Facing an unexpected pregnancy and choosing the abortion pill can feel final, but what if you change your mind after taking the first drug? Abortion Pill Reversal (APR) offers a potential lifeline for women who’ve only taken mifepristone and want to continue their pregnancy.

At Women’s Clinics, we’re here to answer common questions about APR, so that you can make an informed choice quickly.

What Is Abortion Pill Reversal?

APR is a protocol to counteract the first abortion pill, mifepristone, which blocks progesterone, a hormone vital for pregnancy. APR uses high-dose progesterone to restore what mifepristone disrupted.

Administered via pills, injections, or vaginally, it aims to sustain the pregnancy. It’s most effective within 24 hours, but can work up to 72 hours after mifepristone and sometimes after misoprostol.

Is It Safe?

Progesterone, used in APR, has been safely prescribed for pregnant women for decades to prevent miscarriage or preterm birth. Studies show no increased risk of birth defects from APR.

While every medical procedure carries some risks, progesterone is well-tolerated, and APR is considered low-risk when overseen by a trained provider. Always be overseen by a trained provider, such as our Medical Director and team.

How Effective Is It?

Effectiveness depends on timing and your body. Starting APR within 24 hours of mifepristone provides the best shot—64-68% of pregnancies continue according to studies.

Even with light bleeding or cramps, reversal can still work, but don’t wait. The sooner you act, the better the odds of continuing your pregnancy.

How Do I Start the Process?

If you’ve taken mifepristone and want to reverse it, don’t take misoprostol if you haven’t yet. Contact a provider immediately for progesterone treatment and an ultrasound to monitor your pregnancy. The Abortion Pill Rescue Network is available online 24/7 to connect you with help, or you can call 877.558.0333.

Can I Reverse It After Taking Both Pills?

APR can be less effective if you have taken both pills, as the drug triggers contractions to end the pregnancy. There is still time though, if you contact us ASAP—time is critical.

Reach Out for Help

If you’re rethinking the abortion pill or facing an unexpected pregnancy, call us at 443.333.8856 or the Abortion Pill Rescue Network. They are ready to assist 24/7 at 877.558.0333. Connect with professionals who can start the reversal process and explore your options with compassion and urgency.

Remember, you’re not alone in this. Help is available.