Woman considering taking the abortion pill

Should I Take the Abortion Pill?
Have you taken a pregnancy test? Or are you too nervous about what your result will be to take one? We know the feeling. Many pregnancies are unplanned. If you know you’re pregnant and you’re considering the abortion pill, arm yourself with accurate information so you know what you can expect and how to protect your health.

What you need to know about a medical abortion…
A medical abortion is a two-step process involving two different medications. The first medication is called mifepristone, which halts pregnancy growth. The second medication is misoprostol, and it can be administered orally, buccally, vaginally, and sublingually. Misoprostol causes the pregnancy tissue to discharge from your body. Depending on the healthcare provider, they will tell you when to take each medication. However, both medications are typically taken within a 48-hour window.

What happens after both medications are taken?
Cramping and bleeding usually start one to four hours after taking misoprostol (the second medication). Women see large blood clots or clumps of bodily discharge. Most women pass the fetus in four to five hours, but it’s longer in some cases. The cramping and bleeding will slow down after the pregnancy tissue is out. Yet, you may experience cramping for several days and bleeding can last anywhere from nine to sixteen days after a medical abortion.

How will I know if the medical abortion is working?
Cramping should start within four hours of taking misoprostol, which indicates the medication is working. For some women, this will cause physical discomfort. Bleeding may also occur. It means the medication is discharging the fetus. On average, bleeding and cramping peaks around four to eight hours after taking misoprostol.

Are there side effects?
For most women, the process will feel like a heavy period or resemble an early miscarriage. Side effects may include:
– cramping and muscle aches in your abdominal area
– heavy bleeding with large bodily deposits, potentially up to three to four weeks after
– upset stomach and vomiting
– diarrhea
– dizziness
– tiredness
– low-grade fever (99-100°F) or chills on the day you take misoprostol

It can take anywhere from six to eight weeks for your body to feel normal again. A follow-up appointment with your physician is imperative, especially if you continue to experience a fever after 24 hours of taking misoprostol.

Is there anything I should do before taking the abortion pill?
According to guidelines set forth by the American College of Obstetricians and Gynecologists and Society of Family Planning, “Counseling must first emphasize early pregnancy options to ensure that a woman is certain about her decision…” Additionally, many states (including Nebraska), require an ultrasound before an abortion. For these reasons, Essential Pregnancy Services offers free pre-abortion screenings and consults to all women in need of pregnancy services.

During your clinic visit at one of our locations, you can receive a lab-quality pregnancy test, as well as an ultrasound to confirm your pregnancy and to determine if it is viable; that is, if your body is preparing for a miscarriage or if you have a condition like an ectopic pregnancy which would be a medical emergency. If the pregnancy is not viable, there’s no need to spend your money on the abortion pill.

We provide all pregnancy services at no cost. You do not need insurance, there are no hidden fees, and we don’t profit from the decision you make about your pregnancy.

We know how scary an unexpected pregnancy can be, which is why we are here to help you navigate your options… because you have more than one! Call our confidential helpline at 402.554.1000, text us at 402.669.5563 or make an appointment online now.


We are temporarily closing our centers today, Friday, June 24, through Monday, June 27. We will resume regularly scheduled business hours on Tuesday, June 28. Our helpline is available to serve women in need. Call 402-554-1000 for help now.


When you submit a request for an appointment, you will receive a text asking you to call us within one business day. If you submit your request for an appointment after business hours, you will receive a text on the following business day. Once you receive this text, you MUST call to confirm your appointment by the time designated in the text message or your requested appointment will NOT be scheduled.


Before you make an appointment or visit EPS, please review our current policies so we can maintain a safe environment for all. Thank you for your cooperation!

1. If you are feeling ill or have a fever, please do not schedule or attend an appointment. We can reschedule when you are feeling better. If you are unsure about whether to attend your appointment, call our helpline.

2. One adult guest may accompany you to your medical appointment. No children are permitted at appointments. No children should be left unattended in vehicles for any amount of time, so please make plans prior to coming to EPS if you have children in your care.

3. Babes in arms are welcome with clients participating in EPS Life Services, including when attending education classes and shopping in the boutique.

4. A mask must be worn at all times while in EPS centers and social distancing maintained.

We look forward to serving you. Thank you!

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