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Reversal FAQ

Is it too late to reverse the abortion pill?

For those seeking to reverse a chemical abortion (commonly referred to as a medical abortion), the goal is to start the protocol within 24 hours of taking the first abortion pill, mifepristone, also known as RU-486. However, there have been many successful reversals when treatment was started within 72 hours of taking the first abortion pill.

Even if 72 hours have passed, email the Network at help@apr.life. We are here to help. It may not be too late.

The abortion clinic said I have to complete the abortion; is that true?

No, it is always your choice to change your mind. Even if you have started the chemical abortion process, a reversal may still be a choice for you.

What if I am cramping or spotting? Does it mean it’s too late to reverse the abortion pill?

Spotting or bleeding is common during reversal treatment. It is important and safe to continue the progesterone even if you experience spotting or bleeding unless directed otherwise.

If you experience heavy bleeding, faintness, severe abdominal pain, or fever, seek emergency medical attention immediately. This could be an effect of the mifepristone and would require immediate care.

It is important to have an ultrasound to confirm that your baby is in the uterus as soon as possible. 

What about the other pills the abortion clinic gave me?

The second medication is called misoprostol or Cytotec. Its purpose is to cause the uterus to contract and expel the baby.

The Misoprostol/Cytotec is not needed if you want to try to reverse the chemical abortion.

How do I start the Abortion Pill Reversal process?

  • Email the Network at help@apr.life.
  • Our on-call Healthcare Professional will ask you some basic questions to see if a reversal is possible.
  • The Healthcare Professional will then connect you with a doctor or medical provider in your area to start treatment if that is your choice.

What is the treatment to reverse the abortion pill?

An ultrasound will be done as soon as possible to confirm heart rate, placement, and dating of the pregnancy.

The doctor or another medical provider will prescribe progesterone, given as a pill to be taken orally or vaginally or possibly by intramuscular injection.

The treatment will usually continue through the first trimester of pregnancy.

Why is progesterone used?

Mifepristone blocks progesterone’s actions by binding to progesterone receptors in the uterus and the placenta. Progesterone is the natural hormone in a woman’s body that is necessary to nurture and sustain a pregnancy. By giving extra progesterone, we hope to outnumber and outcompete the mifepristone in order to reverse the effects of mifepristone.

What if I start cramping or spotting after I start the progesterone treatment?

Many women have experienced cramping or spotting and still go on to have successful reversals. Be sure to let your doctor or medical provider know you are experiencing these symptoms.

If you experience heavy bleeding, faintness, severe abdominal pain, or fever, seek emergency medical attention immediately. This could be an effect of the mifepristone and would require immediate care.

What is the success rate of Abortion Pill Reversal?

Initial studies of APR have shown that APR has a 64-68% success rate. Without the APR treatment, mifepristone may fail to abort the pregnancy on its own. In other words, your pregnancy may continue even without APR if you decide not to take misoprostol, the second abortion drug likely prescribed or provided to you when you took mifepristone. APR has been shown to increase the chances of allowing the pregnancy to continue.

However, the outcome of your particular reversal attempt cannot be guaranteed.

What about birth defects? Is my baby going to be OK?

The American College of Obstetricians and Gynecologists (ACOG) in its Practice Bulletin Number 143, March 2014, states that: “No evidence exists to date of a teratogenic effect of mifepristone.” In other words, it does not appear that mifepristone, RU-486, causes birth defects.

Progesterone has been safely used in pregnancy for over 50 years. Initial studies have found that the birth defect rate in babies born after the APR is less than or equal to the rate in the general population. Neither Mifepristone nor progesterone is associated with birth defects.

What are the possible side effects of progesterone?

Progesterone may cause sleepiness, lack of energy, lightheadedness, dizziness, gastrointestinal discomfort and headaches. Increased fluid intake might help relieve these symptoms. Swelling and pain are side effects of the shots. If ice and heat packs do not relieve the pain or if the site is red and grows, seek medical attention. ACOG Practice Bulletin, Number 143, March 2014, Medical Management of First-Trimester Abortion, p. 7.

It is important that you follow all of the instructions of your APR provider carefully. If you have any questions, contact your provider.

Some progesterone treatments include peanut oil - what if I am allergic to peanuts?

If you are allergic to peanut oil, notify your provider before beginning APR. Progesterone may include this ingredient, so it is important that you notify your provider of any of these allergies before taking progesterone. An alternative form of progesterone may be available for those with an allergy.

How much will this cost?

Costs of the treatment vary depending on the progesterone used. Insurance plans may cover the treatment. Women who do not have insurance or financial means to pay for treatment should discuss this with their medical provider.

In cases of financial hardship, APR will help you find ways to reduce the cost of the treatment.

Even though I regret my decision to take the abortion pill, there is no way I could keep and raise this baby alone and without support. What do I do?

We are here to help support pregnant women and their developing babies. Contact us and we can connect you to the support you need to make the best decision possible for you and your baby.

If you think parenting might be an option for you, but you have concerns about money, baby supplies, insurance or your parenting skills, there may be local help available. 

I’d like to save this pregnancy, but I’ll probably get kicked out of my house. What should I do?

Email us at help@apr.lifeWe will help you find the resources you need for your particular situation. Most women might need a little (or a lot) of help. There are many organizations worldwide that help women and families with anything from baby bottles and diapers, to peer and professional consultations, and even housing.

Are the abortion pill and the morning-after pill the same thing?

No, they are different. The “morning-after pill” is marketed as an emergency contraception method. The most commonly used preparation contains a high level of progestin and can be taken up to 72 hours after sexual intercourse. New insights into how it works make it clear that it can prevent implantation of the young human embryo into the lining of the uterus. This is a contragestational or abortifacient effect, not a contraceptive effect.

The abortion pill, mifepristone, is taken up 70 days (10 weeks) into a pregnancy with the intention of causing an abortion. It works by blocking progesterone receptors. Progesterone is the necessary hormone that nurtures and supports a pregnancy.

The newest morning after pill, Ella, is very similar to mifepristone in its action in that it blocks progesterone receptors. It is approved by the FDA for use up to five days after intercourse and also has abortifacient effects.

Does your organization provide the abortion pill to women or perform surgical abortions?

Abortion Pill Rescue provides compassionate support for women during their pregnancies and does not provide or refer for abortion services. We work diligently to provide women seeking reversal with information and resources to make healthy choices for their pregnancies.

Do any professional organizations support Abortion Pill Reversal?

The American Association of Pro-Life Obstetricians and Gynecologists, a 2500-member organization, supports offering Abortion Pill Reversal (APR) to women who regret initiating the abortion pill process, after appropriate informed consent.

> View the AAPLOG statement here

The information presented on this website and given through contacting Abortion Pill Rescue is intended for general education purposes only and should not be relied upon as a substitute for professional and/or medical advice.

What is the difference between Abortion Pill Reversal and Abortion Pill Rescue?

Abortion Pill Reversal is the protocol used to reverse the effects of the Abortion Pill (RU-486). Abortion Pill Rescue includes all aspects of the protocol; the trained consultants answering the calls, the medical professionals prescribing the medication, and the support team that works with the woman throughout the entire process. 

How can I share this information with my community?

Abortion Pill Rescue put together some images that you can share via social media or print and distribute within your community. Click here to download the marketing materials.

You can also purchase handouts, brochures and yard signs here. 


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