Abortion Pills & Twins: Does it still work?

Abortion Pills & Twins.

If you’re considering an abortion and find out that you’re having twins, then you might be asking yourself if this is going to affect the effectiveness of the abortion pill. Good news! The abortion pill, or medication abortion, can work if you are carrying twins. We will discuss how the process works and what your expectations should be.

Abortion Pills & Twins: Understanding the Process

The abortion pill has two drugs called Mifepristone and Misoprostol that are used. First off, Mifepristone is taken which stops progesterone hormone from being produced by your body, needed for pregnancy continuation, it makes uterine lining weakens making pregnancy stop growing. It is followed by Misoprostol about 24 to 48 hours later, which causes contractions in the uterus, leading to pushing out of the embryo.

How It Works for Twin Pregnancies

Up to 11 weeks gestation, pregnancies with twins could be terminated through an abortive pill. The procedure for a single pregnancy is similar to a twin one using the same drugs. However, there may be stronger uterine contractions as well as more bleeding than in singleton pregnancies. Nevertheless, these signs are usually normal parts of the process and do not cause alarm.

Abortion Pills & Twins: What to Expect

Let’s dig into some step-by-step instructions on what happens when going through a medication abortion with twins:

  1. Consultation and Eligibility: Talk to a healthcare provider about whether you qualify for medical termination of pregnancy or not as a primary step in making sure that you qualify. If you have conceived twins, the ultrasound will estimate their age.
  2. Taking Mifepristone: At the first visit, before leaving the clinic, the patient consumes Mifepristone, which halts the fetus’s ongoing development.
  3. Taking Misoprostol: Around 24-48 hours later, you will take Misoprostol, usually at home. This drug helps the uterus to contract and push out the pregnancy.
  4. Experiencing Symptoms: After taking this medicine, some side effects occur. During a twin pregnancy, bleeding can be heavier and cramping more intense than with a single pregnancy. These include over-the-counter painkillers as well as lying down.
  5. Follow-Up Appointment: You must return for a follow-up visit with the health care provider to ensure the process is completed and to check on your general health status, usually about a week after the procedure.

Managing Side Effects

Although it is normal to feel anxious about side effects, knowing what to expect can help ease your mind. For more information regarding managing discomfort or typical symptomology, refer to this site.

Abortion Pills & Twins: When to Seek Help

While most people have a safe and effective experience with the abortion pill, it’s important to know when to seek medical attention. In case one has excessive bleeding (soaking through two pads in an hour for two consecutive hours), severe pain not helped by pain medications, fever, or bad-smelling discharge, they should contact their healthcare providers immediately.

Abortion Pills & Twins: Supporting Your Decision

Deciding whether or not to terminate a pregnancy is personal, and having support from others is crucial. If you need additional information about medication abortion or would like to schedule an appointment for consultation, then visit our website.


The abortion pill can work even in the case of twins. The process is like a single pregnancy, but the symptoms may worsen. At the Women’s Reproductive Clinic of New Mexico, we will ensure you have all support and stay safe during the process. In case of questions or appointment needs, please feel free to contact us.

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