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Non-surgical / medical abortion or abortion by pill is a relatively new method of termination
of pregnancy for early pregnancies (below 7-9 weeks of pregnancy from the first day of the last
menstrual period, confirmed by ultrasound dating). Even prior to RU-486 or Mifeprex, our very
experienced, State-licensed, and baord-certified OB/GYN physicians have had years of valuable
experience in providing non-surgical abortions. With this method, medications are used to cause
the pregnancy to stop growing and be expelled in a manner similar to a miscarriage. The abortion
pill, Mifepristone (Mifeprex or RU-486), or methotrexate injection is used sequentially with
misoprostol. The benefits, side effects, and alternatives are extensively discussed with each
patient who chooses non-surgical abortion. While this method may be appealing to some, it is
not the ideal choice for every patient.
The Abortion Pill (RU-486)
The abortion pill, Mifepristone (RU-486 or Mifeprex), has been approved by the FDA for non-surgical
abortions and is available at Complete Healthcare f Women. We provide the abortion pill for non-surgical
abortions for pregnancies up to 9 weeks. Mifepristone is an anti-Progesterone drug that stops the early
pregnancy from growing. We have had much experience and success with the abortion pill, mifepristone,
for non-surgical abortions.
Methotrexate
Methotrexate is an FDA approved drug used for the treatment of certain cancers and chronic diseases. It
has also been used to treat early ectopic (tubal) pregnancies, which are pregnancies that implant outside
the uterus. When used in early pregnancy, methotrexate stops the rapidly growing embryonic and placental
cells of early pregnancy from growing. We have had much experience and success in using methotrexate for
non-surgical abortions and ectopic pregnancies.
Misoprostol
Misoprostol is a drug that is used to treat peptic ulcers. When used as the second drug during a non-surgical
abortion with the abortion pill or injection, it promotes the expulsion of the abnormal early pregnancy, in
most cases.
All patients are treated with individualized, personalized care. A medical history is obtained to alert the
physician to medical conditions. Convenient, accurate, state-of-the-art lab testing is done to verify the
pregnancy and to check the blood count and Rh blood type. Warm, courteous professionals counsel each patient
extensively on the benefits, risks, and alternatives of the procedure. The most accurate, state-of-the-art
ultrasound machines are used by expert ultrasonographers to accurately date the pregnancy and detect gynecological
conditions that can affect the procedure. Our board certified OB/GYN physicians are experts at OB/GYN ultrasound,
which is very important, since the quality and accuracy of the ultrasound is greatly dependent on both the quality
of the equipment and the skill of the person doing the ultrasound.
Patients who undergo a non-surgical abortion are given the first medication in the office (either mifepristone
(RU-486 or Mifeprex) pill or methotrexate injection). The dose of methotrexate is calculated by a formula using the
patient's height and weight. She then uses misoprostol tablets 2-6 days later, after which she can expect to experience
lower abdominal cramping pain, vaginal bleeding, nausea, vomiting, and diarrhea, which may be extreme in some cases.
It is absolutely necessary for the patient to return to this office two weeks after the initial medication for a follow-up
exam and ultrasound to ensure the successful completion of the procedure.
Since non-surgical abortions are performed for early pregnancies, some very early pregnancies will turn out to be ectopic
pregnancies, which account for 2% of all pregnancies and can be life-threatening emergencies. Ectopic pregnancies need to
be diagnosed and treated promptly. Our board certified OB/GYN physicians are skilled at diagnosing and treating ectopic
pregnacies with state-of-the-art surgical and non-surgical methods.
Extensive studies have shown that approximately 5% of the time, non-surgical abortions are not successful (compared with
less than 0.1% for surgical abortion), and the abortion must be completed immediately with a standard, surgical abortion.
The surgical abortion can be done conveniently in our office without an additional fee. Failure to have the surgical procedure
after a failed non-surgical abortion can lead to complications, such as continuous, profuse blood loss that may require a
blood transfusion, or a continuing pregnancy with birth defects.
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