What is the Abortion Pill?

The abortion pill is a method used to end an early pregnancy using two medications: mifepristone and misoprostol. It is also commonly called a medical abortion.

The abortion pill affects a developing pregnancy after conception has already occurred.

Mifepristone works by blocking progesterone, a hormone needed to support the developing pregnancy. Misoprostol causes the uterus to contract, leading to cramping and bleeding as the pregnancy ends.

The abortion pill is typically used during the first trimester of pregnancy, although timing can vary depending on medical guidance and state laws.

How Does the Abortion Pill Work?

The process usually involves two separate medications.

Mifepristone

This medication blocks progesterone, which interrupts the hormonal support needed for the developing pregnancy to continue.

Misoprostol

Misoprostol is taken afterward and causes uterine contractions, cramping, and bleeding.

Many women experience:

  • Heavy bleeding
  • Cramping
  • Nausea
  • Fatigue
  • Fever or chills
  • Digestive discomfort

Experiences can vary from person to person. 

Why Pregnancy Confirmation Matters

Before taking the abortion pill, it is important to confirm:

  • How far along the pregnancy is

  • Whether the pregnancy is viable

  • Whether the pregnancy is located inside the uterus

An ultrasound can help identify concerns such as ectopic pregnancy, which cannot be treated with the abortion pill and may require emergency medical care.

Risks and Side Effects

Possible risks may include:

  • Incomplete abortion

  • Heavy bleeding

  • Infection

  • Severe cramping

  • Continued development of the pregnancy

  • Emotional stress

Frequently Asked Questions

Is the abortion pill the same as Plan B?

No. Plan B is emergency contraception intended to help prevent pregnancy before it occurs. The abortion pill is used after pregnancy has already begun.

How long does the process take?

Bleeding and cramping may begin within hours after taking misoprostol and can continue for days or weeks.

Can an ultrasound tell how far along I am?

Yes. An ultrasound can estimate gestational age and help confirm pregnancy development.

Learn More About Your Pregnancy

If you think you may be pregnant, getting clear information about your pregnancy can help you understand your options and next steps.