RU486- An Unbeaten Medication to Induce Abortion

Women all over the world undergo abortion using oral medications as they give them the distinct advantage of carrying out abortions in the safety and privacy of their home. Abortion done using oral medications is called Medical abortion.

These medications force out the fetus from the body of the female. There can be many reasons why a female wants to terminate her pregnancy such as there is a risk to the health of the mother or fetus (birth defects or genetic abnormalities), rape cases, the pregnancy is unplanned, risk to the well-being of existing children or  career/education is priority, etc.

Medical abortion is done when the pregnancy is less than 49 old and intrauterine. The duration of pregnancy or gestation period is calculated from the first day of the last menstrual cycle. Medical abortion can be done using RU486 or Mifepristone pills. RU486 is a very potent medication that effectively induces abortion in women.

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Mifepristone functions against progesterone hormone that is essential for maintenance of pregnancy. This anti-progesterone activity of Mifepristone results in the detachment of fetus from the uterine lining.

Take a pregnancy test and pelvic examination to confirm the type (ectopic or intrauterine) and duration of pregnancy before going through the procedure of Medical abortion. 

RU486 is available in the form of a tablet containing 200mg of Mifepristone. To induce abortion, a woman has to swallow three tablets of Mifepristone as a single dose orally with a glass of water. 

After 2 days, confirm if you have successfully completed the process of abortion or not. If not, then take two tablets of Misoprostol (2X 200mcg) either via vaginal or oral route. 

A follow up visit to the medical clinic is required after 2 weeks to confirm that the process was successfully accomplished or not. In exceptional cases, surgical intervention may be necessary. 

The harmful effects of RU486 are cramps, weakness, lightheadedness, nausea, vomiting, vaginal blood loss, etc. But you don’t have to worry as these are short-term problems and do not have any lasting impact on a woman’s health. You can take pain medications and anti-emetics to get some relief. 

How to take care of yourself?

1. Take proper rest and do not indulge in any kind of tiring activity.
2. Avoid intercourse for at least 2-3 weeks. 
3. RU486 does not have any effect on your potency; you can easily get pregnant again, if you desire. 
4. It only takes a few days to recover physically after the process of abortion is complete. 
5. Take a warm bath or place a heating pad on your stomach to get some relief from pain.

Safety measures:-

1. Do not take this medicine, if you are allergic to any ingredient of RU486.
2. Remove IUDs (if using any), before going through abortion.
3. Avoid taking this medicine with alcohol as it can potentiate its adverse effects.

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