Non-Surgical Women’s Abortion Pill (RU-486) / Abortion Shot (Methotrexate)

Pregnancy Termination Services Options in Miami:

Abortion Methods:

Early Non-Surgical Procedures;
* Medical abortion by pill (RU486)
* Chemical abortion by injection (Methotrexate)
* Manually early abortion MVA

Surgical Procedures;
* First Trimester
* Second Trimester
* Fetal Indications

Free Pregnancy testing by appointment: Urine and Ultrasound
Free Women’s Counseling STDs: Prevention and Treatments
Free Women’s Counseling Birth Control: contraception, abortion
Free Women’s Family Planning: pregnancy, adoption, alternatives

RU-486 (the abortion pill)

As of July 9, 2009, the new England journal of medicine reported that more and more American women who have abortions are doing so by using the abortion pills ru-48. The abortion pill is also know as the French abortion pill, mifeprex gives women a safe, effective option for ending early pregnancy

The abortion pill, causes a drug induced miscarriage or abortion, and is prompted by taking a combination of two drugs: mifeprex
(RU-486) and mifepristone (a prostaglandin given two days later to contract the uterus and expel the embryo) mifeprex blocks a hormone needed to maintain pregnancy resulting in the pregnancy sac to detach from the uterine wall, there by facilitating a miscarriage. It can only be used to terminate pregnancy in the uterus, and does not affect a tubal or ectopic pregnancy. A pregnancy sac must be visible on our ultrasound before mifeprex can be administered by the physician

You will not be given the option of using the RU-486 if;

It has been over 63 days since your last period began
If you have an iud, it must be removed, before you take mifeprex
You have a pregnancy outside the uterus (an ectopic pregnancy)
You have a problem with your adrenal glands
You take blood thinners
You have a bleeding problem
You take certain steroid medication
You can not return for follow-up visits
You are allergic to mifepristone, misoprostol, or medications that contain (cytotec or arthrotec)


Taking the medication, if you, and your health care provider decide that RU-486, is the right option for you

You will be given two medications. You will take the first, mifepristone, by mouth before you leave the center day 1. Mifepristone works by blocking progesterone, a hormone produced by your body and needed to maintain a normal pregnancy.

The second medication, misoprostol causes the uterus to contract and expel its contents) will be given to you to administer at home 24-48 hours after taking the mifepristone. You will insert four tablets into your vagina (please use plastic glove to avoid contamination) and note, even if you may have started to bleed you should still insert the four tablets.

Many women miscarry within 1-4hours of taking the second drug, though some may take a little longer. You may you have some spotting on and off for the next few weeks (just like you would with a surgical procedure). Be sure to return to the clinic for your follow-up in one week’s time to ensure your procedure was successful. There is a very small per cent of women 2-3% that may need a second dosage of the medication. 1% may still require a surgical procedure. Mifepristone can be effective up to 63 days from the first day of the last menstrual period. The RU-486 procedure is 98% successful when used up to 8 weeks of the last normal period.

Side effects

Some reactions include cramping and some bleeding, which are a normal part of the process it is expected and usually means that the treatment is working, dizziness, headache, nausea, vomiting, chills and fever, may also occur. In some cases, you may have severe bleeding these cases are rare, and you would have to contact the clinic immediately. Your provider will instruct you on how to handle any emergency or if you have pain, nausea, headache, vomiting, or diarrhea.

Why Choose Mifeprex RU-486?

Mifeprex is a non-evasive early option for ending pregnancy, alloying you to avoid anesthesia or surgery in most cases and can be performed in the privacy of your own home and on your own time table. But because of the required, multiple visits and high medication costs, this type of abortion is more expensive than the surgical abortions ‘the development of mifepristone (RU-486) is an advance to reproductive medicine at the same magnitude as the development of the hormonal contraceptive pill’’ Sir Malcolm Macnaughton, former President of Royal College of Obstetricians and Gynecology

Methotrexate, (Abortion Shot)

A drug –induced miscarriage or abortion is prompted y taking a combination of two drugs: Methotrexate and misoprostol. Methotrexate has been used as a breast cancer chemotherapy drug it is also approved for psoriasis and rheumatoid arthritis. However given the widespread availability of mifepristone in the United States, Methotrexate is used infrequently for medical procedures. Yet it is the treatment of choice for a women with an ectopic (tubal) pregnancy; preventing the need for the surgical removal of her fallopian tube.

Methotrexate, used in the very early first trimester, is similar to the RU-486

Methotrexate is a drug that does induced miscarriage or abortion, by blocking cell grow and prompted by taking a combination of two drugs; methotrexate and misoprostol (a prostaglandin used to contract the uterus and expel the fetus) Methotrexate works by stopping the development of rapidly developing cells and the growth of the placenta. Misoprostol is a prostaglandin that contracts the uterus to expel the pregnancy. Methotrexate should only be used by women who agreed to have a surgical abortion if the medical abortion failed because it causes severe birth defects.

Because Methotrexate effects cells that are rapidly dividing (i.e. Cancerous cells) researchers tested it for use in termination of pregnancy they found that when administered by injection or shot and used in combination with misoprostol, Methotrexate effectively terminates a pregnancy 94-95% of the time. About 80% of women miscarry within three days of taking the second drug, some women take as long one to four weeks to miscarry and 4% may require a surgical abortion. Methotrexate is 95% effective up to 49 days (6 weeks) from the first day of the woman’s last menstrual period, and only 89% up to 63 days.

How is methotrexate given for abortion?

Methotrexate is given by injection into the muscle. The dose is calculated by the physician according to your height and weight. You will receive this injection at your first visit (day 1).

Misoprostol comes in tablet form you will receive 4 (four) tablets to place in your vagina, as far as you can put them. Be sure your hands are clean and we do recommend that you wear gloves. You will use these tablets at home between day 3 and 7 (depending on the protocol the doctor ordered). If bleeding does not occur 24 hours after inserting the tablets, repeat the process. Return to the center for your follow-up exam which is 15 days from your first visit, the appointment date and time will be given to you before the leave the center. All the information you need is written on your discharge instructions, including our contact numbers in case of emergency. If you are not able to keep your appointment call us to arrange another appointment for you. The process is not completed until you return for your follow-up and we confirm the process was successful, and the pregnancy terminated.

While Taking Methotrexate (15 Days) Avoid the Following;
Alcohol, Aspirin, Beans, Legumes, Citrus Fruits, Juices, Wheat, Bran, All Whole and Enriched Grains, Dark Green Leafy Vegetables, Pork, Poultry, Shell Fish, Liver

BEFORE ANY ABORTION PROCEDURE;

When you come into our facility you will be given many forms to review, and opportunity to ask questions and have them answered to your full satisfaction. We will confirm that you are clear in your decision to end your pregnancy and make sure you know what to expect with both a non-surgical and a surgical abortion. After we will review your medical history, and you will be asked to sign conscent documents for both a surgical and a non-surgical procedure. Moreover, we can discuss birth control options with you.
We will perform the following tests; a pregnancy test, blood count to measure your hemoglobin and hemocrait (check iron level and rule out anemia), a test to determine your blood type Rh antigen Physical assessment- vital signs: Blood pressure, Temperature, Pulse, Reflexes, Thyroid, Lungs, Heart, Abdomen, Skin Internal Exam: Pelvic Exam; Uterus, Cervix, Adnexs, L.M.P. Followed by Ultrasound Exam; to confirm pregnancy and measurement.

Before leaving our facility you will receive written instructions on using your medications, what to do, and what to expect when you get home. You will be able to contact the nurse at any time if necessary through our 24 Hour Emergency Numbers:
Doral (305) 591-2288, and Kendall (305) 670-9797