Medical Abortion – RU486/Abortion Pill (Methotrexate/Misoprostil)
The biggest advantage with the medical abortion is no surgery is required and can be done in the safety of your own home. This method can only be used for early pregnancies. The effectiveness is approximately 95%.
The Methotrexate regimen can be done before the pregnancy is visible by sonogram. With the Mifepristone regimen, you will come to the office and consult with the doctor, sonogram and all other necessary labs, etc. will be performed. Mifepristone, taken orally, blocks the action of progesterone, causing the uterine lining to thin and the pregnancy to detach. This will be taken at the office on your first visit. You will be given a second set of pills called Misoprostil to take home with you. You are to take this later on that night, we recommend taking the pain medication provided by the doctor at the same time. Do not wait until cramping starts, you have anywhere from moderate to severe cramping which is managed by Tylenol and Codeine. The Misoprostil induces uterine contractions, helps soften the cervix and increases the effectiveness of Mifepristone to 95-98%. Anesthesia is not required and this method is FDA approved for terminating early pregnancies.
The disadvantages are not being monitored by our medical staff. After 7 weeks insurance companies stop covering medical terminations. Requires at least 2 visits and can take days or, rarely, weeks to complete. Post procedure bleeding may last longer than the surgical method.
It is very important to weigh your options and decide which method you are more comfortable with. If you are undecided you can always make the appointment and decide once you speak with the physician.