Non-Surgical Abortion

The Abortion Pill in Johannesburg

The non-surgical abortion procedure offers patients an alternative to surgical abortion early in their pregnancy. Non-surgical abortions are safer than surgical abortions; many women find them gentler and feel they are a more “natural” option. The non-surgical abortion is also referred to as a medical abortion or a medication abortion.

Methotrexate/Misoprostol regimen – The procedure can be given between the fourth and ninth week of pregnancy, starting from the first day of your last normal menstrual period. Please see our pregnancy calculator to estimate the gestation of your pregnancy.This abortion method consists of two medications taken apart to chemically induce a miscarriage. The first medication, Methotrexate, is given either orally or by injection. The second medication (Misoprostol) will be provided to you at your appointment to take home.

The Misoprostol is used at home five to eight days after the Methotrexate. You will be instructed to take the Misoprostol in the form of vaginal suppositories, placed high in the vagina near the cervix, at bedtime about one week after the Methotrexate. Several hours after inserting them, you will begin to experience menstrual-like cramping and bleeding. The pregnancy tissue is normally passed at home within 24 to 48 hours after insertion. Bleeding and cramping normally continue for one to two weeks as the uterus empties. You will return to the office for your follow-up appointment three weeks after your initial appointment to make sure that the abortion procedure was successful and you are healing well.

At the Abortion Pill in Johannesburg Approximately 95% of the patients who choose this abortion procedure experience complete emptying of the uterus. Studies have shown the procedure to be more effective when given by the seventh week of pregnancy. We have had great success with this abortion procedure; however, should it fail, we will continue to assist you in completing the abortion, as the pregnancy cannot be continued after the Methotrexate is administered. If the procedure is unsuccessful, more Misoprostol will be prescribed, or the physician will perform a surgical abortion procedure at no further cost.

Mifepristone/Misoprostol regimen – This method is often called “the abortion pill” or RU-486. It can be performed between approximately five weeks and eight weeks LMP and consists of two medications- Mifepristone and Misoprostol. Please see our pregnancy calculator to estimate the gestation of your pregnancy.

Mifepristone is also called the abortion pill and it is administered in the office orally. Misoprostol will be given to you to take at home the next day. Several hours after insertion, you will begin bleeding and cramping. The pregnancy tissue is normally passed within 24 to 48 hours. Bleeding and cramping normally continue for one to two weeks as the uterus empties. You will return to the office for your follow-up appointment two to three weeks after your initial appointment to make sure that the abortion procedure was successful and you are healing well.

Approximately 95% of the patients who choose this abortion procedure experience complete emptying of the uterus. We have had great success with this procedure; however in the event of failure, we will continue to assist you in completing the abortion. If the procedure is unsuccessful, more Misoprostol will be prescribed, or the physician will perform a surgical procedure at no further cost.

How does a medical abortion work?

You can receive medical abortion treatment as soon as you find out you are pregnant, privately and discreetly. Two types of medications are used: Mifepristone (Mifeprex or RU-486) and Misoprostol (Cytotec) tablets. The first medication, Mifepristone, blocks the action of progesterone, a hormone needed to maintain pregnancy. The second medication, Misoprostol, causes the uterus to expel the products of conception. Both are tablets a patient takes by mouth (orally).

Is medical abortion safe?

Yes – Medical abortion is very safe. Unless there is a very rare and serious complication that is not treated, there is no risk to future pregnancies or to the patient’s health. Having an abortion does not increase a woman’s risk of breast cancer or affect fertility. Emotional problems after an abortion are rare, and are more likely to happen in women who must end a pregnancy for health reasons, people who do not have support, or people who have a history of mental health issues. Most women feel relief after an abortion.

How abortion pills work?

The Abortion Pill blocks the hormone needed for pregnancy to continue.Most women can carry on their usual lives at home or work after taking the pills, but may have some bleeding and period-like pains. The second medication is the pills which makes the uterus contract, expelling the pregnancy similar to a miscarriage. abortion pills are placed in the vagina. Try to insert them as high up into your vagina as possible. Don’t worry too much about the exact position of the tablets in the vagina.

What is abortion pill?

This method of medical abortion uses a drug called Mifeprex, also known as RU-486, to abort the pregnancy. At your initial visit, a state of the art trans-vaginal sonogram will be performed in our office to confirm the pregnancy and determine your eligibility to use this abortion method. After this, you will be provided with a series of pills to abort the pregnancy. The first pill, Mifeprex, is taken orally at our offices or at the privacy of your own home. The second set of pills, called Misoprostol, are then taken 48 hours later. These last two pills cause the uterus to contract, resulting in the expulsion of the pregnancy tissue. This method is safe and effective. Many women see this as a desirable alternative to surgery and anesthesia.