Abortion pills—also known as chemical or medication abortion—have become the most common method of abortion in the United States. A 2024 report from the Guttmacher Institute revealed that up to 63% of all U.S. abortions are now done using abortion pills.
As these pills become more widely accessible, especially through online sources, it’s crucial to understand how they work and the potential risks involved—particularly when taken without medical oversight.
What Are Abortion Pills?
A medication abortion typically involves two drugs: taken in two separate steps.
- Drug 1 blocks progesterone, a hormone necessary to sustain pregnancy.
- Drug 2 then causes the uterus to contract, expelling the pregnancy through the vagina.
While the FDA has approved this method for use up to 10 weeks into pregnancy, approval does not guarantee safety—especially when used without medical supervision or without understanding your specific health situation.
Physical Risks to Consider
Like any medical procedure, abortion pills come with risks. The FDA warns that this method is not safe for everyone, and it’s important to be aware of the possible complications:
- Incomplete abortion – Pregnancy tissue remains in the uterus and may require a surgical procedure to remove.
- Infection – If not treated promptly, infections can become life-threatening.
- Heavy bleeding – In some cases, blood loss can be severe and require emergency care.
- Ectopic pregnancy – This occurs when the embryo implants outside the uterus, often in a fallopian tube. This is a medical emergency that abortion pills cannot treat.
These risks can increase when pills are obtained online or used without a doctor’s evaluation.
Emotional Impact and Mental Health Considerations
Women who take abortion pills often experience a range of emotions afterward—relief, sadness, guilt, regret, or even numbness. These feelings can be intensified when the process is done alone or without emotional support.
A 2025 study by Dr. David Reardon found a significant connection between abortion and increased suicidal behavior. In a national survey of women ages 41–45:
- 34.7% of those with a history of abortion reported attempting suicide at some point in their lives.
- Among women who had live births without a history of abortion, miscarriage, or traumatic pregnancy, the rate of suicide attempts was significantly lower.
- Among women who felt coerced into an abortion, the suicide attempt rate rose to 46.2%.
These statistics highlight the deep emotional impact abortion can have—particularly when a woman feels pressured or unsupported.
A Thoughtful Path Forward
If you think you may be pregnant, the best first step is a medical-grade pregnancy test and an ultrasound. These can help confirm how far along you are, whether the pregnancy is viable, and if it’s located in the uterus (ruling out ectopic pregnancy).
At Options Baltimore @328, you can access free, confidential consultations and medical services provided by licensed professionals. Our goal is to empower you with clear, accurate information—so you can make the best decision for your health and future. Make an appointment today!
Knowledge is power. Understanding all your options—including the risks—can lead to peace of mind and a decision you can live with long term.