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What to Know About Abortion Pill Reversal?

If you’ve taken the first pill in a medical abortion and are second-guessing your decision, Abortion Pill Reversal (APR) could be an option for you, but it must be started within 24-48 hours. 

Never heard of the Abortion Pill Reversal process? You’re not alone. Many women have questions about how abortion pill reversal works. Here are answers to some of the most frequently asked questions.

What exactly is Abortion Pill Reversal?

Abortion Pill Reversal is a protocol designed to counteract the effects of the first drug in a chemical abortion, called mifepristone. Mifepristone blocks progesterone, a natural hormone your body produces to sustain a pregnancy. 

APR uses progesterone supplements to try to restore those hormone levels and support the pregnancy’s continued growth.

When should I begin the process?

Time is crucial. APR works best if started within 24–48 hours after taking mifepristone. There have been successful outcomes even when treatment began later, but the earlier it starts, the better the chances. 

Once the second drug of the abortion pill regime, misoprostol, has been taken, reversal is no longer possible.

Is APR safe?

Doctors have safely prescribed progesterone for over 50 years to help women maintain healthy pregnancies and prevent miscarriage. Studies have shown no added risk of birth defects compared to the general population.

Does it work?

Like any medical treatment, results can vary. One review shows that about two-thirds of women who begin the protocol in time can continue their pregnancies. While APR is not guaranteed, it has helped many women carry their pregnancies to term.

What should I do if I want to try Reversal?

If you’ve taken the first abortion pill and want to continue your pregnancy, don’t wait to reach out for help. To begin the Abortion Pill Reversal protocol, call or text (707) 272-2509, even if it’s after hours. We have a compassionate team standing by. You can also call the Abortion Pill Rescue Network 24/7 helpline at 877-558-0333. Time is of the essence. 

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Mendo Lake Women's Clinic provides evidence-based pregnancy options education and medical services at no cost to our patients, but we do not refer or perform abortions.