The abortion pill uses two medicines to cause a miscarriage and end a pregnancy. The medication abortion is a safe and effective way to end a pregnancy up to 13 weeks in the privacy of your home.

This is a non-invasive procedure that feels more natural for some people. You can be with a spouse, partner, family member or trusted friend, for support with the medical abortion, in the comfort of your own home. Patients who want a less invasive procedure prefer the medication abortion.

The first step involves an office visit, including an ultrasound, lab work and exam. Mifepristone ends the pregnancy. Pregnancies need a hormone called progesterone to grow and mifepristone stops your body from making this hormone.

Misoprostol helps your body pass the pregnancy and causes bleeding and strong cramping. 24-48 hours after your office visit you will take misoprostol, and you must stay home for 12-24 hours after taking this medication. During this time, you should rest until your bleeding and cramping is light.

A few days later, we will ask you to think about your body’s response to the medications and do a self-assessment. This assessment is a series of four questions about your experience. If you answer ‘NO’ to any of these questions, it is very important that you call us as soon as possible. You may need to return to the office to confirm that you are no longer pregnant.

Lastly, you will take a pregnancy test at home about five weeks later. We will give you a test to take home with you on your first visit in our office. If the test is negative, you will know the medication abortion worked, and you are no longer pregnant. If your pregnancy test is positive five weeks after the abortion, you may still be pregnant, or you may have become pregnant again. Call us immediately if this happens so we can schedule you for an office visit and additional treatment if needed.

The pain will be the worst after you take the second medication, the misoprostol, at home. Cramps similar to heavy period cramps are common, and for some people the cramping and pressure can be very severe.

We will give you pain medication to help reduce your discomfort.

If you want to feel less cramping, you can take one of the pain medications 30 minutes before taking the misoprostol. Take your pain medications on a regular schedule until your pain is gone or light. If you are not taking pain medication regularly, it will not help with your pain because it only works for 4-6 hours.

If you wait until you are in pain to take medications, you will be in pain longer, because the pain medication takes time to start working.

Do not use any aspirin medications like Bayer, Excedrin, BC, or Goody’s. These medications can cause heavier bleeding sometimes.

Milder cramps, like period cramps or less, may last for a few weeks after you pass the pregnancy.

You could have heavy bleeding and cramping and pass clots after taking the abortion pill but still be pregnant. Sometimes the pregnancy will keep growing after you take the abortion pill. Sometimes the pregnancy will end but not pass out of the body. If you do not have any bleeding within 24 hours of taking misoprostol at home, please call us. You know your body best, if you do not think the medication worked, call us so we can schedule you for a follow-up visit in our office.

3-4 days later, we will ask you to think about your body’s response to the medications and do a self-assessment. This assessment is a set of four questions about your experience. If you answer ‘NO’ to any of these questions, it is very important for you to call us. You may have to return to the office to make sure that you are no longer pregnant.

5 weeks later, you will take a pregnancy test at home. We will give you a test to take home with you when we give you your medications. If the test is negative, you will know the medication abortion worked, and you are no longer pregnant. If your pregnancy test is positive five weeks after the abortion, you may still be pregnant, your hormone levels may be falling slowly, or you may be pregnant again. Call us immediately if this happens so we can schedule you for an office visit and additional treatment if needed.

The medication abortion does not work 100% of the time. After you take the abortion pill, we will ask you to do a few things to make sure that you are no longer pregnant.

3-4 days after you take the medication, we will text you a reminder to think about your body’s response to the medications. This self-assessment is four questions about your experience. If you answer ‘NO’ to any of these questions, it is important that you call us as soon as possible. You may need to come back to our office to make sure that you are no longer pregnant.

You will also take a pregnancy test at home about five weeks later. We will give you a test to take home with you at your first visit when we give you the medications. If the test is negative, no more follow up is needed. If your pregnancy test is positive five weeks after the abortion, you may still be pregnant, your hormone levels may be going down slowly, or you may be pregnant again. Call us immediately if this happens so we can schedule you for an office visit and more treatment if needed.

If you are still pregnant after you take the abortion pill, you have two options usually. You can take more medicine sometimes or have an in-office abortion procedure at FPA as long as you are less than 24.0 weeks pregnant.

Occasionally, only some of the pregnancy tissue will pass. If this happens, you could have heavy bleeding, develop an infection, or both. An in-office suction procedure (D&C), more medications, more tests or treatments could help to prevent these complications.

Sometimes, clots in the uterus can cause cramping and pain in the belly and/or lower back. If this happens, you may need a suction procedure (D&C) or more medication to help pass the clots.

If the medication abortion does not work, you will not be asked to make any extra payments to FPA. You must return to our office if you think that you are still pregnant or if our staff ask you to come back because we think you may still be pregnant. If you need to go to another clinic or hospital to complete the abortion for medical reasons or because you are more than 24 weeks pregnant, you will be responsible for the cost of that care. For this reason, we encourage you to come back to our office as soon as possible if you have any concerns that the medication may not have worked.

If you know that it will be hard or impossible for you to come back to our office, the medication abortion may not be the best choice for you.