933 NW 25th Avenue
Portland, Oregon 97210
OREGON'S ONLY STATE AND FEDERALLY LICENSED ABORTION PROVIDER
ABORTION 5-12 WEEKS GESTATION - First Trimester Abortion
Lovejoy Surgicenter is a confidential and warm women's clinic offering early abortions (first trimester) in Portland.
The medical abortion (RU486 / Abortion Pill) uses a combination of the medications Mifeprex and Misoprostol. Mifeprex stops the development of a pregnancy and Misoprostol is a prostaglandin that causes the uterus to contract and induce a miscarriage.
This type of abortion is available to women with a confirmed pregnancy that is less than 56 days (8 weeks) gestation by ultrasound.
How Does It Work?
Medical Abortion is roughly a 2-3 day process.
Day one involves the initial appointment and taking the first medication, Mifeprex. This medication stops the pregnancy from growing and rarely causes any side effects.
- Depending on each woman’s schedule, day 2 or 3 is the day she takes the second medication, Misoprostol.
- There are (4) Misoprostol pills and they get inserted between her cheek and gums. They are left there to dissolve and be absorbed into the blood stream, usually 30-45 minutes.
- Most women say they begin feeling symptoms within 2-4 hours after inserting Misoprostol. This can include moderate to heavy bleeding and cramping, as well as some clotting during the passing of the pregnancy, sometimes accompanied by nausea, vomiting and/or diarrhea.
- It can take anywhere from 24-48 hours to pass the pregnancy, but most women say their pregnancies pass within 8-12 hours.
- All patients using this method are given pain and anti-nausea medications to reduce these symptoms, and in most cases the symptoms taper off once the pregnancy has passed.
- A two-week check-up is mandatory for this type of abortion. The physician will do an ultrasound that confirms the pregnancy was miscarried and, in some cases, a brief exam to insure the uterus is small and non-tender.
- If the medical abortion did not induce a miscarriage, a suction aspiration will be needed to end the pregnancy (10 in 100).
Pregnancy Calculator [click here]
In the first trimester (up to 12 weeks LMP) the entire abortion process can be done in One-day appointment.
This type of abortion procedure is the most commonly used procedure between 7 and 15 weeks gestation.
- 89% of all abortions done are performed using suction, or vacuum, aspiration.
- Suction aspiration is about a 5 minute procedure using cervical dilation and a straw-like instrument called a cannula. After a quick pelvic exam, a speculum is inserted into the vagina and the cervix is cleaned with an antibacterial cleanser.
- Next, the cervix is dilated and the cannula, attached with tubing to a machine providing light suction, is inserted through the cervical opening. With light suction lasting 30 to 90 seconds, the doctor removes the pregnancy and any excess uterine lining.
- This procedure can be performed under local or general anesthesia.
Early Term Abortions
At Lovejoy, this procedure is available for women with pregnancies as early as 5 weeks gestation.
However, each of our doctors has their own protocol regarding at what gestation they will perform this type of procedure.
If you believe you are less than 6 weeks pregnant, please discuss this when you are scheduling so we can arrange for you to see the appropriate physician.
Option 1: Local Anesthesia Suction Aspiration
In the first trimester, the suction aspiration procedure can be performed awake with oral medications and a numbing of the cervix. This procedure is available to Lovejoy patients whose pregnancies range from 5-12 weeks gestation.
Each of our doctors has their own protocol regarding at what gestations they will perform a procedure with local anesthesia. Remember to discuss your expected length of pregnancy when scheduling.
The medications we use include Vicodin and ibuprofen for cramping, and Valium for anxiety.
The cervix is numbed using a process called the paracervical block. It includes 3-4 injections of Lidocaine around the cervical opening to reduce the amount of cramping experienced during cervical dilation.
Because she is awake, a woman undergoing this procedure usually experiences pressure and cramping during the process, with intense menstrual-style cramping at the very end. The intensity will taper off after 30-90 seconds, and the cramps are either gone or manageable within 10-20 minutes after surgery.
Option 2: General Anesthesia Suction Aspiration
The same suction aspiration procedure can be performed under general anesthesia, without the paracervical block.
As the surgery takes only 5 minutes in the first trimester, any woman choosing this option would be asleep for about 10-20 minutes.
Anesthesia is administered, through IV, to keep her asleep and comfortable during the procedure. She will wakes up on her own in our recovery room under the care of a nurse and medical assistant.