Abortion Pill Dosages, Expiration Dates, and More

If you’re facing an unplanned pregnancy, you may be considering the abortion pill. 

Perhaps you have a friend with unused  abortion pills that are expired or you’ve thought about ordering them online. You’re wondering if it’s safe to use them, or if they would still work? While these might seem like quick and effective solutions, they pose significant risks to your health and safety! 

Before doing something that could jeopardize your health, get all the facts so you can make an informed decision for your unplanned pregnancy. Keep reading to learn more.

The most important thing you can do for your health before taking steps to end your pregnancy is to find out for sure if you are pregnant, and if it’s inside the uterus and growing. The best way to do this is by getting an ultrasound to confirm your pregnancy. 

Taking abortion pills without knowing this could be dangerous for your health–what if you’re further along than you thought, or have an ectopic pregnancy (one that is growing outside the uterus-this can be life-threatening and won’t be ended by the abortion drugs)? The risks are significantly increased in these situations. Pregnancy centers provide this vital service–at no charge. 

Call us now to learn more and to find a center near you.

Can I Use My Friend’s Extra Abortion Pills?

It’s illegal and unsafe to share any kind of prescription medication with others, especially the abortion pill.

Physicians, and other healthcare professionals who are authorized to write prescriptions, obtain their patient’s health history before recommending medication. They discover if the patient has any health conditions, allergies, or is taking other medicines that could be negatively affected by the prescription.

In addition, the FDA has certain requirements in place before a healthcare provider may prescribe the abortion pill, due to the associated risks.¹

Do Abortion Pill Dosages Change Per Person?

The FDA label instructions for mifepristone/misoprostol abortion regimen describes the recommended dosing for pregnancies up to 70 days from a woman’s last menstrual period.²

Currently, the toxic dose of misoprostol is unknown.³ It’s crucial to follow your doctor’s orders to avoid an overdose.

Do Abortion Pills Expire?

Yes, abortion pills do expire. The Food and Drug Administration cautions against using expired medications because they may no longer have the intended effect, or they may have degraded, and/or turned into toxic compounds with potentially harmful results.⁴

Can You Order the Abortion Pill Online?

Ordering the abortion pill online can be very risky. As you search, you may come across companies who claim to deliver the abortion pill by mail. However, many of these providers are located overseas and the pills they provide may not be FDA-approved. They could be fake, expired, the wrong dosage, or even laced with harmful substances.⁵

Most importantly, you need to be in touch with a prescribing physician if complications arise. Taking the abortion pill, especially without medical oversight, can lead to complications including⁶:

• Severe infection
• Missed ectopic pregnancy, which can be life-threatening
• Heavy bleeding that may require a surgical scraping to stop it

It’s crucial to be evaluated by a licensed healthcare professional after taking the abortion drugs, to be checked for complications and completeness of the procedure.

What Happens if the Abortion Pill Doesn’t Work?

​​Sometimes the abortion pill doesn’t work at all. This is called a failed medical abortion, which occurs in about 2-8% of cases depending on how far along the pregnancy is.⁷ Some signs that may indicate possible complications and or that the abortion pill didn’t work include⁸:

• No bleeding at all after taking the drugs
• Prolonged or heavy bleeding
• Belly pain that does not go away after a few days of taking the Misoprostol
• Fever
• Weakness, nausea, vomiting, diarrhea, or feeling sick for more than 24 hours after taking mifepristone

If you’re experiencing any of these symptoms, you’ll need immediate follow-up medical care, which typically involves either taking additional medication or having a surgical procedure to complete the abortion.

It’s crucial to communicate regularly with your healthcare provider after taking the abortion pill so they can monitor your progress through follow-up appointments and address any complications promptly.

What are My Unplanned Pregnancy Options?

When that pregnancy test comes back positive, you may feel backed into a corner. Don’t let fear make the final decision for you. You owe it to yourself to make an informed and empowered decision!

While does not provide or refer for abortion services, we are a safe place where you can ask questions without judgment. We can also connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

All of the Facts. None of the Judgment.

You’ve got questions. We’ve got answers. If you’re experiencing an unplanned pregnancy, you’re not alone! is here to help you make an informed and empowered decision.

Ready to take the next step? Give us a call to get started.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

The Truth About Getting the Abortion Pill Through Telehealth

With the rise of virtual healthcare, getting the abortion pill through telehealth has become increasingly common. Many women search online for how to get the abortion pill online or explore telehealth abortion options, but should you get abortion pills online? How safe is it? What risks are involved? And why is it important to talk to a medical professional in person?

Let’s break it all down.

What Is the Abortion Pill?

The abortion pill, also called a medication abortion, involves taking two drugs: mifepristone and misoprostol. These work together to end a pregnancy and are FDA-approved for use up to 10 weeks (70 days) from the start of your last menstrual period.¹

Can a Telehealth Professional Prescribe Abortion Pills?

It depends.

In states where abortion is legal, you may be able to have a virtual appointment with an abortion provider who is licensed in your state.

In states where abortion is illegal, so is telehealth abortion access, including across state lines. Attempting to access abortion services outside of the United States is very risky. FDA regulations don’t apply and there is no way to be certain if the medications are authentic or tested.²

Click the button below to learn more about your state’s abortion laws.

The ultrasound can determine how far along you are in your pregnancy. This is important to know, as you can only take the abortion pill for up to 10 weeks from your last menstrual period.

Taking the abortion pill beyond the FDA approved limits increases the risk of serious complications that may require hospital visits and emergency surgery.^{3, 4} Also, it becomes less effective the farther along you are meaning that you may still be pregnant after taking the pills.

An ultrasound exam can identify if there is a viable pregnancy in the uterus–this is important information because a significant number of pregnancies end naturally in miscarriage and a small number are ectopic. Ectopic pregnancies grow outside the uterus and can be life-threatening, plus, they will not be ended by the abortion pill. Knowing this vital information will help you make a fully informed decision and may save your life.

Can You Get the Abortion Pill Online?

In states where telemedicine abortion is legal, you can  get the abortion pill online from a certified pharmacy after a certified abortion provider in has prescribed it to you. Telemedicine/online abortion is not legally available In states where abortion is outlawed.

Additionally, ordering the abortion pill online from unregulated sources is risky. The FDA warns against purchasing abortion pills from overseas or unverified online platforms, as these pills may be expired, counterfeit, or contaminated.⁵

The Risks of Getting the Abortion Pill Online Without Seeing a Medical Professional

The abortion pill may seem like a private and convenient solution to an unplanned pregnancy, but convenient doesn’t mean risk-free. While many people search “how to get the abortion pill without seeing a doctor” or “abortion pill online no appointment,” skipping medical consultation can carry some real risks:

1. Medical Contraindications: 

You should not take the abortion pill if you are allergic to the medication, have a blood clotting disorder, or have an IUD in place.⁶

2. Missed Pregnancy Complications

Without an in-person consultation and ultrasound to confirm an intrauterine pregnancy, it’s easy to miss signs of a miscarriage, ectopic pregnancy, or other pregnancy complications. Ectopic pregnancies are uncommon, but may be life-threatening and cannot be treated with the abortion pill.

3. Incorrect Timing

Per the FDA, the abortion pill can only be used up through 10 weeks of a woman’s last menstrual period. Without knowing how far along you are, you could be taking it too late, increasing the risk of complications, including an incomplete or failed abortion.⁷ An ultrasound can help you determine how far along you actually are.

4. Unverified Medications

The FDA discourages women from ordering abortion pills online without a healthcare professional’s oversight and prescription. Ordering pills from unlicensed or overseas websites bypasses important safety measures and puts you at risk of getting counterfeit or ineffective medication.⁸

5. Lack of Emotional Support

An in-person consultation allows you to talk through your options, ask questions, and get emotional support. If you order abortion pills by mail, this part of the process can be missing.

6. Lack of Support During the Abortion

During an abortion, questions may arise about pain level, amount of bleeding, and recovery. If you order abortion pills online, then you likely won’t have anyone to guide you through the process or to answer your questions.

7. Lack of Follow-Up After the Abortion

Every woman who takes the abortion pill should receive follow-up care to evaluate for complications. So, if you obtain abortion pills online, it may be difficult to find follow-up care.

The Risks of a Telemedicine Abortion Appointment

A telemedicine abortion appointment may feel more convenient and private. But, this appointment style does not allow an abortion provider to make a clear diagnosis of an intrauterine pregnancy and confirm your gestational age with an ultrasound, or to evaluate for a miscarriage or ectopic pregnancy.

Before you speak with a telehealth provider, contact Pregnancy Decision Line. We offer nonjudgmental education on abortion and other pregnancy options, emotional support, and pregnancy decision help. We can also connect you with a local pregnancy center that provides free ultrasounds, so you can make the best decision for your health and future.

Why You Need to Talk to a Medical Professional in Person

If you’re thinking about using an online service for the abortion pill, the best first step is to talk with a qualified healthcare professional in person. Here’s why that matters:

• They can confirm how far along you are in your pregnancy.
• You’ll learn about what to expect, including risks and side effects.
• They can also help you understand your state’s laws around telemedicine abortions to make sure you’re staying within legal limits.

Considering Buying the Abortion Pill Online? Contact Pregnancy Decision Line First.

The rise in abortion services has made the abortion pill more accessible, but increased access doesn’t always mean increased safety. The abortion pill is a serious medical decision that deserves personal attention and support.

Before you order the abortion pill online, we strongly encourage you to reach out and speak with someone first. There are risks involved—physically, emotionally, and legally—and you don’t have to navigate them alone. is here to provide accurate information, answer your questions without judgment, and help you make a fully informed decision.

Ready to take the next step? We can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

Thinking About Abortion? Talk to Someone First

When faced with an unplanned pregnancy, one of the most significant and often overwhelming decisions you may face is whether or not to have an abortion. This decision is deeply personal and can bring up a range of emotions and concerns. If you’re thinking about abortion, it’s crucial to take the time to talk to someone first—someone who can provide nonjudgmental abortion advice, emotional support, and help guide you through your pregnancy decision.

In this article, we’ll explore the various abortion options available, why it’s essential to speak with someone before making a decision, and where you can find the support and guidance you need during this challenging time.

Understanding Your Abortion Options

Before making any decision, it’s important to understand the different types of abortion available. In general, there are two main types of abortion: medication abortion and surgical abortion.

1. Medication Abortion

Also known as the abortion pill, medication abortion is typically available during the first 10 weeks of pregnancy.¹

This option involves taking two medications—mifepristone and misoprostol. The first medication, mifepristone, blocks the hormone progesterone, which is necessary for the pregnancy to continue. The second medication, misoprostol, causes the uterus to expel the pregnancy.

Medication abortion is often seen as a private, at-home option for ending a pregnancy. However, there are real risks associated with this method so it’s crucial to speak with a healthcare professional or a pregnancy center to learn more about this option for your specific circumstances.

2. In-Clinic Abortion

A surgical abortion is performed by a healthcare provider in a medical setting, such as an abortion clinic or hospital. There are two types of in-clinic abortions:

• Aspiration (Suction) Abortion: Typically performed in the first 13-14 weeks of pregnancy, this procedure involves using a suction device to remove the pregnancy from the uterus.²
• Dilation and Evacuation (D&E): This method is used later in pregnancy, typically after 14 weeks, and involves dilating the cervix and using surgical instruments to remove the pregnancy.³

As with any medical procedure, there are risks and potential complications, which is why it’s important to consult with a healthcare professional beforehand.

Why It’s Essential to Talk to Someone Before an Abortion

Making a decision about whether to get an abortion can be complex. It is not just a medical decision—it’s an emotional, psychological, and spiritual one as well.

This is why it’s crucial to talk to someone before making a decision. Speaking with a Pregnancy Decision Line Coach or a trusted individual can provide clarity, emotional support, and important information.

Nonjudgmental Pregnancy Options Guidance

At Pregnancy Decision Line, one of the most important things you can expect is nonjudgmental guidance as you consider your pregnancy options, including abortion. We are committed to providing a safe space for you to explore your options without feeling pressured or shamed.

You might feel conflicted, anxious, or uncertain about what’s best for you. This is completely normal. Pregnancy Decision Line can offer compassionate and nonjudgmental guidance to help you navigate your emotions, make informed decisions, and move forward in the way that feels right for you.

Emotional Support While You Decide

The emotional toll of deciding whether to have an abortion should not be underestimated. It can be a confusing, stressful, and overwhelming time. You may experience feelings of fear, guilt, sadness, and even isolation. Having access to emotional support during this time is essential for your mental and emotional well-being.

Pregnancy Decision Line coaches can connect you with pregnancy centers that can assist with support groups and other resources to help you make an empowered decision. Sometimes, simply talking to someone who listens can help relieve some of the emotional weight you’re carrying.

Give us a call at 866-406-9327 to find a pregnancy center near you.

Pregnancy Decision Help

If you’re unsure about whether you should get an abortion, it’s important to explore all of your options. Pregnancy Decision Line can connect you with a local pregnancy center that provides pregnancy decision help, including:

• Understanding your pregnancy: Pregnancy centers provide free pregnancy testing and ultrasound services to confirm how far along you are, which will help you understand your options more clearly.
• Discussing all options: The staff will help you consider the full range of options available, including parenting and adoption so that you can make a well-informed decision.
• Emotional support: The staff will help you navigate the emotional aspects of your pregnancy decision, offering a compassionate ear and a safe space to talk through your feelings.

It’s important to give yourself time to process your emotions, gather information, and reflect on what’s best for you. The decision is yours to make, and there’s no rush. Seeking help is a great first step toward making a choice that aligns with your values, goals, and well-being.

Who Can You Talk to About Abortion?

If you’re wondering, “Who can I talk to about abortion?” you’re not alone. It can feel isolating to face this decision, but there are people and organizations available to support you.

1. Pregnancy Decision Line

Pregnancy Decision Line is a great resource for women who are considering abortion. Our staff is trained to offer nonjudgmental abortion education and will help you feel empowered to make the best decision for yourself.

We can also connect you with a local pregnancy center that provides confidential, free services such as pregnancy testing, ultrasounds, options education, and support for women facing unplanned pregnancies. They can help you sort through your options and provide you with the emotional support you need to make an informed decision.

2. Healthcare Professionals

Your doctor or healthcare professional can provide medical guidance about abortion options. They can help you understand the risks associated with each type of abortion and answer any questions you may have about your health and well-being. If you’re considering abortion, it’s important to discuss your options with a healthcare professional who can ensure you are fully informed about the procedure and what to expect.

3. Trusted Friends and Family

Talking to someone you trust, such as a close friend or family member, can also be an important part of the decision-making process. While they may not be able to provide professional advice, they can offer emotional support and help you process your feelings. It’s important to have a support system in place as you move forward.

4. Support Groups and Coaches

If you prefer to talk to someone outside of your personal circle, support groups and coaches can be a valuable resource.

Pregnancy Decision Line offers coaching for women facing difficult pregnancy decisions. We allow you to share your feelings and experiences and can provide much-needed emotional support.

Need Help Deciding?

If you’re unsure about whether abortion is the right decision for you, it’s okay to ask for help. This is a big decision, and taking the time to gather information, talk to trusted individuals, and reflect on your options is important. Reaching out for support doesn’t mean you’re weak—it means you’re taking care of yourself and making a thoughtful, informed choice.

Whether you choose to continue the pregnancy, make an adoption plan, or have an abortion, the key is to make the decision that you can live with long term. And when you’re ready, there are resources available to help you through the process.

Key Takeaways:

• If you’re thinking about abortion, talk to someone first to ensure you have all the information and support you need.
• Pregnancy Decision Line offers nonjudgmental education on abortion and other pregnancy options, emotional support, and pregnancy decision help.
• Your healthcare professional can guide you through the medical aspects of abortion and provide information about the different options available.
• Support from trusted friends, family, and professional coaches can make all the difference during this difficult time.

Thinking About Abortion? Get the Facts at Pregnancy Decision Line.

Making a decision about whether to get an abortion is not easy, but you don’t have to do it alone.

Talking to a Pregnancy Decision Line Coach first can help you make the best decision for your unique situation. Take the time to explore your options, seek out nonjudgmental guidance, and surround yourself with the emotional support you need. The decision is yours, and with the right guidance, you can move forward confidently.

Ready to take the next step? We can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

How Long Does an Abortion Take? Timing and Options

Wondering how long an abortion takes? Whether you’re considering the abortion pill or a surgical abortion, here’s a clear breakdown of what to expect before, during, and after each procedure.

Types of Abortion and Their Timeframes

Two types of abortion exist—the abortion pill (also known as a medical abortion) and  surgical abortion. Both involve different steps and amounts of time.

What To Know Before an Abortion

Before proceeding with either option, you’ll need to confirm a few key details with a medical professional:

• How Far Along Are You? 

An ultrasound provides an accurate gestational age, often more reliable than counting from your last menstrual period.

• Is the Pregnancy Viable? 

A limited ultrasound checks if the pregnancy is developing inside the uterus. This is important information, because a significant number of pregnancies end in natural miscarriage and a smaller number form outside of the uterus-known as an ectopic pregnancy and can be life-threatening.^{1, 2}

• Are There Any Medical Risks? 

Conditions like bleeding disorders, an IUD, or other medical conditions may affect your eligibility for an abortion.

At Pregnancy Decision Line, we can connect you with a local pregnancy center that offers free limited ultrasounds to help you get the answers you need. Call us today at 866-800-8137 to get started.

How Long Does the Abortion Pill Take?

The abortion pill process involves two medications: Mifepristone and Misoprostol.

1. Mifepristone: This drug is taken first, either at a clinic or at home. It blocks the hormone progesterone eventually resulting in the embryo’s death over the next several days.
2. Misoprostol: This drug is taken 24-48 hours later. It causes the uterus to cramp and expel the pregnancy. Most women abort within 24 hours of taking misoprostol.³

How Long Does Bleeding Last After Abortion?: Cramping and bleeding usually begin within hours of taking Misoprostol. This may last for a few days. Mild bleeding can continue for 9–16 days or up to 4 weeks.⁴

Up to 8 out of 100 women hemorrhage and need a surgical scraping to stop the bleeding.⁵

How Long Does a Surgical Abortion Take?

The time a surgical abortion takes depends on the procedure type and how far along you are in your pregnancy. Surgical abortion procedures include vacuum aspiration and dilation and evacuation.

• Preparation: The cervix may be dilated a day or two in advance. Before the abortion procedure, you’ll receive a local anesthetic, oral pain relief, or (rarely) general anesthesia.
• Procedures:
• First Trimester: A first-trimester abortion procedure typically takes about 15 minutes. The entire visit lasts longer. The provider removes the pregnancy through the cervix.
• Second Trimester: A second-trimester abortion procedure itself may take about 30 minutes, but the entire prep and recovery will take more time.⁶ The provider must ensure that they remove all parts of the pregnancy.
• Recovery: Clinic or hospital staff will monitor you for a few hours to ensure you don’t develop complications.
• Aftercare: Light bleeding may last for 1–2 weeks.

When Should I Receive Abortion Follow-Up Care?

Receiving follow-up care after an abortion is crucial. Plan a follow-up visit with your healthcare provider 2 weeks after the procedure. This will help check for complications and ensure your body is healing well.

Contact your healthcare provider immediately if you experience any of the following:

• Hemorrhaging. Bleeding after the abortion pill is expected. However, if you soak through two full-size sanitary pads per hour, for two or more hours, you could be hemorrhaging and should be seen by a doctor right away.⁷
• Incomplete abortion. Incomplete abortions occur when some pregnancy tissue remains in the uterus after Misoprostol has been taken. Emergency surgery may be needed to remove the remaining tissue and prevent infection.⁸
• Infection. If you develop a fever 24 hours after taking Misoprostol, contact your healthcare provider. You may need antibiotics or even surgery to treat a possible infection.⁹

Get the Facts on Abortion at Pregnancy Decision Line

Abortion takes time—both the procedure itself and the recovery process. Before choosing an abortion, contact Pregnancy Decision Line.

We can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

What to Expect When You Take the Abortion Pill

The abortion pill may seem like a quick and effective solution to an unplanned pregnancy. However, like any medical procedure, it comes with risks and side effects you need to be aware of.

Before you take the pill, take time to get the facts. Keep reading to learn more about what to expect when you take the abortion pill.

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. It cuts the supply of the hormone progesterone to the embryo, which is needed to maintain the pregnancy. Without a steady supply of progesterone, the embryo stops growing and eventually dies. Misoprostol is taken 24 to 48 hours later.¹

It’s important to know that the FDA has only approved the abortion pill up to 10 weeks of gestation.² Before taking the abortion pill, you should receive an ultrasound to determine how far along you are and whether you’re at risk for a miscarriage or ectopic pregnancy. In either case, abortion is no longer an option to consider.

How Long Does the Abortion Pill Take to Work?

Mifepristone is usually taken in an abortion clinic, while misoprostol is taken 24 to 48 hours later at home.³ The bleeding and cramping will begin between 2 to 24 hours after taking misoprostol.⁴ Most women expel the pregnancy within that same timeframe.⁵

How Long Does Bleeding Last After Taking the Abortion Pill?

Vaginal bleeding typically begins around two hours after taking misoprostol.⁶ It can last for about 9 to 16 days, but it could go on for up to 30 days or longer.⁷

How Much Bleeding is Normal After an Abortion?

The amount of bleeding you experience after abortion depends on how far along you were in your pregnancy.

That being said, the abortion pill tends to cause more bleeding compared to surgical abortions.⁸

Abortion Pill Side Effects

Like any medical procedure, the abortion pill does have some risks and side effects. Common side effects include⁹:

• Spotting or bleeding that can last up to a month
• Headaches
• Nausea and vomiting
• Diarrhea and digestive pain
• Chills
• Fever
• Abdominal cramping

Severe abortion pill side effects include:

• Hemorrhaging. It’s normal to bleed for a while after taking the abortion pill. However, heavy bleeding known as hemorrhaging could occur requiring surgical intervention.¹⁰
• Incomplete abortion. Incomplete abortions occur when some pregnancy tissue remains in the uterus after misoprostol has been taken. Emergency surgery may be needed to remove the remaining tissue and to prevent infection.¹¹
• Infection. If you experience nausea, vomiting, diarrhea, or a fever for more than 24 hours after taking the second medication, an infection may have developed. You may need antibiotics or even surgery to treat your condition.¹²

When to Call Your Doctor

It’s important to recognize the warning signs of hemorrhaging and infection after taking the abortion pill. Contact your doctor right away if you experience any of the following¹³:

• Heavy bleeding. If you experience heavy bleeding or hemorrhaging (as mentioned above), you may need a surgical procedure to stop the bleeding.
• Persistent pain or sickness. Abdominal pain, weakness, nausea, vomiting, or diarrhea (with or without a fever) for more than 24 hours after taking misoprostol may be signs of an infection or ectopic pregnancy.
• Fever. A fever of 100.4°F or higher that lasts for more than 4 hours after taking misoprostol may be a sign of an infection. Women who experience sustained fever for more than 24 hours after taking misoprostol may have a serious infection and should seek medical care right away.¹⁴

Get the Facts on the Abortion Pill at Pregnancy Decision Line

We understand—an unplanned pregnancy can be scary. But, you should never let fear drive your choices!

Pregnancy Decision Line can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

All of our services are 100% free and confidential. We exist to provide accurate medical information and support to women and men facing an unplanned pregnancy. Our pregnancy centers do not offer or refer for pregnancy terminations or birth control. Information is provided as an educational service and should not be relied on as a substitute for professional and/or medical advice.

Can You Travel to Another State for an Abortion?

Understanding abortion laws can feel disorienting, especially if you already feel overwhelmed by an unplanned pregnancy.

Some states have abortion restrictions, so women travel to other states for an abortion. If you’re considering an abortion, there are six things you should know before traveling!

1. Know About the Types of Abortion.

There are two types of abortion—surgical and medical abortion. Before you travel, you’ll want to understand the processes and risks of these procedures.

2. Know How Far Along You Are in Your Pregnancy.

Most abortion laws depend on your gestational age, or how far along you are in your pregnancy. Plus, a medical abortion, or abortion pill, has only been approved by the FDA for up to 10 weeks.¹ Women who have regular menstrual periods may use that to estimate her pregnancy’s gestational age, but an ultrasound is the most exact way to figure out how far along you are.

Pregnancy Decision Line can connect you with a local pregnancy center that provides free ultrasounds. Contact us to get started.

3. Know the Laws in Your State.

The majority of states with abortion restrictions do not prosecute women who choose an abortion. However, in some states, individuals who aid a woman in obtaining an abortion could be civilly prosecuted. This could include aiding with transportation or finances.

Click here to learn more about your state’s abortion laws.

4. Know the Laws in Other States.

Although the Constitution protects a woman’s right to travel to another state for an abortion, abortion must be legal in that state.² So, you’ll want to know the abortion laws in the state you plan to travel to. Other states could also have further restrictions such as required counseling, ultrasounds, or a waiting period before an abortion.

Click here to learn more about abortion laws in other states.

5. Know the Cost.

As of March 2025, abortion providers charge up to $950 for medical abortion or abortion pills.³ Surgical abortions can cost up to $1,150 in the first trimester, to $2,300 in the second trimester.⁴ These costs often include fees for ultrasounds, blood tests, medications, and follow-up appointments. Traveling for an abortion also includes the cost of travel, lodging, and even missing work.

Pregnancy Decision Line can connect you with a local pregnancy center that provides free ultrasounds. They do not provide or refer for abortion services, but will empower you with the information you need about all of your pregnancy options.

Contact us to get started.

6. Know About Follow-Up.

As with any medical procedure, follow-up care is recommended to evaluate for complications. Complications from the abortion pills could include ongoing pregnancy, incomplete abortion/retained pregnancy tissue, heavy bleeding, or infection.⁵ Whereas complications from a surgical abortion could include uterine perforation, infection, or bleeding.⁶

So, if you travel out of state, you will need to find out if you need to remain in the state for a follow up appointment with the abortion provider.

Get the Facts on Abortion at Pregnancy Decision Line

We understand that abortion may feel like the best option for you right now. Before you spend time, money, and energy on traveling out of state, consider contacting Pregnancy Decision Line.

We will connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information—all so you can make a fully informed decision.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.

My Boyfriend Wants Me to Get An Abortion. What Should I Do?

An unplanned pregnancy may shock you and your partner. If your boyfriend wants you to get an abortion, remember that you have options. Ultimately, you alone have the right to make the final decision about your pregnancy.

Take time to discuss things with your partner. Here are ten tips to get an honest conversation started.

1. Know that no one can force you to have an abortion.

Your boyfriend may want you to get an abortion, but the law prohibits anyone from forcing you to have one. You have the right to make a decision that’s best for your health and your future. As you discuss your options, learn how abortion affects mental health to decide what might be best for you.

If you feel that you are being pressured to have an abortion, call us today at 866-406-9327 for help and support.

2. Know how far along you are.

Before you and your partner make a decision, you should find out for certain if you are carrying a living pregnancy (or one destined to miscarry naturally) and find out how far along you are. The pregnancy’s gestational age determines which abortions are typically used. This will help you as you figure out next steps.

How far along you are in your pregnancy can be estimated based on the last menstrual period, but an ultrasound is a more reliable way to determine it. Call Pregnancy Decision Line for a free ultrasound today at 866-406-9327.

3. Talk about the abortion pill.

Partners may be unaware of what an abortion entails, so talk about it.

With the abortion pill, a woman intentionally takes medication to terminate her pregnancy. The process involves two medications. The first medication, mifepristone, blocks the progesterone receptors which interferes with growth, eventually causing the death of the embryo.¹ The second medication, misoprostol, causes the uterus to cramp and bleed which expels the pregnancy.

4. Talk about a surgical abortion.

The cervix is numbed and dilated open and a tube is placed inside the uterus to suction out the fetus, followed by a scraping instrument to remove remaining tissue and blood clots. In later pregnancies, forceps are used to remove fetal parts.² The type of procedure depends on the abortion provider’s preference, how far along a woman is in her pregnancy, and the state laws.

5. Talk about the risks of an abortion.

Even though the choice is yours, you and your partner should openly talk about the possible risks and side effects of abortion pill and how abortion affects mental health.

Expected side effects of the abortion pills include diarrhea, nausea, vomiting, headache, dizziness.³ While prolonged bleeding is common, complications can include heavy bleeding which may require a surgical procedure to stop the hemorrhage, life-threatening infection, and a failed or incomplete abortion, which could require further medical intervention.⁴

Immediate complications from a surgical abortion can include bleeding, infection, and damage to organs. In some cases surgical instruments puncture the uterus or surrounding organs which may require surgical repair.⁵ Multiple surgical scrapings could lead to scarring within the uterus which could cause infertility in the future.⁶

6. Talk about the cost of abortion.

Your boyfriend may want you to get an abortion, but does he know the cost? The abortion pill can cost between $500 to $950. Surgical abortions can cost between $500 to $1,150 in the first trimester and $570 to $2,300 in the second trimester.⁷ These costs often include fees for ultrasounds, blood tests, medications, and follow-up appointments.

Call us today at 866-406-9327 for a free ultrasound.

7. Know that abortion can affect relationships.

Abortion can affect relationships, especially when the couple disagrees about their decision. Often, men and women find it difficult to clearly communicate their feelings after an abortion and may put up emotional walls. If that occurs, communication often begins to break down and sometimes the relationship ends.

8. Know that abortion can affect men, too.

Even though women make the final decision, men often do not realize that an abortion can affect them emotionally. In a recent study, men reported depression, sadness, guilt, regret, anxiety, anger, thoughts of what could have been, emptiness, and substance abuse after experiencing abortion.⁸

9. Communicate clearly.

Ask your partner why he wants you to have an abortion. Sometimes partners have hesitations about a pregnancy because of financial or physical needs. At Pregnancy Decision Line, we offer pregnancy resources and referrals to help you make an informed and empowered decision!

Call us today at 866-406-9327 to learn more.

10. Set boundaries.

If your boyfriend wants you to get an abortion, but you don’t want to, then you need to set clear boundaries. Tell him what behaviors and level of communication you are comfortable with. Remember that no one cannot force you to make a decision that you’re uncomfortable with.

Abortion Information at Pregnancy Decision Line

Even if your partner does not offer you the support you want, know that you are not alone. At Pregnancy Decision Line we offer you the information you need in a compassionate space, so that you can make the best decision for you!

All of our services are 100% free and confidential. We exist to provide accurate medical information and support to women and men facing an unplanned pregnancy. Our pregnancy centers do not offer or refer for pregnancy terminations or birth control. Information is provided as an educational service and should not be relied on as a substitute for professional and/or medical advice.

Can You Buy Abortion Pills Over the Counter?

If pregnancy wasn’t a part of your plan, you may be looking for a private and easy way to end it. You may be wondering if you can pick up abortion pills over the counter at your local pharmacy.

In today’s blog, we’ll discuss whether you can get abortion pills over the counter and what you need to know before moving forward. Keep reading to learn more.

Are Abortion Pills Available Over the Counter?

Over the counter medications do not require a prescription and can be used by individuals without the involvement of a healthcare provider.¹ However, abortion pills do require a prescription and oversight by a healthcare provider, so abortion pills are not available over the counter.

Per the FDA, mifepristone and misoprostol (the two pills used in the abortion pill protocol) must be prescribed by a certified healthcare provider.² Only a pharmacy that is specifically certified to dispense the abortion pill drugs is permitted to do so.

The FDA cautions against using abortion pills purchased online from overseas unregulated pharmacies. These drugs haven’t been reviewed for safety or effectiveness meaning you have no way of knowing what you’re getting and they could be dangerous to your health.³

What Pharmacy Provides Abortion Pills Over the Counter?

As of 2024, only certified pharmacies provide abortion pills to women who have a prescription from a qualified physician. No pharmacy will provide the abortion pill over the counter.

What You Need to Know Before Taking the Abortion Pill

These are a few things you’ll want to know before you search for the abortion pill:

1. Estimated Gestational Age. Gestational age (how far along you are in pregnancy) can be estimated based on a woman’s last menstrual period, but this can be inaccurate. An ultrasound is a good way to determine a reliable gestational age.⁴
2. Location of the Pregnancy. An ectopic pregnancy develops outside of the uterus and can be life-threatening if not properly treated. So, before taking abortion pills, it is recommended that a woman receive an ultrasound first to confirm the presence of a pregnancy inside the uterus.
3. Viability of Pregnancy. Almost 10-20% of known pregnancies end in a miscarriage, and almost 80% of those occur within the first three months of pregnancy.⁵

You should not take the abortion pill if⁶:

• You’re more than ten weeks pregnant.
• You have an IUD (Intrauterine Device).
• You have a clotting disorder or some other medical condition. Speak with a healthcare professional before an abortion.
• Don’t have access to emergency care. In the case that you experience complications after a medical abortion, you should have access to emergency care.

Call Pregnancy Decision Line today for a free appointment at 866-799-1726.

Get the Facts on the Abortion Pill at Pregnancy Decision Line

Making a decision about an unplanned pregnancy can feel overwhelming, but you don’t have to do it alone. Pregnancy Decision Line is here to help! We can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

All of our services are 100% free and confidential. We exist to provide accurate medical information and support to women and men facing an unplanned pregnancy. Our pregnancy centers do not offer or refer for pregnancy terminations or birth control. Information is provided as an educational service and should not be relied on as a substitute for professional and/or medical advice.

How Does a Methotrexate Abortion Work?

We get it—unplanned pregnancy can be scary. But, it’s important to get all the facts so you can make a fully informed decision. In today’s blog, we’re exploring everything you need to know about Methotrexate abortion.

What is Methotrexate Used For?

Methotrexate is a drug that prevents the replication or growth of living cells. It can be used to treat several different conditions, including¹:

• Certain cancers
• Rheumatoid arthritis
• Crohn’s disease
• Severe psoriasis
• Ectopic pregnancy^{2, 3}

The manufacturer’s label states that it should not be used in pregnancy, however, abortion providers also prescribe methotrexate in combination with misoprostol for the early termination of pregnancies up to seven weeks from a woman’s last menstrual period. However, the FDA has not officially approved the drug for abortion, making it off-label for this use.⁴

How Does a Methotrexate Abortion Work?

Methotrexate works by slowing the growth of cells.^{5, 6} In a Methotrexate abortion, the drug is administered to stop the pregnancy cells from growing. Misoprostol is taken afterward to expel the fetus from the uterus.^{7, 8}

Can Methotrexate Alone Cause Abortion?

Studies have found that taking methotrexate alone in early pregnancy increases the chance of abortion occurring, however, it is typically used along with misoprostol to increase the effectiveness.^{9, 10}

What are the Side Effects of a Methotrexate Abortion?

Possible side effects of a Methotrexate plus misoprostol abortion include¹¹:

• Nausea
• Vomiting
• Diarrhea
• Mouth sores
• Dizziness
• Birth abnormalities (if the abortion fails and the pregnancy is carried to term)
• Heavy bleeding
• Abdominal pain

The Methotrexate may also cause severe complications including hair loss, bone marrow suppression, and and organ impairment.¹²

What Do I Need to Know Before a Methotrexate Abortion?

Before a Methotrexate abortion, you should know the following:

• How far along you are. The most accurate way to determine gestational age is via an ultrasound.
• Your medical history. Methotrexate may be especially risky in women with certain medical conditions, including a history of kidney disease, liver problems, and significant alcohol use.^{13, 14, 15}
• Whether you’re willing to undergo surgery if the Methotrexate abortion is not successful.
• That you have access to emergency care if you experience severe side effects.

Get the Facts on Methotrexate Abortion at Pregnancy Decision Line

We understand how stressful an unplanned pregnancy can be. Pregnancy Decision Line is a safe place to ask questions, get the facts, and find support. We’re here to help you make the best decision for your health and future!

All of our services are 100% free and confidential. We exist to provide accurate medical information and support to women and men facing an unplanned pregnancy. Our pregnancy centers do not offer or refer for pregnancy terminations or birth control. Information is provided as an educational service and should not be relied on as a substitute for professional and/or medical advice.

Plan B: How it Works, Side Effects, and More

Even if you’re using protection, there’s always a chance that you could get pregnant. Perhaps you’ve turned to Plan B to avoid an unplanned pregnancy. But, what happens if Plan B fails? It’s crucial to understand your pregnancy options so you can plan your next steps!

Today, we’re discussing Plan B—including how it works, the risks and side effects, and what to do if you still get pregnant after taking it. Keep reading to learn more!

How Does it Work?

Plan B is a form of emergency contraception that lowers the risk of pregnancy by preventing or delaying ovulation. It’s often used when birth control fails or in cases of sexual assault.

However, Plan B doesn’t always prevent ovulation,^1,2,3 but may also work by disrupting the hormonal environment and interfering with the embryo’s attachment to the uterus, resulting in its death.^4,5

It’s important to know that Plan B and all other forms of emergency contraception should only be used as backups, not as primary methods of birth control.⁶

Is Plan B an Abortion Pill?

While they seem similar, Plan B and the abortion pill are not the same things. The difference is that Plan B aims to keep you from getting pregnant in the first place and may disrupt a newly formed embryo from continuing to grow⁷, but the abortion pill is designed to end a pregnancy every single time it is used.

If you have been sexually active in weeks prior to taking Plan B you may want to take a pregnancy test or even receive an ultrasound just to be certain that you’re not pregnant from a previous sexual encounter.

Can Plan B Cause Miscarriage?

A miscarriage is an unintended loss of a pregnancy before the 20th week of pregnancy. While the goal of Plan B is to prevent pregnancy altogether, if an embryo has already formed when Plan B is taken, it may interfere with the embryo’s ability to attach to the uterus, resulting in its death.⁸ If that is not your intent, then Plan B may not be for you.

Additionally, the Mayo Clinic warns that taking Plan B while pregnant can harm the fetus.⁹

How Effective is Plan B? When Can I Take Plan B?

Plan B is most effective when taken as soon as possible after having unprotected sex. It is reported to reduce the risk of pregnancy for up to 72 hours, but is not always effective.¹⁰

Does Plan B Have Side Effects?

Common side effects of Plan B include¹¹:

• Dizziness
• Headache
• Cramps or abdominal pain
• Nausea or vomiting
• Breast tenderness
• Delayed period, irregular bleeding, and/or heavier bleeding during your next period¹²

These side effects should be mild and only last a few days. However, if you experience bleeding or spotting for longer than a week or have significant lower abdominal pain after taking Plan B, contact your healthcare provider immediately, to be evaluated for a miscarriage or an ectopic pregnancy .¹³

What to Do if Plan B Fails

If you’ve taken Plan B and missed your period, it could mean that you’re pregnant.¹⁴

The next step is to find out for sure. We can connect you with a local pregnancy center that provides free pregnancy tests, ultrasounds, and options education, so you can take your next steps with confidence!

All of our services are 100% free and confidential. We exist to provide accurate medical information and support to women and men facing an unplanned pregnancy. Our pregnancy centers do not offer or refer for pregnancy terminations or birth control. Information is provided as an educational service and should not be relied on as a substitute for professional and/or medical advice.