A medical abortion (abortion pill) is an abortion that is induced by medicine rather than surgery. Medical termination of pregnancy is available to women who are less than 69 days pregnant (9 weeks).
Two appointments are required for medical termination of pregnancy:
- Your first appointment includes a consultation and review of your medial history, physical examination, and an ultrasound. You will also start the medical abortion treatment during your first appointment by taking a mifepristone tablet.
- Your second appointment (follow-up) is very important as it allows the doctor to confirm that the termination of pregnancy is complete.
Two medicines, known as Mifegymiso (mifepristone, misoprostol), are used for a medical termination of pregnancy.
- First, a mifepristone tablet is taken. You will take mifepristone at the clinic after your consultation and review of your medial history, physical examination, and your ultrasound.
- You will take misoprostol 24 to 48 hours later. Four misoprostol tables are taken at the same time. It is up to the patient to decide when to take the tablets within this specified time period.
Mifepristone is an anti-hormone and acts by blocking the effects of progesterone, a hormone that is needed for pregnancy to continue.
Misoprostol is a prostaglandin and causes contractions of the uterus and relaxation of the cervix which helps push out the contents of the uterus.
Both mifepristone and misoprostol work together to end a pregnancy.
A follow-up appointment to the medical abortion MUST be done two weeks after taking Mifegymiso (mifepristone, misoprostol) to ensure that the termination of pregnancy is complete and to exclude possible complications. If the termination is not complete, the doctor will discuss your treatment options, which may include surgery.