Abortion… Before You Decide

September 3, 2020
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An unexpected pregnancy can feel really scary and overwhelming. Suddenly, your world has turned upside-down, and you have some big decisions to make in the middle of some pretty big emotions. Abortion, adoption, having and raising the baby – each of your options might seem completely overwhelming at this moment. 


Before you decide anything, and no matter how alone you might feel, we want to remind you that you don’t have to do this on your own.


Our staff is available to listen and provide answers to your medical or other questions in a safe, loving environment. We won’t ever tell you what to do. But we’ll give you all the information you need to make an informed decision. 


If you’re considering abortion, you probably have some questions. 


What are the types of abortion? 

There are two basic types of abortion: medical and surgical. Medical abortions are an option fairly early in the pregnancy. These involve taking pills that block the hormones necessary to continue the pregnancy. Surgical abortions are operations that are performed in a doctor’s office or clinic. A local anesthetic is typically offered to reduce pain, however, sedation may also be available. 



Medical:

Plan B – Called the “morning-after pill.” It’s classified as an emergency contraceptive and can be taken up to 72 hours after unprotected sex to prevent pregnancy. This type of pill is designed to prevent the egg and sperm from meeting or the fertilized egg from implanting in the uterine wall, which would cause a very early abortion. However, it won’t end a pregnancy that has attached to the uterus. Plan B doesn’t protect against STDs (sexually transmitted diseases), and it can have some side effects. They may include lower abdominal pain, nausea, headache, and dizziness. Women who experience severe abdominal pain after taking the drug may have an ectopic pregnancy and should seek immediate medical help.


RU486 – Commonly referred to as the abortion pill. It can be taken up to 10 weeks after the last menstrual period (LMP). It’s a three-step process that involves a pill that cuts off the flow of hormones to the uterus and causes the embryo’s death. Followed by a pill that induces cramping to expel the embryo from the body, and then a follow-up examination to confirm that the abortion occurs. There are risks and side effects with this — severe cramping and bleeding, nausea and vomiting, and infection are some of the possible risks and side effects. And some women may still need a surgical abortion to complete the process due to the failure rate of the pill.


Online Abortion Pills – Sometimes referred to as Plan C. Buying and selling abortion pills online is not approved by the FDA (Food and Drug Administration). Because they’re outside the FDA procedures and safeguards, there’s no guarantee what these pills actually contain, so you don’t know exactly what you’re taking. Buying abortion pills online or following instructions online for inducing your own abortion with any sort of supplements or medicines is very dangerous — and it may or may not end a pregnancy. 



Surgical: 

Suction Aspiration – (Up to 14 weeks LMP) This involves stretching the cervix open with dilating rods. It’s usually painful so a local anesthetic is typically injected directly into the cervix beforehand. A vacuum device is then inserted inside the uterus to remove the fetus. Just like with any surgery, there are risks and side effects. 


Dilation and Evacuation (D&E) – (15 – 24 weeks LMP) Because this procedure is done later in a pregnancy, sedation is commonly used. The cervix is dilated and forceps are used to help remove the fetus. Because the pregnancy is more advanced and the procedure is more invasive, the risks and side effects increase. 



So what are the physical risks? 

Any medical or surgical procedure has potential risks. Some risks with abortion include heavy bleeding, cramping, nausea, infection, tissue retention from an incomplete procedure, and an inability to carry future pregnancies in the case of organ damage.


Are there emotional risks? 

As with any other major life event, not every woman is affected in the same way. There could be lasting emotional, relational, or mental health effects. Some women connect clinical depression and anxiety, substance use and alcohol abuse, suicidal thoughts or behaviors, and PTSD (post-traumatic stress disorder) to their abortion experience. And scientific evidence indicates that it’s more likely to cause negative psychological outcomes than either miscarriage or carrying an unexpected pregnancy to term. Some research indicates that couples who choose to end their pregnancy go on to have problems in their relationships related to the abortion. 


So what’s the first thing to do? 

The first step is making sure you’re really pregnant. We can help you with this. We provide complimentary, lab-quality pregnancy testing. And on top of that, we can provide a complimentary ultrasound to confirm if it’s even a viable pregnancy, meaning that it’s located in the uterus and there’s a heartbeat. In addition, it reveals how far along you are which is important to determine the type of abortion procedure you would be looking at. 


You might feel like you have to make a decision right this second. Or maybe someone else is pressuring you to make a quick decision. But an important thing to remember is — you don’t have to decide today. It’s OK to take some time and catch your breath, then research all your options, gathering information and making a decision that is best for you. An unexpected pregnancy is a lot to take in, but you don’t have to face this alone. Remember, we’re here for you. 


And if you’ve already had an abortion and you’re struggling with emotional or relational issues, we have staff who know what that’s like, who can listen, and direct you to tangible things that may help.


Call us today and schedule a visit at no cost to you. 

January 23, 2026
Facing an unplanned pregnancy can bring up difficult questions, especially when it comes to your relationship. You may be wondering whether you are required to tell your partner you’re considering an abortion, or whether it’s okay to keep that information private. Fear of conflict, concern about pressure, or a desire to protect your emotional well-being can all play a role. These feelings are common, and it’s okay to take time to think through what feels safest and healthiest for you. Collage offers a confidential and non-judgmental space where you can discuss these concerns without pressure. Before making any decisions, we provide cost-free pregnancy services , including ultrasounds, to help you understand important details about your pregnancy. Our goal is to give you accurate medical information and the space you need to move forward with clarity. You’re welcome to schedule a private, confidential appointment to learn more when you feel ready. Understanding Your Autonomy In many states, adults are not legally required to tell a partner if they’re considering or planning an abortion. Medical decisions about your body are generally protected by privacy laws, meaning the decision is legally yours. Some exceptions exist, such as parental involvement laws for minors, but partner notification is typically not required for adults. Even when the law is clear, the emotional side of this decision can feel complicated. You may feel torn between maintaining privacy and wanting honesty in your relationship. There is no single “right” approach, only what best supports your well-being and circumstances. When Safety Is a Concern In some relationships, sharing your thoughts with a partner may lead to understanding or emotional support. In others, it may not feel safe. If you’re worried about pressure, manipulation, anger, or physical harm, prioritizing your safety is essential. You’re never obligated to share information that could put you at risk. If you feel unsafe or unsure, confidential help is available through the National Domestic Violence Hotline (800-799-SAFE). Support is available 24 hours a day, seven days a week. Why Medical Information Matters Whether or not you involve your partner, having accurate medical information is an important step. An ultrasound can help confirm gestational age, pregnancy location, and whether the pregnancy is viable. These details matter for your health and can help you feel more grounded as you consider your next steps. You Are Not Alone At Collage, we offer a confidential, respectful environment where your voice and concerns are taken seriously. Our team provides pregnancy confirmation, emotional support, and space to think through your situation without pressure or judgment. You deserve time, clarity, and peace of mind as you decide what is right for your life. Connect with Collage to discuss your questions in a supportive and confidential setting. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
December 17, 2025
Holiday gatherings often bring familiar traditions, questions, and expectations. But when you’re carrying the news of an unexpected pregnancy that you haven’t shared, the season may feel different this year. You might be participating in celebrations while quietly navigating thoughts and emotions that others cannot see. If you want clarity about your pregnancy or a private space to consider your next steps, Collage offers free services, including pregnancy tests, ultrasounds, and confidential consultations, to support your needs. Schedule your appointment today. Prepare Yourself, Not the Perfect Conversation You may not be ready to share your news, and that’s okay. What can help is preparing yourself: deciding on the topics you’re comfortable discussing, the questions you want to avoid, and the boundaries you want to set. This proactivity allows you to answer without feeling like you need to tell all and not overshare. Create Space Throughout the Gathering Instead of thinking about the whole event at once, break it into smaller, manageable moments. Emotional regulation becomes easier when you give yourself space to reset. Try:  Stepping outside for a few breaths of fresh air Finding a quiet room for a brief pause Taking a short walk after a meal Giving yourself permission to excuse yourself from overwhelming conversations These small steps can help protect your peace. Remember that if at any point during the gathering you’re ready to go home, go ahead. Take care of yourself by calling it a day when necessary. Meet Your Basic Needs Early pregnancy symptoms such as nausea and fatigue can be uncomfortable during gatherings. Come prepared to meet your own needs by bringing pregnancy nausea candy, snacks to settle your stomach, and a water bottle. Store these items in your purse, knowing they’re ready when you need them. You Don’t Have to Navigate This Season Alone If you want clarity before facing holiday conversations, Collage can help you understand your pregnancy and answer questions in a calm, confidential setting, which can make these boundaries easier to hold. Contact us whenever you’re ready to schedule a free appointment. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services .
November 11, 2025
Learning you’re unexpectedly pregnant can bring up complicated emotions, uncertainty, fear, or even exhaustion if you’ve faced this situation before. You may know that you don’t want another abortion, but still wonder what options exist for your future. At Collage, we provide free and confidential support so you can explore your choices in a compassionate environment. Whether you want to understand what parenting or adoption could look like or simply need someone to listen, you’re not alone. Schedule a free appointment today to learn how we can help. Exploring Parenting Parenting can feel like an enormous responsibility, especially if your finances, relationships, or housing situation are uncertain. Many women ask themselves: “Can I really do this on my own?” “Where will I find the help I need?” “What kind of future can I provide for my child?” These are real and valid questions. At Collage, we’ll help you identify the resources and support available in your community. From offering a warm, supportive presence as you explore this option to providing referrals for resources like housing or childcare support, we’ll ensure you’re not facing these challenges alone. Parenting can be both demanding and deeply rewarding. With encouragement, community connections, and the right information, you can feel more confident in providing a stable, nurturing environment for your child. Understanding Adoption If parenting doesn’t feel like the right fit for your current situation, adoption offers another path forward, one rooted in hope and love. You remain in control of the process, deciding how involved you wish to be in your child’s life. You can select from multiple adoption plans depending on your comfort level: Open adoption: Allows for ongoing communication and contact between you, your child, and the adoptive family. Semi-open adoption: Offers limited contact through a third party, maintaining privacy while keeping some connection. Closed adoption: Protects complete confidentiality with no exchange of identifying information. Financial support is available throughout the adoption process. You’ll never pay for legal or medical services related to adoption. Best of all, adoption agencies can help ensure your needs are met and your wishes are respected every step of the way. Adoption is not an easy decision, but for some women, it brings a sense of peace and purpose, knowing their child is loved and cared for in a stable environment. We can discuss this option with you and offer referrals to reputable agencies so you feel informed. Taking the Next Step Your situation is unique, and so is your decision. Whether you’re considering parenting or adoption or simply need time to process your feelings, Collage is here to provide information and encouragement. We’re available to answer questions, explain your options, and connect you with trusted community resources, all at no cost and in a confidential setting. Schedule your free appointment today to start finding clarity and peace of mind. FAQ: Is it normal to feel uncertain about my decision? Yes. Many women experience mixed emotions when facing an unexpected pregnancy. It’s okay to take time and talk through your options before deciding. What if I don’t think I can afford to parent? We can connect you with programs and community partners that provide material and emotional support, so you will feel more equipped to parent if you choose to. How does adoption work? You remain in control. You’ll choose the family and the level of contact and receive guidance from trusted professionals who handle the legal and practical aspects of the process. Are services at Collage really free? Yes. All services are completely free and confidential. Your privacy and comfort are our priority. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
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