What’s the Deal with Abortion Pill Reversal?

“I took the abortion pill,” said a tearful voice over the phone. “And now I wish I hadn’t. What do I do?” Calls like this one are not uncommon, but often women having second thoughts about taking the abortion pill don’t realize that it may not be too late to change their mind.

Medical abortion, often called, “The Abortion Pill Method,” involves the use of two different medications: mifepristone (RU-486, Mifeprex) and misoprostol. Abortion pill reversal is possible using an effective progesterone-based treatment. It is important to note that the reversal treatment is only effective if taken after the first abortion medication; it is not effective once the second medication has been taken. 

Abortion pill reversal is a highly time-sensitive process. The American Pregnancy Association (2021) states the protocol should be started, “within 24 hours of taking mifepristone.” Another source, Abortion Pill Rescue Network, confirmed that several successful abortion pill reversals have occurred when treatment was started, “within 72 hours of taking the first abortion medication.” The sooner the reversal process is initiated, increases the success rates of sustaining pregnancy through the delivery of progesterone. 

Several studies have found positive results with the use of progesterone to counteract the effects of the first abortion medication, mifepristone. A study by George Delgado, et al. (2018) revealed that two different progesterone administrations resulted in effective (abortion pill) reversal rates of 64-68%. Women who have taken the first abortion medication, who then desire to maintain their pregnancy, should be directed to an abortion pill reversal provider in their area. Helplines such as Abortion Pill Reversal are available 24/7 to connect women to the provider in their closest proximity. 

If you have taken the abortion pill within the last 72 hours, please contact the Abortion Pill Reversal hotline here for more information on what your options may be. If you are struggling with a past abortion decision, help and healing are still available. AbbaCare’s Past Abortion Care and Encouragement program (PACE) is here for you in a safe, non-judgmental environment. All services are free and confidential.

If you are considering a medical abortion (the abortion pill) but want to be fully empowered to make the best decision you can, contact AbbaCare for a free pregnancy consultation in Winchester, VA or Martinsburg, WV. 

(Not in our area? Find a pregnancy center near you here.)

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