Mifeprex (RU-486 / Medical Abortion Pill)

According to Planned Parenthood, the Abortion Pill can be used until 10 weeks LMP (Last Menstrual Period), however, its effectiveness may decrease as the pregnancy progresses.1:

Procedure

The FDA approved regimen for Mifiprex (RU-486) is a two-visit process using two different drugs.2:
  1. Mifepristone is given orally during the first office visit. Mifepristone blocks progesterone from sustaining the pregnancy, thereby ending the life of the fetus.
  2. Misoprostol tablets are given orally 48 hours later. The misoprostol will cause contractions to expel the fetus’ remains. This does not take place at the medical office and may occur within a few hours or up to two weeks after taking misoprostol.
  3. A physical exam is given by the healthcare provider about 7-14 days later to ensure the abortion is complete and that there are no immediate complications.

Risks and Side Effects

  • Not advised for women who have anemia, bleeding disorders, liver or kidney disease, seizure disorder, acute inflammatory bowel disease, use an intrauterine device (IUD), or are unable to return for the follow-up visit.
  • Cramping, nausea, vomiting, diarrhea, heavy bleeding, infection and in rare cases, death.
  • In a small percentage of pregnancies, the procedure may be unsuccessful in terminating the pregnancy. This risk increases with the length of your pregnancy.3:

Reversal Option

If you have taken the first dose of the pill and are experiencing doubts about your abortion, it may be possible to reverse your abortion. Every hour since your first dose of the abortion pill matters, so it’s important to call the Abortion Reversal Hotline at 877-558-0333 or visit abortionpillreversal.com as soon as possible. 

1 Planned Parenthood (2019). How effective is the abortion Pill? Retrieved from https://www.plannedparenthood.org/learn/abortion/the-abortion-pill

2 U.S. Food and Drug Administration (2016). Mifeprex Medication Guide. U.S. Department of Health. Retrieved from http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088643.pdf)

3 Mifeprex Label (2016), Table 4.

Common Questions

Will my obgyn give me an abortion pill? A: To prescribe the abortion pill, a gynecologist needs to be a certified abortion provider, either through their own practice or at a clinic. 

Is the abortion pill available over the counter? A: The abortion pill is not available for purchase without a prescription. You need a prescription from a qualified healthcare professional to obtain mifepristone and misoprostol. 

Which medicine terminates 1 month of pregnancy? A: Mifepristone – this is called the abortion pill or RU-486. Often, you will take mifepristone in the provider’s office or clinic but some providers may allow you to take it at home. This stops the hormone progesterone from working which sustains the pregnancy. The lining of the uterus breaks down so the pregnancy cannot continue.

Can misoprostol damage the womb? A: Misoprostol, when used to induce labor or abortion in pregnant women, can lead to uterine rupture, especially in later stages of pregnancy or in women with prior uterine surgery (like a Cesarean section). Uterine rupture is a serious complication where the uterus wall tears open, potentially causing severe bleeding and endangering both the mother and fetus. The risk of uterine rupture is higher with misoprostol use in later pregnancy and in women with a history of uterine surgery, including C-sections. 

Is the abortion pill painful at 6 weeks? A: After individuals take mifepristone, they likely will not feel anything. After taking the second pill, misoprostol, bleeding and cramps typically arise after a couple of hours. Everyone who has a medical abortion will respond differently. Some people describe the experience as being similar to having a heavy period and cramps, while others may experience more intense cramping. The cramping and bleeding may be accompanied by chills, nausea, and fever, which are side effects of misoprostol.

How fast does the abortion pill work? A: A medical abortion takes about two to six hours after you’ve taken the second pill, although it may take longer in some cases.

How many weeks of pregnancy can be terminated by medicine? The abortion pill is only approved for use up to 10 weeks.

How long do you bleed after a pill abortion? A: Light bleeding can continue for 4-8 weeks after using abortion pills, but times may vary. Then the normal menstrual period usually returns after 4-8 weeks. Your first period may be much heavier than normal.The heaviest bleeding typically occurs 2-5 hours after using Misoprostol and usually slows down within 24 hours. The most intense cramping and bleeding generally lasts for 3-5 hours, but it can last for less or more time.

What happens if the abortion pill doesn’t work? A: If your next appointment reveals that the termination is incomplete, you may have the option of taking the pills again. If you prefer to have an in-office procedure, your doctor can schedule this appointment promptly. Some women may have to have a surgical abortion, such as if they are past the six-week point when it becomes apparent that the termination failed.

Can I get the abortion pill in Maryland? A: Yes, abortion pills are legal in Maryland. To prescribe the abortion pill, a gynecologist needs to be a certified abortion provider, either through their own practice or at a clinic. 

Are you considering abortion?

Are you unsure of your options?  Here at Shady Grove Pregnancy Center we specialize in helping you through the process. Our counselors will answer your questions in a caring and confidential way.  We would be happy to serve you.

You’re more than the results of a test. We promise: no shaming, no pressure, and no judgment.

Get a Lab-Quality Pregnancy test today.

You’re more than the results of a test. We promise: no shaming, no pressure, and no judgment.

Get a Lab-Quality Pregnancy test today

en_USEnglish