What Are Abortion Pills?
Abortion pills are prescription medications used for medical abortion to terminate early pregnancies. The two main drugs are mifepristone (Mifeprex) and misoprostol (Cytotec), which together provide a non-surgical method for ending pregnancy.
Mifepristone blocks progesterone, the hormone needed to maintain pregnancy, while misoprostol causes uterine contractions to expel the pregnancy tissue. Medical abortion is effective for pregnancies up to 70 days (10 weeks) from the last menstrual period.
The FDA first approved mifepristone in 2000 and extended its use to 10 weeks of gestation in 2016. Generic versions are now available, with the most recent approval in October 2025.
How Do Abortion Pills Work?
Abortion pills work through a two-step process using mifepristone and misoprostol. The mechanism involves blocking pregnancy hormones and inducing uterine contractions to end the pregnancy.
Mifepristone (Day 1)
This anti-progesterone medication blocks the hormone progesterone that maintains pregnancy. Without progesterone, the uterine lining breaks down, stopping pregnancy growth and causing the embryo to detach.
Misoprostol (Day 2-3)
Taken 24-48 hours after mifepristone, this prostaglandin analog causes strong uterine contractions that expel the pregnancy tissue. It also helps soften and open the cervix.
The combined effect mimics a natural miscarriage, with cramping and bleeding that typically lasts several days to weeks.
Where to Buy Abortion Pills?
Certified medical providers can prescribe abortion pills through established healthcare systems. Planned Parenthood and other reproductive health clinics offer in-person consultations and medication dispensing. Fullhousepill is a certified pharmacy that dispenses abortion pills in select states where abortion is legal.
Abortion Pill Costs and Pricing
United States Pricing
Average abortion pill cost ranges from $150-$800. Pricing varies significantly based on provider type and insurance coverage.
| Provider Type | Cost Range |
|---|---|
| Telehealth (Hey Jane, Aid Access) | $150–$580 |
| Planned Parenthood clinics | $580 average |
| In-person medical visits | $600 |
| International suppliers | $105–$500 |
How to Use Abortion Pills Safely?
Dosage Instructions
- Day 1 – Mifepristone: Take one 200mg tablet by mouth with water. Most patients experience no immediate side effects, though light bleeding may occur.
- Day 2-3 – Misoprostol: Take four 800mcg tablets either buccally (in cheek pouches) or vaginally. Allow pills to dissolve for 30 minutes before swallowing the remaining portions.
- Follow-up: Schedule a visit 7-14 days later to confirm a complete abortion.
Timing and Location
Plan to take misoprostol when you can rest at home for 24-48 hours. Arrange for someone to be with you or nearby for support. Cramping and bleeding typically begin within 2-24 hours of taking misoprostol.
Side Effects and What to Expect
Expected Side Effects
- Cramping: Uterine contractions that expel pregnancy tissue
- Heavy bleeding: Often heavier than normal periods with clots
- Nausea and vomiting: Temporary stomach upset
- Diarrhea: Digestive side effects from prostaglandins
- Fever and chills: Body’s response to medication
- Fatigue: Feeling weak or tired for 1-2 days
Bleeding Patterns
Vaginal bleeding typically lasts 9-16 days but can continue for up to 30 days. Bleeding may be lighter in earlier pregnancies (6 weeks or less). Normal bleeding includes:
- Heavier flow than regular periods
- Blood clots up to tennis ball size
- Tissue passing from the uterus
When to Seek Medical Care?
Contact your healthcare provider immediately if you experience:
- Fever lasting more than 24 hours
- Very heavy bleeding (soaking 2 large pads per hour for 2 hours)
- Severe abdominal pain
- Signs of infection (prolonged fever, weakness)
- No bleeding after 24 hours (may indicate incomplete abortion)
Safety and Effectiveness
Abortion pills are 96-99% effective when used correctly. A study of over 4,000 patients found that 96.4% successfully ended their pregnancy with mailed pills. The FDA requires certified providers to dispense mifepristone through the Mifepristone REMS Program. Providers must have access to ultrasound equipment and emergency surgical intervention if needed. Patients should not purchase abortion pills online outside the regulated system, as quality and safety cannot be guaranteed.
Frequently Asked Questions
Can I get abortion pills from regular pharmacies?
Yes, CVS and Walgreens now dispense mifepristone in select states where legally permitted. You need a valid prescription from a certified provider.
How much do abortion pills cost?
Abortion pills cost $150-$800 depending on the provider. Telehealth services typically charge $150-$580, while in-person clinics average $600.
Are abortion pills safe?
Abortion pills are very safe when used under medical supervision. Clinical studies show 96-99% success rates with minimal serious complications.
Can I get abortion pills by mail?
Yes, several services mail abortion pills including Hey Jane and Aid Access. Pills arrive in discreet packaging within 1-5 days in participating states.
What’s the difference between abortion pills and Plan B?
Abortion pills end existing pregnancies, while Plan B prevents pregnancy after unprotected sex. Plan B must be taken within 72 hours of intercourse, while abortion pills work up to 10 weeks of pregnancy.
Do I need to see a doctor in person?
Many states allow telehealth consultations for abortion pills. However, some states require in-person visits or have other restrictions.
Abortion pills provide a safe, private method for ending early pregnancy when obtained through licensed providers with proper medical supervision. The two-drug regimen of mifepristone and misoprostol is 96-99% effective for pregnancies up to 10 weeks gestation.
Multiple access options exist including certified pharmacies, telehealth services, and traditional healthcare providers, though availability varies by state. Costs range from $150-$800 depending on the provider and insurance coverage.
Patients should always consult with licensed healthcare providers and avoid purchasing medications from unregulated sources to ensure safety and effectiveness. With proper medical guidance, abortion pills offer an effective alternative to surgical procedures for early pregnancy termination.
