WHAT IS MEDICAL ABORTION AND HOW DOES IT WORK?

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The Medical Abortion is an option to end an early pregnancy (up to 49 days after the first day of a woman‚ last menstrual cycle) in three steps:

STEP ONE: The medication Mifepristone (also known as RU-486) which works by blocking the hormone progesterone without which the lining of the uterus breaks down and pregnancy cannot continue. This pill is given to you by either the doctor or one of our nurse practitioners, during your first clinical visit. Some patients begin bleeding shortly after taking this pill, others do not. Whenever you do start bleeding you will start taking the antibiotics that we send you home with. We will call you that same evening to see how you are doing, ask if you have any questions or concerns, and remind you that YOU ARE NOT ALONE.

STEP TWO: 48 hours after taking the first pill it will be time for you to take the second medication, Cytotec. Set some time aside for you and surround yourself with whatever helps you to feel comfortable. You will have four of these pills which you will need to tuck inside of your cheeks, two on each side. You will need to let them dissolve for 20-30 minutes. This medication will cause cramping of the uterus to expel its contents. Some women experience bleeding lighter than a period and don’t notice cramps. Other women have bleeding that is much heavier than their normal period and have cramps that they find INTENSE during the expulsion phase. It is important for me to know that everything within this range is normal. Bleeding and cramps should diminish once everything is expelled. Significant cramping usually will last no longer than 24 hours. You may take up to 800 mg of Motrin every four to six hours to aid with cramping and heavy bleeding.MISO2

STEP THREE: Time for your follow up visit. We will need to see you in order to make sure your abortion is complete and that you are well. We will draw blood to make sure that your hormone levels have decreased and also do a pelvic ultrasound to give you the final “A-OK.”

WHY CHOOSE MEDICAL ABORTION?

You can complete the process of abortion in the privacy of your own home. There is no need for anesthesia if you choose to have a medical abortion. Medical Abortion (RU-486) is less invasive than the Gentle Vacuum Aspiration Abortion procedure.

WHAT ARE THE RISKS ASSOCIATED WITH MEDICAL ABORTION?

 An allergic reaction to either of the pills, incomplete abortion (need for surgical D&C abortion, also known as Gentle Vacuum Aspiration Abortion), Infection, Undetected ectopic pregnancy, or very heavy bleeding. A second dose of mifepristone may be needed.

WHAT ARE SURGICAL ABORTION / D&C PROCEDURE AND HOW DOES IT WORK?

Surgical Abortion D&C Procedure (Gentle Vacuum Aspiration Abortion)

This abortion procedure is the safest and least traumatic available. The three main steps involved are: Slider-2

1) An injection, to numb the cervix

2) The insertion of a small flexible plastic cannula (sterile tube) through the natural opening to the uterus, the cervix

3) Removal of the pregnancy by suction, which is created by an aspiration machine. The actual gentle suction part of the procedure normally takes about two minutes.

This procedure may cause some cramps which usually go away quickly, less than half an hour. Some bleeding and cramps are to be expected for one week or so. Surgical abortion has been legal in the U.S. since 1973 and is very effective (about 99% successful) and has a very low risk of injury or infection when done properly by qualified clinicians.

A simple local anesthetic is administered to numb the cervix. There are fewer risks with abortion performed with a local anesthetic than with a general anesthetic. General anesthesia temporarily depresses both the circulatory and respiratory systems of the body. It also requires monitoring equipment and your recovery will be longer after the abortion.

Curettage is unnecessary for early abortion. A curette is the instrument used in a D&C (Dilation and Curettage) procedure. While the D&C procedure has been used to perform abortion in the past, it is far less desirable than the vacuum aspiration abortion. Physicians that are not up to date or inexperienced may offer a D&C to perform your abortion.

California State Law does not require parental consent for pregnancy testing or abortions. Our staff members have extensive experience maintaining confidentiality for young women choosing to have an abortion.

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Medical Abortion- Ru486 Ishere Beverly Hills

A medical abortion is one that uses medications to cause an abortion instead of surgical instruments. Many women prefer a medical abortion because it feels more natural and it allows them more privacy than a surgical abortion. Medical abortion is usually only available for early pregnancies and may require 2-3 visits. Often, medical abortions are offered in a private doctor’s office and most of the management is in the privacy of your home.

Medical abortion is not for every woman. It’s important to know exactly what to expect with medical abortion and to be honest with yourself about what you can handle. There may be heavy bleeding or strong cramping with medical abortions.

Advantages of Medical Abortion

One of the greatest advantages of medical abortion is that you can receive treatment as soon as your pregnancy test is positive, privately, discreetly, quickly, and without surgery!

Types of Medical Abortion

 We offer two types of medical abortions:

  • The “Abortion Pill” otherwise known as RU 486, and
  • Methotrexate / Misoprostol which starts with injections of methotrexate. Methotrexate can be used to stop ectopic pregnancies— pregnancies that develop in a fallopian tube.

After a Medical Abortion

You will need to return to our office for a follow-up visit in two to three weeks. We need to be certain the abortion is complete and that you are well. We will do a sonogram and a pregnancy test at your follow up visit. The RH factor of your blood type will be determined at your initial visit, and, if you have RH negative blood you will receive a RhoGam injection the day you begin your procedure. You will receive written information that describes the entire process and you will have a private consultation with our physician to address any questions or concerns.

Disadvantages of Medical Abortion

One of the medications must be used at home. The cramping and bleeding might be heavier for a few hours, however, whether you choose a medical or surgical procedure the bleeding will last the same number of days.  A few women may temporarily have gastrointestinal side effects when using misoprostol medication.

For any other information

Contact us

Ru486 Ishere

BEVERLY HILLS

Wilshire/La Cienega

292 S. La Cienega Blvd. #100

Beverly Hills CA 90211.

Phone: 424-239-1650