If you’ve taken the first abortion pill and are now wondering if it’s possible to continue your pregnancy, you’re not alone. Some women begin the medication abortion process and quickly realize they want to stop it. If that’s where you are, there may still be time to reverse the effects of the first pill and give your pregnancy a chance to continue.
What Is the Abortion Pill?
A medication abortion typically involves two drugs taken in sequence:
- Mifepristone – the first pill, which blocks progesterone, a hormone needed to nurture & sustain pregnancy.
- Misoprostol – the second pill, taken 24–48 hours later, which causes the uterus to contract and expel baby.
If you’ve taken only the first pill (mifepristone) and are now reconsidering, you may still have options—especially if you act quickly and have not yet taken misoprostol.
What Is Abortion Pill Reversal?
Abortion pill reversal (APR) is a medical protocol that uses prescription progesterone to counter the effects of mifepristone. By giving extra progesterone, we hope to outnumber & outcompete the first abortion pill in order to reverse the effects and provide an opportunity to save the pregnancy.
APR is usually started within 24 to 72 hours of taking mifepristone, and involves taking progesterone either orally, vaginally, or by injection. The sooner the treatment begins, the higher the chances of success.
How Effective Is It?
A 2018 observational study reported that approximately 64% to 68% of women who took progesterone after mifepristone went on to carry their pregnancies. Without any intervention, the survival rate of a pregnancy after mifepristone alone is estimated to be around 20% to 25%.
The American Association of Pro-Life Obstetricians & Gynecologists (AAPLOG) believes the procedure is safe and significantly more effective than “seeing what happens” without the second medication, misoprostol. While more research is ongoing, the evidence so far suggests that APR may improve the likelihood of continuing a pregnancy after starting a medical abortion.
Is It Safe?
Progesterone is a hormone naturally produced by the body during pregnancy. It has been used safely for more than 50 years to help prevent miscarriage and support early pregnancy in women undergoing fertility treatment.
The use of progesterone in Abortion Pill Reversal (APR) is not approved by the FDA for this purpose. It is considered an off-label use, which is common in many areas of medicine. Reported side effects are typically mild and may include drowsiness, nausea, or headaches. A qualified medical provider will assess your specific situation and monitor your health throughout the process.
What Should You Do Next?
If you’ve taken the first abortion pill and want to try to reverse it:
- Act quickly. Time is important—the sooner abortion pill reversal is started, the better the chances of success.
- Call the Abortion Pill Reversal Hotline at 877-558-0333 or visit abortionpillreversal.com to be connected with a provider in your area.
- Do not take the second pill (misoprostol) if you want to try reversal.
- Speak with a medical professional who can explain your options, risks, and what to expect.
Conclusion
Changing your mind after starting the abortion process is not uncommon. If you’re looking for a way to continue your pregnancy, abortion pill reversal may be an option for you. The decision is personal, and you deserve support, clarity, and access to reliable medical care.
You are not alone, and help is available.
