Camp Springs, MD (301) 423-3313

College Park, MD (301) 474-5300

Gaithersburg, MD (301) 921-0077

medcial abortion at abortion clinic in Maryland

Medical Abortion

Medical Abortion / Abortion Pill – Mifepristone (RU486) up to 10 weeks

At Metropolitan Family Planning Clinic, we understand that you need a private and discreet setting when you are seeking medical abortion (abortion pill) services. We provide a safe environment for our patients from Washington, DC, Silver Spring, MD, Rockville, MD, and the surrounding areas. Here you will be attended to by a caring and competent staff who put your needs first. We will explain the safety guidelines of using the abortion pill so that you are fully informed about what to expect from your medical abortion.

Medical Abortion (abortion pill) is a non-invasive, medication based, method for early pregnancy termination of unplanned pregnancy. It is an early option method, which can be preformed up to 10 weeks (63 days) of gestational age with success rates of 92-95%. Many studies have found that the overall satisfaction after medical abortion is similar to that of surgical abortion despite some of the more annoying side effects.

Please read the following information about the Medical Abortion procedure provided at our clinic.

AM I PREGNANT? — Check the Pregnancy Calculator

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.
Common Side Effects

When to call the clinic

  • Cramping & Bleeding
  • Nausea
  • Vomiting
  • Fever
  • Chills
  • Diarrhea
  • Dizziness
  • 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 then 24 hours after taking Misoprostol
  • Fever of greater than 100.4°F that persists greater then 24 hours after taking Misoprostol

Frequently Asked Questions about Medical Abortion (Abortion Pill / RU486)

What happens if I pass tissue after taking the abortion pill?

About 5% of patients will have a complete abortion (termination and evacuation of uterus) by just taking Mifepristone (abortion pill). Regardless if this happens you still continue to follow the same steps and take the 4 tablets of Misoprostol (Cytotec) 24-48 hours after taking Mifepristone.

When should I expect the process to be over?

About 2-6 hours after taking the 4 tablets of Misoprostol (Cytotec ) you will experience painful cramps and bleeding that is heavier then a normal period. The amount of bleeding and pain is related to how far along you are in pregnancy.

Is there anything I can take for nausea and vomiting?

For nausea and vomiting, please remember to drink plenty of fluids and eat lightly the day before and the day you take the Misoprostol pills. Avoid spicy or fried foods, which worsen the distress. You may take over the counter medications like Bonine (meclizine) or Dramamine.

What should I take for pain?

For your pain we will provide you with pain medication to be taken for severe cramps and pain. Over the counter Non-Steroidal Anti-inflammatory Drugs (NSAIDs) are the type of pain medication that we recommend for abdominal cramping that you will experience.

What happens if the process of Medical Abortion is unsuccessful?

Follow-up appointments are very necessary for your care. The process of medical abortion is not complete until after the sonogram at the final visit. If the process of medical abortion fails one of the physicians at our clinic will determine whether more medication can be used to complete the process of whether a surgical procedure is necessary.

There is an additional charge for a surgical procedure following a failed medical procedure.

Who is NOT a good candidate for medical abortion / abortion pill?

  • Estimated gestational age greater then 63 days (10 weeks)
  • If you are not willing to have a surgical procedure in the event of a failed medical procedure
  • If you are not able to return for follow-up appointments
  • If you have severe adrenal, heart, kidney or liver disease
  • If you have a bleeding disorder or are on blood thinners
  • If you current have an Intra Uterine Device (IUD) in place; you need to have the IUD removed prior to the procedure
  • If you have a known allergic reaction to the Mifepristone (abortion pill) or Misoprostol (Cytotec)
  • If there is a concern for ectopic pregnancy (pregnancy outside the uterine cavity)
  • If you are currently taking steroids or steroid medications

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