Medical Abortion: RU486 Use and Costs Explained - Obstetrics and Gynecology

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Medication-induced abortion


Doctor, I would like to ask, if I want to have an abortion and I am currently 4-5 weeks along, can I use RU486? Or what are the costs for the surgical procedure?

Nìmíng, 20~29 year old female. Ask Date: 2013/09/13

Dr. Lü Lizheng reply Obstetrics and Gynecology


Hello, when using medication for a medical abortion, it is necessary to first perform an ultrasound to confirm a normal intrauterine pregnancy.
Additionally, the size of the embryo should not exceed that of seven weeks.
The larger the gestational age, the higher the failure rate of the medical abortion.
If you are currently at 4-5 weeks, you may consider a medical abortion.
After taking the medication, please monitor the amount of bleeding.
There is approximately a 5% chance of experiencing heavy vaginal bleeding; if this occurs, you must go to the emergency department.
The cost of the medication is about 5,000 NTD, and additional fees for consultation and testing will apply.
Wishing you safety and health.
Sincerely, Dr.
Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2013/09/13

More Info


RU486, also known as Mifepristone, is a medication that is commonly used for medical abortion. It is important to understand the appropriate usage, timing, and costs associated with this medication, especially for individuals considering abortion at an early stage of pregnancy.

Firstly, regarding the timing of RU486 use, it is generally recommended for pregnancies that are up to 10 weeks (or 70 days) along. Since you mentioned that you are currently at 4-5 weeks of pregnancy, you are within the acceptable timeframe for using RU486. The medication works by blocking the hormone progesterone, which is necessary for the pregnancy to continue. After taking RU486, a second medication, Misoprostol (often referred to as Cytotec), is usually taken 24 to 48 hours later to help expel the pregnancy tissue.

In terms of dosage, the standard regimen for RU486 involves taking 600 mg (which typically equates to three tablets) of Mifepristone. Following this, the Misoprostol is usually taken in a dosage of 400 mcg (which is often two tablets) to induce contractions and complete the abortion process. It is crucial to follow the instructions provided by a healthcare provider, as they will monitor your health and ensure that the process is as safe as possible.

As for the costs associated with a medical abortion using RU486, prices can vary significantly based on location, healthcare provider, and whether you have insurance coverage. Generally, the cost for the medication and the associated medical care can range from $300 to $800. This includes the consultation, the medications, and any necessary follow-up appointments. If you are considering a surgical abortion instead, the costs can be higher, typically ranging from $500 to $3,000, depending on the type of procedure (aspiration, dilation and curettage, etc.) and the facility where it is performed.

It is important to note that while medical abortion with RU486 is a safe and effective option for many, it is not without risks. Some potential side effects include heavy bleeding, cramping, nausea, and in rare cases, infection or incomplete abortion, which may require surgical intervention. Therefore, it is essential to have access to medical care and follow-up appointments to ensure that the abortion is complete and to address any complications that may arise.

In conclusion, if you are 4-5 weeks pregnant, you can use RU486 for a medical abortion, and it is advisable to consult with a healthcare provider to discuss the process, potential risks, and costs involved. They can provide personalized advice based on your health history and circumstances, ensuring that you receive the best care possible during this time.

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