How Does a Misoprostol-Only Abortion Work?
Normally, two pills are taken in the abortion pill regimen.
Are Misoprostol Only Abortions Safe?
Although misoprostol alone can be used to induce an abortion, this method is not as effective as the combination of mifepristone and misoprostol[2]. Misoprostol can also cause severe side effects, such as[3]:
- Low blood pressure (hypotension)
- Faster than normal heart rhythm (sinus tachycardia)
- Heart attack (myocardial infarction)
- Cuts or tears to the cervix (cervical laceration)
- Uterine rupture
- Infection (caused by a uterine rupture)
- Severe allergic reaction
It’s also important to note that not everyone can take misoprostol. Those who experience kidney disease, stomach ulcers, inflammatory bowel disease, heart or blood vessel problems, or dehydration should not take misoprostol, as it could worsen their conditions[4]. Speak to your doctor beforehand and never order misoprostol online without a prescription!
Which is Safer: D&C or Misoprostol?
If you’re not able to take misoprostol, you may be wondering if a dilation and curettage (D&C) is a better option. Unfortunately, D&Cs also come with serious risks, including:
Asherman’s Syndrome
Asherman’s Syndrome is a condition where scar tissue builds up inside the uterus[5]. Women who have had multiple D&Cs are at greater risk of developing Asherman’s Syndrome. In the first trimester, up to 13% of women develop the condition after a D&C. For women who have late-term abortions, the risk jumps to 30%[6].
Cervical Damage
The cervix can be torn during a D&C. The provider may have to administer medicine or stitch the wound to stop the bleeding[7].
Uterine Perforation
The surgical tools used in a D&C may accidentally poke a hole in the uterus. The wound may be able to heal on its own, but if an organ is damaged, you may need surgery to treat it[7].
Explore Your Options at Wyandotte and Olathe Pregnancy Clinics
An unplanned pregnancy comes with a lot of overwhelming choices. Even one choice can feel like one too many. You don’t have to take this next step alone! Wyandotte and Olathe Pregnancy Clinics is a safe, confidential place to explore your pregnancy options at your own pace. We’re here to help you make an informed and empowered decision.
Call us at (913) 289-0100 or schedule your appointment online today. All services are free and confidential.
Please be aware that Wyandotte and Olathe Pregnancy Clinics does not provide or refer for abortion services.
Sources
- FDA. (2023, September 1). Questions and Answers on Mifeprex. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
- Schreiber, C. A., Creinin, M. D., Atrio, J., Sonalkar, S., Ratcliffe, S. J., & Barnhart, K. (2018, June 7). Mifepristone Pretreatment for the Medical Management of Early Pregnancy Loss. The New England Journal of Medicine. https://pubmed.ncbi.nlm.nih.gov/29874535/
- Krugh, M., & Maani, C. V. (2023, April 21). Misoprostol. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK539873/
- Mayo Foundation for Medical Education and Research. (2023, February 1). Misoprostol (Oral Route) Side Effects. Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/misoprostol-oral-route/side-effects/drg-20064805?p=1
- Asherman’s Syndrome. Cleveland Clinic. (2022, January 8). Retrieved from https://my.clevelandclinic.org/health/diseases/16561-ashermans-syndrome
- Smikle, C., Yarrarapu, S. N. S., & Khetarpal, S. (2023, July 24). Asherman Syndrome. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK448088/
- Mayo Foundation for Medical Education and Research. (2021, October 19). Dilation and Curettage (D&C). Mayo Clinic. https://www.mayoclinic.org/tests-procedures/dilation-and-curettage/about/pac-20384910