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Medication abortion — also called the abortion pill — is a safe and effective way to end an early pregnancy.
What is the abortion pill?
“Abortion pill” is the common name for using two different medicines to end a pregnancy: mifepristone and misoprostol. You can also use misoprostol alone to have an abortion.
First, you take a pill called mifepristone. Pregnancy needs a hormone called progesterone to grow normally. Mifepristone blocks your body’s own progesterone, stopping the pregnancy from growing.
Then you take the second medicine, misoprostol, either right away or up to 48 hours later. This medicine causes cramping and bleeding to empty your uterus. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. If you don’t have any bleeding within 24 hours after taking misoprostol, call your nurse or doctor.
Your doctor or nurse may give you both medicines at the health center. In some states you can do a virtual visit and have the pills mailed to you or pick them up at a local pharmacy. Some states have laws that say you must come to the health center for a separate visit before you get the abortion pills.
Your doctor or nurse will give you detailed directions about where, when, and how to take the medicines. And they’ll talk with you about medicines to manage side effects, like cramp pain and nausea.
How effective is the abortion pill?
The abortion pill is very effective. If you’re taking mifepristone and misoprostol, it depends on how far along the pregnancy is, and how many doses of medicine you take:
At 8 weeks pregnant or less, it works about 94-98% of the time.
At 8-9 weeks pregnant, it works about 94-96% of the time.
At 9-10 weeks pregnant, it works about 91-93% of the time.
If you take an extra dose of misoprostol, it works about 99% of the time.
At 10-11 weeks pregnant, it works about 87% of the time.
If you take an extra dose of misoprostol, it works about 98% of the time.
In general, taking both mifepristone and misoprostol works a bit better than taking misoprostol only.
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