RU-486: Uses, Effects, and Risks in Abortion Care

RU-486, also known as

RU-486, also known as mifepristone, is an abortion medication.
It is typically used within the first 10 weeks of pregnancy.
After taking it, patients may experience symptoms such as cramping and bleeding as the body expels the pregnancy.

The primary difference between RU-486 and other abortion methods, such as surgical abortion, is that RU-486 is a medical abortion that involves taking medication rather than undergoing a surgical procedure.

As for potential negative effects on the body, some women may experience side effects such as nausea, vomiting, diarrhea, or heavy bleeding.
It is important to consult with a healthcare provider to discuss individual circumstances and any potential risks.
Thank you for your inquiry.

claire, 20~29 year old female. Ask Date: 2001/02/01

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
RU-486 is an abortion pill, that is correct.
2.
It is used within seven weeks of pregnancy.
3.
It causes bleeding and miscarriage.
4.
Compared to other methods, it does not require surgery.
5.
Sometimes, there may be incomplete expulsion of the fetus or heavy bleeding, so it must be taken under the supervision of a physician.
If you have further questions, please consult an obstetrician-gynecologist.

Reply Date: 2001/02/01

More Info

RU-486, also known as mifepristone, is indeed a medication used for medical abortion. It is primarily indicated for use within the first 10 weeks of pregnancy (up to 70 days from the first day of the last menstrual period). The medication works by blocking the hormone progesterone, which is necessary for the pregnancy to continue. When progesterone is inhibited, the lining of the uterus breaks down, and the pregnancy cannot be sustained.

After taking RU-486, patients typically experience a range of effects. The most common immediate effects include cramping and bleeding, which are similar to a heavy menstrual period. This is because the body is expelling the pregnancy tissue. It is important to note that while some bleeding is expected, excessive bleeding (soaking through two or more pads in an hour for two consecutive hours) should prompt immediate medical attention.

RU-486 is often used in conjunction with another medication called misoprostol (Cytotec), which is taken 24 to 48 hours after RU-486 to help expel the pregnancy from the uterus. This two-drug regimen is effective and allows for a non-surgical abortion, which is one of its primary advantages over surgical methods. Surgical abortions, such as suction aspiration or dilation and curettage (D&C), involve a procedure performed by a healthcare provider, which may carry different risks and recovery times.

In terms of risks and side effects, while RU-486 is generally considered safe, there are potential complications. These can include incomplete abortion, which may require a surgical procedure to remove remaining tissue, and heavy bleeding. Other side effects may include nausea, vomiting, diarrhea, and abdominal pain. It is crucial for individuals to have access to follow-up care to ensure that the abortion is complete and to manage any complications.

Regarding the impact on future pregnancies, studies suggest that having a medical abortion does not adversely affect a woman's fertility or future pregnancies. However, repeated abortions, whether medical or surgical, can increase the risk of complications in future pregnancies, such as preterm birth or low birth weight. Therefore, it is essential to discuss and implement effective contraception methods after the procedure to avoid unintended pregnancies.

Post-abortion care is also vital for recovery. After taking RU-486, individuals are advised to rest, avoid heavy lifting, and refrain from sexual intercourse for a period of time as recommended by their healthcare provider. Maintaining a balanced diet and staying hydrated can aid in recovery. It is also advisable to avoid substances that may interfere with uterine contractions, such as alcohol and certain herbal supplements, during the recovery period.

In conclusion, RU-486 is a safe and effective option for medical abortion within the first 10 weeks of pregnancy. It offers a non-invasive alternative to surgical methods, but it is essential to be aware of the potential risks and to have access to medical care for follow-up and management of any complications. Individuals considering this option should consult with a healthcare provider to discuss their specific circumstances, understand the procedure, and receive appropriate care and support throughout the process.

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