How Does The Abortion Pill Work And What Should I Expect?

  • Understanding medical abortion:

  • How does a medical abortion with abortion pills work?

  • Who is eligible for taking the abortion pills?

  • What are the common side effects and what to expect?

Understanding medical abortion:

The abortion pill is also famous as a medical abortion. There are 2 types of abortion which are medical abortion and the other one is surgical abortion. Medical abortion includes taking 2 pills to terminate the pregnancy and surgical abortion involves minor surgery to remove the pregnancy from the uterus.



Many women opt for medical abortion with MTP Kit as it is low-priced and does not involve any major surgery. The first pill is Mifepristone and the second is Misoprostol. The use of 2 medications together increases the effectiveness of pregnancy termination and also lower the risk of side effects. You can buy MTP Kit online or through the clinics that provide abortion services.


How does a medical abortion with abortion pills work?


If you taking both the medication for medical abortion, they will work together to terminate a pregnancy. The first pill Mifepristone will be taken orally. It operates by blocking the progesterone hormone. The outer lining of the uterus breaks causing an end to the pregnancy. About 24 to 48 hours after you consume the first pill you have to consume misoprostol which leads the uterus to expel and contract the embryo and uterine lining. You can intake Misoprostol 800 mcg by keeping it in the cheek pouch or under the tongue and let it dissolve for 30 minutes. If you have vomiting issues then you can take the pill vaginally by deeply inserting it into the vagina.


After you take both the pills as said you will observe bleeding and cramping which will ensure that your abortion process is started.


Who is eligible for taking the abortion pills?

Women who are within 9 weeks pregnant are suitable to take the abortion pill. After 9-10 weeks, there are likely chances for the abortion pill to fail so it is advised to opt for a surgical abortion prior to consulting your medical practitioner. However, in some cases, women with certain issues and pre-existing medical conditions are not eligible to take the abortion pill. So the conditions include:

  • Women who are allergic to Mifepristone and Misoprostol pills

  • Women with an ovarian mass or suspected ectopic pregnancy

  • Women with long-term corticosteroids

  • Those who do not understand the process to use abortion pills or if there is no emergency center nearby

  • Certain genetic disease

  • Women who have kidney, heart, or liver issues

  • Who has a molar pregnancy- where the placenta grows abnormally?

  • Women with bleeding problems, or who are taking anti-clotting medicines

  • Who has an IUD installed (you can take the pills after you have removed the IUD)


What are the common side effects and what to expect?

Women who experience medical abortion often experience cramping and bleeding which lasts for up to 2 weeks after the abortion procedure, you will also observe severe bleeding and passing of big clots. Some other common side effects of abortion pills include:

  • Diarrhea

  • Body pain

  • Short-lasting hot flashes

  • Nausea and vomiting

  • Tiredness

  • Mild fever

  • Headache or feeling dizzy

Most women will notice vaginal bleeding from hours to a day after taking the misoprostol medication. It’s normal to experience low bleeding, cramping, and spotting up to 4 weeks after a medical abortion.

These are common symptoms that every woman going for medical abortion should expect and prepare themselves to deal with it. However, if any severe side effect is observed then medical assistance is suggested.