How is a chemical Abortion, non-surgical abortion, RU 486, Abortion Pill, Abortion by pill, instrument-free (Medical Abortion) performed?

A chemical abortion is also referred to as an instrument-free, non-surgical abortion, RU 486, Abortion Pill, Abortion by pill, or Medical” abortion because surgical instruments are not used. Medical Abortions (Abortion Pill) are performed over a course of one to three weeks requiring weekly visits. During the first visit the physician will perform a sonogram to determine the length of the pregnancy. The patient is given an oral form of Methotrexate, RU486, or Tamoxifen, or an intramuscular injection of Methotrexate which will stop further development of the pregnancy in the majority of cases.

You will insert a medication called Misoprostol into the vagina on the same day or up to 96 hours (5 days) (normally 48 to 72 hours) after your initial visit to the office. This medication will be in the form of small tablets and will cause the cervix to dilate without the need for surgical instruments. Within 2 to 6 hours after the tablets have been inserted, the patient will experience bleeding and cramping similar to a menstrual period. On the second visit (generally 1 week after the first office visit) the physician will perform a sonogram to determine that all of the pregnancy tissue has been eliminated. The success rate of a chemical abortion is approximately 94 to 99%. The earlier the pregnancy, the higher the success rate for a complete abortion to occur. Should the physician determine that the procedure was incomplete, a patient has two options: She may have the Misoprostol reinserted to encourage further elimination of the pregnancy tissue, or she may have a vacuum aspiration procedure performed.

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