any symptoms of ectopic pregnancy such as one-sided pelvic sharp pains, sharp shoulder pains, dizziness or faintness, sharp rectal pains.
We will call you to follow up one week and four weeks after your medication abortion. We will give you a home urine pregnancy test to perform four weeks after the procedure to confirm you are no longer pregnant. If after taking the medications you are concerned that you are still pregnant, please call us.
It is very important that you speak with Women’s Health to make sure that the medication abortion is completed.
In-Clinic Abortion Procedure
An in-clinic abortion procedure is performed starting at five weeks from the first day of your last period and up until the last day of the thirteenth week.
Your procedure will begin with a preliminary pelvic exam. The doctor will then inject a local anesthetic to numb the cervix, dilate the cervix using manual dilators, and perform the vacuum aspiration procedure (usually lasting about a minute or two).
In the recovery room, you will rest and review aftercare instructions. You may be given a prescription for a pain medication to use at home if needed. If indicated, we will perform a gonorrhea and chlamydia test.
Women’s Health offers pain medication for in-clinic abortion procedures:
Women’s Health offers oral medications to manage pain and help you relax during the procedure. With oral pain medication, you may eat and drink lightly before your appointment. We recommend that you bring along a snack for after the procedure.
IV Conscious Sedation is available for an extra cost of $40. It is very important that you not get dehydrated; therefore, you may eat and drink liquids prior to your appointment.
NOTE: We cannot give you narcotics or IV sedation if you do not have a verifiable ride available to pick you up in a timely manner after your appointment. If you do not have a ride home, your only pain medication option will be 800 mg Ibuprofen (Advil, Motrin). You may NOT take a taxi home unaccompanied.
If you are determined by ultrasound to be more than 12 weeks from your last menstrual period, you may also be given misoprostol, a medication that softens the cervix and makes dilation easier.
Prior to the abortion, you will be given an antibiotic to prevent infection. We recommend ibuprofen for pain control after the procedure. You may be given a prescription for pain medication to use at home if needed.
Prior to the abortion, you will receive a detailed sheet of aftercare instructions. Afterward, we will provide you with medication, ask you to contact us if you experience symptoms of a potential problem, and explain the importance of rest, good nutrition and emotional support.
You can expect the symptoms of pregnancy to disappear by the third or fourth day following your abortion. If breast tenderness, queasy stomach, tiredness and frequent urination persist, call the clinic at 303-442-5160. You can reach someone at the clinic 24 hours a day, seven days a week.
For the next two weeks, you will need to take good care of yourself. Get plenty of rest, eat nutritious foods that will help your body heal, and do not engage in any strenuous physical activity such as sports or heavy lifting. To prevent infection:
No swimming, no hot tubs or tub baths. Showers are fine.
Nothing in the vagina:
No tampons (use pads instead)
No douching (vaginal cleaning products)
Call us at 303-442-5160 if you are experiencing any problems and a nurse will determine if you need to come in.