Introduction

Global demand for medication abortion has surged in recent years. In many countries, it’s the most popular method of abortion. Medication abortion gives patients greater privacy and flexibility. It expands access for patients without a local clinic or with lower incomes; And it can reach patients who live under restrictive laws. 

Two pills are commonly used for medication abortion:

• Mifepristone, which blocks the action of the hormone (progesterone) that supports the pregnancy. 
• Misoprostol, which causes the cervix to dilate and the uterus to contract.  

The World Health Organization (WHO) recommends the use of mifepristone followed by misoprostol. But it also recognizes that misoprostol can be safe and effective on its own.  

Safety & efficacy

Medication abortion is widely considered safe and effective.

Studies show that abortion pills are actually safer than many commonly prescribed medicines. The WHO even includes mifepristone and misoprostol on its list of essential medicines. And it also recognizes that people can safely self-administer them. 

Medication abortion with mifepristone and misoprostol is effective at ending pregnancy more than 95% of the time. In rare cases, pregnant people may need additional medication or procedures. Side effects are typically minor, and can include bleeding or cramping. 

Expanding access

Better laws and policies can expand access to medication abortion.

At the Center, we’re working on breaking down barriers to medication abortion. To increase access, governments should: 

1. Ensure medication abortion is widely available.    
2. Let providers prescribe abortion pills via telemedicine.
3. Remove in-person requirements for medication abortion.