Facing an unexpected pregnancy can bring many questions. One option you may hear about is a medical abortion, often called the abortion pill. Understanding how it works and why pregnancy confirmation matters can help you make an informed decision.
At Next Step, free pregnancy testing, ultrasounds, and professional support are available to help you understand your situation and explore your options.
Reach out to schedule a free, confidential appointment today.
How the Abortion Pill Works
A medical abortion uses two FDA-approved drugs and is approved for use up to 10 weeks of pregnancy. The first drug, mifepristone, blocks progesterone, a hormone necessary to sustain a pregnancy. The second drug, misoprostol, is taken later and causes the uterus to contract, leading to the expulsion of pregnancy tissue.
Mifepristone is taken first, usually in a clinic or at home, followed 24–48 hours later by misoprostol. After taking misoprostol, women experience cramping and vaginal bleeding that can be heavier than a typical menstrual period and may include passing blood clots or tissue. Bleeding often lasts several days and may continue lightly for one to two weeks.
A follow-up visit or test is recommended to check for complications such as excessive bleeding or infection.
When Medical Abortion Is Used
Medical abortion is one method used in early pregnancy and does not involve a surgical procedure. Its use requires accurate dating of the pregnancy and confirmation that it is not ectopic, since abortion pills are not effective for ectopic pregnancy, and delayed diagnosis can pose serious health risks.
Physical Effects and Safety Considerations
After a medical abortion, it’s normal to experience a range of physical side effects. Most are expected, but some require attention from a healthcare provider.
Common, expected effects:
- Cramping and uterine contractions
- Bleeding, similar to a heavy period
- Nausea or vomiting
- Fatigue or low energy
- Flu-like symptoms such as mild fever or chills
Potential complications that need medical attention:
- Heavy or prolonged bleeding
- Infection (fever, foul-smelling discharge)
- Incomplete abortion (when pregnancy tissue is not fully expelled)
Medical supervision and follow-up care are essential to ensure complications are recognized and treated promptly.
Why Pregnancy Confirmation Matters
An ultrasound helps confirm gestational age, the location of the pregnancy, and viability, all of which are critical in making informed medical decisions.
Next Step provides free ultrasounds, helping ensure you have accurate information before making any decisions.
Support at Next Step
If you’re seeking clear information and compassionate support, Next Step offers the information and support you need.You don’t have to navigate these decisions alone; confidential help is available. Schedule an appointment today.