What it feels like

People look this up because they want a straight answer about what the body does after both medicines. This page is that answer from the label, mixed with what belongs in an ER. It is not a schedule for you to follow. It is not a booking page.

A nurse can talk with you in chat, or write back on the form. Free and private. You decide.

Talk with a nurse — free, private.

Get the facts. You will not be pressured here.

The label says most people bleed more heavily than they do during a heavy menstrual period. Abdominal pain and cramping are expected. This is not a heavy period.

Cramping can be severe — worse than a period. That does not make it labor as a medical term, and it does not cancel the ER list on this page.

The Medication Guide says the pregnancy is likely to be passed from the uterus within 2 to 24 hours after taking both medicines. Bleeding or spotting then lasts an average of 9 to 16 days. Hours for the pass. Days for the bleed. That is the label, not a schedule for you to follow. Those hours-to-days figures are after both medicines, not after the first pill alone.

Nausea, chills, dizziness, vomiting, headache, and diarrhea are among the common reactions on the label. Weakness too. About 85% report at least one adverse reaction. Those figures are for the approved two-medicine regimen.

Bleeding and cramping can look like a miscarriage. They can also be a ruptured ectopic. They are not “just a miscarriage.”

If you are unsure whether this is expected or an emergency, it is an emergency until someone can tell you it is not. Go to an ER in Birmingham, Mobile, Huntsville, Montgomery, or the closest hospital with an emergency department.

Soak through two thick full-size sanitary pads per hour for two consecutive hours: that is an ER. If you are crashing before the second hour, do not wait. Fever of 100.4°F or higher lasting more than 4 hours belongs there too. Worsening severe pain. Fainting. Tell the ER you took the abortion pill — mifepristone, misoprostol, or both, if you know.

Serious and sometimes fatal infections and bleeding occur very rarely. No causal relationship between mifepristone and misoprostol and those events has been established. Prolonged heavy bleeding may be a sign of incomplete abortion. Serious infection can present without fever.

The approved regimen is not treatment for ectopic pregnancy. A ruptured ectopic can be fatal. One-sided pain or pain at the tip of your shoulder is an ectopic concern. Treat it as an ER.

FDA labeling says follow-up about 7 to 14 days after mifepristone is very important. If listed contacts cannot be reached, go to an ER.

Fainting is an ER. Ordinary dizziness is expected. If you cannot stay upright when you stand, treat that like fainting and call 911.

No woman upon whom an abortion is performed or attempted shall be criminally or civilly liable under this Act. Still tell the ER what you took. This is not legal advice.

Alabama law makes it unlawful for any person to intentionally perform or attempt an abortion except as the Human Life Protection Act provides. We do not sell, ship, or name vendors.

Full list: If you are bleeding now. What you might pass: What you might see. After: After the pills.

If you have taken only mifepristone and you want this pregnancy to continue, that conversation lives on Changed your mind after the first pill?. Talk with a nurse here first.

A nurse is here.

> Emergency. Soak two thick pads an hour for two consecutive hours, fainting, severe pain, or fever of 100.4°F or higher lasting more than 4 hours: 911. If you are crashing before the second hour, do not wait. If you may harm yourself, 988. Those are not the nurse chat.

A nurse can use an interpreter. We write in English first.

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We do not sell, ship, or name vendors. Independent centers named here are not a chain.

Chat is not medical care. An emergency room is.

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