Tell me more about self-managed abortions and what do I do if it isn’t going well?
What Is a Self-Managed Abortion?
A self-managed abortion is when someone chooses to end their pregnancy outside of a medical setting, often using abortion pills. The two most common medications are:
Mifepristone: Blocks the hormone progesterone needed to maintain pregnancy.
Misoprostol: Causes the uterus to contract and expel the pregnancy.
This method is very safe and effective, especially within the first 12 weeks of pregnancy. Many people choose it for privacy, convenience, or due to barriers in accessing clinical care.
What to Expect
Cramping and Bleeding: It’s normal to experience heavy bleeding and cramping, similar to a miscarriage or very heavy period.
Side Effects: Nausea, vomiting, diarrhea, or chills can happen but usually go away quickly.
When It Works: Most people pass the pregnancy within a few hours after taking the misoprostol, though bleeding may continue for up to two weeks.
When to Get Help
While most people have no complications, it’s important to know the signs that something isn’t right:
Heavy Bleeding: Soaking more than two maxi pads an hour for two hours straight.
Severe Pain: Intense cramping that doesn’t improve with medication like ibuprofen.
Fever or Chills: A fever over 100.4°F (38°C) that lasts more than 24 hours may indicate an infection.
No Bleeding: If you don’t bleed within 24 hours after taking misoprostol, the abortion may not be complete.
What to Do if It Isn’t Going Well
Seek Medical Care: Go to an emergency room or urgent care center. You can tell them you’re having a miscarriage—there’s no test to detect abortion pills. Doctors are legally required to treat you, and you don’t need to share details unless you want to.
Call a Hotline:
M+A Hotline: 1-833-246-2632 (for medical questions about abortion pills).
Reprocare Healthline: 1-833-226-7821 (for support and guidance).
Follow Up: If you’re not sure if the abortion is complete, a follow-up with a trusted provider can confirm.
Tips for Managing a Self-Managed Abortion
Plan Ahead: Have pads, ibuprofen, and a support person (if possible).
Stay Informed: Use reliable sources like Plan C Pills or Aid Access for guidance.
Trust Yourself: Many people manage this process safely and successfully. Know the signs, and don’t hesitate to seek care if needed.
You have options and support available, no matter what happens.
It is worth noting: There are many companies that will ship abortion pills by mail. Many people are ordering abortion pills online from all states. Healthcare providers are able to mail to all 50 states, by using "shield laws" and having a license in the state they practice in. This shield law protects the provider. You may still face legal risks by accessing pills by mail in your state. For help with legal questions we recommend the Repro Legal Helpline at 844-868-2812.
