Frequently Asked Questions

Find answers to common questions about medication abortion and the Pill Access process.

About Medication Abortion

Medication abortion uses medicines to end an early pregnancy. The FDA-approved regimen uses mifepristone and misoprostol for an intrauterine pregnancy through 10 weeks (70 days) from the first day of the last menstrual period.

Mifepristone blocks progesterone, a hormone needed for pregnancy to continue. Misoprostol causes the uterus to contract and helps the uterus empty.

Medication abortion is considered safe and effective when used appropriately. As with any medical treatment, there are risks and possible complications. A licensed healthcare professional reviews your information to determine whether it is appropriate for you.

Medication abortion does not generally affect future fertility. You can become pregnant again after an abortion.

Before Starting

The FDA-approved mifepristone and misoprostol regimen is indicated for an intrauterine pregnancy through 10 weeks (70 days), calculated from the first day of your last menstrual period.

Not everyone needs an ultrasound before medication abortion. The need for an ultrasound or other evaluation depends on your individual circumstances and clinical assessment.

They may review your pregnancy duration, medical history, medications, allergies, IUD status, and symptoms or risk factors for ectopic pregnancy.

An IUD must be removed before taking mifepristone for medication abortion under the FDA-approved regimen. Your healthcare professional can advise you about the appropriate next step.

Tell the healthcare professional about all medical conditions and medications you take. Certain conditions and medicines can make medication abortion inappropriate, including some bleeding disorders, anticoagulant use, long-term corticosteroid therapy, and certain adrenal conditions.

Starting Care Through Pill Access

Begin through the Pill Access online process and provide the requested pregnancy and health information.

A licensed healthcare professional independently reviews the information you provide and determines whether medication abortion is appropriate for you.

Pill Access facilitates the online process and connects patients with licensed healthcare professionals. Pill Access does not independently make clinical decisions or prescribe medication.

If a licensed healthcare professional prescribes medication, it is fulfilled through a licensed pharmacy partner.

No. A prescription is not guaranteed. The licensed healthcare professional independently determines whether medication abortion is appropriate based on your individual circumstances.

During Medication Abortion

Cramping and vaginal bleeding are expected. You may also experience nausea, vomiting, diarrhea, headache, chills, or fever. Your healthcare professional will explain what to expect and when to seek medical care.

Seek urgent medical care for severe or worsening symptoms, very heavy bleeding, fainting, or other symptoms that concern you. Your healthcare professional should provide specific guidance about warning signs and emergency care.

No. Medication abortion does not treat an ectopic pregnancy. A confirmed or suspected ectopic pregnancy is a contraindication to the FDA-approved mifepristone regimen and requires appropriate medical evaluation.

After Medication Abortion

Your healthcare professional will provide follow-up guidance to determine whether the abortion is complete and whether additional care is needed.

Yes. Fertility can return soon after a pregnancy ends. If you want to avoid another pregnancy, discuss contraception with a healthcare professional.

Follow the instructions and support information provided by your healthcare professional. You can also contact Pill Access support for questions about the online process.

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This FAQ provides general educational information and does not replace individualized medical advice or care from a licensed healthcare professional.

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