What is RU 486/Mifeprex?

Mifeprex is a non-invasive, non-surgical option for ending an early pregnancy.   It can be taken up to 8 weeks from the first day of the last menstrual period and is 90-95% effective.

 

How do these medications work?

Two medications are used to complete a medical abortion.

 

Mifepristone (RU486) is a medication that blocks progesterone, the hormone necessary to maintain a pregnancy. This medication is given at the first visit.    

 

The second medication, Misoprostol, is taken at home 24 hours later.  It is placed in the mouth to dissolve for 30 minutes, and then swallowed.  This medication causes the uterus to contract and expel the pregnancy.  Approximately 75% of women expel the pregnancy within 24 hours of taking this medication.

 

How successful is it?

Approximately 90-95%.  If treatment fails, a surgical procedure may be needed.  

 

What are the side effects?

You can expect to have some or all of the following symptoms: nausea or vomiting, diarrhea, heavy bleeding and strong cramping.  Usually these symptoms go away after 1-2 days, but some women experience bleeding for 1-2 weeks.  It is important to be honest about what you can handle.    We talk with each woman individually to provide realistic and accurate information so each patient can decide for herself.

 

How do I decide which method is best for me?

Many women describe the medical abortion as being “private” and “more like a miscarriage” but the method is not for all women.

 

Every woman is different in her expectations, needs and tolerance levels.  The best thing to do is review all the information thoroughly and be honest with yourself.  If you can’t handle cramps or heavy bleeding this is not for you.    In our experience, women who make informed decisions and choose the medical abortion/RU 486 are very happy with their choice.  They report feeling like it was less invasive and more natural than a surgical abortion.  The process also requires a minimum of 2-3 visits so we require that you live within 1-2 hours and are able to return for follow-up.

 

What medication will I receive?

You will receive the following medications at the first visit:  Mifepristone (RU486), Misoprostol, and prescriptions for pain medication and antibiotics.  You will also have lab work and an ultrasound.  Rh-negative women will be given Rhogam at an additional cost. 

 

How do I know it is complete?

It is necessary to return for a follow up visit to confirm this.  This appointment is usually scheduled for 2 weeks but you will be given specific instructions at your visit.  

 

To schedule for an abortion, call (303) 388-4631 ext 112