Patients often ask about mailing the abortion pill (Mifeprex) to them for use at home. This can be dangerous. Before taking the pill the physician must first determine:
1-that you are pregnant
2-that the length of your pregnancy is within the limits of safety for the use of the abortion pill.
If you take the abortion pill and you are too far along in your pregnancy, you subject yourself to the danger of severe hemorrhage.
That can be life-threatening. See the article below from a study done by the Royal College of Obstetricians and gynecologists.
Medical abortion has been shown to be effective through the first trimester (12 weeks) and has been successfully used during the second trimester.
In 2004, “The Royal College of Obstetricians and Gynaecologists evidence-based clinical guidelines stated that the medical regimen using Mifepristone in combination with Misoprostol would be a safe and effective alternative to surgery for women undergoing abortion at 9-13 weeks’ gestation.
If you have been pregnant for longer than 12 weeks and do a medical abortion anyway, the medicines still work and cause an abortion. However, the risk of complications increases, and it is more likely that you will need to receive treatment from a doctor afterward (See the table below on complications to determine the exact amounts of increased risk). Therefore, it is strongly advised that the pills are taken in the waiting room of a hospital or in a cafe very close to a hospital. In that case, should you need urgent medical attention, you will be nearby. The symptoms are exactly the same as a miscarriage. If you need emergency care in a hospital, it is important to tell the doctors you had a miscarriage, as women can be prosecuted for having an abortion. The symptoms and treatment are the same.
Realize also that you will lose a lot of tissue and blood, but also a fetus (the size depends on the duration of the pregnancy), which can be recognized as such. It can be quite distressing to see. If you have no other means, doing the medical abortion is still much safer than dangerous methods for causing an abortion, such as inserting sharp objects into the vagina, ingesting toxic chemicals such as bleach, or punching the abdomen. You should never use these dangerous methods!
In summation. your life and safety and comfort count more than anything else in this world.
If you think that you are pregnant and you wish to terminate your pregnancy, schedule an appointment in order to be evaluated at our facility by one of our expert gynecologists, who, with you, will determine the best and safest method that should be employed in order to terminate your pregnancy.
Irregular vaginal bleeding
Below is a list of most of the major causes of irregular vaginal bleeding. If you experience even one episode of irregular vaginal bleeding, you must make an appointment to be fully evaluated in order to rule out the most serious causes of irregular bleeding and, more importantly, to catch and treat any serious aliment that may be discovered before it becomes untreatable.
Our staff of gynecologists and nurse practitioners is fully skilled and equipped to diagnose any of the causes of irregular bleeding and to take the appropriate steps necessary to make sure that you receive the best care and treatment for the problem. Please call and make an appointment as soon as possible.
1-Endocrine system factors-peri-menopause, vaginal atrophy, Stein Leventhal syndrome, hyperthyroidism or hypothyroidism, endometriosis, etc
2-Pregnancy-miscarriage, placental abruption, placenta previa, irritation in the vaginal canal, placenta accrete and increta, ectopic pregnancy
3-Medical- bleeding dyscrasia(for example thrombocytopenia or von Willebrand disease), that is an abnormal clotting process; kidney or liver disease; celiac disease
4-Physical trauma-lesions on the vulva or in the vagina or the cervix or uterus from sexual intercourse, foreign objects etc.
5 Hiatrogenic-physician caused trauma; IUD; Post-surgery; medications with anti coagulative properties; changing or stopping Birth control pills.
6-Cancers and precancerous lesions of the uterus, cervix, ovary, vagina, Vulva, fallopian tube.
7-Non cancerous growths-For example uterine polyps or fibroids or adenomyosis.
8-Infections of the reproductive tract-for example Pelvic Inflammatory disease, clamydiatrachomatis, gonorrhea, cervicitis, endometritis, vaginitis, ureaplasma vaginitis, vaginosis.
The important message to recognize is that if irregular vaginal bleeding occurs, you need to make an appointment in order to be fully evaluated so that any serious condition can be dealt with before it becomes untreatable.