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“After that point, we do tend to recommend a procedural abortion in places where that is available.”Ī meta-analysis of 87 clinical trials shows that medication abortion is safe, with serious complications requiring hospitalization (for vaginal bleeding, pelvic pain, or infection) occurring in less than. “Somewhere between 10 and 11 weeks is really the evidence-based recommendation for when you might prescribe medication abortion,” Thaxton says. The Food and Drug Administration (FDA) has approved the use of mifepristone and misoprostol to end pregnancies up to 10 weeks, but clinical guidance allows use up to 11 weeks. Is medication abortion safe and effective? “Everybody is a little bit different but most everyone will have their heaviest bleeding and heaviest cramping on the day that they take their misoprostol,” she says.īecause some pregnant people also experience stomach cramping, diarrhea, and other gastrointestinal issues, physicians may advise their patients to take the misoprostol vaginally, Thaxton says.Įither way, patients may experience some irregular bleeding for the next couple of weeks, but then are likely to resume their regular menstrual cycles.Ī follow-up visit with the provider is recommended to ensure the abortion is complete. Most people will experience bleeding and cramping on the day they take the second medication, says Lauren Thaxton, MD, MBA, an assistant professor of women’s health at The University of Texas at Austin Dell Medical School. If the pregnancy is beyond 9 weeks, some physicians will prescribe a second round of misoprostol to be taken four hours after the first round, says Sirapanth Nippita, MD, director of the Division of Family Planning in the Department of Obstetrics and Gynecology at NYU Langone Health in New York.

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The second medication, misoprostol, is a series of four pills that are taken 24 to 48 hours after the first pill and are placed either buccally (dissolved between the cheek and the teeth) or vaginally. The first medication, mifepristone, is one pill and can be taken either in a doctor’s office or at home. Medication abortion was used in 54% of all abortions in the United States in 2020, according to the Guttmacher Institute, a nonprofit dedicated to sexual and reproductive health research and policy.

The first, mifepristone, stops the pregnancy, and the second, misoprostol, induces uterine contractions, which allows the body to expel the pregnancy tissue. There are two medications that are taken successively.

Medication abortion is the process of ending a pregnancy through medication.

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adults (91%) have heard of emergency contraception, a full 73% of those incorrectly believe that so-called Plan B pills can end a pregnancy in its early stages.ĪAMCNews spoke to several academic reproductive health experts to clear up misconceptions about abortion medication and emergency contraception, as well as explain how each works and how physicians are providing care in the wake of the Dobbs decision. adults (27%) have even heard of medication abortion, though more women ages 18-49 (40%) are familiar with the medications. And nonprofit abortion access providers Just the Pill and Aid Access have reported a spike in calls from women seeking more information about the pills.Īt the same time, a Kaiser Family Foundation poll released in June found that less than a third of U.S. Jackson Women’s Health Organization decision overturning the constitutional right to an abortion was leaked in May 2022, internet searches for “abortion pill” surged 162%, according to a study published in June in JAMA Internal Medicine. Right after the draft opinion of the Dobbs v.

Wade, interest in medication abortion had skyrocketed.