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Medical Abortion and Abortion Pill Reversal

March 15th 2018

Women facing unplanned pregnancies have two options: to terminate the pregnancy or to carry the pregnancy to term. According to the Guttmacher Institute, which conducts research on abortion, about 45 percent of all pregnancies in the United States were unplanned in 2011; about four out of ten of those were terminated by abortion. The organization also reported that 19% of pregnancies in 2014 ended in abortion, and that more than 920,000 abortions were performed in the U.S. in 2014.

What is the Abortion Pill?

If a woman is less than 10 weeks along, she may be able to take the abortion pill (a medical abortion). Also called RU486, this pill is a combination of two different medications taken over a few days to cause an abortion. One of those drugs, Mifeprex (mifepristone), is taken on the first day, usually at the abortion clinic. This medication blocks a woman’s body from using an important pregnancy hormone called progesterone, which maintains the lining of the uterus needed for the tiny embryo to burrow into and obtain nutrients from the mother’s body. Without progesterone, the lining of the uterus dies and sloughs off, killing the embryo implanted in it.

The second medication, Misoprostol, is taken 24 to 48 hours after the Mifeprex. This drug causes contractions of the uterus to help expel the lining and pregnancy. Most women experience heavy cramping and bleeding when taking Misoprostol. The cramping can be very painful, and a woman may need to take over-the-counter or prescription pain medication.  Occasionally the abortion pill is not fully effective (especially if a woman is further along). If the abortion isn’t complete, she will need to have a surgical procedure.

Abortion Pill Reversal

Some women, after starting a medical abortion, regret their decision. There is a protocol now in place to help those women. Abortion Pill Reversal is a relatively new treatment for women who have started a medical (chemical) abortion and wish they hadn’t done so. Many people don’t realize that the abortion pill can sometimes be reversed. The process is called Pregnancy Sustaining Progesterone Therapy (PSPT) or Abortion Pill Reversal, and in about 50 percent of cases, a woman who goes through the protocol delivers a healthy baby.

Dr. George Delgado, the director of Abortion Pill Reversal, developed the steps to reverse a medical abortion and has said, “Our overall success rate is 50-55%.”

Abortion Pill Reversal uses the hormone progesterone, which has been prescribed for the past 40 years to pregnant women who have a history of miscarriage; it has no risk of birth defects. The regimen is intense and time consuming and has no guarantees of success. However, more than 400 babies have been delivered successfully from abortion reversal treatment since 2007.

A woman should begin the progesterone therapy within 72 hours of taking the first of the two medical abortion pills. She receives an ultrasound to be sure there is a fetal heartbeat before starting the process. She may take the progesterone as daily injections or pills/ suppositories. Learn more at

True Care offers Abortion Pill Reversal. A woman calls our Scheduling Line (307-215-9684) to set up an appointment. We have nurses on call during the weekend (Friday – Monday). The nurse will call the potential patient back to ask some further questions and confirm the appointment. True Care is the only pregnancy center in the state of Wyoming who provides this medical service – and at NO CHARGE, as with all of our other services.

We are here to provide medical services including pregnancy testing, ultrasound, and limited STD testing and treatment, to give relevant education on all pregnancy options, and to help women who have recently taken the abortion pill and regret that decision. All of our services are free and confidential.


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