You’ve probably heard of the abortion pill. A lot of people talk about it… you accidentally end up pregnant, take a pill, miscarriage like a heavy period, and it’s over, right?

Well, there’s actually a little bit more to it. 

Here at A Woman’s Choice, we get asked a lot about the Abortion Pill, so we wanted to answer four of the top questions we get about how it works and what kind of side effects you may experience if you were to take the pill.

Table of Contents

#1. How does the abortion pill work?

The first thing you need to know about the abortion pill is that it’s made for women who are pregnant up to 10 weeks (that means 70 days after the first day of your last menstrual period),1 so before a patient can get the pill, she needs to know how far along she is.

She can find out through an ultrasound at a healthcare clinic or a free provider like A Woman’s Choice in Lakeland. Next, she’ll have to visit an abortion provider to get the pills. If the patient has an intrauterine device (IUD), it will have to be removed before beginning the regimen.

The entire abortion process usually takes a couple of weeks from start to finish, including a follow-up visit to the doctor’s office to make sure everything worked. If it didn’t, more visits will be needed.

Questions about the abortion pill?

Watch this video to see a quick overview of how the Abortion Pill works

How the Abortion Pill Process Works

Even though it’s called the abortion PILL, a medical abortion is actually a series of several pills—usually five. 

Here’s how the process works:

First you take a medication called mifepristone (also called by its brand name Mifeprex) —it’s one pill and is usually taken right there in the healthcare clinic when the doctor prescribes it. This pill blocks progesterone to stop a pregnancy from growing. But the process is not over yet, the pregnancy still has to be removed.

the abortion pill medications mifepristone and misoprostoal
the abortion pill medications mifepristone and misoprostoal

The second medicine is called misoprostol. This medication is four tablets that are taken at home up to 48 hours after the first pill. It will soften the cervix and cause significant cramping and bleeding to expel the pregnancy.

After taking both medications, the pregnancy is typically ended and usually passed from the uterus within 2 to 48 hours. 

Some women take the abortion pill because they feel it will be easier to have their abortion at home, but there are still a couple of in-clinic appointments that can’t be avoided.

First, it’s really important to get these pills in person from a licensed healthcare provider at a clinic. You might have seen them advertised online, but those are not FDA-approved and might be ineffective, counterfeit, tainted, and unsafe.2,3 And unlike Plan B/the morning after pill (which only works 5 days after sex), it’s not available over the counter. 

And second, patients must return to the health center for a follow up appointment two weeks later to have an exam or ultrasound to confirm that the abortion was successful and there aren’t any complications.4

#2. Does the abortion pill hurt? What are the side effects?

The level of pain can really vary from woman to woman, but there are expected symptoms that nearly everyone will experience. Heavy cramping and bleeding is the main thing. 80%–90% of women report bleeding more heavily than they do during a heavy period—this is how the body expels the pregnancy.

These other common symptoms can last for about 2 to 4 weeks after the abortion5:  

  • Abdominal pain and cramping
  • Extended spotting and bleeding
  • Nausea
  • Vomiting
  • Fever
  • Chills
  • Diarrhea
  • Headache

     

Most of these effects can be managed from home with prescription and over the counter medications (doctors usually prescribe anti nausea and pain killers with the abortion pill). However, there are some less common side effects that mean a patient needs to see the doctor 6,7

  • Heavy or persistent bleeding – soaking two or more pads an hour for two hours
  • Passing clots for two or more hours that are larger than the size of a lemon
  • Severe abdominal or back pain
  • Fever above 100.4
  • Fever lasting more than 24 hours
  • Foul-smelling vaginal discharge
  • Continuing symptoms of pregnancy
abortion pill side effects and symptoms
abortion pill side effects and symptoms

Mental & Emotional Side Effects of the Abortion Pill

One thing a lot of people don’t realize is that there are also emotional side effects to watch out for that are actually more common than these physical effects. While physical symptoms can be relatively immediate, many women experience emotional and psychological effects that may appear later and last longer—everything from mild regret to more serious complications like depression.

The American Pregnancy Association, says that the common negative feelings include:

  • Guilt
  • Anger
  • Shame
  • Remorse or regret
  • Loss of self-esteem or self-confidence
  • Feelings of isolation and loneliness
  • Sleep problems and bad dreams
  • Relationship problems
  • Thoughts of suicide8

     

“In addition, some people may experience grief, stress, or a sense of loss and may feel less able to cope. If suicidal thoughts or self-harm occur, the person should seek urgent help.”

In most cases, these negative feelings will subside as time passes. However, if there are additional issues, such as a sense of isolation or previous history of mental health problems, there may be a higher chance of depression occurring.9

#3. Is the abortion pill safe?

As with all things, there are risks. It is important to be aware of them. 

The abortion pill is about 98% effective at ending a pregnancy (depending on how early it’s taken).10 But as we mentioned earlier, sometimes the pill won’t work and with all serious procedures, things can go wrong. 

Here are some of the worst case scenarios:

Serious side effects requiring medical intervention, including bacterial infection (which can be fatal), excessive bleeding, vomiting, diarrhea, fever, and severe cramping.

Hemorrhage and infection are the leading cause of abortion-related disease and death from mifepristone.11

The Food and Drug Administration (FDA) has received reports of 24 mifepristone-related deaths of women and 97 ectopic pregnancies since 2000, when the drug was approved. More than 750 women have been hospitalized, more than 400 women have experienced blood loss requiring transfusions, and 308 had infections requiring treatment.12

Fatal toxic shock is possible following chemical abortions with mifepristone and misoprostol.13

Allergic reaction causing anaphylactic shock.14

Again, these are rare complications, but very real. The rate of abortion-related ER visits following a medical abortion has risen dramatically in the last several years, so it is important to be aware of the risks. Abortions should never be administered without medical supervision.

If you or someone you know has taken the abortion pill and has experienced any of these severe symptoms, please seek immediate medical attention.

#4. How much does the abortion pill cost? Is it cheaper than a surgical abortion?

The total cost depends on factors that are different in each woman’s situation, but in Florida the average cost for a medical abortion is between $500 and $62515. Although surgery sounds more intimidating, the abortion pill method can actually be more expensive than a surgical procedure ($350-$62516), will take longer, and will require multiple medical appointments. If there are complications requiring surgery, that is not included in this cost.

abortion pill costs
the abortion pill costs

There are also other things that you may need to pay for before and after taking the pills, such as:

  • The initial doctor visit
  • Blood work and a pregnancy test
  • An ultrasound to see how far along the pregnancy is
  • IUD removal if one is in place
  • Prescription medication such as antinausea meds, pain meds, and antibiotics
  • STD testing/treatments if there’s risk
  • Stocking up on heavy duty menstrual maxi pads
  • A follow-up doctor visit
  • Follow up ultrasound

Depending on how long the effects last, patients may also need to take time off work or line up childcare for other children.

Have a Conversation with Someone Who Cares

The abortion pill is a big decision with lots of questions surrounding it, but it doesn’t have to be navigated alone. At A Woman’s Choice, we’d love to answer any question you have about abortion, pregnancy, and pretty much anything about your sexual health.

Chat with us anonymously online, or book an appointment for a pregnancy test, an ultrasound (free!), STI testing, or just to talk privately about what you’re facing if you or a friend are pregnant.

Free Abortion Pill Counseling

Other FAQs

A Woman’s Choice does not prescribe the abortion pill or refer for abortions. We are a non-profit community organization that is here to offer counseling, education, and free testing to women facing unplanned pregnancies. Learn more about our organization here.

Plan B (also known as the morning after pill) is not the same as the abortion pill. Plan B is an over-the-counter form of emergency contraception that is designed to prevent pregnancy and will not end a pregnancy that has already been conceived. For more information on Plan B, click here.

Unlike Plan B, the abortion pill is not available over the counter and should only be administered by a licensed abortion provider.

Although the abortion pill may be found online, purchase of this medication without the supervision of a licensed health provider increases the risk of getting medication that is ineffective, counterfeit, tainted, or unsafe. The risk of complications is also higher when an abortion is administered without the supervision of a doctor.

The FDA says:

Do Not Buy Mifeprex or its Approved Generic Over the Internet

You should not buy Mifeprex or its approved generic over the Internet because you will bypass important safeguards designed to protect your health.

Mifeprex and its approved generic have special safety restrictions on how it is distributed to the public. Also, drugs purchased from foreign Internet sources are not the FDA-approved versions of the drugs, and they are not subject to FDA-regulated manufacturing controls or FDA inspection of manufacturing facilities.[2]

According to recent studies, women who take the abortion pill are at a 53% greater risk of an ER visit for an abortion-related reason compared to ER visits following a surgical type of abortion. The rate of abortion-related ER visits following a medical abortion increased 507% from 2002-2015.16

The abortion pill may be taken up to 10 weeks of pregnancy, or 70 days after the first day of your last menstrual period. For pregnancies past 11 weeks gestation, a surgical procedure would be required for abortion.17

You may ovulate one to two weeks after a medical termination of pregnancy, meaning it’s possible to become pregnant again prior to your next period.

Free Abortion pill Counseling
at A Woman's Choice

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A Woman's Choice
1234 E Lime Street
Lakeland, FL 33801

HOURS:

Monday 10:00 am – 4:00 pm
Tuesday 10:00 am – 4:00 pm
Wednesday 10:00 am – 4:00 pm
Thursday 10:00 am – 7:00 pm
Friday 10:00 am – 2:00 pm

 

A Woman’s Choice does not perform or refer for abortion procedures. For specific information about our services, refer to our website

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