Considering the Abortion Pill?
If you are considering the abortion pill, you may have questions. We believe every woman deserves access to accurate information, compassionate support, and a safe place to ask questions. Explore how the abortion pill works, possible risks and side effects and the abortion safety checklist before making a decision.
How Does the Abortion Pill Work?
The abortion pill typically involves two different medications taken over a period of time.
Step 1: Mifepristone
The first medication, mifepristone, blocks progesterone, a hormone the body normally produces to help support a pregnancy. Without enough progesterone, the pregnancy can no longer continue to develop.
Step 2: Misoprostol
Usually 24 to 48 hours later, a second medication called misoprostol is taken. This medication causes the uterus to contract and expel pregnancy tissue.
What happens next?
Most women begin experiencing cramping and bleeding after taking misoprostol. The timing and intensity can vary from person to person. For some, the process happens within several hours. For others, bleeding and cramping may continue over the next several days, with lighter bleeding lasting longer.
Because every pregnancy and every woman is different, it's important to understand what is considered expected and when symptoms may require medical attention.
What Should I Expect?
It's completely normal to wonder what the abortion pill experience may be like before making a decision. While every experience is unique, many women are surprised by how physically involved the process can be.
Understanding what is common, as well as the signs that may require medical attention, can help you feel more informed and prepared.
Common Side Effects
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Cramping.
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Vaginal bleeding.
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Passing blood clots or pregnancy tissue.
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Nausea.
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Vomiting.
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Diarrhea.
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Chills.
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Fatigue.
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Mild fever for a short period after taking misoprostol.
These effects are commonly associated with the medications, though their severity varies from person to person.
Possible Risks and Complications
The abortion pill regimen carries potential risks. While experiences vary, recognizing the signs of a possible complication can help you get the medical care you need without delay. Possible complications include:
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Heavy or prolonged bleeding.
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Infection.
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An incomplete abortion that may require additional treatment.
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A continuing pregnancy if the medications are not effective.
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Rare allergic reactions or other unexpected medical complications.
If you have severe pain that does not improve, very heavy bleeding, persistent fever, foul-smelling discharge, or feel faint or extremely unwell, seek emergency medical care immediately.
Questions Worth Asking Before Taking the Abortion Pill
Before making any medical decision, it's important to ask questions about your health, your pregnancy, and what care may be needed afterward. Use this checklist to make an informed and safe decision.
Has my pregnancy been confirmed?
Do I know approximately how far along I am?
Have I had an ultrasound to determine whether the pregnancy is located inside the uterus?
Do I have any medical conditions that should be discussed beforehand?
Do I know my blood type?
Do I know where to go if I experience heavy bleeding or complications?
Do I understand when emergency care may be needed?
Do I know what follow-up care is recommended?
Do I feel informed and comfortable with my decision?
Not Sure What to Do Next?
It can be hard to know where to begin. While we don't provide or refer for abortions, we offer free pregnancy services that can help you better understand your pregnancy, answer your questions, and make an informed decision.
Let's Take It One Step at a Time
Step 2
Talk through your questions
Meet with a caring client advocate to ask questions, learn about your options, and receive medically accurate information.
Step 3
Get the Information You Need
A free limited ultrasound can provide important information about your pregnancy, including gestational age, viability, and pregnancy location.