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Medication abortion involves at least two visits to a doctor’s office or clinic. The treatment includes giving the medication and then confirming that the pregnancy termination was successful. Sometimes more than two visits are necessary.
Day 1: Office visit for exam and counseling; take 200 mg (1 tablet) of mifepristone.
Day 2, 3, or 4: At home, place four tablets of misoprostol in your vagina.
Day 7 – 14: Final visit to the office to confirm that the abortion is complete via ultrasound.
If the abortion is not complete, follow-up visits may be scheduled.
Mifepristone blocks the action of the natural hormone progesterone on the uterus. This causes the lining of the uterus to shed as it does during a period and stops the growth of the pregnancy. A medication abortion results when mifepristone is combined with misoprostol.
Misoprostol is a drug that is used with mifepristone for medication abortion. It causes the uterus to contract, pushing out the pregnancy. Misoprostol also causes bleeding and cramping.
Medication abortion is not the same as emergency contraception (EC), also called the “morning after pill.” Emergency contraception prevents a pregnancy from occurring. Once pregnancy has occurred, EC is no longer effective. When a pregnancy has occurred, medication abortion is used to terminate the unwanted pregnancy.
Medication abortion can be performed from the time a woman suspects and confirms that she is pregnant up to nine weeks from her last menstrual period. Some insurance companies limit coverage of medication abortion to pregnancies of seven weeks or less.
In clinical practice, medication abortion is about 95 percent to 98 percent effective. This means that the medications cause the woman to completely pass the pregnancy without the use of surgery. Early surgical abortion, usually done by aspiration, is effective 98 percent of the time.