Before Taking the Abortion Pill: What You Should Know
If you are considering a medication abortion, understanding the process, possible risks, recovery expectations, and available support options can help you make a more informed decision. Many women searching online also want to understand abortion procedure costs, financial assistance programs, recovery symptoms, and whether abortion medication can be received through mail-order services. Keim Centers also provides educational resources, support options, and information to help patients better understand their choices and next steps.
Informed Written Consent
According to Virginia law, the medical personnel providing the abortion will need to get a pregnant woman’s informed written consent that she wants to have an abortion. Informed consent means that the medical provider talks with the patient about the dangerous risks and alternatives to abortion before obtaining her consent.
Option of an Ultrasound
A limited ultrasound is recommended if a patient is unsure how far along she is in the pregnancy, or if ectopic pregnancy is suspected. A recent study demonstrated that some women want to have the option to see their unborn baby before making a final decision about their pregnancy.
An ultrasound can also help confirm pregnancy viability, estimate gestational age, and determine which abortion procedures may be available.
Many women also ask, “What are the costs associated with different abortion procedures?” The cost of abortion procedures can vary depending on how far along the pregnancy is, the type of abortion procedure, insurance coverage, anesthesia requirements, and follow-up medical care that may be needed.
Can I Receive Abortion Medication Through Mail Order Services?
It is important to note that the U.S. Food and Drug Administration (FDA) does not recommend purchasing abortion drugs online. These drugs should only be dispensed by pharmacies certified to do so under the FDA REMS program. Before proceeding with a abortion consultation, a patient needs to ask if the pharmacy from which she is receiving the drugs is a REMS-certified dispenser.
Some telehealth providers may prescribe abortion medication through mail-order services depending on state laws and provider policies. However, pregnancy confirmation, medical screening, and follow-up care remain important parts of protecting your health and safety.
Emergency Contact Information
The healthcare professional providing the abortion should also provide patients with:
- What to do in case of adverse reactions to misoprostol
- A phone number to call if a patient has questions about misoprostol
- The name and contact number of the healthcare provider to call in case of emergency
The mifepristone drug packaging insert should also provide a phone number for a patient to call if she has questions about mifepristone.
During the Abortion
The following information is taken directly from the Mifeprex label.
The first pill that is taken on day one is mifepristone. Then, 24-48 hours later, misoprostol is taken. Cramping and bleeding to expel the baby usually begin within 2-24 hours after taking the second drug, misoprostol.
All patients should expect uterine cramping and bleeding to take place. For many patients, the bleeding is heavier than what is normally expected with a menstrual period. If two thick menstrual pads are saturated with blood within one hour for 2 consecutive hours, however, it is important for that patient to seek emergency medical attention because this is too much blood loss.
Our services at Keim Centers include educational support, ultrasound referrals, and guidance to help patients better understand symptoms, recovery expectations, and when to seek medical care.
Most patients who take the mifepristone + misoprostol regimen will have at least one side effect, and some will have more than one. The most common side effects are GI upset, headaches, dizziness, weakness, and fever or chills. However, a fever of 100.4°F lasting for 4 hours or more, or abdominal/pelvic pain a few days after the abortion, can be a sign of infection.
Some women also search for answers to questions like, “How do abortion cost assistance programs work and where can I apply?” Certain organizations and support programs may help with pregnancy-related medical costs, counseling, transportation, or other services depending on eligibility requirements and available resources.
Others may ask, “Where can I get financial assistance for abortion care?” Financial assistance availability can vary depending on insurance coverage, provider policies, nonprofit support organizations, and individual financial circumstances. Speaking with a trusted healthcare provider or pregnancy support organization may help you understand what resources are available.
What if I Change My Mind About Having an Abortion?
In some instances, a patient may decide that they do not want to follow through with the medication abortion and instead desire to prevent the pregnancy from ending. Sometimes, termination of the pregnancy can be avoided if a patient takes a prescribed dose of progesterone within 72 hours (about 3 days) of taking mifepristone, the first drug in the abortion pill regimen.
More information on abortion pill reversal may be available through qualified medical providers who can discuss possible next steps and time-sensitive care options.
Post-Abortion
According to the Mifeprex label, it is important for a patient to have a follow-up appointment with their healthcare provider 7 to 14 days after taking the abortion pills to make sure that the procedure was completed and that there is nothing retained inside the uterus.
It is not unusual for patients to experience vaginal bleeding or spotting for between 9 to 16 days, with some patients experiencing spotting for up to 30 days or more.
One study estimates that about 2 out of every 100 patients who have an abortion will experience complications from the procedure, such as excessive bleeding, infection, or injuries to organs.
For some women, undergoing an abortion can have an adverse impact on their mental and emotional health. A recent study demonstrated that nearly two-thirds of women associated their abortion with negative emotions, for example, guilt and grief, as well as a general decline in mental health. Many women also reported high levels of stress surrounding their decision to abort.
Post Abortion Stress Syndrome is a term that describes a cluster of symptoms similar to PTSD which some women may experience after an abortion. These symptoms can include flashbacks, guilt, anxiety, depression, emotional numbness, depression, and suicidal ideation.
If you are experiencing any of these emotional side effects from an abortion, it is important to find support and help. Learning more about abortion recovery resources, counseling services, and emotional support options may help you process your experience in a safe and supportive environment. To receive personalized care and guidance, you can make an appointment to explore available recovery and support services.
Frequently Asked Questions
What happens before a medical abortion?
Before taking abortion pills, you should confirm pregnancy viability, location, and gestational age with an ultrasound.
How long does a medical abortion take?
The process usually begins after taking two medications and may continue over 24 to 48 hours.
What symptoms are common during a medical abortion?
Cramping, bleeding, nausea, and fatigue are common as the body passes pregnancy tissue.
How will I feel after a medical abortion?
Bleeding may continue for days or weeks, and follow-up care is recommended to confirm completion.
When should I seek medical attention after abortion pills?
Heavy bleeding, severe pain, fever, or signs of infection require prompt medical care.
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