Abortion: what are my options?

In-clinic abortion, also called surgical abortion

This procedure takes place in a clinic, and is both safe and extremely effective. The type kinds of in-clinic procedures offered are dependent upon how far along you are, and is something your doctor or nurse will help you decide. Vacuum aspiration is the most common procedure, and is typically best for those up to 16 weeks pregnant. After 16 weeks, a procedure called Dilation and Evacuation is more often used. In-clinic abortions may be best for those who prefer to be in a medical setting with trained support staff around them, whereas the medical abortion option takes place in your home.

In-clinic abortions are also faster procedures, taking between 5 and 10 minutes, whereas a medical abortion can take up to 24 hours to complete. Although the surgical procedure is quick, you will be at the clinic for longer than this, as clinic staff will need to meet with you beforehand to talk through the procedure and do some lab tests, and then you’ll be given aftercare time to rest before heading home. You will likely be given the option to use anesthesia during the procedure, which my cause some nausea afterward. Upon leaving, the clinic will give you instructions on any medications to take, and will give you a number to call should you have any questions. Learn more here about what happens during a surgical abortion, or check out the following video:

It’s a good idea to have a support person go with you to your appointment. You’ll want to have a plan for recovery, as cramping and light bleeding may occur (having a heating pad, ibuprofen, and maxi pads ready, along with a comfy couch and good movie or friend). Plan to give yourself the rest of the day to relax.

Medical abortion

A medical abortion, also called the abortion pill, is also a safe and effective way to end a pregnancy, and can be obtained for those up to 10 weeks pregnant. A medical abortion involves taking two pills: mifepristone, which blocks your body’s production of progesterone and stops a pregnancy from progressing, and misoprostol, which causes bleeding and cramping to empty your uterus, causing a miscarriage. The medication abortion is different from the surgical option in that you’ll receive your pills at the clinic, be given detailed instructions and a number to call with any issues or concerns, and then terminate your pregnancy at home. Because people who choose medication abortion often report more intense cramping and bleeding than the in-clinic option, its important to plan ahead to make sure you have a trusted support person with you, as well as a safe and comfortable environment. Learn more about the abortion pill option here, and check out this video:

Self-managed abortion

Because of a severe increase in restrictive laws across the country around abortion access, many people are turning to “self-managed” abortions. If this is something you’re considering, be very careful about how you access these pills; seek out trusted sources and information. For support and information, explore these resources: