From your point of view, the whole process of Elective Abortion is a question of informed decision making. Although it is a hard decision to make, you are the only person capable of making that decision. We assume, at this stage, that you have made the decision to proceed with an elective abortion.

Please read these two pages of information about our approach to perform your procedure, as ours totaly is atraumatic, pain free and without any instruments. That makes our technique unique without any kind of effect on your uterus (womb). This will make you more comfortable and lets you know what to expect. You will feel significantly at ease and you will not be unnecessarily anxious during the procedure.

1- After completing your forms and history, while you are waiting to be called, you will have plenty of time to read these important materials.

2- You will be called to the Lab to check your blood pressure, height, weight, and determine your blood type. The Rh factor is extremely important. Almost 85% of people are Rh positive, but 15% are Rh negative, and require a shot of Rhogam to protect your future pregnancies. This shot must be administered immediately after the procedure There is small fee for this injection if the need arises. We have a special booklet for your information if you are Rh negative.

3- If you have read these two pages, you already know a lot about the procedure, but if you have any questions and or concerns, please ask the staff.

4- After Lab, we do a routine sonogram on all our patients to determine an accurate dating of your pregnancy. Other clinics rely solely on their pelvic exam but this carries a higher incidence of mistakes. We never do a procedure without knowing roughly how far the pregnancy has progressed. The sonogram may also enable us to determine whether the pregnancy is outside the uterus (Ectopic Pregnancy). If the sonogram does not show pregnancy in the uterus (womb) by both abdominal & vaginal Sonogram, and it is more than five weeks since the first day of your last period and our office urine test is positive, we do a blood pregnancy test. This will show the titer of hormone levels. If the titer is lower than 2500mIU, we should wait and do the procedure at a later time. This will make the procedure easier and reduces the chance of missing an early pregnancy.

5- We routinely give patients Cytotec (a synthetic prostaglandin). This softens the cervix (the opening of the uterus or womb). This has two effects: it significantly reduces the pain; and it also makes the procedure much safer because it eliminates the need to dilate the cervix. Dilation of the cervix is not only painful but also carries the risk of more damage, because of bleeding both during and after the procedure.
The number of Cytotec tablets will be between 2 and 4. The number of tablets is determined according to the duration of your pregnancy and/or history of C-Section and/or fibroid.

If you experience cramps or bleeding during this time, there is no cause for concern. This problem will disappear once the procedure is completed. If you experience bleeding at this stage, this is probably a sign that your pregnancy had a chance of miscarriage. This medication will take 30-60 minutes to take effect.You also take pain medication to reduce your cramps. If you need to empty your bladder, please do so at this stage.
After taking your Cytotec your decision is final, otherwise the drug is dangerous for the fetus.