Widely known as the Abortion Pill, ru 486, or Mifeprex, has been approved by the FDA, is used in Europe for over 20 years and in our center for over 10 years. It blocks progesterone, the hormone that is needed to sustain a pregnancy. It is only available through licensed physicians. Not all facilities provide this option, so it is important that you ask.
The process of abortion pill or ru 486 involves:
- A consultation with a doctor.
- Confirmation of pregnancy by ultrasound.
- The first pill, Mifeprex, is taken in the office, with an observation period highly recommended. Usually there are no symptoms. Occasionally, you may experience some spotting or bleeding.
- 24-72 hours later, you take 4 Misoprostol pills at home. You may experience slight nausea. Usually you will have mild to strong cramping starting 1-2 hours afterward, followed by bleeding which can be heavy for several hours. It will become like your period, and light spotting can continue for 2-3 weeks.
- Within two weeks, you must have a follow up visit to the office to confirm the Abortion pill (ru 486) was successful. In 1% -2% of women, the pill does not work, and they need a further procedure.