Abortion pills (also called **medication abortion**) are used to safely end an early pregnancy, usually up to about **10–12 weeks** depending on local guidelines. They typically involve two medicines taken in sequence:
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### 1. **Mifepristone (first pill)**
* Taken first, usually at a clinic or sometimes at home depending on regulations.
* **How it works:**
* Blocks **progesterone**, a hormone needed to maintain pregnancy.
* Without progesterone, the lining of the uterus breaks down, and the pregnancy stops growing.
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### 2. **Misoprostol (second pill)**
* Taken **24–48 hours later** (by mouth, under the tongue, in the cheek, or vaginally, depending on instructions).
* **How it works:**
* Causes the uterus to contract and expel the pregnancy tissue.
* Similar to a miscarriage process.
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### What to Expect
* **Cramping and bleeding** (often heavier than a period) begin within a few hours after misoprostol.
* May pass blood clots and tissue.
* Other side effects: nausea, diarrhea, fever, or chills.
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### Safety
* Very effective (about **95–99%** when both medicines are used correctly).
* Millions of people worldwide use this method safely each year.
* **Complications are rare**, but warning signs to seek medical help include:
* Very heavy bleeding (soaking more than 2 pads an hour for several hours).
* Severe abdominal pain not relieved by medication.
* Fever lasting more than 24 hours.
* Foul-smelling vaginal discharge.
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👉 Would you like me to also explain **what happens if only misoprostol is used** (sometimes done in places where mifepristone isn’t available), or just stick to the two-pill method?
