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Pills by Post – Abortion Pill treatment at home
For women from England and Wales
If you are from Scotland and want to access Pills by Post please visit this website for

more information about how to access abortion in your area.

Medical abortion: The abortion pill by post
This service is a safe and legal way to end a pregnancy at an early gestation without needing to attend a clinic for treatment. You should contact BPAS on our bookings and information line 03457 30 40 30 to book a telephone consultation and full medical assessment with a trained nurse or midwife who will assess your suitability for treatment. Most women are eligible for NHS funded treatment and we can discuss whether this applies to you when you call. If treatment is suitable and safe, you will receive abortion pills by post a few days later, or we can book you for an alternative treatment in clinic.

Before Treatment
Medical assessment
Consent
Expected effects of treatment
Risks and complications of the abortion pill
Your treatment pack
Legal reminders about abortion medication
Treatment
About medical abortion: The abortion pill
How to take mifepristone and misoprostol
Passing the pregnancy (and bleeding)
Pregnancy remains
Pain control
After treatment
Follow-up instructions
Recovery
Important/unexpected or unusual symptoms after treatment
More information
What can I do?
Other questions you may have

Feedback and complaints

How does the abortion pill work?
In This Section
The Abortion Pill
How does the abortion pill work?
What can I expect after I take the abortion pill?
How do I use the abortion pill?
How safe is the abortion pill?
How do I get the abortion pill?
How much does the abortion pill cost?
The abortion pill causes cramping and bleeding that can last several hours or more. You can be at home, or wherever is comfortable for you. Plan on taking it easy for the day.

Thinking about getting the abortion pill?
FIND A HEALTH CENTER
What do I need to do before I take the abortion pill?
Before you take the abortion pill, you’ll meet with your nurse, doctor, or health center staff to talk about whether abortion is the right decision for you, and what your abortion options are. You’ll get an exam and lab tests, and you may get an ultrasound to figure out how far into your pregnancy you are.

Your nurse or doctor will let you know if there’s anything else you need to do to prepare for your abortion. They’ll give you written instructions on how to take your pills. You will have access to a caring professional through the process — you’ll get a number you can call 24/7 if you have any questions or concerns.

You’ll have a lot of bleeding and cramping after you take the second medicine, so plan ahead to make the process more comfortable. You can be at home, or wherever is comfortable for you to rest. You may also want to have someone you trust with you (or nearby) that you can call for support if you need anything.

Stock up on maxi pads, food, books, movies, or whatever you like to help pass the time, and a heating pad for cramps. Make sure you have some pain medicine — but don’t take aspirin because it can make you bleed more.

What happens during a medication abortion?
The abortion pill process has several steps and includes two different medicines.

First, you take a pill called mifepristone. This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but it’s not common. Your doctor or nurse may also give you antibiotics to take to prevent infection.

The second medicine is called misoprostol. You’ll either take the misoprostol right away, or up to 48 hours after you take the first pill — your doctor or nurse will let you know how and when to take it. This medicine causes cramping and bleeding to empty your uterus.

For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It’s normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.)

The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days.

You can take pain medicine like ibuprofen about 30 minutes before you take the second medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your doctor or nurse gives it to you. Don’t take aspirin, because it can make you bleed more.

It’s normal to have some bleeding and spotting for several weeks after your abortion. You can use pads, tampons, or a menstrual cup — whatever's the most comfortable for you. But your nurse or doctor may recommend you use pads for the first few days after the abortion so you can track how much you're bleeding.

The last step is a follow up with your nurse or doctor. You may go back into the health center for an ultrasound or blood test. Or you’ll get a pregnancy test to take at home, followed by a phone call with your nurse or doctor. These tests will make sure the abortion worked and that you’re healthy.

In the unlikely case that the abortion doesn't work and you're still pregnant, your doctor or nurse will discuss your options with you. You may need another dose of medication or to have an in-clinic procedure to complete the abortion.

How does a medication abortion feel?
For most people, medication abortion feels like having an early miscarriage. You might have:

lots of cramping and aches in your belly

very heavy bleeding with large clots (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.)

an upset stomach and vomiting (Your doctor or nurse may give you medicine to help with nausea.)

diarrhea

dizziness

tiredness

mild fever (99-100° F) or chills on the day you take the misoprostol (If you have a fever after the day you take the misoprostol pills, call your doctor or health center right away.)

To help ease pain and make you more comfortable, you can:

Take pain medication like ibuprofen (Advil or Motrin). Don’t take aspirin because it can make your bleeding worse.

Put a heating pad or hot water bottle on your belly.

Take a shower.

Sit on the toilet.

Have someone rub your back.

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What can I expect after I take the abortion pill?

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Home Learn Abortion Current:The Abortion Pill
The Abortion Pill
In This Section
The Abortion Pill
How does the abortion pill work?
What can I expect after I take the abortion pill?
How do I use the abortion pill?
How safe is the abortion pill?
How do I get the abortion pill?
How much does the abortion pill cost?
The Abortion Pill | Planned Parenthood Video
Planned Parenthood YouTube Channel
The Abortion Pill | Planned Parenthood Video
What is the abortion pill?
Medication abortion — also called the abortion pill — is a safe and effective way to end an early pregnancy.

How does the abortion pill work?
“Abortion pill” is the common name for using two different medicines to end a pregnancy: mifepristone and misoprostol.

First, you take a pill called mifepristone. Pregnancy needs a hormone called progesterone to grow normally. Mifepristone blocks your body’s own progesterone, stopping the pregnancy from growing.

Then you take the second medicine, misoprostol, either right away or up to 48 hours later. This medicine causes cramping and bleeding to empty your uterus. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. If you don’t have any bleeding within 24 hours after taking the second medicine, call your nurse or doctor.

Your doctor or nurse will give you both medicines at the health center. When and where you’ll take them depends on state laws and your health center's policies. Your doctor or nurse will give you detailed directions about where, when, and how to take the medicines. You may also get some antibiotics to prevent infection.

How effective is the abortion pill?
The abortion pill is very effective. The effectiveness depends on how far along you are in your pregnancy when you take the medicine.

For people who are 8 weeks pregnant or less, it works about 94-98 out of 100 times.
For people who are 8-9 weeks pregnant, it works about 94-96 out of 100 times.
For people who are 9-10 weeks pregnant, it works about 91-93 out of 100 times. If you're given an extra dose of medicine, it works about 99 out of 100 times.
For people who are 10-11 weeks pregnant, it works about 87 out of 100 times. If you're given an extra dose of medicine, it works about 98 out of 100 times.
The abortion pill usually works, but if it doesn’t, you can take more medicine or have an in-clinic abortion to complete the abortion.
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