The Abortion Pill - What are the Medical Facts?

August 4, 2022
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You see the positive pregnancy test, and your emotions are all over the place…panic, tears, anger, fear. You start asking yourself, ‘What am I going to do?

 

We realize that experiencing an unexpected pregnancy can be scary. It’s natural to look up different options about what you can do. Before you make any decisions, we want to remind you that you’re not alone. We’re here to listen and provide answers to any questions about the situation that you’re in. Our intent is not to tell you what to do but to give you the information you may be looking for before you decide what to do about your unexpected pregnancy.

 

With the abortion pill currently being offered through the mail, maybe this seems like an easy option.

 

What is the Abortion Pill?

To clarify, the term ‘abortion pill’ is slightly misleading as it requires taking two medications (in the form of pills) prescribed by a doctor. The first medication, mifepristone, is taken by mouth, and the second medication, misoprostol, is taken by mouth or vaginally. This is only an option for women who are less than 11 weeks pregnant by LMP.1

 

How does the Abortion Pill Work?

It’s not like taking something for a headache. You don’t just pop a pill and, within 30 minutes, aren’t pregnant.

 

The first medication causes your body to block progesterone, which is necessary for the continuation of pregnancy. When this happens, the embryo cannot stay attached. The second medication causes your uterus to contract and expel the embryo.

 

This will cause your body will go through the following:

  • Bleeding and cramping will start 1-4 hours after taking the second medication.
  • Heavy bleeding with blood clots.
  • Heavy cramping for several hours.
  • A low fever or chills can last about a day after taking the second pill.
  • Possibility of feeling tired, nausea, dizziness, and having diarrhea.2

 

Is the Abortion Pill Safe?

The reality is any medical or surgical procedure always has potential risks. Some risks of taking the the abortion pill can include:

  • Heavy bleeding that will not stop.
  • Diarrhea and digestive pain.
  • Pregnancy tissue that does not pass entirely from the body, making surgery necessary.
  • Infection.
  • Nausea and vomiting.
  • Allergic reaction to the medications.3

 

How Will I Feel Afterwards?

Every woman handles emotions and changes in their life differently. Any pregnancy loss (intentional or unintentional) will interrupt the hormone cycle, which can cause long-term emotional, relational, and/or medical health effects.

 

After a loss, some women experience emotions ranging from guilt to regret to shame. This can sometimes lead to clinical depression, affecting your energy, sleep, feelings, and a loss of interest in previously enjoyed activities. Suicidal thoughts or self-harm can also affect somebody dealing with depression.

 

What Should My Next Step Be?

Your first step should be to confirm that you really are pregnant. We can help you by providing a free lab-quality pregnancy test and ultrasound to ensure that you have a viable pregnancy. A viable pregnancy means an embryo is implanted in your uterus and has a heartbeat. An ultrasound will also reveal how far along you are, affecting your options.



Unexpected pregnancies can reveal a lot of uncertainties in your life. You may feel pressure to decide quickly. Still, it’s important to remember that you don’t have to make that decision today. Take a deep breath and do some more research to help you choose what’s best for you.


We’re here to help you walk and talk through your decisions. We’re dedicated to providing medical information and resources throughout your journey.


If you’ve already had an abortion and find yourself struggling in any way, we have staff who know what you’re going through. We’re here to listen and help give you direction towards healing.


Feel free to call us today and schedule a visit at no cost to you.

September 30, 2026
If you took the first abortion pill, it’s possible to start wishing you hadn’t. The regret may have hit you immediately, or it might have taken a few hours to realize that you want to continue the pregnancy. Either way, there may still be something you can do: abortion pill reversal (APR) may be an option. The first drug used in the abortion pill regimen is usually mifepristone. If you have taken mifepristone but now want to continue your pregnancy, call the Abortion Pill Reversal Network at 1-877-558-0333 right away. Their Helpline is available 24/7 and can connect you with a medical provider who can administer APR. If You Have Only Taken the First Pill Mifepristone works by blocking progesterone. Progesterone helps maintain the lining of the uterus during pregnancy. When this hormone is blocked, the uterine lining thins, and the pregnancy ends. The second drug in the abortion pill regimen is misoprostol , which causes the uterus to contract and expel the pregnancy. Abortion pill reversal involves giving progesterone after mifepristone in an effort to allow the pregnancy to continue. Don’t Wait for Symptoms Before Calling You may wonder whether you should wait before deciding what to do. But if you want to try to continue the pregnancy, call first.  It’s critical to start the protocol as soon as possible, ideally within 24 to 48 hours of taking mifepristone. However, you should still call even when more time has passed; it may not be too late. A medical provider can determine whether APR may still be appropriate. Does Reversal Always Work? Abortion pill reversal cannot guarantee that the pregnancy will continue. One published study reported ongoing pregnancy rates of approximately 64% to 68% with certain progesterone regimens, but individual outcomes vary. The important thing is to get medical guidance quickly rather than trying to determine your chances on your own. What if You Already Took Misoprostol? If you have already taken misoprostol, contact a healthcare professional promptly and explain exactly what you took and when. You should also seek immediate medical attention if you develop symptoms that concern you or believe you may be experiencing a medical emergency. Make the Call Now Changing your mind after taking mifepristone can be frightening, especially when you’re unsure whether there is still time to act. You don’t need to figure that out yourself. Call the Abortion Pill Reversal Network at 1-877-558-0333 as soon as possible and tell them when you took mifepristone. They can explain whether abortion pill reversal may still be an option and connect you with an appropriate provider. You can also contact Collage if you need someone to speak with while you work through your next steps. We’re here to help you. *Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. **All abortion information in this blog is based on accurate information at the time of writing.
September 7, 2026
Seeing another positive pregnancy test after having had a past abortion may bring up memories or emotions from that experience. If you already know you don’t want another abortion, you may be wondering what other choices you have and whether either feels realistic for your life right now. You have time to learn about your options and the available support. Collage is here to give you a place to discuss your circumstances so you can decide what’s right for you. Schedule a no-cost appointment today to learn more about your pregnancy and what your next steps could look like. And read on to learn more about your pregnancy options besides abortion. Consider What Parenting Would Require You may want to parent but have concerns about whether you can make it work. Finances, housing, childcare, your relationship, work, or school can all influence how possible this option feels right now. Before deciding that those challenges make parenting unrealistic, it can help to identify your biggest concerns individually. Some of those concerns may have solutions you haven’t considered yet. Think about the support you already have, along with what you would need during pregnancy and after your baby arrives. Knowing where the gaps are can make it easier to find resources rather than trying to solve everything at once. Learn More About Adoption If you don’t want another abortion but aren’t ready to parent, adoption is another option. Today, a woman making an adoption plan can have a significant role in deciding what that plan looks like. Depending on the type of adoption, you may be able to choose an adoptive family and decide what level of contact you would like after placement. Open, semi-open, and closed adoption offer different levels of communication and privacy. Speaking with a licensed adoption professional can help you understand these differences, your rights, and what the process would involve before you make any commitments. Discuss Your Options in a Confidential Space Having had an abortion before does not mean you have to make the same pregnancy decision again. Your feelings, circumstances, priorities, or perspective may be different this time. If you know you don’t want another abortion, start by learning what parenting and adoption could realistically look like in your current situation. Collage provides a place to talk about your pregnancy and the concerns influencing your decision. We can also connect you with adoption agencies and community organizations that provide the support you’re seeking. Reaching out doesn’t lock you into a specific decision. Schedule a no-cost appointment with Collage today to get your questions answered and explore the options available to you. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
August 11, 2026
If your girlfriend is facing an unexpected pregnancy and considering the abortion pill, you're probably wondering about costs and whether insurance will cover it.
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