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Medication abortion (or medical abortion) is a safe, reliable and non-surgical means of abortion for people who have made an informed decision that is is the best option for them.
Medication abortion is an alternative to surgical abortion in the early weeks of pregnancy (up to 9 weeks). It involves taking medications mifepristone and misoprostol to terminate a pregnancy.
Mifepristone (previously known as RU486) is taken by mouth. It ends a pregnancy by blocking the action of the hormone (progesterone) that supports the pregnancy.
Misoprostol is also taken by mouth. It causes the cervix to soften and the uterus to contract to expel the pregnancy.
Medication abortion is not suitable for everyone. It may not be recommended if you have certain medical conditions, take some medicines (such as blood thinners or steroids) or had allergic reactions.
A huge benefit of abortion pills is you can perform the abortion privately.
The patient performs the abortion by taking the medications. Below are the steps to take the abortion pills:
Step 1: Swallow one mifepristone (200 mg) pill with water.
Wait 24-48 hours. Choose a time to start Step 2 when you’ve had a good meal and plenty of rest.
30 minutes before Step 2, take 800 mg of ibuprofen (4 over-the-counter tablets). This will help decrease your cramps and bleeding, which usually start a few hours after Step 2.
Step 2: Place 4 (four) misoprostol pills (800 mcg) inside your vagina OR between your cheeks and gums for 30 minutes
You must complete Step 2 even if you have started bleeding.
Buccal (between cheeks and gums):
The medicine will work the same if you take it in your cheeks (buccally), but it can cause more nausea and other side effects.
Step 3: Place 4 misoprostol pills (800 mcg) between your cheeks and gums for 30 minutes.
You only need to complete Step 3 if:
Put 2 misoprostol pills on one side of your mouth (between your cheek and gums), and the other 2 on the other side of your mouth. Wait 30 minutes for the pills to dissolve, then swallow what is left of the pills.
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