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Free Abortion Pill / No Cost RU486 / Mifeprex/ Mifepristone/ Early Option Pill / French Pill RU486 is known by many names as noted above. It gives women the opportunity to have a termination performed as early as one week prior to missing her period up to 9 weeks from her last menstrual period. Recent studies indicate that the medical abortion procedure can be used to terminate pregnancies up to 14 weeks from the last period on an out-patient basis, and from 15 to 24 weeks or further in an abortion clinic or physician's office. These second trimester and late term abortions can be performed in 24 hours or less. RU486 is not only used to stop the growth of pregnancy tissue, but it prevents growth of uterine fibroids, endometriosis, cystic disease of breast tissue and other diseases, and to prevent pregnancy after unprotected intercourse. It is FDA approved in the United States for medical abortions only. The most common medical abortion or abortion pill procedure uses the combination of RU486 (Mifeprex, Mifepristone) and Misoprostol (Cytotec). RU486 is an anti-progesterone medication. RU486 works by blocking the hormone progesterone and in turn promotes loss of the blood vessel supply to the pregnancy, and causes the lining of the uterus to begin shedding. Progesterone is necessary to maintain uterine quiescence (prevents uterine contractions). Once progesterone is unable to bind to the uterus, the intrauterine pressure increases and begins to contract. There are local changes to the cervix that allow it to open and become soft. This softening and dilation (opening) is called “cervical priming”. This in itself can lead to a 2 to 3% chance of vaginal bleeding and a 1% chance of miscarriage prior to taking the second medication. Misoprostol (Cytotec) is the second medication generally given 48 to 72 hours after the RU486 tablet to initiate uterine contractions that will end the pregnancy. The chance of miscarriage with RU486 alone is 40 to 60% for pregnancies that are 9 weeks or less. Cytotec (Misoprostol) is a prostaglandin that is FDA approved to prevent gastric ulcers in patients who take chronic anti-inflammatory medications to reduce the incidence of gastric ulcers. Prostaglandins can also cause uterine contractions which can lead to spontaneous miscarriage. If the pregnancy continues, it may lead to significant fetal birth defects. The combination of RU486 and Misoprostol is 94 to 98% effective in causing termination of the pregnancy. It is nearly 100% effective for patients who are less than 6 weeks from their last menstrual period. The combination of RU486 and Misoprostol is highly safe, effective and efficient in termination of pregnancy. It is a viable alternative for women who do not wish to undergo a surgical abortion procedure. There is a small percent of complications that may occur, but the benefits outweigh the risks. It has been used in Europe since the early 80"s. The contraindications to the use of RU486 are adrenal failure, prolonged use of corticosteriods, or allergy to this medication. Please look under general contraindications to having the medical abortion procedure performed. Methotrexate Abortion Methotrexate is an antimetabolite that specifically inhibits folic acid which is necessary for the body to produce DNA and RNA. It is used to treat multiple cancers such as breast, head and neck, and tumors of the female genital tract. Due to its anti-inflammatory action, itis used to treat patients who have psoriasis, rheumatoid arthritis and ulcerative colitis. In the late 80's and early 90's Methotrexate was used to treat ectopic and early uterine pregnancies. Methotrexate destroys the syncytiotrophoblast cells which are part of the fetal placenta. This stops the growth of the fetus. Methotrexate used alone for pregnancies 6 weeks or less has a 100% termination success rate. Pregnancies up to 9 weeks using the combination of Methotrexate and Misoprostol have between a 94 to 98% chance of successful termination. Because Methotrexate inhibits dihydrofolate reductase, it causes severe fetal deformities and when the medical abortion procedure does not work, patients must agree to undergo a surgical procedure. Contraindications of Using the Abortion Pill (RU486, Mifeprex, Mifepristone) for Medical Abortion
Contraindications of Using Misoprostol (Cytotec) for Medical Abortion
Contraindications to the use of Methotrexate Injection or Oral Methotrexate for Medical Abortion
Side Effects and Risks of Medical Abortion RU486 Side Effects: The most common RU486 Side Effects are the following:
Risks and side effects that may require an emergency room or personal physician visit are the following: 1) Heavy bleeding that requires the use of 2 or more pads an hour for two hours. There are a very small percentage of patients who may require a blood transfusion. The bleeding in a small percentage of patients can last from 30 to 60 days, 2) Temperature of 100.4 or greater lasting for more than 24 hours when unable to decrease with Advil or Tylenol. A rare pelvic infection with Clostridium Sordelli may enter the blood stream causing lower abdominal and low back pain, foul vaginal discharge, dizziness, weakness, lightheadedness and eventual loss of consciousness and death. Clostridium Sordelli has been associated with maternal deaths in induced abortions. Maternal Deaths have occurred due to this bacteria after full term vaginal deliveries, full term deliveries with C-sections, and spontaneous vaginal deliveries, 3) Severe lower abdominal and low back pain, 4) Severe nausea and vomiting that lasts for 24 hours or more, 5) retained pregnancy tissue in the uterus that may lead to the patient having to undergo a surgical procedure, and 6) failed abortion that continues to grow, or the pregnancy tissue stops growing. Either way, a surgical procedure may be performed or additional doses of the abortion pill can be given. Misoprostol (Cytotec) Abortion Side Effects Side effects of Misoprostol are the following:
Methotrexate Injection and Methotrexate Oral Pill Abortion Side Effects:
Specific side effects related to the abortion procedure are the following: 1) prolonged vaginal bleeding with possible heavy bleeding, 2) failed abortion, 3) incomplete abortion, 4) retained products of pregnancy, 5) uterine infection, 6) pelvic infection (fallopian tubes), 7) bacterial sepsis which may cause multi-organ failure (kidneys, liver, heart, and brain) and maternal death. Other Abortion Pill Procedure Adverse Effects Most women who undergo abortions feel immediately relieved afterwards. There have been reports of women who have suffered from long term emotional and psychological problems that lead to deep depression and other pathologic mental disorders. Some physicians believe that post-abortion disorder or syndrome should be a defined mental illness disorder. Major Psychological groups do not recognize this disorder. The only women that seem to be at risk of psychotic disorders after an abortion are women who have previous psychological disorders or do not have support of their families. In years past, there was question of abortion and a higher incidence of breast cancers and cervical weakness that causes preterm births. The studies were extensively re-evaluated and no link was found between abortion and breast cancer. With modern day techniques for performing abortion, there is now less chance of cervical trauma making the possibility of premature births is no longer an issue. Healing after abortion begins in the recovery room following the surgical removal or passage of the pregnancy tissue after the abortion pill medical abortion procedure at home. Women will normally bleed for a few days off and on for 4 to 16 days. Blood clots the size of a 50 cent piece may pass. Women in the first trimester of pregnancy are able to go back to work or school the same afternoon or the next day after the procedures are performed. Patients who are less than 6 weeks are able to have intimate contact the following day. Ovulation can occur as early as 6 days after the abortion procedure is performed; however, the average is approximately 20 days. Condom use and long term birth control should be started and used within the week of the abortion procedure. Swimming and bathing are no longer contraindicated after either a surgical or medical procedure. Post abortion recovery time generally takes place within a few days. A small amount of bleeding and mild lower abdominal pain and uterine contractions generally lasts no more than 2 weeks. Uterine cramps and blood clots may be relieved by performing a uterine massage where the woman lies on the bed and presses from below the navel toward the pubic bone for 30 minutes. To help in the post abortion healing process, a heating pad or hot water bottle placed on the lower abdomen may be beneficial for alleviating the pain and discomfort. How and Where To Get the Abortion Pill (RU486, Mifepristone, Mifeprex, Cytotec [Misoprostol] and Methotrexate Injection and Methotrexate Oral Tablets) In Order to Undergo the Medical Abortion or Abortion Procedure A self-induced or unsupervised medical abortion method should never be undertaken. Home abortion kits can be purchased online from several companies. The FDA released a warning online to consumers in 1997 asking that they not purchase any home abortion manuals or miscarriage remedies online because of two primary reasons: 1) the products themselves have not undergone inspection by the FDA and there is no guarantee that the product itself is safe for consumption, and 2) pregnancy termination may at times be associated with significant side effects and complications including death. Infection and severe heavy bleeding are the two most common causes of death when carrying out an abortion. Additionally; the medical abortion procedure has approximately a 1% chance of failure and the pregnancy can continuing to grow. The Misoprostol used to carry out the abortion pill procedure is associated with an increased incidence of fetal abnormalities. It is therefore recommended, if the abortion process fails, the woman undergo a surgical abortion aspiration procedure. It is for these reasons that do it yourself abortions should not be attempted. Women should seek physicians who are experienced in performing the Medical Abortion or Abortion Pill Procedures, and who are well trained with using the single or combination of medications that are safe and efficient in carrying out the abortion process. Physicians who perform abortions can be found in abortion clinics or in private practices. The majority of hospitals in the U.S. do not allow elective or therapeutic abortions to be performed. It is very important to have a sonogram performed before the procedure to verify the number of weeks of the pregnancy and at two weeks following insertion of the last medication to assure the abortion process has been complete. Dosages for the Medical Abortion or Abortion Pill Using RU486, Methotrexate and Cytotec (Misoprostol): Cost and fees for the Medical Abortion or Abortion Pill Using RU486, Methotrexate and Cytotec (Misoprostol): The cost of the abortion pill procedure in the U.S for 9 weeks or less varies from one geographic area to another. The range is generally from $300.00 to $1,000.00. For patients who are further in pregnancy, the fee to terminate the pregnancy depends on the number of weeks they are. From time to time we offer a No Cost or Free Abortion Pill Clinic - Same Day Service for patients who are 3 to 12 weeks pregnant at our Orlando, Tampa and Ocala locations. This procedure may be performed on anyone up to 24 weeks in the State of Florida. All advanced pregnancies (17 weeks or greater) can be completed in less than 24 hours 99% of the time, without the need for surgery. Patients who choose this Abortion Pill procedure must remain in the office until the process has been complete. The average time is 3 to 6 hours. In some cases, it may occur sooner; and in others it may take longer. The advantage of the Same Day Procedure is 1) Generally, patients do not need to return to the office for a follow-up visit; 2) There is a greater chance of success; 3) The procedure represents the ultimate in privacy as there is no need to bring a driver or escort; and 4) The procedure is highly safe. Please call now to be seen at one of our offices today. Evening hours are available at our Tampa location between 6:00 and 7:30 pm on Tuesdays and Fridays. From time to time we offer a No Cost or Free Abortion Pill Clinic - Same Day Service for patients who are 3 to 12 weeks pregnant at our Orlando, Tampa and Ocala locations. This procedure may be performed on anyone up to 24 weeks in the State of Florida. All advanced pregnancies (17 weeks or greater) can be completed in less than 24 hours 99% of the time, without the need for surgery. Patients who chose this Abortion Pill procedure must remain in the office until the process has been complete. The average time is 3 to 6 hours. In some cases, it may occur sooner; and in others it may take longer. The advantage of the Same Day Procedure is 1) Generally, patients do not need to return to the office for a followup visit; 2) There is a greater chance of success; 3) The procedure represents the ultimate in privacy as there is no need to bring a driver or escort; and 4) The procedure is highly safe. Please call now to be seen at one of our offices today. Evening hours are available at our Tampa location between 6:00 and 7:30 pm on Tuesdays and Fridays.
Have a Question? Dr. Pendergraft is available to answer your sexual health related question by
Have a Question? Dr. Pendergraft is available to answer your sexual health related question by
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