Medication abortion involves taking a prescription called Mifegymiso which is a combination of two drugs (Mifepristone and Misoprostol). This medication is a safe, accessible alternative to a procedural abortion which is done in clinic or a hospital setting.
Mifepristone is an anti-hormone that stops the pregnancy from continuing, and Misoprostol is a prostaglandin which causes contractions and softens the cervix.
You will experience cramping and bleeding which allows your body to release the pregnancy. Pain can be managed using over the counter analgesics, a heating pad or hot water bottle, movement, and distraction. You will be counseled on what to expect throughout this process.
Medication abortion can be more accessible for those who live in remote areas, whereas procedural abortion requires commuting to a clinic or hospital.
Some people prefer medication abortion as it can be completed at home with the support of loved ones. It is similar to a miscarriage and can feel less invasive than an in clinic abortion.
You will be required to complete blood work, an ultrasound, and/or a home pregnancy test within a specified time to confirm that the medication abortion is complete. Bleeding and cramping does not guarantee that the pregnancy is terminated. If the pregnancy is ongoing or there are retained tissue, your health care provider will discuss next steps with you. Mifegymiso is 95-98% effective.
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