Medical Abortion Pill

To make an appointment to have a Medical Abortion please fill out the following form

Medical Abortions (The Abortion Pill) – Mifegymiso

The Abortion Pill – Mifegymiso (Mifepristone/Misoprostal) was approved in Canada in July of 2015. The Abortion Pill has been successfully and safely used in Europe since 1988. Abortion with the Abortion Pill – Mifegymiso is an alternative method for ending an early pregnancy up 49 days. Taking the Abortion Pill DOES NOT involve a surgical procedure or sedation. The pill also allows women to have the abortion in the comfort and privacy of their own home.

The way that Mifepristone works is by blocking the hormone progesterone, a hormone naturally needed by the body to maintained an early pregnancy. It causes an early pregnancy to stop growing and detach from the uterine wall. The Abortion Pill works naturally by ending an early pregnancy, similar to an early miscarriage. Another hormone – prostaglandin, has to be taken 2 days after Mifepristone to assure expulsion of the gestational sac.

You are required to have an initial visit and a follow up visit by our doctors. The main process occurs in the privacy of your home.

You cannot buy the abortion pill online or through a pharmacy. Only specially trained doctors in abortion care can purchase and dispense Mifegymiso (The Abortion Pill).

Our clinic doctors and nurses are specially trained in abortion care and we have superior knowledge and many years of experience.

The Abortion Pill (Mifegymiso) is a three step process:

The fist day , You will take the first medication Mifepristone in our clinic..Mifepristone will destabilize the lining of your uterus and end the pregnancy. You can not reverse the effects of the medication once you take it.
The second set of two pills, Misoprostol, are taken at home, 48 hours later. Misoprostol tablets cause the uterus to contract and evacuate the pregnancy naturally.
The follow up visit,including a second sonogram, is scheduled to make sure the process is successful.

The Abortion Pill (Mifegymiso) is up to 95-98% effective. If the Abortion Pill is not successful an aspiration procedure will be necessary to evacuate the pregnancy.

To make an appointment to have a Medical Abortion please fill out the following form

Medical Abortion Booking Form

Medical Abortion (The Abortion Pill) – FAQ

Q: How long does it take for the process to be completed?

You will need at least two visits including the one week follow up. Some women may need three visits. Medical abortion using Mifepristone 95% will be completed in the first week. Bleeding usually starts within hours after using the Misoprostol and may be heavy for 4-8 hours and then you may continue to have some bleeding or spotting for a few weeks. There 5 % chance of a delayed reaction. This does not mean you need surgery but does make the process take longer as you may require more medication to time to pass the tissue.

Q: Can the abortion pill fail?

There is a 2% failure rate with this medications and if they have failed to induce an abortion it is recommended that you return to the clinic for uterine aspiration to complete the procedure as the medication is known to course fetal demise:
First week:

95% are completed

1% will fail after 1 week and need aspiration abortion

2% will require aspiration because of heavy bleeding

2% will wait longer for the bleeding could be up to 4 weeks

Q: Do I Qualify for Medical Abortion with the Abortion Pill (Mifegymiso)?

In order to have medical abortion by using Abortion Pill – Mifegymiso you must be no more than 49 days from the first day of your last menstrual period. At our clinic we will do an ultrasound to confirm that you are early enough into pregnancy to take the Abortion Pill. We also will review your medical history to be sure you medically qualify for an abortion with the Abortion Pill, Mifegymiso. You must speak and read English well.

Advantages of the Abortion Pill (Mifegymiso)

Your significant other or family member can be with you during the entire process, many women appreciate having loved once when the miscarriage occurs. It can be performed up to 49 days of the first day of the last menstrual cycle. It does not require surgical procedure.

Common Side effect of the Mifepristone

*Side effects may include, mild gastrointestinal (stomach) upset nausea ; diarrhea; Headache; fever and chills or occasional spotting or bleeding.

Common Side effect of Misoprostol

*Abdominal cramping, mild fevers, and mild gastrointestinal (stomach) upset.
*Bleeding usually follows the cramping, and can be heavier than usual for several hours. The bleeding than tapers off to light bleeding like a period.

Side effects are typically mild and tolerable, usually lasting a couple of hours but in some cases may last up to few days. You will be prescribed pain medication and anti-nausea medications to be taken as needed to minimize discomfort.

Q: What I should expect to see after taking the Abortion Pill (Mifepristone and Misoprostol)?

Usually when early in the pregnancy there is no visible embryo. You may a experience heavier period, with some tiny cells that you can’t see, and some tissue lining (like normal shedding as experienced with heavier period).

Q: Do I need to miss work/school?

One of the advantages is that you can plan when is the convenient time to take the Abortion Pill. Once you take the second set of pills, the miscarriage usually happens within 45 min. In this case you don’t have to miss work or school. However, there are some uncommon instances where the miscarriage is delayed and it does not begin for several hours after taking the second set of pills. In this case where the bleeding is delayed we recommend that you stay home until the miscarriage takes place.

Q: Do you have translators?

No. Unfortunately, we receive no government funding for counselling, medication or translation. If you don’t speak and read English very well, you need to bring a translator with you who can help you to understand the instructions.