During your first visit, we’ll confirm the date of your pregnancy, go over the medication abortion process, answer any questions, and offer non-judgmental and confidential support to help make your experience as comfortable as possible. Some patients may need an ultrasound or blood test. 

If you do not want to become pregnant again soon, our staff can help you choose a birth control method and discuss when to start the method you choose. Some birth control methods can be started at your abortion appointment. 

We will give you both of your medications. You can choose to take the first medication, mifepristone, in the office or at home when you’re ready. Most people have no side effects from the first medication.

The second medication, misoprostol, is taken at home 12-48 hours later (these pills are usually placed between your cheek and gum for 30 minutes or placed in the vagina). Misoprostol causes cramping and bleeding, which empties your uterus and helps you pass the pregnancy through the vagina.

The cramping and bleeding can be intense and last up to 12 hours, so we recommend planning ahead to make sure you will be someplace safe where you have access to a bathroom and will be able to rest. For most people, the process takes around 5 hours, but it can take up to 12 hours for some. The medication abortion process feels similar to an early miscarriage. It’s normal to have cramping and bleeding and to pass clots and tissue, like a heavy period. You may also have an upset stomach, diarrhea, dizziness, and a mild fever.

You might also have mild cramping for a few days after, but that normally isn’t enough to prevent people from going back to work or school.

After you pass the pregnancy, you’ll have a follow-up appointment to confirm the abortion is complete. You can choose a telehealth follow-up or an in-clinic follow-up.