Before & After a Medication Abortion

What happens now?


The information on this website is not intended to provide medical advice, diagnosis, or treatment. Seek emergency care if you experience any of the following:

  • Heavy bleeding — soaking two or more pads an hour for two hours.
  • Severe abdominal or back pain.
  • Fever lasting more than 24 hours.
  • Foul-smelling vaginal discharge.1

Before Taking an At-Home Abortion Pill

Prior to taking the abortion pills, it is vital that you see a licensed medical provider, in person, during a private appointment. A licensed medical provider can prevent or diagnose some complications before you even take the medication, but you won’t have that help available without a medical checkup.2,3 Please be aware that abortion clinics and online providers of abortion pills make a profit when women choose abortion.4 You may want to choose a licensed medical provider or pregnancy medical center that does not profit from the decision you make.

Note: The abortion pills are different from emergency contraception, sometimes called the “morning-after pill”. Ask your licensed medical provider to explain the difference between the two or go to optionline.org if you have questions.

Your Medical History Matters

One of the first steps a licensed medical provider takes before giving a patient any medication is to get a medical history. This helps rule out conditions that might make the medication dangerous specifically to you.

For example, you need a licensed medical provider to check if any of your current or former medications and/or supplements will interact dangerously with the medications used for abortion. The medications used in an abortion react badly with numerous medicines and even with certain foods.5 You need a licensed medical provider to tell you what you can safely consume with the pills.

You also need to discuss other situations that would make medication abortion dangerous. For example, you cannot take the abortion pills if you use an intrauterine device (IUD) as contraception.6 Your provider will ask the necessary questions to rule out any other unsafe practices.

Also bear in mind that only a licensed medical provider can examine you to check for the physical issues that would prevent you from safely taking a medication.7 There are circumstances that would make a medication abortion unsafe, including (but not limited to) the following conditions:

  • Ectopic (tubal) pregnancy
  • Allergies
  • Adrenal failure
  • Porphyria
  • Bleeding disorders
Please note: there are many circumstances that could make a medication abortion unsafe, and only a few are listed here. Your licensed medical provider will be able to discuss your situation with you.


Do I Really Need an Ultrasound First?

Short answer: yes! An ultrasound will determine:

  • How far along you are

    If, during an ultrasound, the medical team finds that your baby is older than you think he/she is, the difference in age may affect your decision. Further, a medication abortion could be very dangerous for you if your pregnancy is further along than you know.8

  • Whether or not your pregnancy is located in the uterus

    If the pregnancy is ectopic (in which your pregnancy is progressing in the wrong part of your body), you will require immediate medical treatment.9

  • Whether your pregnancy is viable or not

    One in three pregnancies will miscarry naturally, and if this is your situation there is no need to consider an abortion.

An ultrasound done in a supportive environment will ensure that you have all the information you need before making a decision. Contact optionline.org to find out where you can get an ultrasound completely free of charge.


Doctors Help with Other Things, Too

A licensed medical provider will not only help you stay safe physically, but will also help you get any emotional help you need before making a medical decision. Having an abortion could have serious emotional side effects, and you may want to consider discussing an unplanned pregnancy or potential abortion with loved ones, clergy, and/or a professional therapist.

1 mayoclinic.org
2 mayoclinic.org
3 mayoclinic.org
4 tytimes.com
5 webmd.com
6 mayoclinic.org
7 fda.gov
8 hindawi.com
9 mayoclinic.org

After Taking an At-Home Abortion Pill

After taking the abortion pills, some women regret their decision. Some felt pressured into their medication abortion, some worry about their safety, and some just decide it might not have been the right choice after all.

It’s Not Too Late

If you already took one or more of the abortion pills, contacting abortionpillreversal.com may give you a chance to still have a healthy pregnancy and baby. It is important that you contact them and follow their instructions as soon as possible. The earlier you begin reversal treatment, the more likely it is to be effective. Be sure to honestly answer any questions, so they can best assist you. They are there to help you, not to judge.

See a Licensed Medical Provider

Even if you have not changed your mind, you need to see a licensed medical provider as soon as possible if you attempted any type of abortion without medical supervision. Until your appointment, don’t use tampons or have sexual intercourse.2 When you go to your appointment, bring any medicine or supplement packaging with you. Be honest about where you purchased any pills or supplements. Licensed medical providers are there to make sure you are safe and healthy, but for them to do their job you have to give them all the information they need.

Your licensed medical provider will need to check to make sure the abortion is complete and has not harmed you physically. Only a licensed medical provider can assess your uterus, perform an ultrasound, and interpret any symptoms that might indicate that you are still pregnant or are experiencing physical problems.3 Note that bleeding and other typical symptoms are not a guarantee that the abortion has occurred, nor is feeling fine a guarantee that you don’t have any serious complications.

Your licensed medical provider can also direct you to emotional help you might need after an abortion. Remember that negative feelings are common and need to be taken seriously. Seek immediate care if you are experiencing suicidal thoughts or contemplating hurting yourself in any way. Go to suicidepreventionlifeline.org for help.

1 mayoclinic.org
2 mayoclinic.org
3 rxlist.com

Are You Feeling Regret?

Sometimes women feel regretful, sad, depressed, or anxious after an abortion. If you feel this way, you are not alone. There is help. You can talk to your local pregnancy center and see if they have a post-abortive healing program.

The following organization can help women and their families connect with resources to experience emotional healing after an abortion:


Contact Us Any Time For Confidential Help

Please note that it may take us up to 48 hours to respond. If you need immediate assistance call Option Line at 1-800-712-4357 or text HELPLINE to 313131.

Have you already taken the abortion pill? Click here for help.

If you are in an unsafe or dangerous situation or if you are being threatened, please call 911 or go to an emergency medical facility.

This website has been created in partnership with
Sarah M. Bowen.

This website has no affiliation to any of the organizations represented by the links contained herein unless otherwise noted and disclosed.

Website development and marketing support provided by Black Tee Consulting.