First Trimester Abortion non-surgical Medical Abortion (“The Pill”)
Completing the Medical Abortion at Home
On the morning you choose to place the Misoprostol do the following:
- Between 7:00 am and 8:00 am, take one (1) 25 mg of Phenergan.
- Take one (1) pain tablet (Vicoprofen, Lortab, etc.)
- Using your finger, insert one by one each of the four (4) Misoprostol tablets into your vagina as far back as possible.
- Lay down for two (2) hours while the Misoprostol is absorbed.
What to Expect
Bleeding and cramping will begin anywhere from thirty (30) minutes to four (4) hours after you insert the Misoprostol. Bleeding and cramping may be heavy, intense and last twenty-four (24) to forty-eight (48) hours. Bleeding will then begin to taper off like a period. Do not use a tampon. Maxi Pads only. Continue to take the Phenergan and pain tablets as instructed on the medication bottles.
After completing the preliminary meeting patients will consult with the physician who will determine, by ultrasound, the age and location of the pregnancy. If the patient is eligible for the medication abortion, the physician will provide the first medication, Mifeprex, to be my mouth in our office. This medication blocks the action of progesterone, a hormone needed to sustain a developing pregnancy. This causes the uterine lining to thin and the pregnancy to detach from the uterine wall.
The second medication, Misoprostol, will be given to the patient to take home. The physician will instruct her on how and when to use. Misoprostol causes the uterus to contract, which aids in expelling the pregnancy.
For most women cramping and bleeding will begin within 4 hours after using the second medication. On average significant heavy cramping, bleeding, and passing of blood clots, much like or heavier than a bad period, will start and generally last 24-48 hours, then tapers off like a period over the next 5-7 days.