How Does the Pill Work?

The birth control pill is a hormone-based contraceptive that often works in several ways simultaneously to prevent conception. By regulating hormone levels, the pill alters the conditions found in the female reproductive system and can dramatically lower the chance of pregnancy. A birth control pill will usually:

•    Thicken the cervical lining, which blocks sperm from entering the uterus and minimizes their ability to fertilize an egg.
•    Limit the ability of the ovaries to release an egg, which is the biological element instrumental to conception.
•    Render the lining of the uterus unreceptive to a fertilized egg in the event that other protective measures are unsuccessful.

How Should the Pill be Taken?

Birth control pills should be taken daily, preferably at the same time each day – oral contraception like the pill is only effective in preventing pregnancy if the prescription instructions are followed precisely. If you miss a dose, the pill’s effectiveness decreases by about eight percent, a percentage that will continue to rise as the number of doses missed increases.

If you find that you’ve missed a dose, take the forgotten pill as soon as you remember. Contact your doctor or call our clinic for advice if you’ve missed more than a few pills. It is also recommended that you use a back-up form of contraception (like condoms) for the next 28 days after missing a dose.

Who is Eligible for the Pill?

The birth control pill is both highly effective and budget-friendly, but there are some situations in which it is not recommended and medical screening is required. For example, doctors often do not prescribe the birth control pill to smokers over the age of 35 because this combination increases the risk of cardiovascular disease. Certain health conditions, including blood clots and breast cancer, make the oral birth control pill unsafe to use.

Additionally, women who use prescription drugs – including some antibiotics and anti-seizure medications – are advised to use caution when starting or maintaining a birth control regimen. This is because the use of these drugs may reduce the pill’s effectiveness. When you visit our clinic to meet with one of our gynecologists, make sure to tell them about any medications that you take.
The pill comes in different dosages and prescriptions, and our gynecologists will be able to provide you with more information about how these medications may affect the birth control pill as a form of contraception.

If you’d like to learn more about the birth control pill or other contraception options, please contact us.

Frequently Asked Questions

Learn the answers to frequently asked questions about abortion risks, side effects, methods, and more.
Click on the question to see the answer.


Are there any restrictions following an abortion procedure?

There are a few restrictions that a patient must follow after an abortion to achieve full recovery. Patients must not insert anything in the vagina for 3 weeks. This includes no sexual intercourse, no tampons and no douching. Swimming, tub bathing, heavy lifting, and strenuous activity are also prohibited. After having a medical abortion the restrictions remain the same for 2 weeks.


When will I have a normal period?

Your period should come within 6-8 weeks.


How long after having an abortion will I experience bleeding?

This varies from patient to patient. Spotting or bleeding may be continuous or start and stop several times over a 3 week period. After a medical abortion, the patient may experience heavier bleeding for 2-3 weeks after taking the pills.


How will I know if the Abortion Pill was successful?

The check up visit is very important because this will confirm that the abortion was successful and complete. When you return for a 2 week follow up visit an ultrasound will be performed to confirm.


Can I get pregnant after an abortion?

Yes, definitely. Routine abortion does not cause infertility. You can get pregnant within a few weeks after an abortion, so it is important to practice prevention right away. Ovulation can occur at any time, even when you are bleeding.


Can I return to school or work the next day?

Most patients can resume normal activities the next day. If your schedule involves heavy lifting or strenuous activity, we will provide you with a work or school excuse letter stating that you must avoid certain activities.


I have been bleeding for a month after a surgical abortion. Is that normal?

Bleeding after a surgical abortion shouldn’t be longer than a month. After one month of bleeding you should get an evaluation from your doctor.


How do I know if I’m pregnant again after an abortion?

After an abortion, the pregnancy test can remain positive for over a month. If you think that it is possible that you got pregnant, please call our office. We can have you come in for an appointment where a blood draw will be done to confirm it is a new pregnancy


What is the earliest you can be in a pregnancy to terminate?

In most cases the abortion can be performed as early as the EPT pregnancy test shows positive results or at approximately 5 to 6 weeks. Make an appointment with us if your period is two weeks late.


How soon can I get an appointment?

How soon can I get an appointment?


How will you know how far I am in my pregnancy?

Our medical staff will perform an ultrasound to determine the length of gestation.


How will I know that the abortion was successful?

The contents of the uterus are examined by our trained staff and then sent to a pathology laboratory for analysis. The results of the analysis are sent to the doctor within 5 days of the procedure. A post-op sonogram will be performed if necessary. You are also advised to return to the clinic two to three weeks after surgery for a postoperative evaluation.


What happens if I have some complications/problems after my abortion?

Professional medical staff is available to our patients 24 hours every day. If you have any questions or are experiencing post-operative problems, please call our office number at any hour of the day or night. Our trained staff will speak with you and may ask that you return to our clinic for evaluation.


Can I still get pregnant in the future after my abortion?

Yes, there is no evidence that having an abortion has any effect on future pregnancies.


How is a Surgical Abortion performed?

The surgery is a simple procedure performed by aspiration (suction). This procedure is referred to as a D&C (Dilation and Curretage) and takes about 5 minutes. If you are over 14 weeks pregnant, you will first have your uterus dilated with a sterile product made specifically for cervical dilation. You will return for the actual surgery on the second day. This procedure is referred to as D&E (Dilation and Extraction). In some cases, a patient will require two consecutive days of dilation and will return for the surgery on the third day. The dilation procedure takes just a few minutes and you will be in the clinic for approximately 2 hours the day or days that you are dilated.


Is it a doctor who performs the surgery?

Yes. All of our doctors are Board Certified and licensed by the State of New York and specialize in pregnancy termination.


How effective is surgical abortion?

In most cases, surgical abortion is completely effective. A small percentage of cases will require re-aspiration if unusual bleeding occurs or if there is retained tissue.


How will I feel after my surgical abortion?

Most patients experience some cramping. If the cramping is not relieved by over the counter medications such as Extra Strength Tylenol or Advil, we ask the patient to call our 24-hour emergency number. You may take a shower after surgery. Do not douche, use tampons or have intercourse for two weeks. Avoid any products that contain aspirin as aspirin promotes bleeding.


Will it hurt?

If you have chosen deep sedation you will be completely asleep during the surgery so you will not feel any pain. After the procedure you may experience cramping, which can range from mild to moderate. In most cases Extra Strength Tylenol, Aleve or Motrin will alleviate the cramping. If the cramping is not alleviated with these remedies, you should call us immediately.


I am afraid I won’t wake up after anesthesia. Can that happen?

The anesthesia that we offer is safe, effective and short acting. You will be asleep from 5-10 minutes depending on the procedure. There is always some degree of risk with any surgery. Serious complications with deep sedation are extremely rare in our facilities. Most complications occur when a patient has ingested food or liquid within 8 hours of surgery. Tell your counselor if you have had prior complications with anesthesia or if you have had anything to eat or drink within 8 hours prior to your surgery.


Can I return to work? Or Should I take off for a few days?

The majority of our patients return to work or school the following day. Your counselor and medical staff will explain the DO’s and DON’Ts after surgery.


How long will I bleed after surgery?

In most cases the patient experiences bleeding for 1 to 2 weeks after the surgery. However, some patients do not experience any bleeding and other patients have spotting or bleeding off and on. It is important that you return for your post-operative evaluation two weeks after your procedure.


When will I have my next period?

Normally, your regular menstrual cycle will resume 4 to 8 weeks after the surgery.


When can I have sex again after the surgery?

You should not have sex for two weeks after your procedure. When you return for your post-op check up, the practitioner will advise if you can resume sexual intercourse. We recommend that you abstain from sexual activity because following your procedure you are more susceptible to infection and new pregnancy.


Why can’t I eat before surgery?

When anesthesia is administered, gag reflexes are temporarily suppressed. If food or liquid remain in the stomach, vomiting can occur resulting in asphyxiation.


What is the Abortion Pill?

Medical abortion is a method to terminate pregnancy non-surgically with medication. This method is available to women under nine weeks of pregnancy. The medication used is Mifeprex and Cytotec tablets.


What if the pill doesn’t work?

In a small percentage of cases, the tablets given for non-surgical abortion do not cause miscarriage. In these cases, the patient could require a surgical pregnancy termination.


end faq