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Abortion Pill Reversal Questions

Is it too late to reverse the abortion pill?

Our goal is to start the reversal treatment within the first 24 hours of taking the abortion pill, mifepristone, also known as RU-486. However, we have had many successful reversals when treatment was started within 72 hours of taking the abortion pill.

Even if 72 hours have passed, call our hotline (877) 558-0333. 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 your choice to change your mind.

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

No, many women have experienced cramping or spotting and have successfully reversed the abortion pill.

Important: If you have not had an ultrasound to confirm that your baby is in the uterus, you should have one done right away.

What if I want to reverse the abortion pill but I’ve waited too long? What do I do then?

Please call our hotline number (877) 558-0333. You may still be pregnant. It may not be too late.

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.

If you want to try to reverse the abortion, do not take misoprostol/Cytotec.

What do I need to do?

  • Call our hotline (877) 558-0333.
  • Our on call nurse will ask you some basic questions to see if reversal is possible.
  • The nurse 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 if your baby is still alive.

The doctor or other medical provider will prescribe progesterone, which will be given by injection in the gluteus (“butt”) muscle, by mouth or by vagina.

The treatment will continue through your 1st trimester of pregnancy.

Why is progesterone used?

Progesterone is the natural hormone in a woman’s body that is necessary to nurture and sustain a pregnancy. Mifepristone blocks progesterone’s actions by binding to progesterone receptors in the uterus and the placenta. 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.

What is the success rate of Abortion Pill Reversal?

Our success rate is about 55%. This means 55% of women who choose reversal continue the pregnancies and deliver their babies while about 45% lose their babies. If a loss occurs, it is usually within the first two weeks of treatment.

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 40 years. There is no record of birth defects caused by progesterone. The type of progesterone used for treatment is the same as the progesterone made in a woman’s body. It is sometimes called natural or bioidentical progesterone.

What are the possible side effects of progesterone?

  • Fatigue or drowsiness
  • Heartburn
  • Soreness at the injection site, if progesterone is given by injection

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

If you are allergic to peanuts, you should not take Prometrium capsules or generic progesterone capsules in peanut oil. Be sure to tell your doctor or medical provider you are allergic to peanuts.

How much will this cost?

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

In cases of financial hardship, APR will work with the medical provider to underwrite progesterone costs. If you can't afford progesterone treatment, don't worry, APR is committed to help.

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 would I do then?

We are here to help support pregnant girls and women and their developing babies. Choosing to bring life into this world by delivering a healthy baby doesn’t mean you have to raise the baby by yourself. Placing your baby for adoption is a difficult and brave decision, and may be in the best interest of you and your child. We can connect you with couples who are either unable to have children of their own or who are simply looking to provide a child with a loving, stable home.

We won't leave you stranded or alone after helping you to reverse the effects of the abortion pill. We are with you through the pregnancy and beyond. We care about you.

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

Call us. (877) 558-0333 We will help you right now and do everything we can to find the help you need in your particular situation. We promise to help you. That’s why we’re here.

The abortion pill and the morning after pill are the same thing, right?

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 a 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 to seven to nine 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?

No. Our organization, Abortion Pill Reversal, is dedicated to preserving and protecting human life. There is no situation that is so hopeless that ending human life is the only option. We work diligently with girls and women to provide them with the resources they need to continue their pregnancies and deliver healthy babies.

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 >

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