What Are the Side Effects of the Abortion Pill?

April 21, 2026
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Facing an unexpected pregnancy brings up a lot of questions, and it makes complete sense that you want to understand every option before deciding anything. If you're considering the abortion pill, knowing what it actually involves, including its side effects, is an important part of making a decision based on the facts.



You don't have to sort through this alone. Schedule a no-cost appointment with Collage today to get your questions answered.


How the Abortion Pill Works


The abortion pill uses two drugs taken in sequence. The first, mifepristone, blocks progesterone, a hormone that supports the growth and development of the pregnancy. Without it, the pregnancy detaches from the uterine lining. The second drug, misoprostol, is typically taken at home and causes the uterus to contract and expel the pregnancy tissue.


Heavy bleeding and cramping will be part of this process, and some women have described the pain as more severe than they anticipated.


Side Effects to Know


Beyond bleeding and cramping, the abortion pill can also cause these side effects:


  • Upset stomach
  • Vomiting
  • Diarrhea
  • Headache
  • Fever
  • Chills


These side effects vary from woman to woman, which is one reason having a healthcare provider involved matters. Without medical oversight, it can be difficult to know what's within the range of normal and what requires immediate attention.


Your personal health history also plays a role in how your body responds. Speaking with a medical professional before proceeding is an important step in protecting your well-being.


Why an Ultrasound Matters First


Before considering any pregnancy option, an ultrasound provides information that a pregnancy test simply cannot. It can confirm whether the pregnancy is progressing, rule out an ectopic pregnancy, and tell you how far along you are. The FDA approves the abortion pill only through 10 weeks gestation, making that last detail a critical piece of information for your safety.


We're Here for You


Whatever you're feeling right now, there’s no pressure here. At Collage, we genuinely care about you and want to make sure you have everything you need to make a sound decision. 


We offer lab-quality pregnancy testing and limited obstetrical ultrasounds, and our team is ready to talk through all your options, parenting, adoption, and abortion, in a warm, supportive environment.


Schedule your no-cost appointment today. We're so glad you reached out.


Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
 


All abortion information in this blog is based on accurate information at the time of writing.


September 30, 2026
If you took the first abortion pill, it’s possible to start wishing you hadn’t. The regret may have hit you immediately, or it might have taken a few hours to realize that you want to continue the pregnancy. Either way, there may still be something you can do: abortion pill reversal (APR) may be an option. The first drug used in the abortion pill regimen is usually mifepristone. If you have taken mifepristone but now want to continue your pregnancy, call the Abortion Pill Reversal Network at 1-877-558-0333 right away. Their Helpline is available 24/7 and can connect you with a medical provider who can administer APR. If You Have Only Taken the First Pill Mifepristone works by blocking progesterone. Progesterone helps maintain the lining of the uterus during pregnancy. When this hormone is blocked, the uterine lining thins, and the pregnancy ends. The second drug in the abortion pill regimen is misoprostol , which causes the uterus to contract and expel the pregnancy. Abortion pill reversal involves giving progesterone after mifepristone in an effort to allow the pregnancy to continue. Don’t Wait for Symptoms Before Calling You may wonder whether you should wait before deciding what to do. But if you want to try to continue the pregnancy, call first.  It’s critical to start the protocol as soon as possible, ideally within 24 to 48 hours of taking mifepristone. However, you should still call even when more time has passed; it may not be too late. A medical provider can determine whether APR may still be appropriate. Does Reversal Always Work? Abortion pill reversal cannot guarantee that the pregnancy will continue. One published study reported ongoing pregnancy rates of approximately 64% to 68% with certain progesterone regimens, but individual outcomes vary. The important thing is to get medical guidance quickly rather than trying to determine your chances on your own. What if You Already Took Misoprostol? If you have already taken misoprostol, contact a healthcare professional promptly and explain exactly what you took and when. You should also seek immediate medical attention if you develop symptoms that concern you or believe you may be experiencing a medical emergency. Make the Call Now Changing your mind after taking mifepristone can be frightening, especially when you’re unsure whether there is still time to act. You don’t need to figure that out yourself. Call the Abortion Pill Reversal Network at 1-877-558-0333 as soon as possible and tell them when you took mifepristone. They can explain whether abortion pill reversal may still be an option and connect you with an appropriate provider. You can also contact Collage if you need someone to speak with while you work through your next steps. We’re here to help you. *Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. **All abortion information in this blog is based on accurate information at the time of writing.
September 7, 2026
Seeing another positive pregnancy test after having had a past abortion may bring up memories or emotions from that experience. If you already know you don’t want another abortion, you may be wondering what other choices you have and whether either feels realistic for your life right now. You have time to learn about your options and the available support. Collage is here to give you a place to discuss your circumstances so you can decide what’s right for you. Schedule a no-cost appointment today to learn more about your pregnancy and what your next steps could look like. And read on to learn more about your pregnancy options besides abortion. Consider What Parenting Would Require You may want to parent but have concerns about whether you can make it work. Finances, housing, childcare, your relationship, work, or school can all influence how possible this option feels right now. Before deciding that those challenges make parenting unrealistic, it can help to identify your biggest concerns individually. Some of those concerns may have solutions you haven’t considered yet. Think about the support you already have, along with what you would need during pregnancy and after your baby arrives. Knowing where the gaps are can make it easier to find resources rather than trying to solve everything at once. Learn More About Adoption If you don’t want another abortion but aren’t ready to parent, adoption is another option. Today, a woman making an adoption plan can have a significant role in deciding what that plan looks like. Depending on the type of adoption, you may be able to choose an adoptive family and decide what level of contact you would like after placement. Open, semi-open, and closed adoption offer different levels of communication and privacy. Speaking with a licensed adoption professional can help you understand these differences, your rights, and what the process would involve before you make any commitments. Discuss Your Options in a Confidential Space Having had an abortion before does not mean you have to make the same pregnancy decision again. Your feelings, circumstances, priorities, or perspective may be different this time. If you know you don’t want another abortion, start by learning what parenting and adoption could realistically look like in your current situation. Collage provides a place to talk about your pregnancy and the concerns influencing your decision. We can also connect you with adoption agencies and community organizations that provide the support you’re seeking. Reaching out doesn’t lock you into a specific decision. Schedule a no-cost appointment with Collage today to get your questions answered and explore the options available to you. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
August 11, 2026
If your girlfriend is facing an unexpected pregnancy and considering the abortion pill, you're probably wondering about costs and whether insurance will cover it.
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