In any case, a clinical visit with an ultrasound or other appropriate testing can determine whether a viable pregnancy remains. This step is recommended in either case of abortion completion or abortion pill reversal, as complications may arise and confirming your pregnancy
status is important.

A medication abortion uses two drugs:

1. Mifepristone (which blocks the hormone progesterone, essential for pregnancy to
   continue)
2. Misoprostol (which causes the uterus to contract and expel the pregnancy).
   When both drugs are taken appropriately, success rates are very high (estimates of
   over 95% for early pregnancies up to 10 weeks).

If you have taken mifepristone but not yet taken misoprostol, there remains
the possibility that the abortion may not be complete. In either case, follow-up with a healthcare provider is strongly recommended.

If the abortion pill process is still underway:

• You should follow the instructions given by your provider or clinic about taking the second drug (misoprostol) and about follow-up care (bleeding and monitoring for complications).
• If you change your mind after the first pill and want to keep your pregnancy, seek medical care immediately to see if you can get access to abortion pill reversal with progesterone.
• Whether you proceed or not, you should monitor for heavy bleeding, infection, pain, or other unexpected symptoms and seek care if they arise. Some pain is normal with taking the second pills (misoprostol), but long-lasting pain and heavier bleeding is an indication of an issue.
• If the pregnancy continues, you will want to access prenatal care, local resources, and medical guidance.

If you took the first pill (mifepristone), but not the second pills (misoprostol) and later decided you wish to continue the pregnancy, a treatment known as “abortion pill reversal” (APR) may be possible and available to you urgently.

If you are considering reversal:

• Time is critical: the earlier the treatment is started after the first pill, the higher the chance of the process being considered. Some reports say within 24-72 hours is best.
• Contact a qualified medical provider as soon as possible for evaluation.
• Recognize that ongoing pregnancy is not guaranteed, and that medical monitoring is necessary.
• If you proceed, you will still require appropriate prenatal care if the pregnancy continues.

• The use of mifepristone and misoprostol for medication abortion is legal when provided according to the regulations in your state and by licensed providers.
• The concept of “abortion pill reversal” is not specifically regulated in many
  jurisdictions as a standard medical treatment; some states have passed laws referencing it, and some medical groups caution the treatment is experimental.
• Because medical laws and regulations vary by state, and because the reversal protocol is not FDA-approved for this purpose, you should check with a qualified medical/legal
  professional in your state for your specific situation.

This is your personal medical decision. Some points to consider:

• You are under no general legal obligation to disclose that you took the first pill (mifepristone) unless required by a medical provider or as part of your medical record for ongoing care.
• If you present to a medical provider for follow-up (either for reversal, pregnancy continuation, or abortion completion), full disclosure of your history helps ensure your safety and the provider’s ability to offer appropriate care.
• You are entitled to confidential medical care and support when seeking help. You have the right to ask questions about privacy, consent, medical records, and what will be
  documented.
• Seeking care for your health (whether continuing or terminating a pregnancy) is your decision. You deserve respectful treatment and accurate information from your provider.