Medical And Surgical Abortion Services In Orlando, Florida.

The Orlando, Tampa and Ft. Lauderdale Outpatient and In-Clinic Medical Offices perform first trimester, second trimester and late term abortions.

We have specialized in the induction of second trimester abortion and late termination of pregnancy using out patient and in clinic abortion pill methods for nearly 30 years.

The Percentage of Late Term Abortions account for 1.3% of the total number of abortions in the US. Our Abortion Clinics are one of the few in the US to perform these rare but necessary procedures.

The Abortion Pills that are used to terminate First Trimester, Second Trimester and Late Term Abortions are the same.

First trimester abortions (3 to 14 weeks) can be performed in an outpatient setting and second trimester (14.1 to 28 weeks), third trimester (28.1 weeks or further) and late term abortions are completed in second trimester or late abortion clinics.

Medical And Surgical Abortion Clinic In Florida

Our Women’s Center Services include the following:

• Medical Abortion Pill Procedures from 3 to 24 weeks
• In Clinic Surgical Abortion Services from 3 to 24 weeks
• Extensive Evaluation Of Women With Congenital Fetal Abnormalities or Anomalies Incompatible With Life
• Referrals To Other Second Trimester and Late Termination Of Pregnancy Clinics when required
• Extensive Before and After Procedural Counseling
• IV Sedation – For Comfort and Not Remembering Surgical Procedures
• Birth Control (Women Condom, Emergency Contraception, Cervical Cap & IUD Insertion)
• Ultrasound
• Free Pregnancy Testing (walk in)
• STD testing and treatment
• Well Women Exams (incl Pap Smear)

Women further in gestation (24.1 weeks or greater) are referred to a proper facility in Florida or referred to medical facilities in Maryland, Washington D.C., Northern Virginia, New York, Colorado, California, Washington State or New Mexico.

Large cities in Florida that our Clinics Abortions serve include Jacksonville, Miami, Tallahassee, Gainesville, St Petersburg, Hialeah, and St. Petersburg.

Women travel from from many cities in the US and around the world for the second trimester and late term medication pill.

US cities include Charlotte, Atlanta, Houston, Philadelphia, Chicago, Boston, Phoenix, Los Angeles, Detroit, Nashville, Raleigh-Durham, NYC, and the entire State of New York.

We receive referrals from Abortion Clinics in KY, TN, IL, MS, MO, PA, AZ, NY, TX, MD, NYC, GA, AL, NC, VA, DC and the UK among others.

Women from South America, Canada, Europe, Asia, the Middle East, Carribean, Australia, Africa, and the far Pacific travel thousands of miles to be evaluated and undergo the safe One Day Abortion Pill Procedure at our Florida Abortion Clinics.

Surgical or Medical Abortions are one of the most common medical procedures performed in the United States.

Approximately ⅔ of the morbidity and mortality associated with abortions around the world is due to botched and illegal second trimester and late term abortions.

The majority of deaths related to abortion are hemorrhage (massive blood loss) and infection. All abortions should be performed under a safe and medically supervised environment.

Surgical abortions are associated with rare complications that are rare today but still occur. These include uterine perforation, cervical lacerations, bowel and bladder injuries, retained tissue, heavy bleeding, and death. These complications occur less than 1% of the time in experienced hands.

Maternal mortality (death) associated with abortion procedures are 11 to 14 times less than having a full term birth.

Due to the unavailability of Mifepristone (RU486, Mifeprex, Mifegyne, Early Option, French Pill) in the late 80’s and early 90’s, the combined use of Methotrexate and Misoprostol (Cytotec), or Misoprostol alone were used to perform medical abortion procedures.

There are only a few abortion clinics in the USA that specialize in performing third trimester abortions

There is no upper limit of pregnancy that Misoprostol alone cannot be used to terminate pregnancies in a safe and effective manner.

Mifepristone

Mifepristone was first approved in the US for termination of early pregnancies in Sept. 2000. It works by blocking the hormone Progesterone from binding to its receptors on the wall of the Uterus (womb)

Progesterone is required to maintain and continue the growth of the pregnancy. The absence of progesterone causes the breakdown of the pregnancy tissue that is attached to the Uterine wall. This in turn causes separation (detachment) of the fetus.

The modern day Abortion Pill (non-surgical) Process uses the combination of Mifepristone and Misoprostol. Using both pills has a higher success terminating pregnancies compared to Misoprostol alone or Methotrexate and Misoprostol between the 3rd and 10th weeks of pregnancy (94 to 98%; vs 85 to 96%; vs 88 to 97%).

The success rate is higher (97 to 99%) among Abortion Pill Medical Doctors and Medical Facilities with years of experience with using Misoprostol alone.

Misoprostol / Cytotec Medical Abortion Pill: The Facts

Misoprostol is a synthetic prostaglandin medication marketed as Cytotec. It is FDA approved to prevent gastric ulcers.

Its main functions are the following:

1. Protects from developing Gastric Ulcers
2. Causes Uterine Contractions
3. Diarrhea
4. Abdominal Pain

Misoprostol MOA (Mechanism Of Action)

1. Prostaglandins cause stimulation of its receptors on the acid secreting cells in the stomach lining. This decreases secretion of acid and forms a thickened mucous layer that protects the stomach lining from acid exposure
2. Prostaglandins bind to their receptors located on the uterine wall and causes uterine contractions and induction of labor.
3. Cervical Priming (softening) of the cervix.
4. The Cervix opens (dilation) due to Misoprostol causing the breakdown of its connective tissue (collagen).

Misoprostol is only FDA approved for preventing or treating gastric ulcers in patients who have prolonged exposure to the administration of non-steroidal anti-inflammatory drugs (NSAIDs).

Misoprostol causes uterine (womb) contractions and is used in several areas of female reproductive health:

• Induce labor
• Postpartum Hemorrhage (heavy bleeding after delivery (vaginal or C-section)
• Misoprostol alone is used for induction of labor to terminate pregnancies in any trimester of pregnancy. It causes passage of the fetus and all gestational tissue
• Cervical Priming prior to the following:
  • IUD insertion – Misoprostol / Cytotec tablets are inserted inside of the vagina or placed underneath the tongue 2 to 3 hours prior to IUD insertion.

This allows minimal to no pain or discomfort when inserting the IUD through the Cervix

• • Hysteroscopy (scope inserted through the cervix to diagnose and treat various GYN issues inside the uterus
  • First Trimester and Second Trimester Abortion. Prepares cervix for use of surgical abortion instruments that are used to facilitate removal of pregnancy tissue
  • Misoprostol / Cytotec can be used for induction of labor in full term pregnancies
• Incomplete Abortions – partial passage of pregnancy tissue. Fetal tissue remains inside the cavity of the uterus.
• Missed Abortion- non viable fetus inside uterus longer than 5 weeks

Up To How Many Weeks Of Pregnancy (Upper Limit) Can Cytotec/Misoprostol be used For Abortion?

Cytotec/Misoprostol is used to perform medical abortion pill pregnancy terminations in abortion clinics for patients who are 3 to 24 weeks or further (i.e. abortions at 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36 weeks).

In the third trimester of pregnancy (28.1 weeks or further), there is generally a therapeutic medical reason for pregnancy termination. This should include maternal (physical or mental) health issues, rape, incest or fetal congenital abnormalities or anomalies that are incompatible with life

The use of RU 486 (Mifeprex/Mifepristone) in second trimester and late term abortions when taken 36 to 48 hours prior to giving Misoprostol accelerates the completion time of the procedure compared to using Misoprostol alone (6 to 8 hours vs

10 to 18 hours).

The process is completed 99% of the time within 24 hours without compromising safety.

Early Safe Abortion Pill

Approximately 65% of abortions are performed at 8 weeks or less. Nearly 50% of those are performed using the Abortion Pill Procedure.

Abortions may be performed before patients miss their first menstrual period (3 to 4 weeks) using Cytotec/Misoprostol alone or the combination of the Abortion Pill (Mifepristone and Misoprostol).

Early abortion procedures have several advantages:

• Nearly 100% success rate
• Less side effects due to lower dosage amounts required for termination of pregnancy
• Less bleeding, cramping or discomfort

Induced Fetal Demise

The purpose of inducing fetal demise in women who are 21.3 weeks or further prior to premature induction of labor or surgical procedure is the following:

• Prevent possibility of a live birth
• Makes it easier to surgically remove the pregnancy tissue from the uterus. The fetal skeletal and other organ structures become soft.

For pregnancies that are determined to possibly be viable (24 to 28 weeks) there must be a threat to the mother’s life or health, or a genetic defect or significant fetal abnormality in order for an abortion to be performed. Viability is determined on an individual basis by the Physician.

Digoxin injection is the most common medication used to stop the fetal heartbeat. This process is carried out before induction of labor is initiated or beginning the surgical procedure.

Cases of rape or incest are further considerations for the use of the late term abortion pill process. Preteen age and teenage women may not realize they are pregnant or are afraid to talk to their parent(s).

Cytotec/Misoprostol may be used alone or with Laminaria to prime (open and soften) the cervix prior to initiating either the medical abortion pill or surgical abortion procedures. This not only reduces the time from onset to completion of the abortion procedures, but also decreases the chance of complications.

Side effects that may occur with a surgical abortion procedure may include cervical lacerations or tears, perforation of the uterus, bowel or bladder injuries, retained products of conception (pregnancy tissue remaining in the uterus), heavy vaginal bleeding and pelvic infection.

Misoprostol/Cytotec – Miscarriages (Spontaneous Abortion)

Recent studies show that the use of Cytotec / Misoprostol can be used in women who have a spontaneous miscarriage or incomplete abortion.

Less than 10% of physicians use Misoprostol to treat early miscarriages. Approximately 50% of physicians treat them with the use of surgery (D&C). The remaining percentage are patients are followed expectantly.

Cytotec is highly safe, efficient and effective for treating miscarriage as it promotes expulsion of the fetus and any remaining gestational contents in the uterus.

Using Misoprostol to treat incomplete miscarriages is not often discussed. The use of Misoprostol for miscarriage management poses less risk than those associated with invasive surgery.

Using Cytotec/Misoprostol carries no risks and complications from anesthesia or the side effects of sedatives and analgesics.

Using the abortion pills to manage miscarriages that are incomplete carry minimal to no risk of cervical tears or lacerations, bowel or bladder injury or uterine perforation as is the case when the surgical procedure is utilized.

There is no need of scraping with a instrumental uterine curette as with performing a surgical abortion. This may lead to uterine scarring (Asherman’s). It may lead to chronic pelvic pain or infertility in women.

In over 50% of incomplete miscarriages, surgery may be avoided with the use of Cytotec. Cytotec has shown to be 95 to 98% effective in the treatment of miscarriages.

Retained products of conception may occur when using Cytotec to treat miscarriages. There is a higher incidence of retained products if expectant management (observation only) is used as a treatment for miscarriage.

Discomfort may occur with a spontaneous miscarriage or with the use of Misprostol for treating miscarriage; however, the use of narcotic medications are rarely required for patient.

Unlike surgical D&C’s, long term complications with the use of Misoprostol rarely occur (chronic pelvic pain, infertility, or painful intercourse)

Exposure of Fetus to Cytotec / Misoprostol in Early Pregnancy Associated With Fetal Abnormalities:

Fetal exposure to Misoprostol in early pregnancy (7 to 12 weeks) increases the incidence of fetal abnormalities.

The Cytotec tablets do not appear to be directly toxic to the fetus. Uterine contractions caused by Cytotec leads to inadequate blood flow from the vessels supplying blood and oxygen to the fetus. It is the lack of oxygen and nutrition that causes fetal abnormalities.

The majority of abnormalities affect the upper and lower extremities and central nervous system (Moebius Syndrome). This was first noted in Brazil in the early 90’s with women who used Misoprostol to terminate pregnancy.

Absence of the fingers and toes, club foot, and abnormalities of the cranial nerves VII, VI, V, and XII can occur. These abnormalities have an incidence of 10 per 1000 exposed fetuses.

Women who undergo the abortion pill procedure in the first trimester of pregnancy with Misoprostol / Cytotec must agree prior to undergoing the medical abortion procedure to have a surgical procedure if it fails.

Misoprostol / Cytotec and Breastfeeding:

For women who nurse, Misoprostol is rapidly metabolized and its metabolites are excreted in human breast milk. Loose stools, cramps and diarrhea have been observed in infants that breastfeed when Misoprostol is used.

It is suggested that women should refrain from Breastfeeding for 5 hours after last taking Misoprostol.

How Is Misoprostol / Cytotec Taken To Terminate A Pregnancy?

The Misoprostol tablet has a dosage of 200 mcg (ug). The medication can be taken orally (swallowed by mouth), placed between the cheek and gum (buccal) underneath the tongue (sublingual) or inserted vaginally or rectally.

Patients who are 3 to 14 weeks pregnant normally take the Misoprostol tablets 48 to 72 hours after taking Mifepristone. The medications may be taken in clinic simultaneously or Misoprostol given 96 hours after Mifepristone.

If Misoprostol tablets are being used alone, they can be started immediately or to take home at a time convenient to the patient and medical staff. The route, doses and how frequent Misoprostol is taken is determined on an individual basis.

How To Take Misoprostol / Cytotec By Mouth:

Taking Misoprostol by mouth has the lowest rate of success in terminating pregnancies in comparison to other routes given.

Higher dosage amounts are required to complete the abortion process. There are higher side effects that occur with the oral route of administration due to the higher doses needed to end the pregnancy.

The dosage and frequency is 400 to 800mcg every 2 to 6 hours.

Misoprostol / Cytotec Vaginal:

Using Misoprostol Vaginally has the highest rate of success in termination of pregnancy. It is also associated with the highest rate of diarrhea.

The dosage and frequency range from 200 mcg every hour to 1000 mcg every 12 hours.

Misoprostol / Cytotec Buccal and Sublingual:

The success rate is comparable to the vaginal route in several studies. The satisfactory rate using the buccal and sublingual route vs vaginal route. This is due to dissatisfaction of requiring multiple vaginal examinations inserting Misoprostol.

Buccal and Sublingual administration is associated with a higher chance of fever, chills and shivering in comparison oral and vaginal routes of administration.

How Is A Second Trimester And Late Term Abortion Performed?

The Second Trimester and Late Term Abortion Procedures can be performed in one of three methods:

• Combination of Mifepristone and Misoprostol
  • Mifepristone taken 36 to 48 hour prior to Misoprostol
    • Short onset to delivery time (6 to 8 hours)
    • Lower amount of medications required means less Misoprostol side effects
• Misoprostol Alone
  • One Day Procedure
  • Started and completed within 24 hours 99% of the time
  • Onset to completion 10 to 18 hours
• Surgical Dilation And Evacuation (D&E)
  • This second trimester and late term abortion process involves a 2 to 4 day cervical priming process to achieve adequate dilation (opening) and softening of the Cervix
    • Laminaria-sterile seaweed shaped like a matchstick. It absorbs water like a sponge. When placed inside the cervix they slowly open and soften the Cervix
    • Misoprostol- Second priming agent. Medication given that causes uterine contraction and softening of the cervix. Collagen in cervix breaks down and it opens
  • Surgical Instruments and anesthesia involved for pain and comfort
    • Surgical Instruments used (dilators and forceps) to gently remove pregnancy tissue and afterbirth
  • Increase length of stay which may become complicated with job, babysitting, school and finances (travel, room and board)

Second Trimester and Late Term Abortion Abortion Pill Pain:

Over 50% of women do not require pain medication. Approximately 40% of women request over the counter medications for comfort. Less than 10% of patients need a narcotic for pain control.

Recovery

Women who undergo a surgical or medical abortion are escorted to the recovery room. Their vital signs are monitored and the amount of vaginal bleeding is observed. Patients are discharged generally within an hour of being in the recovery room if doing well.

All women are given discharge instructions and asked to return to the safe abortion pill or surgical clinic in 3 to 4 weeks or sooner if having complications.

Follow-Up

Most women are able to return to work or school the following day after the surgical or medical abortion procedures.

Prescriptions for antibiotics and birth control are written. Emergency Contraception (Morning After Pill) is given free of charge to women undergoing the abortion procedure.

Patients are not to engage in prolonged standing or heavy lifting for 3 to 5 days.

If lower abdominal cramping and discomfort occurs, over-the-counter medications for discomfort may be utilized Tylenol, Advil, Motrin). Applying a warm heating pad to the lower abdomen and doing a uterine massage may also be beneficial.

Birth Control

Women are encouraged to begin birth control immediately after their procedure as ovulation may occur in 5 days.

Misoprostol / Cytotec Side Effects:

The risks and complications of a second trimester and late term abortion are similar to those that occur in a first trimester abortion.

There is a higher incidence of fever and diarrhea during the second trimester and late term abortion process because of the higher accumulation of Misoprostol metabolites that cause diarrhea and fever.

Mild Side Effects Include the following:

Headaches, blurred vision, chills, long grade temperature, nausea, vomiting, rash on palms and feet, diffuse body pruritic (itchy) rash, jaw pain, shortness of breath, chest pain, rapid heart beat, hypertension, hypotension, constipation, diarrhea, abdominal and lower back pain, yeast infection and vaginal bleeding.

Diarrhea

Diarrhea may start within 60 to 120 minutes after taking the medication and can last up to 24 hours.

Fever, Chills & Shivering

Chills & Shivering are very common. They may occur as soon as 15 to 30 minutes after taking Misoprostol.

Fever is less common. It does not indicate patients have an infection. If fever or chills persist for more than 24 hours it may indicate an infection and the need to visit the medical facility or visit the emergency room.

Tylenol, aspirin, or other anti-inflammatory medications can be used to reduce fever.

Patients with severe sepsis (bacteria in the blood) may not have an elevated temperature or chills on presentation.

Severe lower abdominal and back pain, foul vaginal discharge, weakness, fatigue and difficulty responding may be signs of a significant bacterial infection.

Similar bacterial infections are seen with normal vaginal deliveries, surgical abortions in the first and second trimester of pregnancies, spontaneous abortions and routine GYN surgeries. Death has occurred in rare cases.

Nausea and Vomiting

Nausea and vomiting generally resolves in 4 to 8 hours after taking the last Misoprostol tablets. An antiemetic (reduce nausea and vomiting) may be taken to relieve symptoms.

Vaginal Bleeding

Bleeding usually starts within 3 to 7 hours after taking Misoprostol. It may start as early as 1 hour or as late as 24 hours after taking Misoprostol.

Vaginal bleeding lasts on average 7 to 14 days. but can last for up to 30 days.

The need for a blood transfusion occurs 1 to 3/1000 women.

The patient should contact the office immediately if:

1. soaks more than two maxi sanitary pads an hour for more than two consecutive hours
2. stops bleeding and suddenly experiences an onset of very heavy bleeding two weeks after taking the Misoprostol
3. has bled continuously for several weeks or suddenly feels dizzy or light-headed, has tingling of the fingers, hands or toes for more than one hour
4. if none or only minimal bleeding has occurred 7 days after taking the Misoprostol

Pain

Pain is the most common side effect occurring in approximately 50% of patients. The intensity of the pain increases just before the fetus expels.

The highest pain intensity on a scale of 1 to 10 is a 5 to 6 for patients in the first trimester, second trimester and late term abortions.

Women who have difficulty with pain control tend to be 1) younger and 2) do not have family or significant other support

Retained Pregnancy Tissue

Pregnancy tissue not expelled and remaining in the uterus may lead to persistent vaginal bleeding that may be bright red, pink or dark brown in color.

There may be mild discomfort in the lower abdomen or back. Patients be treated surgically or the Abortion Pill (Cytotec/Misoprostol) to expel the pregnancy tissue.

Maternal Infections

• Maternal Infections (Endometritis, Myometritis and Pelvic Inflammatory Disease/PID)
• Infections may occur due to bacteria migrating from the vaginal area into the uterus.

Retained pregnancy tissue acts as a nidus (stimulus) for causing bacteria to replicate and lead to infection of the lining of the uterine wall

The bacteria may penetrate the uterine muscle and eventually spread to the fallopian tubes and ovaries which may lead to Pelvic Inflammatory Disease (PID) and possibly Tubo-Ovarian Abscess.

If pelvic infections are not treated aggressively with antibiotics and surgical removal of the pregnancy tissue it may lead to patients having:

1. Chronic Pelvic Pain
2. Pain With Intercourse
3. Infertility

Infection Leading to Maternal Death

A severe infection can enter the bloodstream. This bacterial infection is called Clostridium Sordellii. It may cause severe sepsis affecting all of the major bodily organs (kidney, liver, heart, lungs and brain) and lead to maternal death in rare cases.

Clostridium Sordelli has also been found to cause maternal death in patients who deliver their pregnancy by C-Section, vaginal delivery and spontaneous miscarriage.

Patients usually present with a malodorous vaginal discharge, severe lower back and lower abdominal pain, severe headaches, dizziness, nausea, vomiting and low grade fever. The patient may rapidly lose consciousness. Antibiotics must be immediately started along with aggressive hydration in order to save the life of the patient.

• How Has The Incidence of Maternal Infections Been Addressed?
  • Prophylactic Antibiotics – Studies have shown that the use of Doxycycline taken for 1 day or 5 days may reduce the chance of Maternal Infections.
  • Vaginal use of Misoprostol has a higher incidence of pelvic infection and sepsis compared to any other route of administration.

Vaginal insertion of Misoprostol is associated with a high incidence of sepsis due the bacterium E-Coli.

Failed Abortion

A failed abortion is defined as either a pregnancy that is still viable (alive) or one where the fetus has expired without any indication of bleeding or contractions.

A failed abortion occurs 1 to 4% of the time when using Cytotec/Misoprostol alone. The further the weeks of gestation the higher is the incidence of a failed abortion.

A surgical abortion or a repeated abortion procedure must be done. If the Abortion Procedure fails, the patient must agree to electively undergo a surgical abortion due to the increased risk of fetal abnormalities associated with exposure to Cytotec/Misoprostol.

Cytotec / Misoprostol Dosage for Medical Abortion (Termination of Pregnancy)

There are several regimens and dosages used to terminate pregnancy using the Misoprostol medical abortion process.

The success rate depends on the length of the pregnancy and the dosage used as there is nearly a 100% completion of abortion for patients less than 6 weeks gestation.

Success Rate of Misoprostol Abortion Procedure vs. Mifepristone and Misoprostol.

As discussed above, the earlier in pregnancy the Medical Abortion Procedure is carried out, the higher the success rate.

Abortion success rate from 3 to 14 weeks using Misoprostol alone is 85 to 98%

The combination of Mifepristone and Misoprostol in patients who are 3 to 14 weeks has a 90 to 98% success rate.

The success rates depend on the following factors:

• length of pregnancy
• medication dosage
• route medications are given
• additional techniques performed to achieve a high success rate.

How Long Does It Take For The Pregnancy Tissue to Pass?

Patients who are 3 to 12 weeks:

• Nearly 50% passes in 3 to 4 hours
• 89% passes by 12 hours
• 95% of pregnancy tissues passes in 24 hours or less

Patients who are in their second trimester (14 to 28 weeks) or late term abortion:

• It takes on average 10 to 18 hours to pass the fetus and afterbirth (placenta). Range is from 2 to 24 hours
• Over 99% of patients pass the tissue in 24 hours or less with less the 1% incidence of surgical instruments required or complications and side effects

How Long Does Vaginal Bleeding Last After The Abortion Procedure?

The bleeding for patients in the first trimester of pregnancy normally lasts between 5 to 14 days. For women in their second trimester and or having a late term abortion performed, the bleeding generally lasts a little longer (7 to 18 days).

The bleeding may last up to 30 days in 8% and up to 60 days in 1% of patients.

How Do You Know If Abortion Pill Worked for Patients In The First Trimester Of Pregnancy?

Most women are able to know when the fetal tissue has passed over 90% of the time due to:

• Amount of cramping and bleeding
• Pregnancy symptoms resolved
  • Nausea and vomiting
  • Appetite returned
  • Belching and passage of gas rectally resolved
  • Breast tenderness and nipple sensitivity resolved

The only way to know 100% for certain that the fetal tissue has passed is on return for 3 to 4 week follow-up visit which may include having a pregnancy test, pelvic exam and sonogram performed.

There are studies that suggest that with a negative pregnancy test and the patient not experiencing lower abdominal pain, cramps, or low grade temperature, that a follow up evaluation is not required.

Does The Use Of Abortion Pills Or Having A Surgical Abortion Procedure Affect Getting Pregnant After A First Trimester, Second Trimester Or Late Term Abortion Procedure?

Neither the Surgical Abortion or Abortion Pill Procedure using Misoptostol / Cytotec affect future pregnancies that are performed in the first trimester, second trimester or late term abortions.

Why Choose the Abortion Pill Procedure vs. the Surgical Abortion Procedure?

There are many reasons why women choose to have the Abortion Pill Procedure (Non-Surgical Abortion, Chemical Abortion, Medical Abortion) that include the following:

1. No worry regarding risks and complications of undergoing a surgical abortion including anesthesia
2. Concern for how the surgical procedure may affect future fertility and/or having complications during pregnancy
3. Stress and anxiety associated with having a surgical procedure
4. Feeling more in control of when and where the abortion procedure is performed
5. Ability to carry out the abortion procedure in the privacy of a home environment
6. Ability to have a partner, friend or family member present when taking the Cytotec/Misoprostol Medications.

Contraindications to Cytotec/Misoprostol Medical Abortion Pill Procedure

• Allergic to Misoprostol (cytotec) or prostaglandins.
• Possible ectopic pregnancy
• Blood dyscrasias
• Severe anemia
• Cervicitis
• Upper genital tract infection
• Pelvic Inflammatory Disease (PID)
• Intrauterine Device (IUD) in the intrauterine cavity
• Undiagnosed vaginal bleeding
• Recent treatment for Sexually Transmitted Diseases (Gonorrhea, Chlamydia, etc.)

The Medical Abortion Pill Procedure is not recommended for patients:

• Not able to return to the office in two weeks
• Not able to return to the office for more than two or more visits
• Live further than 2 hours from the office or a hospital should emergency evaluation become necessary.

Where to Get The Abortion Pill (Cytotec/Misprostol)

Misoprostol is FDA approved to prevent Gastric Ulcers in elderly and immunocompromised patients who are taking NSAIDs.

It requires a prescription from a Physician who has experience and manages complications of spontaneous miscarriages or elective abortions.

With this said, Misoprostol is available at Walmart, CVS, Walgreens and other Pharmacies. If the Pharmacist suspects or believes individuals believe they will use the medication for termination of pregnancy, they have the right to refuse to fill the prescription do to “ethical beliefs”.

The Pregnancy Abortion Tablets Mifepristone, are not available at Walmart, CVS, Walgreens or any other Pharmacy in the US. The FDA strictly controls its distribution.

How Is Misoprostol / Cytotec Obtained For Medical Abortion?

The abortion medications used to terminate pregnancies legally in the US are dispensed at:

• Private Physician’s Office with experience with the abortion process
• A few hospitals
• Abortion Clinics with extensive experience with Abortion Pill

How Much Is An Abortion?

The cost of performing a surgical or Abortion Pill Procedure using Mifepristone and Misoprostol (Cytotec) or Misoprostol alone are comparable.

The price of the Misoprostol Medical Abortion Procedure ranges from $0 to $35,000.

The cost in the first trimester (3 to 14 weeks) of pregnancy have a normal span of $350 to $2000.

The second trimester (14.1 to 28 weeks) and late term abortion (21.3 weeks or further) procedures cost between

$500 to $35,000.

The cost of abortions involve several factors:

• Geographic location
• Private Clinics For Abortions- Essentially VIP and Exclusive Service Appointments are arranged for women who want or need the ultimate in privacy
• Private donors, Non-Profit Organizations, Family and friends who contribute money for the abortion procedure, travel, food and board

Self-Induced Abortions

Unsupervised Medical Abortions (self induced, home abortion methods) are not recommended by Physicians in the United States or reputable health organizations be used to terminate pregnancy.

Women who wish to undergo any abortion procedure (medical or surgical) should be under the care of a physician.

Medical Abortions can be safely performed over 90% of the time; however, there are side effects that can be life threatening or even fatal which is why medical supervision is necessary.

In most third world countries women can get Cytotec/Misoprostol at a pharmacy. It can be purchased over the counter without a prescription.

Additionally, Cytotec/Misoprostol can be bought on the black market, at abortion clinics or in a medical office where women are under the care of a physician.

Buying Abortion Pill or Cytotec/Misoprostol Online

Buying Abortion Pills (Misoprostol/Cytotec; RU486 [Mifeprex, Mifepristone] online can be inexpensive. Generic Misoprostol can be found at low cost and highly discounted prices. The usual delivery time can be within one to five days.

In 1997, the FDA issued a statement advising against the purchase of abortion kits online. This is due primarily to the following reasons regarding the self-administration of Cytotec/Misoprostol

• 1) Medications purchased online cannot be guaranteed to be safe;
• 2) All patients should be under medical supervision and receive a sonogram prior to the procedure to determine the number of weeks gestation.

A repeat sonogram within one week to 10 days after taking the Misoprostol to assure the pregnancy tissue has passed;

• 3) Excessive bleeding and infection must be attended to immediately by medical personnel.

Pre and Post Medical Abortion Counseling Service

We now offer a pre and post counseling service which includes a detailed explanation about:

• The indications and contraindications of using the abortion pill
• Pill dosage and how to take the Misoprostol (Abortion Pill)
• Medications; and information about complications and when it is necessary to obtain medical attention.
• A sonogram to be performed before and after the procedure is included in the pre and post counseling fee.
• The cost for this exclusive service is only $500
• In most cases, patients may expect to be in and out of the office in less than 60 minutes and are able to return later in the week to receive their medications

In Summary:

Our Safe Abortion Pill Clinics provide a comfortable and caring environment to all women who need our services.

The Abortion Pill Using Misoprostol / Cytotec Alone or the combination of Mifepristone can be used to terminate pregnancies in the first trimester, second trimester, third trimester and late term abortions.

There are not many abortion pill providers that go beyond the 10th week of gestation to end a pregnancy.

Search the Keyword “abortion pill near me” to inquire if the facility has experience performing In Clinic Surgical Abortion Procedures or late term abortion medication procedures using Misoprostol alone or Mifepristone and Misoprostol.

For more information regarding our abortion pill vs in clinic services, please contact 24hourabortion@gmail.com.

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