How Does the Abortion Pill Work?
The abortion pill (also known as medication abortion) actually consists of two pills: mifepristone and misoprostol.
Mifepristone is taken first, usually in a clinic. This medication cuts the supply of the hormone progesterone to the embryo, which is needed to maintain the pregnancy. The embryo stops growing without a steady supply of progesterone.
Misoprostol is taken 24-48 hours later at home. This medication makes the uterus cramp and expel the fetus, which ends the pregnancy.
How Late Can You Take the Abortion Pill?
You can’t take the abortion pill beyond 10 weeks of pregnancy (or 70 days since the first day of your last menstrual period)[1]. This is because it becomes less effective the farther along you are.
If you take the abortion pill later on in your pregnancy, you could experience serious complications and may need emergency surgery to complete the procedure.
Is Abortion Legal in Minnesota?
Currently, abortion is legal in Minnesota all throughout pregnancy[2]. Although Minnesota law doesn’t require it, we also recommend receiving an ultrasound beforehand.
Can I Get Abortion Pills Over the Counter?
Certain pharmacies are now authorized to dispense the abortion pill. However, you can’t purchase it in the same way you would Tylenol or allergy relief medications. The FDA requires a prescription from a qualified physician in order to take the abortion pill[1].
Can I Order the Abortion Pill Online?
The FDA advises against ordering the abortion pill online. Many online abortion pill providers are located overseas, so the pills they provide may not meet FDA standards[3]. These pills could be counterfeit, expired, or even tampered with! It’s best to err on the side of caution and avoid ordering the abortion pill online.
Abortion Pill Information in St. Cloud and Waite Park, MN
When those two lines first appear, it can be easy to panic. Don’t let fear make the final decision for you! Get the care and support you deserve at Pregnancy Resource Center + Medical Clinic! We offer free pregnancy resources, so you can make an empowered decision for your unplanned pregnancy:
- Free pregnancy tests
- Free ultrasounds
- A safe, non-judgemental place to explore your pregnancy options and share what’s on your mind
Call us at (320) 253-1962, text us at (320) 434-1772, or schedule your appointment online today.
Please be aware that Pregnancy Resource Center + Medical Clinic does not provide or refer for abortion services.
Sources
- FDA. (2023, September 1). Questions and Answers on Mifeprex. U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifeprex
- CHAPTER 4--H.F.No. 1. Office of the Revisor of Statutes. (2023, January 31). Retrieved from https://www.revisor.mn.gov/laws/2023/0/Session+Law/Chapter/4/
- Center for Drug Evaluation and Research. (2023, March 23). Mifeprex (Mifepristone). U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/mifeprex-mifepristone-information
Can Misoprostol Work Without Mifepristone?
Over the past few months, there’s been a legal battle over access to mifepristone (also known as Mifeprex), one of the drugs used in the abortion pill regimen. In response, some women have turned to misoprostol-only abortions. If you’re facing an unplanned pregnancy and your state has been affected by the mifepristone ban, you may be wondering if a misoprostol-only abortion is the right choice for you.
In this article, we’ll explore how misoprostol-only abortions work, their risks and side effects, and help you take your next steps! Keep reading to learn more.
How Does a Misoprostol-Only Abortion Work?
Normally, two pills are taken in the abortion pill regimen.
Mifepristone is taken first, which blocks the supply of the hormone progesterone to the embryo, which is needed to maintain the pregnancy. The embryo stops growing without a steady supply of progesterone. Misoprostol is taken 24-48 hours later, which causes the uterus to cramp, bleed, and expel the pregnancy.
In a misoprostol-only abortion, you skip the mifepristone and take multiple doses of misoprostol instead. The dose you take depends on your gestational age. Misoprostol can only be taken through ten weeks gestation (or 70 days or less since the first day of the last period)[1].
Are Misoprostol Only Abortions Safe?
Although misoprostol alone can be used to induce an abortion, this method is not as effective as the combination of mifepristone and misoprostol[2]. Misoprostol can also cause severe side effects, such as[3]:
- Low blood pressure (hypotension)
- Faster than normal heart rhythm (sinus tachycardia)
- Heart attack (myocardial infarction)
- Cuts or tears to the cervix (cervical laceration)
- Uterine rupture
- Infection (caused by a uterine rupture)
- Severe allergic reaction
It’s also important to note that not everyone can take misoprostol. Those who experience kidney disease, stomach ulcers, inflammatory bowel disease, heart or blood vessel problems, or dehydration should not take misoprostol, as it could worsen their conditions[4]. Speak to your doctor beforehand and never order misoprostol online without a prescription!
Which is Safer: D&C or Misoprostol?
If you’re not able to take misoprostol, you may be wondering if a dilation and curettage (D&C) is a better option. Unfortunately, D&Cs also come with serious risks, including:
Asherman’s Syndrome
Asherman’s Syndrome is a condition where scar tissue builds up inside the uterus[5]. Women who have had multiple D&Cs are at greater risk of developing Asherman’s Syndrome. In the first trimester, up to 13% of women develop the condition after a D&C. For women who have late-term abortions, the risk jumps to 30%[6].
Cervical Damage
The cervix can be torn during a D&C. The provider may have to administer medicine or stitch the wound to stop the bleeding[7].
Uterine Perforation
The surgical tools used in a D&C may accidentally poke a hole in the uterus. The wound may be able to heal on its own, but if an organ is damaged, you may need surgery to treat it[7].
Explore Your Options at Pregnancy Resource Center +Medical Clinic
An unplanned pregnancy comes with a lot of overwhelming choices. Even one choice can feel like one too many. You don’t have to take this next step alone! Pregnancy Resource Center +Medical Clinic is a safe, confidential place to explore your pregnancy options at your own pace. We’re here to help you make an informed and empowered decision.
Call us at (320) 253-1962 or schedule your appointment online today! All services are free and confidential.
Please be aware that Pregnancy Resource Center +Medical Clinic does not provide or refer for abortion services.
Sources
- FDA. (2023, September 1). Questions and Answers on Mifeprex. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
- Schreiber, C. A., Creinin, M. D., Atrio, J., Sonalkar, S., Ratcliffe, S. J., & Barnhart, K. (2018, June 7). Mifepristone Pretreatment for the Medical Management of Early Pregnancy Loss. The New England Journal of Medicine. https://pubmed.ncbi.nlm.nih.gov/29874535/
- Krugh, M., & Maani, C. V. (2023, April 21). Misoprostol. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK539873/
- Mayo Foundation for Medical Education and Research. (2023, February 1). Misoprostol (Oral Route) Side Effects. Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/misoprostol-oral-route/side-effects/drg-20064805?p=1
- Asherman's Syndrome. Cleveland Clinic. (2022, January 8). Retrieved from https://my.clevelandclinic.org/health/diseases/16561-ashermans-syndrome
- Smikle, C., Yarrarapu, S. N. S., & Khetarpal, S. (2023, July 24). Asherman Syndrome. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK448088/
- Mayo Foundation for Medical Education and Research. (2021, October 19). Dilation and Curettage (D&C). Mayo Clinic. https://www.mayoclinic.org/tests-procedures/dilation-and-curettage/about/pac-20384910
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