About Medical Abortion

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Many countries have laws surrounding the availability of abortion and the use of abortion pills. In countries where abortion is not restricted, most doctors recommend using the medications mifepristone and misoprostol in the first 11 weeks of a pregnancy, but misoprostol by itself is also highly effective in the first 11 weeks. The symptoms of an abortion with pills are very similar to a spontaneous miscarriage, and an abortion with pills is safe for women to use privately.

The medicine used in medication abortion pills works by relaxing and opening the cervix (opening to the uterus), and causing the uterus to contract, which pushes out the pregnancy.

With misoprostol, usually within 1 to 2 hours of the first set of pills being absorbed into your body, you will start cramping and bleeding. The abortion usually happens within 24 hours of taking the last pills of misoprostol. Often, it happens before that.

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If you are concerned, you may be able to tell when you pass the pregnancy tissue. It may look like small dark colored grapes and thin membranes; or a small sac surrounded by a white, fluffy layer. Depending on the age of the pregnancy, these tissues can be smaller than your fingernail, up to the size of your thumb. If you can identify these tissues, that is an indication that the abortion is successful. Often, pregnancy tissue may be wrapped in blood clots. You may not see it unless you look very carefully.


All content featured on this website is written by the HowToUseAbortionPill.org team in compliance with standards and protocols from The National Abortion Federation, Ipas, the World Health Organization, DKT International and carafem.

The National Abortion Federation (NAF) is the professional association of abortion providers in North America, and a leader in the pro-choice movement. Content on HowToUseAbortionPill.org is aligned with the 2020 Clinical Policy Guidelines released by NAF.

Ipas is the only international organization solely focused on expanding access to safe abortion and contraceptive care. Content on HowToUseAbortionPill.org is aligned with the Clinical Updates In Reproductive Health 2019 released by Ipas.

The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. Content on HowToUseAbortionPill.org is aligned with the 2012 Safe abortion: technical and policy guidance for health systems released by WHO.

DKT International is a registered, non-profit organization founded in 1989 to focus the power of social marketing on some of the largest countries with the greatest needs for family planning, HIV/AIDS prevention and safe abortion.

carafem is a clinic network providing convenient and professional abortion care and family planning so people can control the number and spacing of their children.


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