Can I Use RU-486 for Abortion? Safety and Cost Considerations

Can I use RU-486?

My menstrual cycle is about ten days late.
I have used two pregnancy tests, both showing positive results.
Can I use RU-486 to terminate the pregnancy? Is there any risk involved? Would the cost be more expensive than a traditional dilation and curettage (D&C)? Thank you.

Xiao Fang, 20~29 year old female. Ask Date: 2004/01/15

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
An ultrasound must be performed first to confirm that the fetus is in the uterus before proceeding with consumption.
2.
Although the risk is not high, it still exists.
3.
Fees vary among obstetricians and gynecologists, but they are generally similar to those of traditional curettage procedures.

Reply Date: 2004/01/15

More Info

RU-486, also known as mifepristone, is a medication commonly used for medical abortion. It is effective in terminating pregnancies that are up to 10 weeks (or 70 days) along. If your last menstrual period was about ten days late and both pregnancy tests have confirmed a positive result, you may be within the appropriate timeframe to consider using RU-486. However, it is crucial to consult with a healthcare provider to confirm that the pregnancy is intrauterine and to discuss the appropriate steps for using this medication.

Safety Considerations
While RU-486 is generally considered safe, it is not without risks. The most common side effects include heavy bleeding, cramping, nausea, and fatigue. In rare cases, serious complications can occur, such as infection or incomplete abortion, which may require surgical intervention. It is essential to have a follow-up appointment with your healthcare provider after taking RU-486 to ensure that the abortion is complete and to monitor for any potential complications.

It is also important to note that the use of RU-486 should be done under medical supervision. A healthcare provider can provide guidance on the correct dosage and administration, as well as monitor your health throughout the process. Self-administering RU-486 without medical oversight can increase the risk of complications.

Cost Considerations
Regarding the cost, the price of obtaining RU-486 can vary significantly depending on the healthcare provider, location, and whether any additional services are required (such as ultrasounds or follow-up visits). Generally, the cost of a medical abortion using RU-486 is comparable to that of a surgical abortion (such as dilation and curettage, or D&C). However, some clinics may offer sliding scale fees or financial assistance, so it is advisable to inquire about costs upfront.

Conclusion
In summary, if you are considering using RU-486 to terminate your pregnancy, it is vital to consult with a healthcare provider. They can confirm the gestational age of the pregnancy, discuss the potential risks and side effects, and provide guidance on the process. While RU-486 is a safe and effective option for many, it is essential to approach it with the proper medical support to ensure your health and safety. Additionally, discussing the costs with your provider can help you make an informed decision about your options.

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