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Sioux Falls, SD Abortion Clinic Information – 2nd Trimester Abortion Services at FPA Family Planning Associates Medical Group

Quality Compassionate Health Care

Sioux Falls Abortion Services

Family Planning Associates Medical Group (FPA) proudly provides compassionate, high-quality abortion care for patients traveling from Sioux Falls, South Dakota. For nearly thirty years, FPA has served patients from across the Midwest, offering safe and timely abortion services with no waiting period and appointments available Monday through Saturday.

Many individuals travel from South Dakota, Minnesota, Iowa, Nebraska, and other nearby states to access comprehensive reproductive healthcare at FPA. Our services include STI testing, contraception visits with or without a physical exam, IUD insertion, first-trimester surgical abortion, medication abortion up to 13 weeks, and second-trimester abortion procedures up to 24 weeks.

As abortion laws across the United States have become increasingly restrictive, FPA has expanded support for patients traveling from out of state. Many states—including South Dakota—require parental consent, mandatory waiting periods, or impose additional barriers that delay care. In Illinois, there are no waiting periods or mandatory delays, allowing you to receive care the same week you contact us.

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Chicago | Downtown

312-707-8988
659 W. Washington Blvd.
Chicago IL  60661
Fax (312) 707-9223

Registration Forms

You can complete your registration forms online before you arrive. Simply fill out the forms and print to bring in on the day of the appointment

Abortion Information for Sioux Falls Residents

If you live in Sioux Falls and have recently been told there is a complication with your pregnancy, our team is here to support you with compassion and respect. We collaborate closely with your genetics counselor or healthcare providers to ensure you receive the most appropriate care for your situation. We can also provide memorial items such as footprints upon request.

For special requests or help coordinating your visit, please contact our patient care coordinator, Kathryn Rabbitt Phipps, at krabbitt@fpachicago.com.

Your safety and comfort are our top priorities. Our board-certified OB/GYN physicians and experienced clinical staff will answer your questions, review your options, and guide you through every step of your care. FPA is known for providing safe, confidential, and compassionate services in a private clinic setting.

We also strive to keep our fees affordable and work closely with the National Abortion Federation and local/state abortion funds to help patients obtain financial assistance. For those who require additional support, we partner with multiple national and regional funds to ensure that financial concerns never prevent access to needed medical care.

Appointments are available 24/7 online— click here to schedule now.

Resources & links Around Sioux Falls, SD

https://www.siouxfalls.gov/home

Health Insurance Marketplace: https://www.healthcare.gov/ 

Falls Community Health: https://www.siouxfalls.gov/health-safety/health-services/falls-community-health 

Center for Family Medicine: https://centerforfamilymed.org/ 

Affordable Housing Solutions: https://a-h-s.org/ 

Sioux Falls Housing: https://www.siouxfallshousing.org/ 

South Dakota Network Against Family Violence: https://sdnafvsa.com/ 

Humane Society of Sioux Falls: https://www.sfadopt.com/ 

Travel South Dakota - Sioux Falls: https://www.travelsouthdakota.com/city/sioux-falls 

Siouxland Libraries: https://www.siouxlandlib.org/Home 

Sioux Area Metro: https://siouxareametro.info/ 

How does the Medication Abortion work?

More than half of abortions in the U.S. are completed using medication, often called the abortion pill. This method is highly effective and extremely safe—safer than many commonly used medications such as penicillin or Tylenol.

The medication abortion process uses two medications, mifepristone and misoprostol, to end an early pregnancy safely and privately at home. It is a non-surgical alternative available during early pregnancy.

Day 1 – Your Office Visit

During your visit, you will receive an ultrasound, basic lab work, and a medical evaluation. After signing consent forms, you will take mifepristone in our clinic and leave with detailed instructions for completing the process at home.

Day 2–3 – At Home

Twenty-four to forty-eight hours later, you will take the second medication, misoprostol, at home. You should plan to rest, as you will experience cramping and bleeding as the pregnancy passes. Some patients also experience nausea, diarrhea, or fatigue. Pain and nausea medication is provided to support your comfort.

Follow-Up Care

A few days after your visit, you’ll receive a text reminder for a brief self-assessment. If you have little or no bleeding—or if anything feels unusual—contact us immediately. At five weeks, you’ll take the pregnancy test provided at your visit to confirm completion.

Our medical team is available 24 hours a day, 365 days a year to address any concerns or emergencies. You are never alone in your care.

Free Abortion Services and Transportation Assistance to Access Abortion Care


We do not want finances to delay your care. Many patients traveling from Sioux Falls, SD qualify for reduced-cost or free abortion services. Contact us, and we’ll help determine whether you are eligible.

FPA works closely with the
National Abortion Federation
and numerous state and regional abortion funds
to secure financial support for patients.

If you need help traveling to Chicago, the
Chicago Abortion Fund
may cover transportation, lodging, and procedure costs.

Click here to request assistance from the Chicago Abortion Fund.

Call to Schedule a Same Day Appointment

Call (312) 707-8988 to learn more about the abortion pill, surgical abortion, or to schedule an appointment.

FPA Chicago offers same-day and Saturday appointments for patients traveling from the Sioux Falls area, including abortion pill services and a wide range of reproductive healthcare. Online scheduling is also available—visit our website for complete details about our services and patient resources.

Schedule an Appointment

Frequently Asked Questions

Call us today to speak with our staff or schedule your appointment.

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.

You can exercise the day after you take the second medication at home. Strenuous exercise can sometimes increase the amount of bleeding and cramping that you experience. You should not exercise if you feel like you have not passed the pregnancy.

After you exercise, if your bleeding and/or cramping increases, stop exercising. If this happens, you should be less active and do not exercise again until your bleeding has been light for 24 hours.

Please do not hesitate to contact us if you have any questions or concerns. If at any point you fully soak a maxi-pad in one hour or less, you should call us right away. A 24-hour on-call service is available after hours in case of an emergency.

Your bleeding will be heaviest after you take the misoprostol at home on the second day. Your bleeding will change throughout the abortion process.

Until the pregnancy passes, the bleeding will usually be heavier than your normal period. You may see blood clots and pregnancy tissue pass.

Once the pregnancy has passed, the bleeding will start to slow down. You may bleed or spot for 4 to 6 weeks after the abortion. The bleeding can stop and start again many times.

When your bleeding has been light for 24 hours, you can use a tampon instead of a pad.

Approximately 1.75 million people in the U.S. and millions more worldwide have chosen the Abortion Pill to end a pregnancy. It is effective approximately 92-98% of the time. How well the medication works can depend on how far along you are in the pregnancy.

Less than 7 weeks — Works about 98 out of 100 times the medication is taken

7 weeks — Works about 97 out of 100 times the medication is taken

8 weeks — Works about 95 out of 100 times the medication is taken

9 weeks — Works about 97 – 99 out of 100 times the medication is taken with two doses of misoprostol

10 weeks — Works about 97 – 98 out of 100 times the medication is taken with two doses of misoprostol

11 weeks — Works about 95 out of 100 times the medication is taken with two to three doses of misoprostol

13 weeks or more — Works about 92 out of 100 times the medication is taken with two to three doses of misoprostol

Misoprostol (or Cytotec) is a prostaglandin drug. It had previously received FDA approval for use in the prevention of ulcers in high-risk patients taking non-steroidal, anti-inflammatory drugs.

You will take the first medication, mifepristone, in our office on ‘day one’ after having an exam, ultrasound, lab work and signing consents. You can go to work, school, or make other plans for the rest of that day. It is rare that you would start to bleed heavily or pass the pregnancy after taking the first medicine.

You should plan to be at home on ‘day two’ for at least 24 hours after taking the misoprostol (the second medication). Misoprostol helps your body pass the pregnancy by softening the cervix and causing the uterus to contract. You will have heavy bleeding, usually heavier than a period, and strong cramping. Because the bleeding and cramping is moderate to heavy for most women, you should not be at school or work while you are passing the pregnancy. In most cases you can return to work, school and your regular activities the next day.

In person follow-up visits are rarely needed, but can be very important.

3-4 days after you take the medication, 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. 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.

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.

If the medication abortion does not work, you will not be asked to make any extra payments to FPA. If you go to another clinic or hospital for evaluation or to complete the abortion, 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.

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