Thinking about abortion? Find a Health Center

inside_1359627254_640x640A woman has many decisions to make when considering abortion. If you’re thinking about abortion, your health care provider may talk with you about a few different abortion methods. You may be offered the option to have an in-clinic abortion procedure. Or you may be offered the option to have a medication abortion by taking the abortion pill. Medication abortion is the kind of abortion discussed on this page.

Whether you’re thinking about having a medication abortion, you’re concerned about a woman who may be having one, or you’re someone who’s just curious about medication abortion, you may have many questions. Here are some of the most common questions we hear women ask about the abortion pill. We hope you find the answers helpful. And if you’re thinking of having a medication abortion, we hope they help you decide what is best for you.

If you are under 18, your state may require one or both of your parents to give permission for your abortion or be told of your decision prior to the abortion. However, in most states you can ask a judge to excuse you from these requirements. Learn more about parental consent for abortion.


After ultrasound, lab work, and counseling session are complete and your medical history is reviewed, you will receive your first dose of medication, Mifeprex. You will take this medication in our office. The second dose of medication, Misoprostol, will be given for you to take the following day. You may be instructed to take this medication orally or to insert it vaginally. You will be given the option of taking this dose in the privacy of your own home, or you may return to the office if you prefer. Within 24 hours after taking Misoprostol, you should experience cramping and bleeding. Your uterus will contract and its contents will be expelled.


Two weeks after your initial visit, you must return to A Woman’s Choice of Raleigh for a pregnancy test and ultrasound examination to determine if the abortion is complete. If you are still pregnant, we will discuss your options, which may include a surgical procedure to end your pregnancy.

How Effective Is the Abortion Pill?

Studies have shown that non-surgical abortion using Mifeprex and misoprostol is highly effective. Mifepristone has been successfully used by millions of women worldwide. In only 5 to 8 women out of every 100, this method will not completely terminate the pregnancy. For those women, a surgical abortion may be done at our facility at no additional charge.

Symptoms and Side Effects

Most women will experience cramping and bleeding, which usually means that the treatment is working. Bleeding may be similar to or heavier than your normal period. You may also pass some blood clots and tissue. This is an expected part of the process. Bleeding lasts on average 9 to 16 days, but may last as long as 30 days.

Side effects may include nausea, diarrhea, dizziness, and fatigue.

To learn more about the (RU-486) Mifeprex please visit


What is medical abortion?

Medical abortion is a way to end pregnancy without surgery, and is like having a miscarriage.

It falls into two categories. Early medical abortion performed up to 9 weeks of pregnancy induces a miscarriage. Second trimester medical abortion is performed later in pregnancy to put a woman into early Labour.

The availability of medical abortion varies around the country, check your local provider for details.



On the day of your procedure after completing a basic history form you will be called for a sonogram to verify the estimated gestational age of your pregnancy. You will next go to our laboratory where our staff will check your vital signs and draw blood to check your RH status as well as a current hemoglobin and hematocrit. Our staff will answer any questions you may have and you will be asked to sign a medical abortion patient agreement. You will then be seen by one of our Board Certified Gynecologists who will discuss all risks, benefits, and alternatives to the medical abortion process and will dispense all medications.

The process of medical abortion requires that you return to the office for two follow up appointments; which are included in the price of the procedure. Follow up is necessary to ensure that the medical abortion has completely ended your pregnancy. If the medicines did not work to end your pregnancy, you must agree to have a surgical procedure (suction D&C procedure). Incomplete abortion can be associated with heavy bleeding (hemorrhage) and infections. Pregnancies that continue after the medical abortion process are associated with severe birth defects.


Our Process

Step 1: You will be given 200mg of Mifepristone (abortion pill) to take in our office.

Step 2: 24-48 hours later you will take 4 tablets (800 mcg) of Misoprostol (Cytotec) at home by placing them under your tongue (sublinguall) for 30 minutes.

Step 3: You will return to our clinic in 2-5 days for initial follow-up and sonogram.

Step 4: You will return to our clinic in 2 weeks for your final follow-up sonogram and contraceptive counseling.


  • Most women will pass the tissue at home. In this case arrangements will be made to have blood tests and possibly another ultrasound examination to confirm that the abortion is complete. You are recommended to see your referring doctor for a final check in 10-14 days for any problems and for ongoing contraceptive care.
  • If the pregnancy tissue has been passed in the clinic, you will be given an appointment with your referring doctor for a final check-up in 10-14 days to make sure that you are well and have suffered no complications.
  • The follow-up tests to confirm that the pregnancy has ended are most important. The clinic will make an effort to contact you if you do not attend for the tests. Bleeding and cramping are not proof that the abortion is complete.

Common Side Effects

  • Cramping & Bleeding
  • Nausea
  • Vomiting
  • Fever
  • Chills
  • Diarrhea
  • Dizziness

When to call the clinic

  • Heavy bleeding: soaking 1-2 pads every hour for more than 2-3 hours
  • No bleeding or passage of any tissue after taking Misoprostol
  • Severe abdominal pain that persists greater than 24 hours after taking Misoprostol
  • Fever of greater than 100.4°F that persists greater than 24 hours after taking Misoprostol