How Does Abortion End a Pregnancy?

August 13, 2025

If you’re facing an unexpected pregnancy, it’s normal to have questions about abortion and how it works. You may have heard different things from friends, family, or online sources, and now you want clear information you can trust.

At Crystal Women’s Choice, we provide free, confidential services and accurate education so you can make a fully informed decision.

Here’s an overview of how abortion procedures work and what they may involve.

Medical Abortion (The Abortion Pill)

A medical abortion uses two drugs to end a pregnancy. The FDA has approved this method only through the first 10 weeks of pregnancy.

Step 1: The first drug, mifepristone, blocks progesterone, a hormone that is required for the pregnancy to grow. Mifepristone causes the uterine lining to thin.

Step 2: The second drug, misoprostol, is taken 24–48 hours later and causes the uterus to contract, pushing out the pregnancy tissue.

Abortion Pill Side Effects and Risks

This abortion pill is often advertised as the easy choice because it is taken at home. However, there are serious side effects and risks to be aware of before taking the abortion pill. Cramping and bleeding are expected, but side effects can be more serious and include things like nausea (with or without vomiting), diarrhea, and fever, chills, or a headache.

The abortion pill also includes many risks, such as an incomplete abortion (which requires a surgical procedure in many cases to complete), infection, and heavy or prolonged bleeding.

Surgical Abortion

Surgical abortion is performed in a clinic or hospital. The exact procedure depends on how far along you are in the pregnancy. It may involve suction, surgical instruments, or dilating the cervix to remove the pregnancy.

Surgical Abortion Side Effects and Risks

Common side effects include cramping and light bleeding, while risks include uterine perforation, scar tissue, infection, and cervical injury. Some of these risks can affect future fertility.

Why an Ultrasound Matters

Before deciding to have an abortion, getting an ultrasound is a key first step. An ultrasound can confirm if your pregnancy is viable and determine how far along you are. Since abortion procedures vary depending on gestational age, this information is essential for knowing what options may apply to your situation.

An ultrasound can also detect an ectopic pregnancy, which occurs when the pregnancy develops outside the uterus. This condition cannot be treated with the abortion pill and can become a serious medical emergency if left untreated. That’s why getting an ultrasound is important for your health and safety.

You Don’t Have to Decide Alone

At Crystal Women’s Clinic, we provide free ultrasounds so you can get the information you need before you decide. Schedule your free appointment today and get the clarity you need.

We do not provide or refer for abortions.

All information is correct at the time of publishing.