How to induce a miscarriage

Wednesday, June 11th, 2014 by Dr Joan F.

In early pregnancy, many women can feel comforted by knowing that early abortion procedures are simply bringing down your missed period. About one week after your missed period, the uterus is preparing itself to support the pregnancy. The lining is getting thicker and villi, tissue that hold the pregnancy to the uterine wall, are beginning to form. At two weeks after your missed period, a gestational sac forms, in which the pregnancy would form. At this time, the pregnancy itself is not visible, but on an ultrasound, you may see the yolk sac, which would later become the placenta. This is the simplest time to end an early pregnancy, both physically and emotionally for most women. At this stage, the pregnancy cannot be confirmed as viable, and so it can be said that when making the decision to end an early pregnancy, you are simply inducing a miscarriage.


To do this, there are two available methods- the abortion pill and the Manual Vacuum Aspiration Procedure(MVA), which are championed by the World Health Organization (WHO) as being the safest and simplest methods for ending early pregnancy. However, it is important to point out the safety of early abortion. All methods of early abortion, including the abortion pill, the MVA, and surgical abortion, are incredibly safe– statistically moreso that childbirth.

The MVA Procedure is a wonderful option for women who do not have the time for a long appointment or recovery. This 5-minute, non-surgical procedure is performed in the office by our board certified female doctor. During this simple procedure, the doctor slightly dilates the cervix so that she can insert a small plastic tube. This tube is then connected to a handheld device called an aspirator. This applies some gentle pressure to the uterus causing it to expel its contents. Most women will experience 1-2 minutes of strong period-like cramping at the end of the procedure, which will taper off approximately 5-7 minutes after the procedure is completed. Unlike surgical abortion, the Aspiration Procedure does not require or consist of scraping or cutting the uterus, meaning that there is no chance of scarring. This procedure presents no risk to future fertility.

Another more natural method of early abortion is the abortion pill, medical abortion, or RU486. Some women prefer this method because they are able to complete the procedure in the privacy and comfort of their own homes. Basically, the abortion pill process consists of 3 steps. First, on the day of the appointment, the first pill is taken. This pill, called Mifeprex or Mifepristone, does not cause any major side effects. This pill will simply reduce the pregnancy hormone released in the body, stopping the pregnancy from any further growth or development. This is followed-up by taking a second set of pills 24-72 hours later. The second pills, called Misoprostol or Cytotec, causes the uterus to expel its contents. Because you are passing the pregnancy and the uterine lining at home, you should expect significant bleeding and strong period-like cramps. We provide you with medications to help with this process. Finally, the third step is to come in for a follow-up appointment 1-2 weeks later. At this time, the doctor will perform another ultrasound to verify that the uterus is empty and that the procedure was successful.

To find out more about the safest and most natural methods of early abortion, please read our Guide to Early Abortion. This guide will provide you with details on each of the available procedures so that you are able to make an informed decision about your abortion care. We encourage you to take the time to research the options available and prepare any questions you may have to ask your doctor. The more informed you are, the more confident you can feel about your decision.