Side Effects of the Abortion Pill.

Side Effects of the Abortion Pill: Nausea, Fever & Cramps Explained

Taking the abortion pill is a deeply personal decision—and knowing what to expect physically can make a world of difference. At Women’s Reproductive Clinic of New Mexico, located just outside El Paso in Santa Teresa, we guide every patient through their medication abortion with clarity and care. One of the most common questions we hear is, “What are the side effects of the abortion pill, and how long do they last?” This article provides an overview of typical symptoms, guidance on managing them, and when to contact us for assistance.

Understanding the Two-Step Medical Abortion Process

The abortion pill actually involves two medications: mifepristone and misoprostol. The first pill, mifepristone, is taken in our clinic. It works by blocking progesterone, a hormone your body needs to maintain a pregnancy. The second pill, misoprostol, is taken at home 24 hours later. Misoprostol causes the uterus to contract, expelling the pregnancy. Because the second pill starts the physical part of the process, most symptoms are experienced after misoprostol.

Side Effects of the Abortion Pill: What to Expect

Cramps: Cramping is a regular and expected occurrence. It means the medication is working. Cramping usually begins within 1–4 hours of taking misoprostol and can be intense, similar to or stronger than period cramps. Most people find that cramps peak within the first few hours and subside significantly after the pregnancy passes.

Bleeding: Heavy bleeding is also part of the process. You may pass large clots, especially in the first few hours. This bleeding is heaviest on the day of misoprostol and tapers off over the next few days. It may continue lightly for up to two weeks, similar to a period.

Nausea and Vomiting: Many patients experience nausea, and some may vomit. This can happen before or after taking misoprostol. We recommend taking anti-nausea medication before the second pill if it’s prescribed to you. Staying hydrated and eating small, bland meals can also help. If you vomit more than twice or cannot keep liquids down, contact the clinic.

Fever and Chills: Low-grade fever (under 100.4°F) and chills are common for a few hours after taking misoprostol. These symptoms should go away on their own. If your fever persists at or above 100.4°F for more than four hours or returns after it subsides, please call us. That could signal an infection.

Diarrhea: The uterus and digestive system are closely linked, so misoprostol often causes diarrhea. Drink water and rest—this is usually short-lived and nothing to be alarmed about.

How Long Do Side Effects Last?

Most symptoms improve within 24 to 48 hours after taking misoprostol. Cramping and bleeding are usually the most intense in the first six hours. Nausea, fever, and chills tend to resolve within a day. Light bleeding or spotting can persist for up to two weeks, but it’s generally not painful.

Side Effects of the Abortion Pill and How to Manage

Take Pain Medication: Use ibuprofen (Advil or Motrin) as directed. It’s highly effective for cramps and safe to use. Avoid aspirin, as it can increase the risk of bleeding. We recommend taking a dose of misoprostol before use, then continuing every 6 hours as needed.

Use a Heating Pad: Applying warmth to your lower abdomen can ease cramps. Many of our patients bring a heating pad to their appointment or have one ready for home.

Rest as Much as Possible: This is not the time to push through pain. Clear your schedule, create a quiet space, and let your body do its work.

Stay Hydrated: Vomiting, fever, and diarrhea can cause dehydration. Sip water, sports drinks, or ginger tea slowly and frequently throughout the day.

Wear Comfortable Clothing and Use Pads: Pads help you monitor bleeding and are more comfortable than tampons during recovery. Wear loose-fitting clothes to ease cramping and bloating.

Side Effects of the Abortion Pill: When to Call the Clinic

Although complications are rare, it’s essential to know when to reach out. Call us at Women’s Reproductive Clinic if you experience:

• Fever over 100.4°F lasting more than 4 hours
• Heavy bleeding that soaks two maxi pads per hour for two hours in a row
• Severe pain that doesn’t improve with medication
• Foul-smelling discharge
• Persistent vomiting or signs of dehydration
• No bleeding at all within 24 hours of taking misoprostol

We are here to help, and we want you to feel confident in every step of the process.

Side Effects Are a Sign It’s Working

We know it can be scary to experience intense symptoms—but these side effects are generally a sign that the medication is working correctly. The uterus must contract to release the pregnancy. That process causes cramps, bleeding, and hormonal shifts. Most symptoms fade fast, and patients typically return to feeling like themselves within two days.

Side Effects of the Abortion Pill: Our Commitment to You

At Women’s Reproductive Clinic, we provide a full explanation of what to expect, how to prepare, and how to take care of yourself afterward. Every patient receives a packet with instructions, support contact information, and follow-up guidance. We also text you after your appointment to check in, and we’re available to answer questions if anything feels off.

Patients Traveling from El Paso, Odessa, or Phoenix

Because many of our patients travel from Texas and Arizona, we know you may be recovering in a hotel or on the road. Our team ensures you’re fully supported with a same-day model—your appointment, ultrasound, and first pill all occur in one visit. You can take the second pill once you’re safely back at home or in your hotel. We remain available by phone for any questions during the recovery process.

For those traveling alone, we recommend scheduling your appointment early in the day, arranging transportation back to your accommodation before taking misoprostol, and packing comfort items such as medication, snacks, a water bottle, and sanitary pads. We also offer private, discreet in-clinic care—no protestors, no delays, and no judgment.

Side Effects of the Abortion Pill, Concluded

The abortion pill is safe, effective, and trusted by millions. While side effects such as nausea, fever, and cramping are uncomfortable, they are typically brief and manageable with proper care. At Women’s Reproductive Clinic, we make sure you’re never left guessing. You’ll know what to expect, how to prepare, and who to call—because your care doesn’t stop at the door.

If you’re considering the abortion pill and want expert, compassionate care near El Paso, contact us today. We’re ready when you are.

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