What to Know About Abortion Pill Reversal

If you took the first abortion pill and immediately wished you hadn’t, keep reading. Many women have that reaction, and the most important thing to know right now is that the process may not be finished. A medical abortion involves two drugs. If you’ve only taken the first, there may still be time to try to continue your pregnancy.

That window is measured in hours, not days. If you’ve taken mifepristone but have not taken misoprostol, contact First Care as soon as possible. Our medical team provides abortion pill reversal, along with free, confidential care and same-day appointments. Schedule online, or call or text (651) 424-0303.

If it’s after hours or you need immediate assistance, the Abortion Pill Reversal Network’s 24/7 helpline is available at 1-877-558-0333.

The Abortion Pill Is Actually Two Drugs

Understanding abortion pill reversal begins with understanding how the abortion pill works.

The first drug, mifepristone, blocks progesterone, a hormone that helps support a pregnancy. The second drug, misoprostol, is usually taken 24 to 48 hours later and causes the uterus to contract, expelling the pregnancy through vaginal bleeding and cramping.

Because mifepristone blocks progesterone rather than removing it from your body, treatment may still be possible before the second drug is taken.

How Does Abortion Pill Reversal Work?

Abortion pill reversal (APR) is a protocol in which a provider prescribes supplemental progesterone after mifepristone has been taken but before misoprostol. The goal is to restore progesterone levels as quickly as possible to sustain the pregnancy.

Progesterone is not a new or experimental treatment. It has been used in pregnancy care for decades, including for women with a history of miscarriage. Research has not shown an increased risk of birth defects associated with progesterone treatment. Some studies have reported pregnancy continuation rates of approximately 64% to 68% when treatment begins early, although outcomes vary from woman to woman, and no result can be guaranteed.

Seeking care as soon as possible allows you to receive prompt medical evaluation and discuss the care that’s appropriate for your situation.

Timing Matters

Abortion pill reversal is generally most effective when treatment begins within 24 hours of taking mifepristone, although some medical providers may begin treatment up to 72 hours later, depending on the circumstances.

Abortion pill reversal is intended for women who have taken mifepristone but not misoprostol. If you’ve already taken both drugs, don’t assume there’s nothing you can do. Contact First Care as soon as possible to discuss your situation and learn about the care or support that may be available.

Take the Next Step

First Care provides abortion pill reversal, along with lab-quality pregnancy testing, STI testing, and ultrasounds to monitor how your pregnancy is progressing. Every service is free, confidential, and medical, with same-day appointments available at all First Care locations.

Book a free, confidential medical appointment online or call or text (651) 424-0303 to find the location nearest you.

Whether you’re looking for abortion pill reversal or simply need medically accurate information about your pregnancy, First Care is here to help you understand your next steps.

First Care does not perform or refer for abortions.