First Trimester Abortion

Abortions before 12 weeks

Abortions can be performed as early as an intrauterine pregnancy can be identified by ultrasound, which is during the first trimester or usually 4-5 weeks after your last menstrual period (LMP). Use our Pregnancy Calculator to find the number of weeks and days you are.

In the first trimester, two options are available – Aspiration Abortion which is done by a health care provider in our clinic, and Medication Abortion (the Abortion Pill) which you take at home.

(800) 572-4223

Appointment Info

We can assist with transportation, lodging, and provide funding resources.

Our Renton clinic is 15 minutes from SeaTac International Airport.

Medication Abortion

Medication Abortion (the Abortion Pill) up to 11 weeks

Also known as the Abortion Pill or Medical Abortion is an option from up to 11 weeks since your last menstrual period (LMP). It is a combination of two medications, Misoprostol and Mifepristone, which, together induce a miscarriage. Patients who choose this option must be willing to provide a mailing address, have a support network outside of the clinic, stay within 2 hours of a hospital, and return if a required follow-up appointment is necessary.

In-clinic and telemedicine appointments available.

A Medication Abortion appointment may include:

An ultrasound (sonogram) to assess the stage of pregnancy
Bloodwork
A review of your health history
Informed consent
Decision-making about birth control
Learning what to expect during and after the abortion
Explanations for all your options and answers to all your questions
An appointment duration ranging from 3 to 5 hours

What to expect

During your appointment, you will receive one Mifepristone and 4 to 8 Misoprostol by pill form, and a prescription medication for cramping. Then, 24 to 72 hours after swallowing the first pill, you will place the Misoprostol between your cheek and gums, allowing it to dissolve in your mouth.

Generally, within 4 to 6 hours of inserting the Misoprostol, the miscarriage process begins, causing your uterus to contract and expel the pregnancy. Heavy bleeding and cramping are normal during this time and usually will lighten up to period-like bleeding or spotting, which may last anywhere from 2 to 8 weeks after using this method of abortion. We will provide you with written instructions along with a 24-hour number where you can reach us if you have any questions or concerns.

Aspiration Abortion

Aspiration Abortion up to 12 weeks

Aspiration is the medical term for an abortion routinely used up to 12 weeks of pregnancy. It is performed in the clinic by a health care provider who specializes in abortion care and takes less than 5 minutes to complete. Sedation is an option for the aspiration procedure.

An aspiration appointment includes:

An ultrasound (sonogram) to assess the stage of pregnancy
Bloodwork
A review of your health history
Informed consent
Decision-making about sedation and birth control options
An overview of what to expect during and after the abortion
Explanations for all your options and answers to all your questions
An appointment duration ranging from 3 to 5 hours

What to expect after your abortion appointment

After the abortion, depending on the optional sedation you selected, you will recover within the clinic for about 20 minutes and then you will be discharged with aftercare instructions, medications to take for the following week, along with a 24-hour number where you can reach us if you have any questions or concerns after the procedure. Patients who choose sedation during their procedure must have a driver. You may return to work or school the next day. We recommend a follow-up appointment within 2 to 4 weeks from your Aspiration Abortion.

Side-by-side Comparison of Medical and Surgical Abortion

Side-by-side grid of the two options, download Comparison of Medical and Surgical Abortion.

Pregnancy Calculator

Enter the first day of your last period

Please use this calculator to help choose a procedure. Note: Seeing a trained medical professional is the only way to accurately determine the length of your pregnancy and what options are available. We offer free walk-in pregnancy tests at our locations in Renton, Seattle, Tacoma, and Yakima. Call for clinic hours.

Experience quality health care in a safe and responsive environment.

Every patient is treated with dignity and respect.

Our expert health care providers and staff at Cedar River Clinics will provide you with the time, attention, and special care you deserve. Our clinics meet the rigorous standards for quality set by the Accreditation Association of Ambulatory Health Centers. Cedar River Clinics is the only AAAHC accredited abortion provider in Washington.

We offer the following support services and resources:

Confidential and secure health care services in clinic and online
Free language interpreters for phone calls and appointments
We accept private medical insurance and Washington and Alaska Medicaid
We offer a sliding fee scale and can assist with funding resources
We can assist with travel needs
Free walk-in pregnancy tests anytime during clinic hours