TAKING THE ABORTION PILL

Whenever and wherever is most comfortable for you

 FAQs

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  • It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference.

  • It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference.

  • It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference.

What is the “abortion pill”?

Taking abortion pills is the same as a “Medication Abortion” or “Self Managed Abortion”. When we say taking abortion pills “at home”, we recognize that many people do not take the pills in a home, but instead in a place that feels the most comfortable for them.

The “abortion pill” usually refers to a series of 2 medications: mifepristone (“mife”) and misoprostol (“miso”). Sometimes people will take just misoprostol for an abortion. Mifepristone blocks progesterone, which is a critical hormone in early pregnancy. Misoprostol causes the body to expel, or get rid of, the contents of the uterus.

Taking both medications or taking just misoprostol are both safe and effective ways of terminating a pregnancy. Both mife and miso are FDA approved medications.

More than half of abortions in the US are with abortion pills.

Taking the abortion pill is safe, effective, and common. You can access abortion pills many ways, including online through the mail or in a clinic.


Are abortion pills safe?

Abortion pills are incredibly safe. In fact, they
are safer than taking Tylenol, Viagra, and
some antacids! Abortion pills have been around for decades and there is a lot of research proving that they are safe to use.

Everyone’s experience with abortion pills are different and it is impossible to predict. Everyone’s body is different. Some people may experience very painful and uncomfortable cramping, diarrhea, nausea, and bleeding. There is specific guidance about when the pain and bleeding is “too much” — it is very infrequent that someone would have to go to a hospital for any complications.

Where can I get abortion pills?

People in all 50 states can safely and legally access abortion pills. You can check out PlanCPills.com to find out how to get abortion pills in your state.

Providers such as Cambridge Reproductive Health Consultants and Aid Access currently safely mail abortion pills to people in all states, including those with restrictive abortion laws.

Are abortion pills legal?

Each state has different laws around abortion, which can make it harder to find and get abortion pills in states that have more restrictions and bans. Accessing abortion pills is protected in Colorado, and people in all 50 states can still legally and safely access and take abortion pills.

If you are unsure of what your state laws are, or are interested in learning more, check out this resource on abortion laws by state.

Many doctors around the country are using laws in their home states called “shield laws” to safely get abortion pills to people in states where abortion is restricted. Taking abortion pills in a state where abortion is restricted or banned can have risks, however, keep in mind that many people every day are getting and taking abortion pills in ban states. Please see our section below on keeping your information safe and private.

If you live in a state where abortion is banned and you’re interested in getting abortion pills, abortion funds like the Colorado Doula Project can help. Please reach out to us through our Abortion Support Network for help.

You can also reach out to ReproCare for information on how to get and take abortion pills.

Do abortion pills hurt?

Everyone’s experience with abortion pills are different and it is impossible to predict how you may feel. While there are a lot of scary stories online about taking abortion pills, they are not unsafe.

Most people won’t feel anything after taking mifepristone, the first medication. Many people may experience very painful and uncomfortable cramping, diarrhea, nausea, and bleeding after taking the misoprostol. Misoprostol causes the uterus to cramp and expel, or get rid of, its contents. Many people experience pretty intense cramping and bleeding. The amount of bleeding typically can be dependent on how far along into pregnancy you are. Refer to the graphic in the sections below on how much bleeding is typical.

There is specific guidance about when the pain and bleeding is “too much”, and it is very infrequent that someone would have to go to a hospital for any complications. If you are taking abortion pills beyond 12 weeks, the amount of contents expelled from the uterus may vary and it is best to be prepared for what you may see.

If you want to talk to anyone about your experience, or have questions about taking the pills, we are here to make it as comfortable as possible. You can reach out to us or other abortion doula organizations to talk to someone. If you have medical questions related to your abortion, we recommend calling the Miscarriage and Abortion Hotline.


When should someone not use or be cautious of taking abortion pills?

  • The abortion pills (mifepristone and misoprostol) are effective throughout pregnancy. An abortion with pills after 12 weeks is still very safe and very effective. However, the process takes longer, there is more bleeding and cramping, and the fetus is larger and more developed. Passing and seeing the fetus can be distressing for some people, so it’s important to be prepared and have a plan for how to manage and dispose of the pregnancy tissue. It is also slightly more likely that you will need additional treatment to complete the abortion.

    Many providers do not provide abortion pills beyond 12 weeks, but you can find providers without gestational limits on Plan C. We recommend consulting with a doctor with the Miscarriage + Abortion hotline before taking abortion pills if you are beyond 12 weeks pregnant.

  • It is generally recommended that an IUD is removed before taking the abortion pills, however it is not required. If you have an IUD in place, there is a higher risk that this pregnancy is ectopic. While someone can take the abortion pills with an IUD in place, you should still have the IUD taken out because it is not working to prevent pregnancy.

  • Medication abortion using mifepristone and misoprostol is not advised for someone who is allergic.

  • Adrenal failure, bleeding disorders (hemophilia, hemorrhagic disease, other bleeding/clotting disorders), or porphyrias.

  • An ectopic (tubal) pregnancy is a pregnancy located outside the uterus. If you have had an ectopic pregnancy in the past, then there is an increased risk that this pregnancy is ectopic. Abortion pills don't work to end ectopic pregnancies. If you have little or no bleeding after taking the pills, you should get an ultrasound to confirm the location of the pregnancy. Ectopic pregnancy is rare, but if it ruptures it can cause life-threatening internal bleeding. Signs of a ruptured ectopic pregnancy include severe pain in your belly (especially on one side), and feeling dizzy, lightheaded, or very unwell. If you have any of these signs, please go to a hospital right away.


How can I make taking the abortion pills more comfortable?

We know that taking abortion pills can be really uncomfortable and often painful.

Below are some steps to prepare for taking your abortion pills to make it more comfortable.
We recognize that not all of these are possible for everyone. Let us know if you need any help.

Stock up on all the things that you need to be comfortable

  • A heating pad, hot water bottle or microwavable rice sock

  • Ibuprofen (also called Advil or Motrin)

  • Plenty of hydrating liquids, including water and electrolytes

  • Sanitary napkins, maxi pads, or diapers

  • Pepto Bismol or other anti-nausea medicine, in case you get nauseous

  • Peppermint or ginger tea, in case you get nauseous

  • Baby wipes or soothing, medicated wipes

Have a support system

Misoprostol can cause pretty painful cramps. It can be helpful to have someone around to help bring you water, make you food, or sit with you through the discomfort.

We know that a lot of people do not have someone safe to help them through this process. If you need someone to talk to, please reach out to us through our Abortion Support Network for virtual doula support to talk through the process.

You can request a care package that includes pads, tea, a heating pad, and pregnancy tests by hovering on “I Need Support” at the top of the page and clicking on “Health Supplies and Other Resources”.

Have a safety plan

Less than 1% of people who take abortion pills will need to see a doctor for complications. Symptoms like intense cramping, nausea and vomiting, excessive bleeding, and passing of blood clots are normal when taking Misoprostol.

Some signs that you should talk to a medical professional or visit an emergency medical center are:

  • Bleeding through more than 2 maxi pads per hour for 2 consecutive hours (4 pads total)

  • Passing blood clots larger than a lemon

  • Fever that is not responding to medicine

If you are experiencing any of these symptoms, we recommend that you first talk to your care provider who knows you have taken misoprostol, or you may call the Miscarriage + Abortion Hotline at 1-833-246-2632.

We recommend having a safety plan in case you need it. This includes:

  • Identifying your nearest 24-hour emergency medical center. If you live in a rural area without a 24-hour medical center within a 45-minute drive, you may want to consider staying with a sympathetic friend or family member closer to a hospital

  • A plan to get to that emergency medical center. This should be a friend, partner, or rideshare–do not depend on yourself to drive. If you live in a rural or low-income urban area, ambulance response times may be slow.

  • What you will tell your doctors.

Drink lots of water and fluids

It is important for your health to stay hydrated when you take abortion pills!

Have a safe and comfortable place

When you take the Misoprostol, we recommend being in a safe place where you can lie down and rest for a couple hours or the entire day. We recommend taking off of work, if possible, for two days: one for while you take the Misoprostol and a following day to rest.

You may want to consider tidying up your space beforehand, if that feels good to you. Some people like to start their experience with clean sheets on their bed, clean towels nearby, and extra clean, comfy clothes and sets of sheets if yours get soiled. You may also want to clean your toilet (in the case that you are vomiting, it’s generally more pleasant to do that in a clean toilet) and sanitize your bathtub with a disinfectant cleaner, if baths are soothing to you.

If you are a parent, you may want to arrange some childcare during your experience. Arranging a sleepover out-of-the-house for older kids, or asking a trusted person to watch the children may give you some peace and quiet to focus on yourself, if only for a few hours. You may want to consider arranging for a dog walker or someone to watch other pets or livestock.

If you do not have a safe place to take your abortion pills, we may be able to help. Although we cannot guarantee support, you can reach out to us through our Abortion Support Network and we will assess capacity.

Know what you will tell a medical professional
if you need help

Less than 1% of people who take abortion pills will need to see a doctor for complications. Symptoms like intense cramping, nausea and vomiting, excessive bleeding, and passing of blood clots are normal when taking Misoprostol.

In some states, there are laws that restrict access to abortion. However, there are many people who are still legally and safely using abortion pills in these states.

If you think that something is wrong after taking abortion pills and you are nervous about what a doctor might think, please know that once bleeding starts from abortion pills, what happens next is exactly the same as what happens during a miscarriage. As long as you take your Misoprostol orally and not vaginally, there will be absolutely no evidence that you are having an abortion that could be tested for during an exam

If you live in a state with bans or restrictions, you should assume that any medical staff you come into contact with is anti-abortion and may report you, unless you know the provider specifically supports your decision. Here are things we recommend not to say to members of your medical care team, including your doctor:

  • Do not say you are having an abortion.

  • Do not share more than what is medically necessary. You can share that you started bleeding or are in pain.

  • Do not share that you recently left the state, if you did. Do not share that you went to a clinic or ordered a medication online, if you did. Do not say that you have seen another doctor at any point during your pregnancy.

Here are things we recommend that you do say to members of your medical care team, including your doctor:

  • I’m not sure what’s going on, I just started bleeding.

  • I suddenly started bleeding, and I’m scared that something is wrong.

How to have an abortion with mifepristone and misoprostol

We recommend following the instructions given by the provider, if you have them. However you get the abortion pills, you will likely be given one 200mg pill of mifepristone and four, eight, or twelve 200mcg pills of misoprostol. Providers will give different amounts of misoprostol typically based on how far along in pregnancy you are while other providers standardize the amount of misoprostol they give to everyone. You’ll also want to have a painkiller on hand (Ibuprofen works best) to help manage pain.

Step 1: Prepare

Prepare for the abortion. Make sure you have a place that feels safe and comfortable for about 2 days. We recommend having lots of water and fluids, good snacks, a heating pad, and ginger chews or tea in case you feel nauseous. Symptoms from the misoprostol (the second medication) will start generally 30 minutes to 2 hours after taking the first dose and will last 12 to 24 hours, with the worst of the symptoms (cramping, bleeding, nausea, and diarrhea) lasting generally within the first 6 hours.

Step 2: Take the mifepristone

Swallow one 200mg pill of mifepristone with water. You likely won’t feel any side effects.

Step 3: Wait

Wait 24-48 hours. Do not proceed to Step 4 before 24 hours or after 48 hours.

Step 4: Take the first dose of misoprostol

If possible, take a painkiller 30 minutes before you take the misoprostol. We recommend taking 800mg of ibuprofen.

Place 4 misoprostol pills (200 mcg each) in your cheeks between your gums and lower teeth and hold them there for 30 minutes as they dissolve. You should not speak, drink or eat for these 30 minutes, so that they don’t move around. After 30 minutes, drink some water and swallow everything that is left of the pills.

Symptoms from the misoprostol including bleeding and cramping may start in as soon as 30 minutes. You should begin bleeding and cramping within 3 hours of using the misoprostol.

Step 5: take the second dose of misoprostol

Wait 3 hours after taking the first 4 misoprostol pills. If you were given a total of 8 misoprostol pills, place the final 4 more pills of misoprostol in your cheeks between your gums and lower teeth and repeat the process in Step 4. If you were given a total of 12 misoprostol pills, please follow the provider’s instructions on how to take the remainder.

You should begin bleeding and cramping during this process of taking the pills. Make sure to take all 8 or 12 pills even if you start to bleed before you’ve taken all of them.

How to have an abortion with just misoprostol

We recommend following the instructions given by the provider, if you have them. However you get the abortion pills, you will likely be given four, eight, or twelve 200mcg pills of misoprostol. Providers will give different amounts of misoprostol typically based on how far along in pregnancy you are while other providers standardize the amount of misoprostol they give to everyone. You’ll also want to have a painkiller on hand (Ibuprofen works best) to help manage pain.

Step 1: Prepare

Prepare for the abortion. Make sure you have a place that feels safe and comfortable for about 2 days. We recommend having lots of water and fluids, good snacks, a heating pad, and ginger chews or tea in case you feel nauseous. Symptoms from the misoprostol (the second medication) will start generally 30 minutes to 2 hours after taking the first dose and will last 12 to 24 hours, with the worst of the symptoms (cramping, bleeding, nausea, and diarrhea) lasting generally within the first 6 hours.

Step 2: Take the first dose of misoprostol

If possible, take a painkiller 30 minutes before you take the misoprostol. We recommend taking 800mg of ibuprofen.

Place 4 misoprostol pills (200 mcg each) in your cheeks between your gums and lower teeth and hold them there for 30 minutes as they dissolve. You should not speak, drink or eat for these 30 minutes, so that they don’t move around. After 30 minutes, drink some water and swallow everything that is left of the pills.

Symptoms from the misoprostol including bleeding and cramping may start in as soon as 30 minutes. You should begin bleeding and cramping within 3 hours of using the misoprostol.

Step 3: take the second dose of misoprostol

Wait 3 hours after taking the first 4 misoprostol pills. If you were given a total of 8 misoprostol pills, place the final 4 more pills of misoprostol in your cheeks between your gums and lower teeth and repeat the process in Step 4. If you were given a total of 12 misoprostol pills, please follow the provider’s instructions on how to take the remainder.

You should begin bleeding and cramping during this process of taking the pills. Make sure to take all 8 or 12 pills even if you start to bleed before you’ve taken all of them.


What if something goes wrong? How do I know if I need to see a doctor?

Less than 1% of people who take abortion pills will need to see a doctor for complications. Symptoms like intense cramping, nausea, bleeding, and passing of blood clots are normal when taking misoprostol.

Some signs that you should talk to a medical professional or visit an emergency medical center are:

  • Bleeding through more than 2 pads per hour for 2 consecutive hours (4 pads total)

  • Passing blood clots larger than a lemon

  • Fever that is not responding to medicine

We recommend having a safety plan in case you need it. This includes:

  • Identifying your nearest 24-hour emergency medical center

  • A plan to get to that emergency medical center

  • What you will tell your doctors

In some states, there are laws that restrict access to abortion. However, there are many people who are still legally and safely using abortion pills in these states. If you think that something is wrong after taking abortion pills and you are nervous about what a doctor might think, here are some things that you can say:

  • I’m not sure what’s going on, I just started bleeding.

  • I suddenly started bleeding and I’m scared that something is wrong.

If you have taken the abortion pills and are concerned about your health, consider if you have experienced the above. If you have concerns and are not sure if you should go to an urgent care, we recommend contacting the M + A Hotline for advice from a medical professional.

How do I know if the abortion pills worked?

Abortion pills are extremely effective. Many people can tell that the abortion pills worked because pregnancy symptoms will disappear quickly after. If you did not bleed within 24 hours of taking the abortion pills, please contact your abortion provider or the Miscarriage + Abortion hotline for information on what to do next.

When should I take a pregnancy test?

It is recommended to wait about 5 weeks after your abortion to take a pregnancy test. Pregnancy tests detect a hormone called hcG. While hcG decreases in the body immediately after an abortion, it can still be in your body in low amounts for a few weeks. This is why if you take a pregnancy test too soon after your abortion, you may get a false positive, which means you get a positive result when you are not actually pregnant. We recommend either waiting about 5 weeks after your abortion to take another test or 2 weeks to schedule an ultrasound with your provider.


How much bleeding is too much bleeding?

Heavy bleeding is normal when taking abortion pills. If you are fully soaking through 2 maxi pads per hour for 2 consecutive hours (4 pads total), that is too much bleeding and you should see a medical professional.

Caring for your body and mind after your abortion

Abortions can be hard on your body and your mind. Below are some suggestions of food, herbal support, and self-care to help with the healing process after your abortion.

Food to help support your body after your abortion

Eating foods that support the body after an abortion is important to help replenish nutrients, support the liver, and balance hormones

Protein

Foods high in protein help with physical healing by creating new hormones and blood clotting. Try eating:

  • Meats (ideally grass-fed)

  • Wild-caught fish

  • Beans and lentils

  • Eggs

  • Tofu

High-quality fats

Eating essential fatty acids supports hormone production and hormone balance. Try eating:

  • Coconut oil

  • Avocado oil

  • Grass-fed meats and fats

  • Try to avoid processed foods, which often contain rancid oils

Bone Broth

This “superfood” has a wide array of the amino acids our bodies need in order to make proteins, hormones, and components of a well-functioning immune system. Bone broth is incredibly healing to the gut and deeply nourishing. It is very easy to make yourself, and much cheaper. Recipes can be found online. If you want to purchase it at a store, bone broth is in the freezer section of many grocery stores. Avoid the shelf-stable "bone broth" in the soup section.

Probiotics

Usually, people are prescribed antibiotics after an abortion to stave off infection. It is a good idea to take a high-quality probiotic 2 hours before or after the antibiotics for the duration of their use. This is because antibiotics wipe out the good bacteria in your digestive system, and probiotics help to replace them.

Nutritives

These are nutrient-dense herbs that help replenish our vitamin and mineral stores and support healing.

  • Nettles: has one of the highest vitamin and mineral contents of any herb

  • Red Raspberry Leaf: lovely uterine tonic

  • Oatstraw: long term use can be very supportive of nervous system health

How to use: Make a calming tea by placing 2-3 tablespoons of herbs into a tea strainer and immersing it in boiling water. Don't forget to cover the tea cup while it steeps to get the strongest healing benefits from the herbs!

Nausea

One of the side effects of misoprostol is nausea and vomiting. Some remedies for nausea include:

How to use:

  • Peppermint

  • Spearmint

  • Ginger

  • How to use: Smelling Peppermint essential oil is helpful for many people. You can also make a strong tea with any of the above herbs.

Antispasmodics

Antispasmodic herbs may help alleviate some cramping and pain.

  • Cramp Bark

  • Black Haw

  • Wild Yam

  • Peony Root

How to use: These are best taken in tincture form. Follow the dosage instructions on the bottle.

Nervous system-supportive herbs

Similar to full-term labor, being relaxed can help facilitate the passing of fetal tissue. These herbs can reduce stress and anxiety, and can also be helpful for grief.

  • Chamomile

  • Skullcap

  • Lemon Balm

  • Catnip

  • Peppermint

  • Oatstraw

  • Lavender will help relax the nervous system

How to use: Make a calming tea by placing herbs into a tea strainer and immersing them in boiling water. Don't forget to cover the tea cup while it steeps to get the strongest healing benefits from the herbs!

Iron

Eating foods rich in iron is necessary to create certain hormones and hemoglobin, which is a part of red blood cells. Try eating:

  • Red meat

  • Liver

  • Molasses

  • Eggs

  • Lentils

  • Dark, leafy greens such as kale, spinach, collard greens, etc.

Hormone balancers

There is often a crash of hormones after a miscarriage or abortion, so eating foods or taking supplements or vitamins that support the production of hormones is helpful for mitigating this. The cofactors necessary to create hormones include:

  • Dietary protein (meats, fish, eggs, tofu, etc.)

  • "Good" cholesterol (olive oil, salmon, berries, avocado, nuts, and seeds)

  • Essential fatty acids (fish, tofu, chia seeds, flaxseed oil, walnuts)

  • Zinc (shellfish, eggs, meat, nuts, and seeds, dairy, whole grains)

  • Vitamin C (citrus fruits, broccoli, brussels sprouts, strawberries)

  • All of the B vitamins (red meat, leafy greens, eggs, dairy, sunflower seeds, nutritional yeast)

  • Magnesium (pumpkin seeds, almonds, spinach, cashews, peanut butter, whole wheat bread, soy milk, edamame)

Herbal supplements for physical and emotional healing

Herbs can be helpful in supporting the body to feel its best after an abortion. Ideally, one should consult an herbalist, alternative health care practitioner, or other trusted sources for proper dosing instructions and safety considerations around herbs. Be careful. People with heart, liver, or kidney issues should consult a medical or herbal practitioner before taking any herbs.

Liver supportive herbs

These help support our body’s hormone balance during this time.

  • Burdock

  • Dandelion Root

  • Calendula

  • Turmeric

  • Milk Thistle: This is best taken either in capsules or in a tincture form. Follow the instructions on the bottle

How to use: Any of these may be taken as tinctures or made as tea. Use approximately 2-3 tablespoons of herb in 2 cups of water.

Liver supportive herbs

These help support our body’s hormone balance during this time.

  • Burdock

  • Dandelion Root

  • Calendula

  • Turmeric

  • Milk Thistle: This is best taken either in capsules or in a tincture form. Follow the instructions on the bottle

How to use: Any of these may be taken as tinctures or made as tea. Use approximately 2-3 tablespoons of herb in 2 cups of water.

Grief herbs

Certain herbs can help with grief by nourishing the heart, both physically and emotionally.

  • Hawthorn berries: nourish the heart and uplift the spirit, toning the spiritual heart as well as the physical cardiovascular system

  • Rose: supportive to the heart

  • Motherwort: supportive to the heart

  • Devil’s Club: amazing medicinal for helping nourish and protect the spiritual heart, helping to create boundaries

  • Hyssop: helpful to process and release grief

  • Marjoram: helpful to process and release grief

  • Tulsi (Holy Basil): helpful to process and release grief

How to use: These can be teas 2-3 tbsps or tinctures

Self-Care and Aftercare

During times of high-stress, we can forget to make time for self-care. It can be helpful to start some of these suggestions 3-7 days before your abortion to make the recovery period easier.

  • Get plenty of rest. Give yourself permission to take time off of your responsibilities and take time off work if possible. Allow yourself plenty of sleep, take naps, and be gentle with yourself.

  • Drink plenty of water and fluids. Herbal teas can often be drying or diuretic (increase urination), so be sure to replace the water you lose. Drink more water than you think you need. Stay hydrated.

  • Make a plan for aftercare. Call upon friends, abortion doulas, or other support people to help in the weeks after the event. Having loved ones bring you food, or even just having food made and prepared, can take a lot of weight off your shoulders – it’s similar to postpartum care requirements.

  • Have a person on call to support you in case of a (rare) complication. Consider what support you’d like, whether that’s emotional support, logistical, having someone physically present, etc.

  • If this is a spiritual experience for you, think about what you need and what that may mean for you. Find spiritual leaders, guides, or support people to talk through your experience with.

  • Find people to talk to. It is often helpful to have someone to hold space for you so that you can process and share your feelings if need be. Find a support group, and reach out to your community.