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Abortion Care Services

About the Abortion Pill

The Abortion Pill (also called Mifeprex, Mifepristone, or RU-486) provides women with a medical alternative to surgical abortion.

  • Mifepristone, in conjunction with misoprostol (also called Cytotec) was approved for use as an abortifacient by the South Africa Food and Drug Administration (FDA) on September 28, 2000.
  • This antiprogesterone drug blocks receptors of progesterone, a key hormone in the establishment and maintenance of human pregnancy.
  • Mifepristone induces spontaneous abortion when administered in early pregnancy and followed by a dose of misoprostol, a prostaglandin.


How the Abortion Pill Works

The Abortion Pill procedure involves the oral ingestion of mifepristone after ultrasound verification of a pregnancy ten weeks gestation or less. 24 to 36 hours later, misoprostol is inserted into the cheeks, held in place for 30 minutes, and then swallowed with water. In most cases, a miscarriage occurs within 24 hours.

If bleeding does not occur after 24 hours, the misoprostol insertion is repeated. Usually bleeding is like a spontaneous miscarriage and bleeding or spotting may occur for up to two weeks or longer. An ultrasound will be used to verify the successful termination of the pregnancy.

Results and Side Effects

If the abortion does not occur with medication alone, a surgical abortion must be performed. This situation rarely occurs. The primary advantage of the abortion pill lies in the ability to end the pregnancy in the privacy of the patient’s own home. Furthermore, the theoretical potential for surgical complications is lessened.

Side effects of mifepristone and misoprostol can include nausea, vomiting, diarrhea, heavy vaginal bleeding, headache, dizziness, backache and fatigue. Occasionally, the cramping may become quite severe, particularly when the tissue is being expelled.

The abortion pill is limited to patients ten weeks pregnant or less, as verified by ultrasound. No sexual intercourse is allowed for two weeks after your abortion. The patient must agree to undergo a surgical abortion if the abortion is not completed with the pill alone.

Safety of the Abortion Pill

Mifepristone is as safe as a surgical abortion. The medication abortion is a completely noninvasive procedure and does not require anesthesia. However, as in surgical abortion, risks of hemorrhage do exist. In rare cases, the incomplete passage of tissue requires a surgical evacuation.

Serious infection can occur in about 1 per 1,000 women and death from infection occurs in less than 1 per 100,000 women. Therefore, if you develop a flu-like condition including sluggishness, weakness or muscle aches with or without fever, abdominal pain, nausea, vomiting or diarrhea more than 24 hours after taking misoprostol (Cytotec), it is essential that you call us immediately.

As a means of helping to prevent the already low chance of infection, we will provide you with antibiotics. Please tell us if you have any drug allergies or have had any abnormal reactions to any medications. You can help prevent infection by taking your antibiotics as directed and by avoiding tampon use, sexual activity, douching, or placing anything in the vagina for at least two weeks after the abortion pill process. Please contact us immediately if you have any signs of an allergic reaction or have other abnormal reactions to your medications during the abortion pill procedure.

Efficacy & Acceptability

Approximately 1.75 million women in the U.S. and millions more worldwide have chosen the Abortion Pill. It is effective approximately 92-95% of the time. This means, for every 100 woman who use the abortion pill between 5 and 8 women will need a surgical procedure to terminate the pregnancy or to stop heavy bleeding.

Misoprostol (or Cytotec) is a prostaglandin drug. It had previously received FDA approval for use in the prevention of ulcers in high-risk patients taking non-steroidal, anti-inflammatory drugs.

About Your First Visit

Plan to spend 1 to 2 hours with us in the clinic.

When you arrive at the clinic, you will be asked to complete personal demographic and health information and consent forms. A lab technician will draw a sample of your blood to determine your Rh factor and iron level. Your vital signs will be taken. The clinician (a Physician Assistant or Nurse Practitioner) will review your medical history and perform a physical examination and transvaginal ultrasound. An admissions staff member will explain the procedure to you and assist you in completing additional paperwork.

Taking the First Pill (Mifepristone)

You will take the first pill, mifepristone, in the clinic. We will give you the misoprostol, antibiotics and a prescription for pain medication to take home. Though most women have no side effects after taking mifepristone, some possible side effects are nausea, headache, bleeding and cramping. Some women even pass the pregnancy with mifepristone alone, though this is rare.

Day 2: Take Misoprostol at Home

We will give you a time frame in which to take the misoprostol. The exact time is your choice, depending on work, school, childcare or other responsibilities. Plan to be at home for at least 12 hours after taking misoprostol. Expect to have bleeding, blood clots and cramping. Some other possible side effects of misoprostol are nausea, diarrhea and an elevated temperature. We will give you pain medication to help you through this time. You are free to go to work or school the day after you take misoprostol. You will also be given an instruction sheet with our 24-hour emergency number. Call with any questions or to discuss problems that occur after your visit.

Your Follow-Up Appointment

You will have your vital signs taken, a transvaginal ultrasound, and a physical exam and/or blood testing (if necessary). If you would like to start a birth control method, we can provide you with one at this time, if you are medically eligible.



The abortions work by causing contraction of the womb which causes the womb to expel the pregnancy resulting in mild cramps & vaginal blood loss that a normal part of menstruation

Visit our abortions clinic for a ultrasound to confirm if you are pregnant and, if so, the stage of the pregnancy. Our abortion pills guarantee, same day pregnancy termination

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Get to know the misoprostol & mifepristone pill price in South Africa by simply contacting us today

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