Medical abortion: what it is and what to expect

Medical abortion (also called medication abortion) uses pills, not surgery, to end an early pregnancy. It’s commonly done in the first 10 weeks of pregnancy and is highly effective when given by a reputable provider. The process is predictable: you’ll take prescribed medicine, experience cramping and bleeding as the pregnancy ends, and then follow up with your clinician to confirm it’s complete. This page gives straightforward, practical info so you know what to expect and when to get help.

What happens during a medical abortion

Most medical abortions use two medicines that work together; your provider will explain which ones and the timing. After the first pill, the second one is taken hours to days later to cause the uterus to contract and expel the pregnancy. Expect heavy bleeding and strong cramps for several hours—often heavier than a normal period and including blood clots. Nausea, vomiting, diarrhea, chills or a low-grade fever can happen too, but they usually pass within a day or two. You can use safe pain relief (your clinician will advise options) and rest at home during the heaviest part of bleeding.

How long it takes to finish varies. Many people pass the pregnancy within a few hours, while for others it can take a couple of days. Follow-up is important: providers usually ask you to return, do a urine test, or take a blood test about 1–2 weeks later to confirm the abortion is complete.

Safety, side effects, and when to seek help

Medical abortion is safe for most people, but you should get care from a licensed clinic or a trusted telehealth service. Common side effects are heavy bleeding, cramping, and temporary digestive upset. Call your provider or emergency services if you experience any of these: soaking through two or more pads per hour for two hours straight, a fever above 38°C (100.4°F) lasting more than 24 hours, severe pain that painkillers don’t relieve, fainting, or foul-smelling discharge. Also seek care if pregnancy symptoms continue or you suspect the abortion didn’t work.

Legal rules and access vary by country and state. Some places offer in-person clinic visits only; others allow telehealth and pharmacy pickup or delivery. Avoid unknown online sellers; always confirm the provider is licensed and that the medication is genuine. If you’re past the gestational limit for medication abortion, surgical options are available and your clinician can explain them.

Feeling anxious or emotional afterward is normal. If you want emotional support, ask your provider about counseling or local support groups. If you have future fertility questions, most evidence shows medical abortion does not harm long-term fertility.

If you’re thinking about medical abortion, contact a trusted clinic or telehealth service to discuss timing, medical history, and follow-up. Quick access to accurate information and a reliable provider makes the process safer and less stressful.

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