If you’re considering taking the abortion pill, knowing what to expect physically can help you make an informed choice and know when something may be wrong.
The abortion pill (also called medical abortion) is a two-drug regimen: mifepristone followed by misoprostol. Both drugs work together to end a pregnancy, and that process causes physical effects, especially after misoprostol. Some of these are unavoidable because they are how the medication works. Others are less common but worth knowing about.
Find a nearby provider for free pregnancy testing, ultrasounds, and information on all your options.
Expected Side Effects from Misoprostol
The following two side effects are expected parts of the abortion pill process. They occur after the drug, misoprostol, which causes your uterus to contract to expel the pregnancy:
- Vaginal bleeding – heavier than a period, which can include clots and tissue. Blood clots up to the size of a lemon are considered normal. Any clots larger than a lemon require medical attention.
- Abdominal cramping – often intense, caused by uterine contractions expelling the pregnancy. Many women take or are prescribed painkillers for the cramping.
These effects can range from mild to severe. Heavy bleeding and significant cramping are parts of the process, but it is important to know the signs that something may be wrong.
Other Side Effects
In addition to vaginal bleeding and cramping, other potential side effects include:
- Upset stomach
- Vomiting
- Fever
- Chills
- Diarrhea
- Headache
These symptoms are most common a couple of hours after taking misoprostol and should resolve on their own. If they do not resolve, notify a healthcare professional.
When to Seek Medical Attention
Additional signs to call a healthcare professional include:
- Heavy bleeding, such as soaking two or more pads per hour for two consecutive hours
- Fever lasting more than four hours or in the days after misoprostol
- Severe abdominal pain in the stomach area or pelvis
- Foul-smelling vaginal discharge
- Chills or body aches
Before You Decide: Get the Full Picture
If you’re facing an unexpected pregnancy and still weighing your options, you don’t have to navigate this alone. Pregnancy service providers across Florida offer professional services and are ready to help. You can find the following services:
- Pregnancy testing
- Ultrasounds to confirm the pregnancy and how far along you are
- Information on all your options, including parenting, adoption, and abortion
- Connections to local resources and support
Find a pregnancy help near you. All services are free and confidential.