ABORTION FACTS
If you're considering abortion, understanding the different procedures and what they involve can help you make an informed decision.
There are two primary types of abortion: medical abortion and surgical abortion. The type of abortion procedure used can depend on how far along the pregnancy is, your health history, and other medical considerations.
MEDICAL ABORTION:
Medical abortion, sometimes called medication abortion or the abortion pill, uses medications to end a pregnancy.
The FDA-approved regimen uses two medications: mifepristone and misoprostol. Mifepristone blocks progesterone, a hormone needed for a pregnancy to continue. Misoprostol causes the uterus to contract and empty. The FDA-approved regimen is used to end an intrauterine pregnancy through 10 weeks (70 days from the first day of the last menstrual period).
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WHAT IS THE ABORTION PILL?
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SURGICAL ABORTION:
Surgical abortion refers to procedures that use instruments to remove a pregnancy from the uterus. The type of procedure used can vary depending on how far along the pregnancy is and other medical considerations.
Vacuum aspiration is one procedure used earlier in pregnancy. Dilation and evacuation (D&E) is another procedure that may be used later in pregnancy.
PREGNANCY & ABORTION
Things to do:
» Confirm whether you are pregnant
» Determine how far along you are
» Get accurate information about all of your pregnancy options
» Educate yourself on the different abortion procedures
Knowing how far along you are can affect which abortion procedures may be available. When appropriate, it is recommended that you have an ultrasound which can help determine gestational age and provide important information about your pregnancy.
Positive Options provides pregnancy testing and limited obstetrical ultrasounds at no cost for qualifying clients.
NOTE: Positive Options offers medical staff and trained advocates who will provide accurate information about all pregnancy options; however, we do not offer or refer for abortion services. The information presented on this website is intended for general education purposes only and should not be relied upon as a substitute for professional and/or medical advice.
ABORTION LAWS IN MICHIGAN
Abortion laws and requirements can change. For current information about abortion laws in Michigan, visit the Michigan Department of Health and Human Services.
ABORTION PROCEDURES & RISKS
Medical Abortion: The Abortion Pill
Medical abortion uses medications rather than a surgical procedure to end a pregnancy.
The FDA-approved regimen uses mifepristone followed by misoprostol for an intrauterine pregnancy through 10 weeks. Mifepristone blocks progesterone. Misoprostol is taken afterward and causes uterine contractions and bleeding to empty the uterus. Source: U.S. Food and Drug Administration
Cramping and vaginal bleeding are expected as part of the process. Other side effects can occur, and anyone considering medical abortion should understand what to expect and when to seek medical attention.
LEARN MORE ABOUT ABORTION PILL SIDE EFFECTS
Vacuum Aspiration
Vacuum aspiration is a surgical abortion procedure that uses suction to remove the contents of the uterus. It is generally used earlier in pregnancy.
The procedure may also be referred to as suction aspiration or suction curettage. The exact procedure and pain-management options can vary depending on the healthcare provider and individual circumstances.
Dilation and Evacuation (D&E)
Dilation and evacuation, commonly called D&E, is a surgical abortion procedure generally used later in pregnancy.
The cervix is dilated, and medical instruments and suction are used to remove the pregnancy from the uterus. The specific process can vary depending on gestational age and individual medical circumstances.
Abortion is a life-changing event with physical risks. There are also women and men who have reported emotional repercussions such as guilt, depression, anxiety, and relationship difficulties.
We understand that this process can be overwhelming as you consider your options. Take the time to become fully informed and empowered to make a healthy choice.
EXPECTED SIDE EFFECTS FOLLOWING AN ABORTION
Experiences can vary depending on the type of abortion, how far along the pregnancy is, and individual circumstances. Possible or expected effects can include:
» Vaginal bleeding or spotting
» Abdominal pain and cramping
» Nausea or Vomiting
» Diarrhea
» Headache or dizziness
» Fever or chills, particularly with medical abortion
The amount and duration of bleeding and cramping can vary. A healthcare provider should explain what to expect with the particular abortion method being considered.
POSSIBLE COMPLICATIONS
Like medications and other medical procedures, abortion has potential complications. Serious complications are uncommon but can occur, it is important to be aware of the following risks:
» Heavy or persistent bleeding
» Infection or sepsis
» Injury to the cervix or uterus associated with a surgical procedure
» Incomplete abortion or retained pregnancy tissue
It is important to understand that these risks are rare. What matters is that you are aware that these risks exist as you strive to make an informed decision about your pregnancy. A healthcare professional can explain the potential risks associated with a specific abortion procedure based on gestational age, medical history, and other individual circumstances.
WHEN SHOULD I SEEK MEDICAL ATTENTION?
If you have had an abortion, call your doctor and seek medical attention if your side effects become severe or if you experience any of the following:
» Severe or worsening abdominal pain
» Very heavy or prolonged bleeding
» Fever that persists
» Continuing symptoms of pregnancy
» Foul-smelling vaginal discharge
» Feeling very weak, faint, or seriously ill
If you believe you are experiencing a medical emergency, call 911.
EMOTIONAL EXPERIENCES AFTER ABORTION
People can experience a range of emotions following an abortion. Experiences vary from person to person.
If you are struggling emotionally after an abortion or would simply like someone to talk with, seek healing, you don't have to work through those feelings alone.
Positive Options offers confidential, compassionate Abortion Aftercare for women and men who have experienced abortion.
Related: What Are the Potential Mental Health Impacts of Abortion Decisions?
EMAIL US ABOUT ABORTION AFTERCARE: aac@lpcenters.com
HAVE QUESTIONS?
If you think you may be pregnant or have questions about abortion or your pregnancy options, we're here to listen and provide information and support.
Positive Options provides pregnancy services at no cost in Holland, Grand Haven, Allegan, and Allendale, Michigan.
TEXT: 616.421.9696 or CALL: 616.546.0610
Have a question right now? Our 24/7 chat connects you with a nurse who can answer your questions anytime.
SOURCES
World Health Organization — Abortion Care Guideline, Second Edition (2025)
World Health Organization — Clinical Practice Handbook for Quality Abortion Care
