Medication Abortion during the 1st trimester

RU486 – “The Abortion Pill” – Mifeprex/Mifepristone with Misoprostol – 4-10 wks after last menstrual period (LMP)

Mifepristone is given at your provider’s office*, blocking the hormones needed for the fetus to grow. In addition, it causes the placenta to begin separating from the uterus, ending the pregnancy. A second drug, misoprostol, is given 1-2 days later at your provider’s office, either by mouth or placed in the vagina, causing the uterus to contract and expel the fetus and placenta. A third visit to the doctor, about 2 weeks later, is required for follow-up to make sure the abortion is completed. According to the FDA, side effects may include cramping, bleeding, diarrhea, nausea, fever, vomiting, headache, dizziness, back pain, tiredness, and incomplete abortion. If your pregnancy is not ended, there is a chance of birth defects.

*Note: In some areas, the two medical abortion drugs have been administered without in-person doctor visits during the pandemic, although this is not FDA approved. For the sake of your health, it is best to take medications under direct supervision of your doctor.

Medical Paperwork

Abortion Pill Reversal

For immediate help reversing a medication abortion, call the 24/7 hotline at 877-558-0333 or go to the Abortion Pill Reversal website to chat live with someone right now.

Woman With Pills in Hand

If you or someone you know has taken the first “abortion pill” to terminate their pregnancy and then regretted that decision, there may still be time to reverse the process.

In a medication abortion (or “chemical abortion”), the first pill taken is called mifepristone, or RU-486. This medication blocks a woman’s progesterone receptors, effectively cutting off support for the developing fetus. The second medication, misoprostol, is taken 24-48 hours later to complete the abortion by causing contractions to expel the fetus.

Abortion pill reversal involves restoring support to the fetus by taking significant doses of progesterone—a natural hormone doctors have long prescribed to prevent miscarriage.

If begun within 72 hours of taking the first abortion pill, this reversal procedure has a 68% chance of counteracting the mifepristone and preserving a healthy pregnancy.

No birth defects or adverse pregnancy outcomes have occurred with the abortion pill reversal process.

Call the Abortion Pill Reversal 24-hour hotline at (877) 588-0333 right away if you have taken only the first abortion pill. The caring person on the other end will connect you with a medical professional in your area to decide how to proceed.

And no matter what, you can contact us next for support in this critical time—and beyond. Call 507-637-2534.

Surgical Abortions

1st Trimester

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    Vacuum Aspiration and Curettage – up to 14 weeks after Last Menstrual Period

2nd & 3rd Trimesters

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    Dilation & Evacuation (D&E) – 13-24 weeks after Last Menstrual Period

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    Dilation & Extraction (D&X) – 20-24 weeks after Last Menstrual Period to full term

All surgical abortion methods carry the risk of short and long term side effects (possibly life-threatening).

The information on this page is provided because we believe you deserve to make an informed choice. Choices Pregnancy Center does not perform or refer for abortions.

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