Abortion Pill

What is the Abortion Pill?
The Abortion Pill, also known by its medical description RU486, is one of the two noninvasive early abortion methods we offer here at Early Options. It involves taking not one, but two sets of abortion pills over a time period of 6-72 hours.


What are some advantages to the Abortion Pill?
One of the primary advantages of the Abortion Pill is that, like the SofTouch® method, it induces a natural miscarriage. Many women find comfort from this perspective. While you are still required to come into our private office to obtain the Abortion Pill, you’re able to complete the actual miscarriage process in the comfort of your home. Many couples appreciate being together while this occurs. However, if you choose our SofTouch® method, you are welcome to have your partner – or any companion of your choice – by your side during the procedure.


When can I take the Abortion Pill?
It is safe to take the Abortion Pill between 5-9 weeks of pregnancy, counting from the first day of your last menstrual period. One of our physicians will confirm the dates of pregnancy by an ultrasound examination.


How does the Abortion Pill work?
The Abortion Pill is two sets of pills. The first pill, mifepristone, blocks the pregnancy hormones from reaching the uterus, so the tissue lining stops growing and starts to detach from the uterus. The second set of pills, misoprostol, cause the uterus to contract and the cervix to relax and open. This induces your period, or causes an early miscarriage.


What are the disadvantages of the Abortion Pill?
One of the most challenging aspects of the Abortion Pill is that it requires 6-72 hours to complete the process. Once the two pills have been taken, you’re also required to return to our practice so that one of our physicians can verify termination of pregnancy via ultrasound. If you’re seeking a less time-consuming procedure with immediate certainty, explore our 2-5 minute SofTouch® option. The Abortion Pill is usually predictable but there have been extremely rare but serious complications. While many women have a positive experience taking the pill, some women don’t. Some women have severe cramping that can last up to 8 hours. Some women have intermittent bleeding that can last months. Rarely, this must be treated with a procedure. In extremely rare cases, bleeding has resulted in severe anemia and the need for a transfusion. For 1-2% of women who take the Abortion Pill, it will not work, and this can be a difficult emotional experience to go through ending the pregnancy “again” with another abortion procedure. There have been several unexplained deaths related to the Abortion Pill in North America.


Does the Abortion Pill hurt?
Typically, there is no pain or cramping after taking the first pill, mifepristone, or RU486. Most women experience strong period-like cramping for several hours after taking the second set of pills. At Early Options, we will give you strong pain medications that should relieve this cramping. Some women get severe cramping that can last 6-8 hours.


How much bleeding will I have?

The earlier you are in your pregnancy, the less bleeding you will have. Typically after you take the second set of pills you will have several hours of bleeding, heavier than a period. Within hours, the bleeding should become more like a period. This bleeding will last usually a week or more. It is common and normal to have irregular bleeding that lasts for weeks to months. The average length of bleeding is 6 weeks. This bleeding can be spotting, bleeding that stops and starts, or daily bleeding. It is normal to have bleeding that is red or brown in color. The passing of small or large clots is common and normal.


What does the Abortion Pill procedure cost?
The first thing we like to let our patients know is that the cost of the Abortion Pill given by other clinics often does not include the two visits required anywhere you’ll get the Pill. Here, we include the pills and the visits for $1200. During the first visit, you’ll receive the first pill and also talk with one of our physicians about what to expect. We’ll also dispense pain medications for you to take as you complete the miscarriage. The second visit is where we’ll verify via ultrasound that your pregnancy has been terminated. If you prefer just one visit with a 2-5 minute procedure that is close to 100% effective, consider our SofTouch procedure – it costs the same but is preferred by 9 out of 10 women who come to our practice.


Do I need to miss school or work?
Most women are able to avoid missing work or school. We will discuss your schedule in detail with you and help you determine the best time to complete the miscarriage at home. One of the things that makes the Abortion Pill a good early abortion option is that you can choose a time that fits your schedule. The time that you take the second pill is flexible, and can be anywhere from 6-72 hours after the first pill. Once you take the second set of pills, the miscarriage usually happens within hours. You should be able to resume your normal activities by the next day.


What will I see?
If you are early enough to take the Abortion Pill (under 9 weeks since the first day of your last menstrual period) there is no visible embryo. Many women also find comfort in learning what early pregnancy really is. At this stage, early pregnancy consists of tissue similar to a heavy period, a tiny bubble of fluid, and invisible cells. You will see blood, like your period. You may see some of the pregnancy lining that looks like a wet paper towel material. You may pass small or large clots.


How is the Abortion Pill different from the Morning After Pill?
You must be pregnant to take the Abortion Pill (RU486). The Abortion Pill is a way to terminate an early pregnancy. The Morning After Pill (or emergency contraception) is taken after unprotected sex to AVOID getting pregnant.


Can I take the Abortion Pill without anyone knowing?
Yes. It is easy to disguise your symptoms as a bad period or an early miscarriage. A doctor or medical professional cannot tell if you have taken the Abortion Pill.