Medication abortion is offered starting at five weeks from the first day of your last period up until the first day of the ninth 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
- you have a fever greater than 101°F for more than 24 hours;
- you have bleeding that soaks through more than 2 maxi-pads in 2 hours;
- you have a possible drug reaction;
- you have abdominal pain/weakness, nausea, vomiting or diarrhea with or without fever more than 24 hours after taking misoprostol.
One or two weeks later, you will come back to Women’s Health for a follow-up appointment. At this visit we will make sure that the abortion is complete.
It is very important that you return to Women’s Health to make sure that the medication abortion is completed.