Medical Abortions

Mifegymiso

Abortion with the Abortion Pill – Mifegymiso is an alternative method for ending an early pregnancy up to 63 days. Taking the Abortion Pill DOES NOT involve a surgical procedure or sedation.

BOOK CONSULT





Non-Surgical Abortions

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.

BEFORE YOUR APPOINTMENT:

You MUST complete a consult visit, either in person or virtually, before you can receive the abortion pill. There are NO exceptions to this.

ARRIVE ON TIME

The OPTIONS Clinic operates by appointment only. To ensure that all patients with appointments are seen, you must arrive on time for your appointment or risk being rescheduled.


ARRIVE ON TIME

The OPTIONS Clinic is by appointment only with a limited number offered each day. By ensuring you are on time for your appointment, you are being fair to the physician, nurses, and other patients.


COMPLETE BLOODWORK

You must complete mandatory bloodwork before and after your abortion.


COMPLETE ULTRASOUND

We require an ultrasound before your medical abortion appointment, to confirm that the pregnancy is intrauterine (inside your uterus). During your medical abortion consult, the physician will order an ultrasound to accompany your prenatal bloodwork.


CHECK WHEN YOU HAVE TIME

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ARRIVE ON TIME

The OPTIONS Clinic is by appointment only with a limited number offered each day. By ensuring you are on time for your appointment, you are being fair to the physician, nurses, and other patients.


BOOK ONLINE

Using a valid OHIP card, register or login to our Patient Portal to book the appointment you need. Our Portal provides pre-screening questions to ensure that you’re booking the correct appointment.


FINISH THE CHECK UP

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CLINIC HOURS

OPTIONS Clinic appointments can be booked online, by phone, and in person.




FAQ

  • What is the abortion pill?
  • Is the medication effective?
  • Is the abortion pill safe?
  • Does the abortion pill have long-term side effects?
  • Can I reverse a medication abortion?
  • Will having a medical abortion affect my ability to get pregnant in the future?
  • When can I get birth control after my abortion?
What is the abortion pill?

In Canada, the medication used to terminate a pregnancy is called Mifegymiso which is a combination of two medications, mifepristone and misoprostol. Both medications come packaged together and the boxes are colour coded and labeled.

These medications are approved for use by Health Canada. Research studies have shown this treatment to be a safe and effective method of ending a pregnancy. If you have an Ontario Healthcard, these medications are available at no cost to you at our clinic.

Is the medication effective?

The success rate of medical abortions using Mifegymiso depends on how far along you are in pregnancy:
7 weeks/49 days: 92% to 99% effective
8 weeks/56 days:  91% to 98% effective
9 weeks, or 63 days: 87% to 98% effective

Is the abortion pill safe?

Medication abortion is very safe. Serious problems are rare, but like all medical procedures, there can be some risks.

  • the abortion pills don’t work and the pregnancy doesn’t end
  • some of the pregnancy tissue is left in your uterus
  • blood clots in your uterus
  • bleeding too much or too long
  • infection
  • allergic reaction to one of the medicines

These problems aren’t common. And if they do happen, they’re usually easy to take care of with medication or other treatments.

In extremely rare cases, some complications can be very serious or even life threatening. Call your doctor or health center right away if you:

  • have no bleeding within 24 hours after taking the second medicine (misoprostol)
  • have heavy bleeding from your vagina that soaks through more than 2 maxi pads in an hour, for 2 or more hours in a row
  • pass large clots (bigger than a lemon) for more than 2 hours
  • have belly pain or cramps that don’t get better with pain medication
  • have a fever of 100.4 or higher more than 24 hours after taking misoprostol
  • have weakness, nausea, vomiting, and/or diarrhea that lasts more than 24 hours after taking misoprostol
Does the abortion pill have long-term side effects?

The abortion pill is really safe and effective. It’s a super common way to have an abortion, and millions of people have used it safely.

Unless there’s a rare and serious complication that’s not treated, there’s no risk to your future pregnancies or to your overall health. Having an abortion doesn’t increase your risk for breast cancer or affect your fertility. It doesn’t cause problems for future pregnancies like birth defects, premature birth or low birth weight, ectopic pregnancy, miscarriage, or infant death.

Serious, long-term emotional problems after an abortion are rare, and about as uncommon as they are after giving birth. They are more likely to happen in people who have to end a pregnancy because of health reasons, people who do not have support around their decision to have an abortion, or people who have a history of mental health problems. Most people feel relief after an abortion.

There are many myths out there about the effects of abortion. Our clinic staff can give you accurate information about abortion pill side effects or any other concerns you may have.

Can I reverse a medication abortion?

No. After you take the first pill (mifepristone), the process of the abortion is not reversible.

Will having a medical abortion affect my ability to get pregnant in the future?

No, the medication leaves your body within a couple of days and does not affect future pregnancies.

When can I get birth control after my abortion?

Ovulation can occur within 8 days of taking mifepristone, so you could get pregnant right away. When to start your birth control depends on the type of birth control you have chosen:

  • The birth control pill and the patch can be started on the day you take misoprostol.
  • The vaginal ring can be inserted one week after taking misoprostol.
  • The depo shot can be given at the follow-up appointment at Women’s Health Clinic, approximately one week after taking misoprostol.
  • An IUD/IUS can be inserted during the follow-up appointment at Women’s Health Clinic, approximately one week after taking misoprostol.
  • Condoms can help prevent pregnancy and the transmission of sexually transmitted infections.
  • We recommend people avoid insertive sex (or inserting anything into their vagina) for a week after taking misoprostol.

There will be time during your appointment to discuss birth control options with the counsellor.


Consider being vaccinated with GARDASIL®9

Listed below are certain steps you can take to help protect yourself and help decrease your risk of contracting or transmitting HPV.

HPV vaccination is NOT just for kids. You can get the virus at any point in your life while sexually active.

GARDASIL®9 can be administered in women 9-45 years of age and men 9-26 years of age. Vaccination with GARDASIL®9 can provide effective protection against the 9 HPV types that cause about 90% of cervical cancer cases and the 2 HPV types that cause over 90% of genital warts.

If you’re already infected with the virus, it’s NOT too late to be vaccinated. Even if you may have been infected with one type of HPV, vaccination can still help protect you from other types of the virus contained in the vaccine. The vaccine cannot treat an existing HPV infection, however.

Some HPV types will clear up on their own but some can cause cancers like cervical, vaginal, vulvar and anal cancers. Not to mention genital warts. So helping to protect yourself with the GARDASIL®9 vaccine just makes sense.






Get in touch

Contact us now

Appointments with the Options Clinic can only be made by telephone. In the case of Medical Abortions, multiple visits are required to assess candidacy and ensure safety and success. No results can be given over the telephone.


EMERGENCY CONTACT

For All Emergencies
Call 911 Immediately



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