September 10, 2025

If you’ve taken the first drug in a medical abortion and are now having second thoughts, you may be wondering if it’s possible to continue your pregnancy. Abortion pill reversal (APR) is a protocol designed to help, and understanding what to expect can give you clarity as you take your next step.

If you are considering abortion pill reversal, it’s critical to act quickly. You can contact the Abortion Pill Reversal Helpline (1-877-558-0333) at any time to connect with a provider near you.

How APR Works

The first drug in a medical abortion, mifepristone, blocks progesterone—a hormone your body needs to sustain a pregnancy. APR works by introducing extra progesterone to counteract that effect.

Progesterone can be given in pill form, by injection, or vaginally. This hormone has been safely used for decades in pregnancy care and is often prescribed to women at risk of miscarriage.

What You May Experience

Every woman’s body responds differently, but many continue their pregnancies with no complications after starting APR.

Some women may still experience cramping or bleeding, especially if mifepristone has already begun affecting the body. Because of this, medical follow-up is important to monitor your health throughout the process.

How Effective Is It?

While abortion pill reversal isn’t guaranteed to work in every case, studies have shown encouraging outcomes. Reports indicate that about 64–68% of pregnancies continued when progesterone treatment was started promptly.

When to Start

Timing is very important. APR is most effective when started as soon as possible, ideally within 72 hours of taking mifepristone. The earlier treatment begins, the greater the chance of successfully continuing the pregnancy. If you’ve already taken the second drug, misoprostol, APR will not be effective because the process of expelling the pregnancy has begun.

Support and Next Steps

At Women’s Clinics, we offer a safe, confidential place to discuss your situation and connect you with helpful resources.

Women’s Clinics does not provide or refer for abortions.

All abortion information sourced in this blog is based on accurate information at the time of writing.

The Women's Clinics Maryland gave us the knowledge, strength, and encouragement which helped us in making our decision. They guided us through each tough obstacle that a woman faces. - Victoria

My counselor and nurse were so kind and caring, they answered every question with respect and absolutely no judgement. It was so convenient to get counseling and medical services all in one place. - McKenzie

The office was so clean and welcoming. I felt very comfortable discussing the pregnancy and the next steps. I thought I knew what I wanted, but they helped me see all the options and possibilities from a fresh perspective. - Janna

The ladies at the Clinic are so kind and nice. The Clinic itself was very clean. I felt very comfortable and welcome. I strongly recommend this place. - Tiffany

Very informative, patient and accommodating. Would recommend – Kathleen

Friendly and knowledgeable staff from front desk to sonographers! – Krista

I highly recommend this place. Having an appointment here is more like sitting down with family and friends. The people there are very understanding of different people and cultures. - Pamilla

The clinic provides counseling, assistance, and a relationship which leaves you with a feeling that you are NOT alone. – Z

The staff at the pregnancy clinic were kind and professional. I never once felt uncomfortable or invaluable. They have a clean facility and really go the extra mile to help you feel at home. - Katelyn

The medical staff is great, very understanding and warm and inviting. - Harper

What to Expect During the Abortion Pill Reversal Process

How APR Works

What You May Experience

How Effective Is It?

When to Start

Support and Next Steps

Contact Us Today