No, it is always your choice to change your mind. Even if you have started the chemical abortion process, reversal may still be a choice for you.

The second medication is called misoprostol or Cytotec. Its purpose is to cause the uterus to contract and expel the baby. You should not take the Misoprostol/Cytotec if you want to try to reverse the chemical abortion.

Please call our office during business hours (573) 368-5700 or text us any time at (573) 873-6710 to get started. You may also call the national Abortion Pill Reversal Hotline at 877-558-0333.

To start treatment, we will give you an ultrasound as soon as possible to confirm heart rate, placement, and dating of the pregnancy. Our medical provider will then prescribe progesterone, given as a pill to be taken orally. The treatment will usually continue through the first trimester of pregnancy.

APR has a 64-68% success rate. Without the APR treatment, mifepristone may fail to abort the pregnancy on its own. In other words, your pregnancy may continue even without APR if you decide not to take misoprostol, the second abortion drug likely prescribed or provided to you when you took mifepristone. APR has been shown to increase the chances of allowing the pregnancy to continue. However, the outcome of your particular reversal attempt cannot be guaranteed.

The American College of Obstetricians and Gynecologists (ACOG) in its Practice Bulletin Number 143, March 2014, states that: “No evidence exists to date of a teratogenic effect of mifepristone.” In other words, it does not appear that mifepristone, RU-486, causes birth defects. Progesterone has been safely used in pregnancy for over 50 years, with no record of defects caused by progesterone. The progesterone used in our treatment is the same that is made in a woman’s body.

Progesterone may cause sleepiness, lack of energy, light-headedness, dizziness, gastrointestinal discomfort and headaches. Increased fluid intake might help relieve these symptoms.

If you are allergic to wild yams, sesame oil, sesame cream, ethyl oleate or peanut oil, notify our medical professionals before beginning APR. We will prescribe an alternative form of progesterone for you.

At PRC of Rolla, the cost of the treatment is free to our patients. Other providers may charge for this procedure, so it’s important when calling our APR hotline that you review your provider options with the nurse.

We are here to help support your pregnancy should you decide to carry to term. Our caring staff will help you make the best decision possible for you and your baby. Whether you plan to parent or select other parents for your child, we’re committed to support you 100%.

We will support your decision even if you get kicked out of your home. We have a maternity home in Rolla so we’ve got your back!