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Abortion Pill Treatments
In response to the current COVID 19 pandemic, the government has approved the use of pills by post for abortion treatment. This allows clients to take both pills for a medical abortion up to 10 weeks in their own homes, rather than attending a clinic.
Abortion pill (includes abortion pill at home and in clinic up to 10 weeks)
The abortion pill from 10 weeks up to 24 weeks - always in clinic
What is the abortion pill?
The abortion pill is in fact two medicines. The first medicine ends the pregnancy and is named mifepristone. It works by blocking the hormone progesterone. Without progesterone, the lining of the uterus breaks down and the pregnancy cannot continue.
The second medicine, misoprostol makes the womb contract, causing cramping, bleeding and the loss of the pregnancy similar to a miscarriage.
This method can be used up to 24 weeks of pregnancy at BPAS. What to expect depends on whether the pregnancy is less than or more than 10 weeks' gestation. It will also depend on whether you can have telephone assessment and your pills by post or if you need to come into the clinic.
Essential information
Information about Covid-19 vaccines for women of reproductive age
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 do I get 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 safe is the abortion pill?
How do I get the abortion pill?
You can get the abortion pill from a doctor, nurse, health clinic, or Planned Parenthood health center. You may be able to get the abortion pill for free or low cost.
Thinking about getting the abortion pill?
FIND A HEALTH CENTER
Where can I get the abortion pill?
You can get medication abortion (AKA the abortion pill) at many Planned Parenthood health centers. Our caring doctors and nurses are experts at providing safe abortion and non-judgmental support throughout the process. Even if your local Planned Parenthood health center doesn't provide the abortion pill, you can call for more information about where to get it in your area.
When looking for a place to get an abortion, beware of “crisis pregnancy centers.” These fake clinics seem like medical centers that offer abortions or other pregnancy options, but they’re actually run by people who want to scare or shame people out of getting an abortion.
Depending on where you live, there may be age restrictions or waiting periods to get an abortion. You can ask about these when you call your doctor or your local Planned Parenthood health center.
Telemedicine for the abortion pill and getting the abortion pill in the mail
Planned Parenthood health centers offer medication abortion (AKA the abortion pill) in several ways. In some states, we can offer medication abortion via telemedicine (also called telehealth), where you meet with your doctor or nurse by video or phone, and get your pills by mail or or by picking them up at a local clinic or pharmacy. Contact your nearest Planned Parenthood health center to see if this is an option for you.
How much does the abortion pill cost?
A medication abortion can cost up to $750, but it’s often less. The cost of a medication abortion (AKA the abortion pill) can vary depending on the state where you receive care and your health insurance (private or government insurance). Your local Planned Parenthood health center can give you more information about the cost of the abortion and funds that might be available to help you pay for your abortion. Some things to know:
The professionals at Planned Parenthood work to give you the services you need, whether or not you have insurance. Contact your local health center for more information on costs.
Your abortion may be free or low-cost with health insurance. Some insurance plans don’t cover abortions. You can call your insurance provider directly to find out their policies.
Some government health insurance plans (like Medicaid) in certain states cover abortion, while others do not. Some plans only cover abortion in certain cases.
If you’re worried about cost, call your local Planned Parenthood health center to see how they can get you health care that you can afford.
How to buy abortion pills that are safe and effective
10 common questions and answers
Abortion with pills is a safe and effective way to end a pregnancy, but you must use the right medications. There are many counterfeit and poor-quality abortion pills available. Here are 10 common questions and answers to help you find the right pills.
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More information on how to self-manage an abortion with pills
1. What medications can be used safely for an abortion with pills?
Abortion with pills involves two medications: mifepristone and misoprostol. They can be used together — or misoprostol can be used alone — to empty the uterus safely and effectively by starting a process similar to a miscarriage. When misoprostol is used alone, it is slightly less effective but still very safe. This method is very common because mifepristone is not available in many places.
2. What is the difference between mifepristone and misoprostol?
Mifepristone blocks the activity of progesterone (a hormone needed to maintain a pregnancy) in the uterus and softens the cervix so the pregnancy comes out more easily. Misoprostol makes the uterus contract and push out the pregnancy. This is similar to what happens when a person has a miscarriage.
When both medications are available, mifepristone is taken first, and then misoprostol is taken 1–2 days later. Mifepristone is always swallowed. Misoprostol is put in the mouth to dissolve, either in between the cheek and gum or under the tongue. Note: You don’t need to take misoprostol vaginally, and no one ever needs to insert it for you.
Mifepristone is only available in a limited number of countries around the world. Check here to see if it is available in your country: http://www.medab.org. Mifepristone is often packaged together with misoprostol and sold as a combined product just for abortion.
Misoprostol is more widely available around the world, less expensive than mifepristone, and easier to buy from pharmacies and medicine sellers. In addition to being used to induce an abortion, misoprostol is also used to treat ulcers and to prevent or treat heavy bleeding after childbirth, therefore it is generally easier to purchase without a prescription.
Misoprostol is the medication’s clinical name, but it is sold internationally under many different trade names, such as Cytotec, Misoclear, Misotac, Kontrac, and Isovent. You can find a full list of names here: http://www.womenonwaves.org.
3. What do abortion pills look like?
Both mifepristone and misoprostol are sold in tablet or pill form. Misoprostol pills usually, but not always, have a unique six-sided shape. Mifepristone is usually a round, white pill. If someone is selling these medications in capsule form, they are not legitimate. (A capsule is a shell or container, usually made of gelatin, that contains a medication.)
Abortion with pills
4. What does mifepristone combined with misoprostol look like?
Where mifepristone is available, it is usually sold packaged together with misoprostol as a “combi-pack.” Combi-packs are rarely counterfeit and should look something like this.
Abortion self-care: What does mifepristone combined with misoprostol look like?
5. What is a “blister pack” and why is it important?
A “blister pack” is a way of packaging medicines where individual pills are sealed in a “bubble” between two layers of material. The most common materials used for blister packs are cardboard, plastic and aluminum.
Misoprostol becomes less effective when the pills are exposed to heat and moisture. For that reason, misoprostol must be sealed in double-aluminum blister packs (aluminum on top and bottom), rather than cardboard or plastic. You are unlikely to find legitimate or effective misoprostol that is being kept in cardboard, plastic or as loose pills in a bottle.
A double-aluminum blister pack should look something like this. Be sure the aluminum is not opened on any side until you are ready to use the pills.
Abortion self-care: What is a “blister pack” and why is it important?
6. How much do the pills cost?
The cost of misoprostol varies around the world. But misoprostol is widely available, so it’s generally not very expensive. Manufacturers sell the pills to pharmacies for very little cost — less than $0.05 USD (5 cents) per pill. The highest sales price found in a recent study was $2 USD per pill.
Misoprostol is usually an affordable option for someone seeking an abortion. Of course, some pharmacists or medicine sellers may take advantage of people seeking misoprostol and try to charge too much for the pills. You can ask people you trust if they know how much the pills should cost where you live, or you can search the internet for local cost information. But remember: Misoprostol should not be expensive.
Pre-packaged combi-packs of mifepristone and misoprostol are only available in a limited number of countries (less than 30), and they are less likely to be sold without a prescription. If you live in a low- or middle-income country where combi-packs are available, the prices are likely controlled, and a combi-pack should cost less than $20 USD.
7. How many pills do I need to buy?
If you have access to both mifepristone and misoprostol, you will need 1 mifepristone pill of 200mg and at least 4 misoprostol pills of 200mcg each. If you are 10–12 weeks pregnant, you may need to take 1 or 2 extra doses (4 or 8 extra pills) of misoprostol to finish the abortion process. If you have access to misoprostol only, you will need at least 12 misoprostol pills of 200mcg each if you are less than 13 weeks pregnant.
8. How can I know if the pills are real and not counterfeit?
Even if you ask for abortion pills by name, such as misoprostol or mifepristone, some medicine sellers may try to sell you counterfeit pills that won’t work and may delay you from having an abortion. Safe, effective abortion pills should be:
The color white
Pills or tablets, NOT capsules
Packaged in an undamaged, double-aluminum blister pack, ideally
Sold to you by a pharmacy or medicine seller you trust
Not expired (an expiration date should be on the package)
9. Can I buy abortion pills without a prescription?
Mifepristone and misoprostol can be obtained from a health provider, from pharmacies and medicine sellers, and from the internet. Depending on what country you live in, a prescription may be required to buy mifepristone and misoprostol from a local pharmacy or medicine seller. But the two medications are often sold without a prescription. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Mifepristone and misoprostol “combi-packs” and misoprostol alone can be bought from online pharmacies and organizations that support people to self-manage their abortions (see the list in question #10).
10. Where can I find more information on abortion with pills?
Reliable, evidence-based information on how to safely self-manage an abortion with pills can be found on the websites of these organizations:
Safe2Choose: http://www.safe2choose.org
Women Help Women: http://www.womenhelp.org
Women on Web: http://www.womenonweb.org
There are also these reliable mobile apps available in the Apple App Store and Google Play Store:
Euki — Sexual health info & tracking. You can download it in the Apple app store and Google Play store.
Safe Abortion (SA) — Hesperian Health Guides. You can download it in the Apple app store and Google Play store.
Download a shorter, printable copy of this information
How to safely self-manage an abortion with pills
Reliable, evidence-based information that gives women control over their own bodies and reproductive choices.
More questions from patients:
How do I give myself an at-home abortion?
PreviousHow safe is the abortion pill?
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Abortion Pill Treatments
In response to the current COVID 19 pandemic, the government has approved the use of pills by post for abortion treatment. This allows clients to take both pills for a medical abortion up to 10 weeks in their own homes, rather than attending a clinic.
Abortion pill (includes abortion pill at home and in clinic up to 10 weeks)
The abortion pill from 10 weeks up to 24 weeks - always in clinic
What is the abortion pill?
The abortion pill is in fact two medicines. The first medicine ends the pregnancy and is named mifepristone. It works by blocking the hormone progesterone. Without progesterone, the lining of the uterus breaks down and the pregnancy cannot continue.
The second medicine, misoprostol makes the womb contract, causing cramping, bleeding and the loss of the pregnancy similar to a miscarriage.
This method can be used up to 24 weeks of pregnancy at BPAS. What to expect depends on whether the pregnancy is less than or more than 10 weeks' gestation. It will also depend on whether you can have telephone assessment and your pills by post or if you need to come into the clinic.
Essential information
Information about Covid-19 vaccines for women of reproductive age
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 do I get 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 safe is the abortion pill?
How do I get the abortion pill?
You can get the abortion pill from a doctor, nurse, health clinic, or Planned Parenthood health center. You may be able to get the abortion pill for free or low cost.
Thinking about getting the abortion pill?
FIND A HEALTH CENTER
Where can I get the abortion pill?
You can get medication abortion (AKA the abortion pill) at many Planned Parenthood health centers. Our caring doctors and nurses are experts at providing safe abortion and non-judgmental support throughout the process. Even if your local Planned Parenthood health center doesn't provide the abortion pill, you can call for more information about where to get it in your area.
When looking for a place to get an abortion, beware of “crisis pregnancy centers.” These fake clinics seem like medical centers that offer abortions or other pregnancy options, but they’re actually run by people who want to scare or shame people out of getting an abortion.
Depending on where you live, there may be age restrictions or waiting periods to get an abortion. You can ask about these when you call your doctor or your local Planned Parenthood health center.
Telemedicine for the abortion pill and getting the abortion pill in the mail
Planned Parenthood health centers offer medication abortion (AKA the abortion pill) in several ways. In some states, we can offer medication abortion via telemedicine (also called telehealth), where you meet with your doctor or nurse by video or phone, and get your pills by mail or or by picking them up at a local clinic or pharmacy. Contact your nearest Planned Parenthood health center to see if this is an option for you.
How much does the abortion pill cost?
A medication abortion can cost up to $750, but it’s often less. The cost of a medication abortion (AKA the abortion pill) can vary depending on the state where you receive care and your health insurance (private or government insurance). Your local Planned Parenthood health center can give you more information about the cost of the abortion and funds that might be available to help you pay for your abortion. Some things to know:
The professionals at Planned Parenthood work to give you the services you need, whether or not you have insurance. Contact your local health center for more information on costs.
Your abortion may be free or low-cost with health insurance. Some insurance plans don’t cover abortions. You can call your insurance provider directly to find out their policies.
Some government health insurance plans (like Medicaid) in certain states cover abortion, while others do not. Some plans only cover abortion in certain cases.
If you’re worried about cost, call your local Planned Parenthood health center to see how they can get you health care that you can afford.
How to buy abortion pills that are safe and effective
10 common questions and answers
Abortion with pills is a safe and effective way to end a pregnancy, but you must use the right medications. There are many counterfeit and poor-quality abortion pills available. Here are 10 common questions and answers to help you find the right pills.
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More information on how to self-manage an abortion with pills
1. What medications can be used safely for an abortion with pills?
Abortion with pills involves two medications: mifepristone and misoprostol. They can be used together — or misoprostol can be used alone — to empty the uterus safely and effectively by starting a process similar to a miscarriage. When misoprostol is used alone, it is slightly less effective but still very safe. This method is very common because mifepristone is not available in many places.
2. What is the difference between mifepristone and misoprostol?
Mifepristone blocks the activity of progesterone (a hormone needed to maintain a pregnancy) in the uterus and softens the cervix so the pregnancy comes out more easily. Misoprostol makes the uterus contract and push out the pregnancy. This is similar to what happens when a person has a miscarriage.
When both medications are available, mifepristone is taken first, and then misoprostol is taken 1–2 days later. Mifepristone is always swallowed. Misoprostol is put in the mouth to dissolve, either in between the cheek and gum or under the tongue. Note: You don’t need to take misoprostol vaginally, and no one ever needs to insert it for you.
Mifepristone is only available in a limited number of countries around the world. Check here to see if it is available in your country: http://www.medab.org. Mifepristone is often packaged together with misoprostol and sold as a combined product just for abortion.
Misoprostol is more widely available around the world, less expensive than mifepristone, and easier to buy from pharmacies and medicine sellers. In addition to being used to induce an abortion, misoprostol is also used to treat ulcers and to prevent or treat heavy bleeding after childbirth, therefore it is generally easier to purchase without a prescription.
Misoprostol is the medication’s clinical name, but it is sold internationally under many different trade names, such as Cytotec, Misoclear, Misotac, Kontrac, and Isovent. You can find a full list of names here: http://www.womenonwaves.org.
3. What do abortion pills look like?
Both mifepristone and misoprostol are sold in tablet or pill form. Misoprostol pills usually, but not always, have a unique six-sided shape. Mifepristone is usually a round, white pill. If someone is selling these medications in capsule form, they are not legitimate. (A capsule is a shell or container, usually made of gelatin, that contains a medication.)
Abortion with pills
4. What does mifepristone combined with misoprostol look like?
Where mifepristone is available, it is usually sold packaged together with misoprostol as a “combi-pack.” Combi-packs are rarely counterfeit and should look something like this.
Abortion self-care: What does mifepristone combined with misoprostol look like?
5. What is a “blister pack” and why is it important?
A “blister pack” is a way of packaging medicines where individual pills are sealed in a “bubble” between two layers of material. The most common materials used for blister packs are cardboard, plastic and aluminum.
Misoprostol becomes less effective when the pills are exposed to heat and moisture. For that reason, misoprostol must be sealed in double-aluminum blister packs (aluminum on top and bottom), rather than cardboard or plastic. You are unlikely to find legitimate or effective misoprostol that is being kept in cardboard, plastic or as loose pills in a bottle.
A double-aluminum blister pack should look something like this. Be sure the aluminum is not opened on any side until you are ready to use the pills.
Abortion self-care: What is a “blister pack” and why is it important?
6. How much do the pills cost?
The cost of misoprostol varies around the world. But misoprostol is widely available, so it’s generally not very expensive. Manufacturers sell the pills to pharmacies for very little cost — less than $0.05 USD (5 cents) per pill. The highest sales price found in a recent study was $2 USD per pill.
Misoprostol is usually an affordable option for someone seeking an abortion. Of course, some pharmacists or medicine sellers may take advantage of people seeking misoprostol and try to charge too much for the pills. You can ask people you trust if they know how much the pills should cost where you live, or you can search the internet for local cost information. But remember: Misoprostol should not be expensive.
Pre-packaged combi-packs of mifepristone and misoprostol are only available in a limited number of countries (less than 30), and they are less likely to be sold without a prescription. If you live in a low- or middle-income country where combi-packs are available, the prices are likely controlled, and a combi-pack should cost less than $20 USD.
7. How many pills do I need to buy?
If you have access to both mifepristone and misoprostol, you will need 1 mifepristone pill of 200mg and at least 4 misoprostol pills of 200mcg each. If you are 10–12 weeks pregnant, you may need to take 1 or 2 extra doses (4 or 8 extra pills) of misoprostol to finish the abortion process. If you have access to misoprostol only, you will need at least 12 misoprostol pills of 200mcg each if you are less than 13 weeks pregnant.
8. How can I know if the pills are real and not counterfeit?
Even if you ask for abortion pills by name, such as misoprostol or mifepristone, some medicine sellers may try to sell you counterfeit pills that won’t work and may delay you from having an abortion. Safe, effective abortion pills should be:
The color white
Pills or tablets, NOT capsules
Packaged in an undamaged, double-aluminum blister pack, ideally
Sold to you by a pharmacy or medicine seller you trust
Not expired (an expiration date should be on the package)
9. Can I buy abortion pills without a prescription?
Mifepristone and misoprostol can be obtained from a health provider, from pharmacies and medicine sellers, and from the internet. Depending on what country you live in, a prescription may be required to buy mifepristone and misoprostol from a local pharmacy or medicine seller. But the two medications are often sold without a prescription. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Mifepristone and misoprostol “combi-packs” and misoprostol alone can be bought from online pharmacies and organizations that support people to self-manage their abortions (see the list in question #10).
10. Where can I find more information on abortion with pills?
Reliable, evidence-based information on how to safely self-manage an abortion with pills can be found on the websites of these organizations:
Safe2Choose: http://www.safe2choose.org
Women Help Women: http://www.womenhelp.org
Women on Web: http://www.womenonweb.org
There are also these reliable mobile apps available in the Apple App Store and Google Play Store:
Euki — Sexual health info & tracking. You can download it in the Apple app store and Google Play store.
Safe Abortion (SA) — Hesperian Health Guides. You can download it in the Apple app store and Google Play store.
Download a shorter, printable copy of this information
How to safely self-manage an abortion with pills
Reliable, evidence-based information that gives women control over their own bodies and reproductive choices.
More questions from patients:
How do I give myself an at-home abortion?
PreviousHow safe is the abortion pill?
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