A woman has many decisions to make when considering abortion. If you thinking about abortion, your health care provider may talk with you about a few different abortion methods. Or you may be offered the option to have a medication abortion by taking the abortion pill. Medication abortion is the kind of abortion discussed on this page.
Whether you’re thinking about having a medication abortion, you’re concerned about a woman who may be having one, or you’re someone who’s just curious about medication abortion, you may have many questions. Here are some of the most common questions we hear women ask about the abortion pill. We hope you find the answers helpful. And if you’re thinking of having a medication abortion, we hope they help you decide what is best for you.
What Is the Abortion Pill?
“Abortion pill” is the popular name for using 2 medicines to end a pregnancy – mifepristone and misoprostol. In general, it’s used up to 25 weeks — after the first day of a woman’s last period.
How Effective Is the Abortion Pill?
You can feel confident in knowing that medication abortion with the abortion pill is very effective. You’ll follow up with your nurse or doctor after your abortion so you can be sure that it worked and that you are well. In the unlikely case that it doesn’t work, you may need another dose of medication .
How Safe Is the Abortion Pill?
Most women can have a medication abortion safely. But all medical procedures have some risks, so safety is a concern.
Rare, but possible risks include
- an allergic reaction to either of the pills
- incomplete abortion — part of the pregnancy is left inside the uterus
- failure to end the pregnancy
- infection
- blood clots in the uterus
- undetected ectopic pregnancy
- very heavy bleeding
Most often, these complications are simple to treat with medicine or other treatments.
In extremely rare cases, very serious complications may be fatal. The risk of death from medication abortion is much less than from a full-term pregnancy or childbirth.
Serious complications may have warning signs. Call me right away if at any time you have
- heavy bleeding from your vagina and are soaking through more than two maxi pads an hour, for two hours or more in a row
- clots for two hours or more that are larger than a lemon
- severe abdominal pain or discomfort that is not helped by medication, rest, a hot water bottle, or a heating pad
- chills and a fever of 100.4°F or higher after the day of the procedure
- nausea, vomiting, and/or diarrhea that lasts more than 24 hours
- an unpleasant smelling discharge from your vagina
- signs that you are still pregnant
You should start to feel better each day after the abortion. Feeling sick — having abdominal discomfort, diarrhea, nausea, vomiting, or weakness — more than 24 hours after taking misoprostol could be a sign of serious infection. Contact me right away if you have any of these symptoms. Do not wait until your scheduled follow-up.
You may need another visit with your provider. Rarely, women need an in-clinic abortion or hospitalization. Take your medication guide with you if you need to visit an emergency room, a hospital, or a health care provider.
The abortion pill may not be right for all women. You shouldn’t use the abortion pill if you
- are more than 25weeks — pregnant
- are not willing to have an aspiration abortion in the unlikely case that the medicines do not end your pregnancy
- cannot complete the follow up assessment to make sure the abortion is complete
- do not have access to a telephone, transportation, and backup medical care
- have a known or suspected molar pregnancy — one in which the placenta develops abnormally
- have severe adrenal gland, heart, kidney, or liver problems
- take any medicine that should not be combined with the medications used in medication abortion — mifepristone or misoprostol
- take anti-clotting medication or have a blood-clotting disorder
- currently have an IUD. You will need to have it removed before having a medication abortion.
Talk with your health care provider to find out if medication abortion is likely to be safe for you. If medication abortion isn’t right for you, don’t worry. Another abortion method is likely to be safe for you.
BREASTFEEDING DURING MEDICATION ABORTION
A little bit of misoprostol will be present in breast milk after you take it. If you are breastfeeding, the misoprostol may cause your infant to have diarrhea. Let your health care provider know if you are breastfeeding so you can work out the best plan together.
Why Do Women Choose the Abortion Pill?
- It can be done early — women can begin treatment as soon as they know they are pregnant.
- It’s private — women may complete the process of abortion at home.
- There’s usually no anesthasia.
- Many women feel it’s more “natural” — they feel it is more like miscarriage.
- Women may feel more in control — many feel it is less invasive.
Nearly all women who have used the abortion pill would recommend the method to a friend.
What Can I Expect After Using the Abortion Pill?
Your health care provider will let you know what to do and what not to do after your abortion. Many of us feel shy about asking questions, but your provider is there to help you. Feel free to get answers to all of your questions. You might even find it helpful to make a list before you see your health care provider so you remember the questions you want to ask.
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