Considering Medication Abortion

Medication Abortion

First Trimester – Up to 7 Weeks LMP

The abortion pill goes by many names, including medication abortion, early medication abortion, RU-486, Mifeprex (Mifepristone) and Mifeprostol. Women who had their last period within the past seven weeks (49 days) can take the abortion pill to end a pregnancy through abortion.

Nearly 1 in 4 abortions in the U.S. are now done by early medication abortion, and doctors in some states can give an abortion pill from a distance in what is called  a telemedicine abortion.

The abortion pill is approved by the U.S. Food and Drug Administration for use in women up to the 49th day after her last menstrual period. It's important to know that some abortion doctors give the pill to a woman who is past the FDA’s approved 49-day-limit, and even some doctors who have been arrested and charged with giving the pill to non-pregnant women. If you find that a doctor is giving you the pill and you are past 49 days, they are not looking out for your best interest.

In order to make sure you’re safe during this process, always ask for a doctor or other qualified medical professional (registered nurse or sonographer) to do an ultrasound to make sure you’re pregnant and within the seven weeks the FDA requires.

Since a medication abortion will not end a life-threatening ectopic pregnancy (when an embryo implants somewhere other than the uterus), your life could be in danger if you do not confirm that you are pregnant with an ultrasound.

You can find the free ultrasound services at the Hope Clinic by clicking the button below or texting HELPLINE to 313131. You can also call us at 260.589.3561 or 260.728.4191.                                                           

If you choose to use a medication abortion to end your pregnancy, you will need to make three separate visits to the doctor’s office:

  1. On the first visit, you will be given three pills (Mifepristone) to begin the process of ending your pregnancy by causing the death of your embryo. This works by stopping the hormone responsible for developing protective and nourishing lining of the uterus. Thus, the unborn fetus dies in the womb.
  2. Two days later, if your embryo has not been expelled from your body, you will be given a second drug, Misoprostol, to insert into your vagina which induces labor completing the abortion. Expect bleeding, cramping, contractions, nausea, abdominal pain, and/or dizziness. Bleeding can begin at any time from immediately after taking the medication to several hours or even days later; it all depends on the women who are going through the abortion process. When the second tablet is taken, contractions can occur within 20 minutes though sometimes it takes as long as 8 hours to kick in. The amount of bleeding to expect again varies from woman to woman, though in all cases it will usually present with blood clots of various sizes as well as your fetus.
  3. One to two weeks later, you would make a third visit to check whether your pregnancy has been ended by the abortion. Following the abortion, your menstrual cycle will be reset and regular periods will return in one to two months.

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What if I change my mind after taking the first pill?

If you change your mind after taking the first pill, please contact us and we will connect you with a  network of doctors who can reverse the effects of Mifepristone in some cases, or call Chemical Abortion Reversal Hotline at 1-877-558-0333.

What are the side effects of taking these pills?

It is common for a woman to experience both bleeding and cramping while going through the termination process. However, as it is difficult to know where to draw the line between normal bleeding and excessive blood loss, it’s crucial to take as many follow-up examinations as deemed necessary by the caregiver. Bleeding to a lesser extent can go on for a full month or so after taking abortion pills, though if at any time the bleeding becomes as bad as or worse than what you’d consider to be a heavy period, you need immediate medical advice.

Other side effects commonly experienced by women after taking abortion pills include dizziness, tiredness, back pain, vomiting, headache, nausea, diarrhea and general weakness.

Can anyone take these pills?

Those Who Can Take the Abortion Pill

In order to consider you as a safe candidate for abortion pill prescription, your doctor will most likely insist that:

  • you are no more than eight weeks into your suspected pregnancy.
  • you are over the age of 18 or have the necessary parental consent.
  • you can prove you are able to travel to and from the clinic with ease and can keep in contact via telephone.
  • you don’t live more than an hour or two from an emergency care facility.
  • you can attend as many follow-up appointments as deemed necessary.
  • you consent to go into a surgical termination if the abortion pills prescribed don’t work.

Those Who Should Not Take the Abortion Pill

As all abortion pills carry certain risk factors, it is possible they will not be prescribed to you by your doctor, particularly in the case you:

  • have suffered from any kind of clotting problem before.
  • suffer from anemia.
  • are on a course of corticosteroids.
  • present any signs of growths or abnormalities in the ovaries or tubes.
  • are suspected to be allergic to any of the medications to be prescribed.
  • suffer from porphyria.
  • have diarrhea at the time.

If you’re looking for more information, you can email us at, text HELPLINE to 313131, or call us at 260.589.3561 or 260.728.4191. We’re here to help.



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