First Trimester Abortion non-surgical Medical Abortion (Abortion Pill)

What to Expect:

*Offered to patients who are between 5 weeks 3 days minimum – 11 weeks maximum*


“Thankful for your staff taking the time to explain having a medical abortion. I felt much more at ease.” – patient comment


After completing the preliminary meeting, patients will consult with the physician who will determine, by ultrasound, the age and location of the pregnancy. If the patient is eligible for the medication abortion the physician will provide the first medication, to be taken by mouth in our office.

This medication blocks the action of progesterone, a hormone needed to sustain a developing pregnancy. This causes the uterine lining to thin and the pregnancy to detach from the uterine wall.

The 2nd medication will be given to the patient to take home. The physician will instruct her on how and when to use this medication. The second medication causes the uterus to contract, which aids in expelling the pregnancy.

Completing the Medical Abortion at Home

On the morning you choose to place the 2nd medication (AT LEAST twenty-four (24) hours after taking the 1st medication by mouth, NOT EXCEEDING seventy-two (72) hours after taking this medication by mouth) do the following:

1. Between 7:00 am and 8:00 am, take one (1) 25 mg of nausea medication
2. Take one (1) pain tablet
3. Using your finger, insert one by one each of the four (4) tablets into your vagina as far back as possible.
4. Lay down for two (2) hours while the medication tablets are absorbed.

For most women bleeding and cramping will begin anywhere from thirty (30) minutes to four (4) hours after you insert the tablets. On average significant heavy cramping, bleeding, and passing of blood clots, much like or heavier than a bad period, will start and generally last twenty-four (24) to forty-eight (48) hours, then tapers off like a period over the next five (5) to seven (7) days.

  • Do not use a tampon
  • Maxi Pads only
  • Continue to take the nausea and pain medication as instructed on the bottles

We are a proud member of the National Abortion Federation (“NAF”), an association of medical professionals who provide assistance to women seeking abortions including educational materials and sometimes financial assistance to women that qualify. If you are interested in financial assistance please ask for contact information for our patient funding coordinator when you make your appointment at North Florida Women’s Services.