In-Clinic Abortion (Aspiration Abortion)
- High success rate (about 99%)
- Can be used up to 98 days (14 weeks) from the first day of your last menstrual period
- Requires one visit to the clinic (typically lasts 2-3 hours)
- Actual abortion procedure is usually completed in 7-10 minutes
- Requires an ultrasound prior to procedure (done same day in clinic)
- Requires pelvic examination
- Procedure uses gentle suction under local anesthesia
- The abortion is performed by an experienced, board-certified physician
- Complications are rare
- All methods of birth control are offered at your visit, including same day IUD and Nexplanon insertion
The medical procedure is completed in a single visit. Although the entire visit may take 2-3 hours from start to finish, the procedure itself takes 5-10 minutes.
- On the day of your appointment, we’ll review your medical information and options, answer questions, and obtain your consent. Next, we’ll do a fingerstick blood test and give you an oral antibiotic medication to take prior to the procedure.
- Next, you’ll meet with our physician. Before the procedure, she will perform an ultrasound and pelvic exam to confirm the date of your pregnancy and check the position of your uterus. She will then begin the procedure by giving a local anesthetic injection that will numb the cervix and uterus to ease your discomfort during the procedure. The injection may cause a strange taste in your mouth or ringing in your ears, but it will go away within a few minutes. You will not be sedated or “put to sleep”. The procedure dilates the cervix first, and then uses gentle suction to empty the contents of the uterus through a slim tube inserted into the cervix. There is no surgery, cutting, scraping, or sharp instruments. Discomfort during the procedure can range from mild to strong period cramps, and typically cramping resolves very quickly after the procedure is finished.
- After the abortion, you will be assisted by our staff to the recovery room where we’ll check your vital signs, provide a light snack, and review your aftercare instructions. Bleeding and cramping after the abortion procedure may be light to medium, and some women experience no bleeding at all. You’ll be ready to leave within 15 to 30 minutes.
We’ll give you a number to call 24/7 if you need us after your abortion.
Medication Abortion (Abortion Pill)
- High success rate (about 97%)
- Can be used up to 63 days (9 weeks) from the first day of your last menstrual period
- Requires a minimum of two visits to the clinic: one to receive medication and one to confirm abortion is complete
- Requires an ultrasound before and after abortion (done same day at clinic)
- Pelvic exam not usually required
- Two medications are used to end the pregnancy: mifepristone and misoprostol
- May take anywhere from several hours to a day or a few days to end pregnancy
- The abortion happens in the privacy of your home
- Complications are rare
- All methods of birth control are offered at the second visit, including same day IUD and Nexplanon insertion
Medication abortion is a safe and effective procedure in which two different medicines are taken to end the pregnancy. The first medication (mifepristone) blocks the hormones necessary for a pregnancy to grow; this ends the pregnancy. The second pill (misoprostol) makes your uterus contract and empty; this is similar to a miscarriage.
- On the day of your appointment, we’ll review your medical history, answer questions, and obtain your consent. Next, we’ll do lab work, a vaginal ultrasound, and make sure that you’re eligible for the medication.
- Next, you’ll meet our Nurse Practitioner. When you’re ready to start the process, she’ll give you the first pill to take at the clinic.
- You can use the second medication 24 to 48 hours after you've taken the first pill---you will decide what works for you. You can go about your normal activities in the time between the two medications.
- When you’re ready, you’ll insert the second medication into your mouth or vagina. You can expect to start bleeding within 1-4 hours, and the majority of the heavy bleeding usually lasts for about 5 hours and then tapers off. It is a good idea to plan to take it easy for the next 24 hours. The time it takes to complete the abortion varies from woman to woman. Light to moderate bleeding may come and go over the next 1-2 weeks. The Nurse Practitioner will review normal variations of bleeding with you.
- Bleeding and cramping are normal. Cramping can go from feeling like a normal period cramp to more intense pain. We will talk with you about how to manage your temporary pain and discomfort.
- You must be within a two hour drive of a healthcare facility and have no plans to leave the country soon.
- 1-2 weeks after your abortion, you’ll come back to Health Quarters for an ultrasound to make sure the procedure is complete, and we'll check that you’re feeling well and provide you with post-abortion contraception, if you wish. The final visit is quick but important. Very rarely (1-3% of the time), will we need to provide follow-up medical care.
We’ll give you a number to call 24/7 if you need us.