Abortion Pill (Medical Abortion) in the Bronx - Up to 9 Weeks

Safe, Private Abortion Care in Your Own Home

The abortion pill, also known as medical abortion, RU-486, or Mifeprex, allows you to end an early pregnancy privately in your own home. This FDA-approved method has been safely used since 2000 and is 97% effective when used correctly.

At Dr. Emily Women's Health Center, we provide comprehensive abortion pill services including two office visits, ultrasounds, the medications, detailed instructions, and 24/7 staff support throughout your process.

Am I a Good Candidate for the Abortion Pill?

The abortion pill is available for pregnancies up to 9 weeks from your last menstrual period. However, you cannot determine your eligibility based on your last period alone - an ultrasound is required to accurately date your pregnancy.

The abortion pill requires your commitment to:
- Taking the medications as directed
- Monitoring your symptoms at home
- Calling us with any concerns (24/7 availability)
- Attending your mandatory follow-up appointment 7-14 days after your first visit

The follow-up appointment is not optional. If you do not believe you can attend the follow-up appointment, surgical abortion may be a better option for you, as it is completed in one visit.

During your first visit, we will confirm your eligibility with an ultrasound and medical evaluation. Many women are surprised to learn they are further along than they thought. The ultrasound gives us the precise information needed to recommend the safest option for you.

Why an Ultrasound Is Required Before the Abortion Pill

Before we can provide the abortion pill, we must perform an ultrasound to accurately determine how far along you are in your pregnancy. This is not optional - it's a critical safety step.

Here's why the ultrasound is so important:

Dating Your Pregnancy Accurately
Many women think they know how far along they are based on their last period, but this can be inaccurate. The ultrasound gives us the precise gestational age, which determines:
- Whether you're eligible for the abortion pill (up to 9 weeks)
- Whether surgical abortion would be safer and more effective
- Your risk of the medication not working completely

Confirming the Pregnancy Location
The ultrasound also confirms that the pregnancy is in your uterus and not ectopic (in your fallopian tube). An ectopic pregnancy cannot be treated with the abortion pill and requires different medical care.

Determining the Best Option for You
If the ultrasound shows you are beyond 9 weeks, the abortion pill becomes less effective and surgical abortion becomes the safer, more reliable option. We want to ensure you receive the most appropriate care for your situation.

We provide the ultrasound at no additional cost as part of your abortion pill service. This is included in your visit and takes only a few minutes.

How the Abortion Pill Works: The 4-Step Process

We use a simplified 4-step abortion regimen with oral medications for your comfort and convenience.

Step 1: First Office Visit - Ultrasound and Medical Evaluation

Your first appointment is essential to determine if the abortion pill is right for you and safe for your situation.

Why the Ultrasound Is Critical:
Before we can provide the abortion pill, we must perform an ultrasound. This is not optional - it's a required safety step that:

- Accurately dates your pregnancy - Many women think they know how far along they are based on their last period, but this can be off by several weeks. The ultrasound gives us precise dating.

- Determines your eligibility - The abortion pill is only effective up to 9 weeks. If you're beyond 9 weeks, surgical abortion is safer and more effective (over 99% success rate).

- Confirms the pregnancy location - The ultrasound ensures the pregnancy is in your uterus and not ectopic (in your fallopian tube), which would require different treatment.

- Helps us recommend the best option - If you're close to 9 weeks, we'll discuss whether surgical abortion might be the better choice for you.

What Happens at Your First Visit:
- Pregnancy test to confirm pregnancy
- Ultrasound to determine gestational age (included in your fee)
- Medical history review
- Blood pressure and other vital signs
- Discussion of the complete process and what to expect
- All your questions answered
- If eligible, you'll take the first medication (mifepristone) in our office

This first medication blocks progesterone, the hormone needed for pregnancy to continue. You can eat and drink normally before this appointment - no fasting is required. Most women feel fine after taking this medication and can go about their normal activities.

The ultrasound and first visit typically take about 1-2 hours total.

Step 2: At Home (24-48 Hours Later) - Taking the Second Medication

24 to 48 hours after taking the first medication in our office, you will take the second set of medications (misoprostol) at home. We provide oral tablets that you place between your cheek and gum, instead of vaginal inserts, for your added comfort, safety, and convenience.

Preparing for Step 2:
- Plan to be at home in a comfortable, private place
- Have someone with you if possible for support and assistance
- Have sanitary pads ready (not tampons)
- Have pain medication available (ibuprofen works well - we'll give you specific recommendations)
- Have access to a phone to call us if needed
- Arrange to have the day free from work or other obligations

What the Second Medication Does:
The misoprostol causes your uterus to contract and expel the pregnancy. This is when you will experience cramping and bleeding, similar to a heavy menstrual period or miscarriage. This is completely normal and expected - it means the medication is working.

Timing Is Important:
Take the second medication exactly as instructed, 24-48 hours after the first medication. We will give you specific instructions about the exact timing and how to take the pills. Following these instructions carefully ensures the best chance of success.

Step 3: The Abortion Process at Home - What to Expect

After taking the second medication, the abortion process will begin. Here's what to expect:

When Symptoms Begin:
Cramping and bleeding typically begin within 1-4 hours after taking the second medication. Some women experience symptoms sooner, others may take longer. Everyone's experience is different.

What You Will Experience:
- Cramping - This can range from mild (like menstrual cramps) to strong. The cramping may come in waves. Pain medication can help manage this.

- Bleeding - You will have bleeding heavier than a normal period, often with clots. This is normal. You may pass the pregnancy tissue, which may look different from regular blood clots.

- Peak symptoms - The heaviest bleeding and strongest cramping usually occur 2-5 hours after taking the medication and last for several hours.

- Other symptoms - You may also experience nausea, vomiting, diarrhea, chills, low-grade fever (under 100.4°F), or fatigue. These are normal side effects.

The Timeline:
- Most women pass the pregnancy tissue within 4-6 hours of taking the second medication
- Heavy bleeding typically lasts several hours
- Lighter bleeding and spotting can continue for 2-4 weeks
- Cramping usually decreases significantly within 24 hours

Managing Your Comfort:
- Take ibuprofen (Advil, Motrin) as recommended - this helps with cramping
- Use a heating pad on your abdomen
- Rest and stay hydrated
- Eat light foods if you feel nauseated

Important - When to Call Us Immediately:
- If you do NOT experience any bleeding within 24 hours of taking the second medication - call us right away at 718-585-1010
- Soaking through 2 or more pads per hour for 2 hours or longer
- Severe pain that is not relieved by pain medication
- Fever over 100.4°F that lasts more than 24 hours
- Severe nausea and vomiting that prevents you from keeping down liquids
- Any concerns or questions - we're available 24/7

Remember: Our staff is available around the clock. You can call 718-585-1010 anytime, day or night, if you have questions or concerns. You are never alone during this process.

Step 4: Required Follow-Up Visit (7-14 Days After Your First Visit)

You MUST return for an in-person follow-up appointment 7-14 days after your first visit (when you took the first medication). This appointment is mandatory and critical to your care - it is not optional.

Why This Follow-Up Is Essential:
There is approximately a 3-7% chance that the abortion pill does not completely work, especially if you were close to 9 weeks pregnant when you started the process. The only way to know for certain that the abortion is complete is with an ultrasound.

If the abortion is incomplete and we don't catch it at your follow-up visit, you could experience:
- Continued pregnancy
- Infection
- Heavy bleeding
- Other complications

This follow-up visit protects your health and ensures the abortion was successful.

What Happens at Your Follow-Up Visit:
- Ultrasound to confirm the abortion is complete - this is the most important part
- Check your vital signs and overall recovery
- Discuss any symptoms or concerns you've had
- Answer any questions
- Discuss birth control options to prevent future unintended pregnancy
- Provide birth control if desired (IUDs and Nexplanon can be inserted at this visit)

The follow-up visit typically takes 30-60 minutes.

What If the Abortion Is Incomplete?
If the ultrasound shows the abortion pill did not completely work, you will need a surgical abortion procedure (D&C) to complete the process. This is a quick, safe procedure done in our office with general anesthesia, and you can go home the same day.

The fee for a D&C following an incomplete medication abortion is $600 for self-pay patients. Most insurance plans and Medicaid cover this as part of your abortion care. We will verify your coverage before proceeding. If you need this follow-up procedure, we will work with you to ensure you can complete your care safely.

Important - Scheduling and Attending Your Follow-Up:
We will schedule your follow-up appointment for 7-14 days after your first visit before you leave. Please keep this appointment - it's essential for your health and safety.

If you miss your scheduled follow-up appointment, we will attempt to contact you by phone, text, and email to reschedule. However, if we are unable to reach you after two attempts, we will be required to send you a letter of dismissal from our practice.

We cannot be held responsible for any medical complications that may arise if you do not complete your required follow-up care. Your health and safety depend on confirming that the abortion is complete.

If you need to reschedule your follow-up appointment, please call us immediately at 718-585-1010. We understand that life happens, and we will work with you to find a time that works - but you must attend this appointment.

24/7 Support Throughout Your Process

You are never alone during your medical abortion. Our staff is available 24 hours a day, 7 days a week to answer questions and address any concerns.

Call 718-585-1010 anytime if you:
- Have questions about what you're experiencing
- Are not sure if what you're experiencing is normal
- Do not experience bleeding within 24 hours of taking the second medication
- Are experiencing heavier bleeding than expected (soaking through 2+ pads per hour for 2+ hours)
- Have severe pain not relieved by medication
- Have a fever over 100.4°F that lasts more than 24 hours
- Feel dizzy, lightheaded, or faint
- Have any other concerns whatsoever

We want you to call us. No question is too small, and no concern is unimportant. Our experienced staff has helped thousands of women through this process and we're here to support you.

For life-threatening emergencies (such as uncontrollable bleeding, loss of consciousness, or severe abdominal pain), always dial 911 first, then call us.

Recovery and Aftercare Instructions

When Can I Return to Normal Activities?

Most women feel well enough to return to work, school, and light daily activities the day after taking the second medication, if they feel up to it. Listen to your body and rest as needed.

Avoid strenuous exercise, heavy lifting, or intense workouts for at least one week. Light activities like walking are fine when you feel ready. If you notice increased bleeding or cramping with any activity, slow down and rest.

Using Pads vs. Tampons

We recommend using sanitary pads (not tampons) during the first few days of heavy bleeding. This allows you to monitor your bleeding more easily and ensures you can pass tissue and clots safely.

Once your bleeding becomes lighter (usually after a few days), you may switch to tampons or menstrual cups if you prefer. If bleeding increases after switching, go back to using pads.

Bathing and Swimming

You may shower normally. However, avoid baths, hot tubs, and swimming pools for at least one week to reduce the risk of infection while your cervix is still slightly open.

When Can I Have Sex Again?

You can resume sexual activity when you feel physically and emotionally ready, typically after your bleeding has decreased. However, it's important to know that you can get pregnant very quickly after an abortion - as soon as two weeks later, even before your first period returns.

If you don't want to become pregnant, start using birth control immediately. We can provide IUDs, Nexplanon, or other contraception methods at your follow-up visit.

When Will My Period Return?

Your next menstrual period should begin 4-6 weeks after your abortion. Your first few periods may be irregular as your hormones adjust, which is normal. If you don't get your period within 6 weeks, call us at 718-585-1010.

Emotional Support

It's normal to experience a range of emotions after an abortion - relief, sadness, or a mix of feelings. These emotions may be stronger than expected due to hormonal changes. Most women find these feelings don't last long.

If you need emotional support, we're here to help. Organizations like Exhale (1-866-439-4253) and All-Options (1-888-493-0092) provide free, confidential support. If your emotions are preventing you from doing your usual daily activities, please call us or speak with a counselor.

How Effective Is the Abortion Pill?

The abortion pill is 97% effective when used correctly and within the recommended timeframe (up to 9 weeks of pregnancy confirmed by ultrasound).

The effectiveness decreases the further along you are:
- At 7 weeks or less: 97-98% effective
- At 8-9 weeks: 93-95% effective

This is why the ultrasound is so important - it ensures you're within the optimal timeframe for the medication to work. If you're close to or beyond 9 weeks, surgical abortion becomes the better option with over 99% effectiveness.

Approximately 3-7% of women may need a follow-up surgical procedure if the medication does not completely end the pregnancy. This risk is higher for pregnancies closer to 9 weeks. This is why your one-week follow-up ultrasound appointment is mandatory and critical to your care.

Affordable, Transparent Pricing

The fee for the abortion pill (RU486) is $600 for pregnancies up to 9 weeks for self-pay patients. We accept Medicaid from all five NYC boroughs and most private insurance plans cover the full cost. We will verify your insurance coverage before your appointment when you provide your insurance information online or over the phone.

Your $600 fee includes:
- Two office visits (initial visit and follow-up 7-14 days later)
- Two ultrasounds (one at each visit)
- All medications (mifepristone and misoprostol)
- Detailed instructions and counseling
- 24/7 staff availability throughout your process
- Post-procedure support

Additional fees that may apply:
- RhoGAM injection if you are Rh-negative: $80 (mini dose) or $160 (regular dose) - covered by most insurance
- D&C if the abortion pill does not work completely: $600 for self-pay patients (covered by most insurance)

We are committed to making quality reproductive healthcare accessible and affordable. Our prices are very competitive - often lower than other clinics in New York City - without compromising on safety or quality of care.

You can view all our transparent pricing on our Fees page. Financial assistance may be available through abortion funds. Ask our staff for information about organizations that can help with funding.

Abortion Pill vs. Surgical Abortion: Which Is Right for You?

Both options are safe and effective. The best choice depends on your individual circumstances, preferences, and how far along you are based on ultrasound dating.

Abortion Pill (Medical Abortion):
- Can be used up to 9 weeks of pregnancy (confirmed by ultrasound)
- Completed privately at home
- Feels more like a natural miscarriage
- Requires follow-up visit with ultrasound 7-14 days later
- 97% effective (decreases slightly after 8 weeks)
- Process takes 1-2 days to complete at home
- You can eat normally before your first appointment

Surgical Abortion:
- Can be used up to 21 weeks of pregnancy
- Completed in our office in one visit
- General anesthesia provided - no pain or memory of procedure
- Takes only a few minutes
- Over 99% effective regardless of how far along you are
- Recovery in our office, then go home same day
- Must fast after midnight the night before

Your ultrasound will help determine which option is best for you. If you think you might be close to 9 weeks, surgical abortion may be the safer, more reliable choice. Our experienced staff is available 24/7 to help you understand your options. Call 718-585-1010 to discuss your situation.

Why Choose Dr. Emily Women's Health Center?

AAAASF-Accredited Facility
Our surgical center is AAAASF-accredited, meeting the highest standards of safety, privacy, and confidentiality. This accreditation is independently verified and ensures you receive the safest possible care.

Experienced, Board-Certified Physicians
Our two physicians, Dr. Brian E. Park and Dr. Vivian E. Roston, are board-certified OB/GYNs with over 30 years of experience each. They have dedicated their careers to providing compassionate women's healthcare in New York City.

Long-Tenured, Experienced Staff
Many of our staff members have worked with Dr. Park for over 20 years. This continuity means you receive care from an experienced, cohesive team that works together seamlessly.

24/7 Comprehensive Support
We provide around-the-clock staff availability for abortion pill patients. You're never alone in your care - call us anytime with questions or concerns.

Affordable, Competitive Pricing
We offer some of the most competitive prices in NYC while maintaining AAAASF-accredited safety standards. Quality care shouldn't be out of reach.

Same-Day Appointments Often Available
We understand that time-sensitive care is important. Call 718-585-1010 to schedule your appointment.