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, or “Plan C”, 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.
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.
If the patient has an intrauterine device (IUD), it will have to be removed before beginning the regimen. STI testing is also strongly recommended because there is a risk of severe complications if the abortion pill is taken while a patient is infected. Next, she’ll have to visit an abortion provider to get the pills.
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 the abortion pill didn’t work properly, more visits will be needed.
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 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 heavy 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 the abortion pill advertised online, but the majority of those pills 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
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:
Most of these effects can be managed from home with prescription and over-the-counter medications (doctors usually prescribe anti-nausea and painkillers with the abortion pill). However, there are some less common side effects that mean a patient needs to see the doctor 6,7:
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:
“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
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.
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.
There are also other things that you may need to pay for before and after taking the pills, such as:
Depending on how long the effects last, patients may also need to take time off work or line up childcare for other children.
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, book an appointment for a free consultation and medical testing, or contact us just to talk privately about what you’re facing if you or a friend are pregnant.
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 free education, medical testing, and support to women facing unplanned pregnancies. Learn more about our services here.
The abortion pill must be prescribed by a healthcare care professional who is licensed to distribute it. In prescribing the abortion pill, doctors must follow the abortion regulations of the state in which they are licensed.
In Florida, abortion is legal up until the 15th week of pregnancy, which includes the abortion pill up to 10 weeks of pregnancy. Women seeking the abortion pill will have to first visit a provider’s office to receive an ultrasound and counseling, and fulfill a 24-hour waiting period before the pill can be prescribed.(9) Click here for more information on Florida’s abortion requirements.
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.
Plan C is another name for the abortion pill, ru486. 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.
It is possible to buy the abortion pill online, however the purchase of this medication without the supervision of a licensed health provider is illegal and 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. Click here for more information about buying the abortion pill online.
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.
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
Our medical staff are licensed and will provide helpful, accurate information about your pregnancy.
Our team values your privacy. Your health information and everything you discuss is 100% confidential and will never be shared with anyone.
A Woman’s Choice is here for you around the clock. Whether by phone, live chat, our 24-hour hotline, or sitting down face-to-face with you in our center, one of our team members is available to help you today.
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Thursday 10:00 am – 7:00 pm
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