At Women’s Health we have medical providers and counselors available to help our patients know 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 get a phone call 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.
Please indicate to staff if you would like a counselor to speak with you over the phone prior to your procedure. The counseling session is an opportunity to ask questions, to talk about how this experience has been for you, and any emotional, religious, or relationship issues you may wish to discuss.
On the day of the abortion appointment, you will check-in at the front and due to COVID 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.
One week and four weeks after your medication abortion we will call you to follow up. We will give you a home urine pregnancy test to perform 4 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 to Women’s Health to make sure that the medication abortion is completed.
IN-CLINIC ABORTION PAGE:
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, 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 a choice of 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 more than 12weeks 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, including:
- No tampons (use pads instead)
- No sex
- No fingers
- No douching
Call us at 303-442-5160 if you are experiencing any problems and a nurse will determine if you need to come in.
ABORTION COUNSELING PAGE:
Women’s Health is committed to providing you, as an abortion patient, with acceptance, respect for your ethical process, and emotional support during your abortion experience.
At the time of your abortion appointment, you will have the option to meet individually with a counselor. At this time due to COVID counseling services will be provided over the phone. The counseling services we provide are confidential, non-judgmental, respectful and empowering. Each woman is free to discuss as much or as little of her experience with unintended pregnancy as she chooses.
The counseling session is also an opportunity to ask questions, to talk about how this experience has been for you, and any emotional, religious, or relationship issues you may wish to discuss.
Our counseling staff also offers post-abortion counseling free of charge at any time in the future. Many women may not want or need this, but our patients confirm that having this support available is important to them.
Please notify Boulder Valley Women’s Health Center when you make your appointment if you would like a counseling session provided at no additional charge.
- Due to the COVID-19 pandemic we will be minimizing your time inside of the clinic and may ask that you wait in your car for some steps of the abortion process. No support persons will be allowed inside the clinic building. Please notify us if you do not have a cell phone or car and we can make adjustments.
- We encourage you to bring your own mask or facial cover to your appointment to minimize potential asymptomatic spread of COVID-19 to staff members.
- Drink more water up until your appointment. Being well hydrated will help your body recover faster.
- Wear comfortable clothing (sweats, easy-off shoes) and regular underwear for a menstrual pad (no thongs).
- Do not bring children with you. If you bring children under the age of 10 to your appointment, we will reschedule you.
- Bring only one support person. Your support person will need to wait in the car due to the COVID-19 pandemic. At times, you may be in counseling, the procedure, or our recovery room for several minutes to an hour or more. During these times, your support person may want to leave the clinic and return later.
- Prepare to wait. Most patients can have their procedure completed in one appointment lasting somewhere between three to five hours. However, depending on how many weeks pregnant you are, you may need to be given a medication called misoprostol to help soften your cervix before the procedure. This may add an additional hour to your appointment time.
Because most people will be in the clinic for several hours, we suggest you bring a good book and expect that some of your time will be spent just waiting.
- Plan on paying with cash, a cashier’s check, money order, MasterCard, Discover Card or VISA. We DO NOT accept American Express or personal checks. Payment is required at the time of your appointment. If you are using a credit card, the person whose name is on the card must be present to sign.
If you are over 14 weeks by ultrasound, or if there is some other reason we cannot perform an abortion for you, we will only expect payment for the services you have received.
- Confirm your appointment! Call us at 303-442-5160 and speak with our scheduling staff or leave a message by 1:00 pm the Wednesday before your appointment, or we will cancel your appointment.
For In-Clinic abortion procedures only:
- Find a ride to and from our clinic. 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.
- Food and drink: Eat a normal breakfast and/or lunch and drink extra fluids prior to your appointment.