Pregnant With Twins and Abortion: Visit New Mexico

Pregnant with twins and abortion. Visit New Mexico.

Learning you are carrying twins can be surprising, and if you’re considering a medication abortion (the “abortion pill”), you may wonder whether it is still effective. Below is a comprehensive guide on how the abortion pill works for twin pregnancies, what to expect before and after taking it, and how to access care if you live near El Paso or elsewhere in Texas.

Pregnant with Twins and Abortion: How the abortion pill works

The abortion pill is a two‑step medication regimen. The first medication stops the pregnancy from growing by blocking the hormone progesterone. The second medication, taken a day or two later, triggers cramping and bleeding to expel the pregnancy tissue. This process is FDA‑approved up to 10 weeks (70 days) of pregnancy.

Twin pregnancies: Studies and clinical experience show that medication abortion is effective for pregnancies with more than one embryo, including twins, as long as the pregnancy is within the approved gestational age. The medications work on the uterus, not the number of embryos. However, because twin pregnancies may produce higher hormone levels and sometimes cause stronger symptoms, it’s vital to consult a clinician to confirm your pregnancy’s gestational age and discuss any additional considerations.

Pregnant with Twins: Dos before taking the abortion pill

Get an ultrasound and accurate dating. Twin pregnancies can sometimes be dated differently than singleton pregnancies. A clinician will perform an ultrasound to confirm how far along you are and whether a medication abortion is appropriate.
Discuss your health history. Let your clinician know about any medical conditions (including polycystic ovary syndrome, hypertension, or previous cesarean sections). While medication abortion is generally safe, individual factors matter. You may also be interested in our blog on medical abortion and PCOS.
Plan for support and recovery. You might experience more intense cramping or bleeding with a twin pregnancy. Arrange for a friend or family member to stay with you, especially during the second medication phase. Stock up on sanitary pads, pain relief, and comfortable clothing.
Follow professional guidance. Do not self‑manage an abortion with twins. Always take medications dispensed by a licensed provider in a state where abortion is legal. Our clinic in New Mexico—just across the state line from El Paso—provides medication and in‑clinic abortions up to the legal gestational limit. We do not offer telehealth or online scheduling; you must call to make an appointment.

Visit New Mexico: Don’ts before a medication abortion with twins

Don’t exceed the gestational limit. Medication abortion is most effective up to 11 weeks. After that, a clinician may recommend an in‑clinic procedure instead.
Don’t withhold symptoms. Tell your provider if you have severe nausea, hyperemesis, or other symptoms common with twin pregnancies.
Don’t use unregulated medications. Avoid online sources or herbal remedies that claim to induce miscarriage. They may be ineffective or harmful.

Visit New Mexico: What to expect during and after

The process for twin pregnancies is similar to singleton pregnancies, but symptoms can vary:

Bleeding and cramping: Expect heavy bleeding and strong cramps as the uterus expels the pregnancy. Passing clots is normal. Use pads rather than tampons to monitor flow.
Timing: The second medication generally works within a few hours, but the total bleeding may last a week or two. Contact your provider if bleeding is heavy (soaking more than two pads per hour for multiple hours) or if you develop a high fever.
Follow‑up: Schedule a follow‑up visit or phone check‑in as advised by your clinician to confirm the abortion is complete. This is especially important with twin pregnancies to ensure all tissue has passed. You can also review our dos and don’ts after the medical abortion article for additional recovery tips.

Visit New Mexico: Accessing care near Texas

Because Texas currently bans most abortions, many residents travel to neighboring states. Our clinic in New Mexico is one mile from the El Paso border and offers safe, legal care for patients from across Texas. Here’s what you need to know:

Call to schedule. We do not provide telehealth or online booking. To schedule a consultation, please call our office directly. Our bilingual staff will guide you through the process, explain costs, and discuss any travel logistics.
Travel planning: If you’re coming from West Texas, a short drive across the state line brings you to our clinic. Patients from other parts of Texas often fly or drive longer distances; we can recommend lodging options and provide documentation for work if needed.
Confidentiality: All services are confidential. We respect your privacy and will not disclose information without your consent.

Potential risks and when to seek help

While medication abortion is safe for most people, including those with twin pregnancies, complications are rare but possible:

Incomplete abortion: A small percentage of patients may require an in‑clinic procedure to complete the process.
Infection: Seek medical care if you develop fever, foul‑smelling discharge, or severe abdominal pain.
Heavy bleeding: If you soak through more than two pads per hour for several hours, contact a healthcare provider immediately.

Your provider will give you an emergency contact number. Don’t hesitate to call if you’re concerned.

Visit New Mexico: The Abortion Pill is Effective with Twins

Medication abortion remains a safe and effective option for twin pregnancies within the approved gestational age. The key is to work with a licensed clinician, follow their instructions, and plan for adequate rest and support during recovery. If you’re near El Paso or elsewhere in Texas and considering this option, our New Mexico clinic is here to help.

Visit New Mexico

We understand that facing a twin pregnancy and considering an abortion can be emotionally challenging. Our experienced team offers compassionate, individualized care.

Contact us: Reproductive Services Contact Page – Call our clinic today to schedule a confidential consultation or ask questions about medication and in‑clinic abortions. We do not offer telehealth or online scheduling, so calling is essential.
Hear from our patients: Read our Google reviews (opens in a new tab) to learn how our clinic has supported people just like you.

We’re committed to providing safe, respectful care and clear information so you can make the best decision for yourself. Reach out today—we’re here for you.