People can use the abortion pill to end a pregnancy until around 10 weeks from the first day of their last period. However, in some cases, an extra dose may be necessary.
A medical abortion, also known as the abortion pill, currently accounts for around 54% of abortions in the United States. It involves taking
Mifepristone halts a pregnancy by blocking the progesterone hormone, and misoprostol causes cramping, bleeding, and the lining of the uterus to shed. This type of abortion can safely terminate early pregnancies.
The time frame and access to the medication will depend on the healthcare professional and the law in a specific state.
Read on to learn more about how late in pregnancy the abortion pill is effective, when an extra dose is necessary, and how to access it.
The Dobbs decision
On June 24, 2022, the Supreme Court of the United States overturned Roe v. Wade, the landmark 1973 ruling that secured a person’s constitutional right to an abortion.
This means that individual states are now able to decide their own abortion laws. As a result, many states will ban or severely restrict abortion access.
The information in this article was accurate and up to date at the time of publication, but the facts may have changed since. Anyone looking to learn more about their legal rights can message the Repro Legal Helpline via a secure online form or call 844-868-2812.
In 2000, the FDA
Then, in 2016, after reviewing further data and information submitted by the drug manufacturer, the FDA approved mifepristone to end a pregnancy up to 70 days gestation, or 10 weeks.
The FDA states that a person
Other leading health organizations have similar views to the ACOG:
- The Guttmacher Institute says doctors use medical abortion safely off-label at later gestation.
- The World Health Organization (WHO) says that the abortion pill is safe up to 12 weeks of pregnancy.
- The Royal College of Obstetricians and Gynaecologists (RCOG) in the United Kingdom specifies that people can use abortion medication in the second trimester up to 24 weeks of pregnancy.
While the ACOG agrees that the abortion pill is effective for a medical abortion during the second trimester, it notes that it carries a higher risk of complications. These can include an incomplete abortion requiring dilation and evacuation (D&E), also known as a surgical abortion.
Medical abortion comprises two pills: mifepristone and misoprostol. It is essential that a person takes both medications in the correct order.
The first medication someone takes to end a pregnancy is mifepristone, which
The second medication, misoprostol, causes the cervix to soften and dilate. The uterus will then contract and empty its contents through the vagina. People will experience abdominal cramping and vaginal bleeding.
- Day 1: Take 200 milligrams of mifepristone by mouth.
- After 24–48 hours: Insert 800 micrograms of misoprostol in the mouth between the cheek and gum to absorb.
- After 7–14 days: Follow up with a healthcare professional to evaluate bleeding, uterine size, and signs of infection.
The pregnancy typically ends around
The abortion pill is effective at ending pregnancy up to 12 weeks gestation around
Sometimes, a medical abortion may not be fully effective, and the pregnancy may not pass from the uterus. If this happens, a healthcare professional will discuss the next steps with the individual. They can choose to wait and see if cramping and bleeding begin, undergo a surgical procedure to empty the uterus, or take
The FDA recommends the abortion pill up until 10 weeks gestation. However, as this article mentions above, other health organizations have different guidance. A person’s healthcare professional can advise them on whether or not a medical abortion is the right choice for them.
If a person is further on in their pregnancy, they could have a surgical abortion, depending on the laws in their state.
Surgical abortion may involve either vacuum aspiration or D&E. A person can usually get vacuum aspiration until week 13 of pregnancy and D&E after that.
There are many restrictions on access to abortion, including abortion pills, since the Supreme Court overturned Roe v. Wade on June 24, 2022. Access to abortion care may depend on where a person lives.
People may be able to access medical abortion by mail via the following resources:
The National Abortion Federation has a resource called Abortion Finder to help people locate in-person and virtual abortion providers. The advocacy group Planned Parenthood also has a database for abortion services.
Below are answers to common questions regarding the abortion pill.
Is it the same as plan B?
Plan B is not the same as the abortion pill. Also known as the morning-after pill, Plan B is an emergency contraception that prevents pregnancy soon after sex without a barrier method.
It works by stopping the release of an egg from the ovary,
Where can I get the abortion pill?
Accessibility to the abortion pill will depend on where a person lives. Abortion Finder has a State-by-State Guide to help people locate abortion support.
Is it safe?
Doctors consider the abortion pill to be safe.
- incomplete abortion
- heavy vaginal bleeding
The abortion pill consists of two medications called mifepristone and misoprostol. These medications halt pregnancy growth and cause cramping and bleeding to end the pregnancy.
According to the FDA, people can use abortion pills to end pregnancies up to 10 weeks gestation. Beyond 10 weeks, doctors recommend people have a surgical abortion.
Access to the abortion pill differs depending on where a person lives and the laws in their state. In some states, people can access a medical abortion by mail through certified medical prescribers and pharmacies.