Mifepristone and Misoprostol for Abortion
What To Think About
Choosing a medical or surgical procedure for an abortion will depend on your medical history, how many weeks pregnant you are, what options are available where you live, and your personal preferences.
Mifepristone should not be used for women who have any of the following conditions:Reference 2
- Reference Adrenal Opens New Window failure
- Allergy to mifepristone
- Severe Reference anemia Opens New Window
- Bleeding disorders or use of blood thinners (Reference anticoagulants Opens New Window)
- Long-term Reference corticosteroid Opens New Window use
- Suspected Reference ectopic pregnancy Opens New Window
- Heart disease or uncontrolled Reference high blood pressure (hypertension) Opens New Window
- Reference Intrauterine device (IUD) Opens New Window in place
- Liver or kidney disease
- Undiagnosed ovarian mass
- Respiratory diseases
- Inherited skin diseases
Avoid alcohol and aspirin while using mifepristone and misoprostol for a medical abortion.
A medical abortion does not require surgery but must be done in the first 9 weeks of pregnancy. If a medical abortion fails, a surgical abortion must be done as follow-up.
After a medical abortion
Expect that you may experience different Reference emotional reactions after an abortion.
Reference Depression Opens New Window can be triggered when pregnancy hormones change after an abortion. If you have more than 2 weeks of depression symptoms, such as fatigue, sleep or appetite change, or feelings of sadness, emptiness, anxiety, or irritability, see your doctor about treatment.
Do not have sexual intercourse for at least 1 week, or longer, as advised by your doctor.
When you start having intercourse again, use birth control, and use condoms to prevent infection. For more information, see the topic Reference Birth Control.
Your next regular period may come at any time within 6 weeks after the abortion. Be sure to contact your doctor if you do not have a period within 6 weeks.
|By:||Reference Healthwise Staff||Last Revised: August 31, 2012|
|Medical Review:||Reference Sarah Marshall, MD - Family Medicine
Reference Rebecca H. Allen, MD, MPH - Obstetrics and Gynecology
Reference Kirtly Jones, MD - Obstetrics and Gynecology