Medication abortion involves taking two medicines:

1. Mifepristone – Blocks the pregnancy hormone (progesterone)
2. Misoprostol – Causes the uterus to contract and expel the pregnancy

This process is similar to a miscarriage and can be done at home.

Day 1: Take Mifepristone

• Usually taken at the clinic or at home
• Most people do not feel different after this pill
• Some may have light spotting or nausea

6–48 Hours Later: Take Misoprostol

• Taken buccally (in cheeks), sublingually (under tongue), or vaginally
• Causes cramping and bleeding, which is the abortion process

⏱️ Within 1–4 hours:

• Cramping and bleeding begin
• Bleeding may be heavier than a period
• You may pass large clots or tissue
• Cramping can be strong, but can be managed with pain medication

⏱️ 4–24 hours:

• Bleeding and cramping usually slow down
• Pregnancy tissue is usually passed during this time

✅ Normal symptoms:

• Heavy bleeding (like a heavy period)
• Large clots
• Cramps (strong, like period or labor cramps)
• Nausea, vomiting, diarrhea, chills, fever (temporary)

You can use:

• Ibuprofen (Advil/Motrin): 600–800 mg every 6–8 hours
• Heating pad on lower belly
• Rest in a comfortable place with access to a bathroom
• Have pads, water, snacks, and support nearby

• Bleeding: Light to moderate for up to 2–3 weeks
• Cramping: Usually improves after the first day
• Period: Should return in 4–8 weeks
• Emotions: It's normal to feel relief, sadness, or both