Abortion by Pill
A safe and effective way to end an early pregnancy by using medicine.
Medical abortion may be used up to 10 weeks from your last menstrual period.
Who can choose medical abortion?
- You may choose the abortion if you are less than 10 weeks pregnant.
- You must agree to have a in-clinic abortion if the medical abortion fails.
- You must be able to return for at least one and sometimes more follow-up visits to ensure the process is complete.
- You should plan to have someone with you when you use the second medication at home.
- You must be 18 years old.
- You don’t have a medical condition that prevents the safe use of the pill such as clotting disorders, heart or kidney problems, or seizures.
What to Expect
On the day of your appointment you will receive an ultrasound and laboratory work.
A clinician will meet with you to review all instructions and answer your questions.
You will take the first pill (Mifeprex) in the office. Within 48 hours the second dose of medication (Misoprostol) will be administered at home. The combination of the two medicines will cause you to bleed and in most cases end the pregnancy within a few hours of using the second medicine at home.
You must return in 1-2 weeks to make sure everything worked properly.
How long does it take?
Occasionally patients may begin to bleed after using the Mifeprex in the office. Most patients bleed and pass the pregnancy several hours after using the second medication at home.
How effective is it?
The abortion by pill is approximately 93% effective. Mifeprex and misoprostol will cause birth defects to this pregnancy. If the medical abortion does not work an in-clinic procedure MUST be performed. There is no extra charge if performed in our office under local anesthesia.
How does it feel?
You should expect:
- strong cramps
- nausea, vomiting, and/or diarrhea
- heavy bleeding
When will I get my period?
Your period will come in four to six weeks. You can begin your birth control right away. If you start hormonal birth control you will know exactly when your period will begin. Your pregnancy test will remain positive for three weeks.
Select First Day of Last Menstrual Period:
Probable date of conception:
Fetal Age Today:
You must provide private insurance information 24-48 hours prior to your appointment. You may call our office before your appointment to see what is covered.
We are providers of Maryland Medicaid.
We are providers of Blue Cross Blue Shield, Aetna, Cigna, Carefirst.
We are NOT providers of Allegiance, Anthem Blue Cross Blue Shield, Health Keepers, Highmark, United Healthcare, and federal insurance plans.
You will need to bring a photo ID and your health insurance card to your appointment. Any other payments can be made by cash or credit card.
We accept most pre-verified insurances to cover abortion services in all of our facilities. All of our facilities accept Maryland Medicaid. If your insurance is through an employee of the federal government, it will not cover abortion services. If you do not have insurance or your insurance does not cover the procedure, we work with local funding programs to assist with costs.
Insurance Verification Form: Patients may fill out their insurance information for prior verification. Insurance information must be received more than 24 hours before a scheduled appointment to be verified by the appointment time.