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About Self-Managed Abortions

The recent changes in abortion laws across the country have made it difficult to access traditional, in-clinic care. For some people, self-managing their abortion--or having an "at-home" abortion--may be preferable. Research has shown that self-managed abortions can be safe and effective when using the abortion pills mifepristone and misoprostol (mife and miso). 

These pills work best for people who are 11-weeks pregnant or less. You can count from your last period, or get an ultrasound. You may order abortion pills online at the following providers: 


What to Expect from your SMA

Everyone who responds to abortion pills in their own way, but their are general expectations to be aware of.

During your abortion: 

You will have heavy bleeding and cramping. This will be heavier than your period. 

You will pass large blood clots--one of these will be when the pregnancy tissue comes out. If you are over 9 weeks pregnant you may see identifiable parts. Flush everything down the toilet. 

Treat pain with ibuprofen and Tylenol. A heating pad can help too. 

After your abortion: 

If you have passed the pregnancy, any symptoms like nausea or breast tenderness should improve after a few days. 

Take a pregnancy test 30 days after you pass the pregnancy. If you take a test sooner, it will still be positive. That is because it takes time for the pregnancy hormone to drop. 

Your period will come back in about 4-6 weeks, but may be irregular for a few months. 

You can get pregnant right after your abortion, so start birth control soon, if you choose to. 

When to ask for help

M&A Hotline is a group of healthcare providers who can anser questions during your miscarriage or abortion. They are available through text or phone call. 

When to go to the hospital. 

If you feel like it is an emergency, trust your instinct. If you are bleeding heavily, soaking multiple heavy maxi pads per hour for 2-3 hours in a row, or if you feel dizzy, lightheaded or pass out--go to the hospital. 

There is no way to tell that you took abortion pills. You can tell the hospital that you are having a miscarriage. If you put the medication in your vagina, make sure it is all dissolved or remove it before you go to the hospital. 

Legality of Self-Managed Abortions

In some states, including Oklahoma, it is illegal to self-manage your abortion. People who know you or even healthcare providers can report you for having an abortion or report anyone who helps you. Be careful who you tell about your pregnancy and abortion. Have a safety plan for yoursefl and anyone who helps you.