If you’ve taken the first abortion drug and now want to continue your pregnancy, you may be wondering if there is anything you can do.
If you have taken mifepristone but have not taken misoprostol, Abortion Pill Reversal (APR) may be an option. Because timing can affect results, reaching out as soon as possible is critical.
Contact the Abortion Pill Reversal Network’s 24/7 Helpline at 877-558-0333, or learn more on our Abortion Pill Reversal page.
Start With Which Drug You Took
The abortion pill regimen involves two drugs, mifepristone and misoprostol.
Mifepristone blocks the effects of progesterone, a hormone that plays an essential role in sustaining a pregnancy.
Misoprostol, taken 24 to 48 hours later, causes uterine contractions, abdominal cramping, and vaginal bleeding that is typically heavier than a menstrual period, as the fetus and related pregnancy tissue, including the placenta, are expelled from the uterus.
APR uses supplemental progesterone to counter the progesterone-blocking effects of mifepristone. The protocol is intended for women who have taken mifepristone but have not yet taken misoprostol.
If you aren’t sure which drug you took, have the package or prescription information available when you speak with a healthcare professional at the Abortion Pill Reversal Helpline.
There May Still Be Time to Act
Timing matters. The goal is to begin progesterone within 24 hours of taking mifepristone, although successful reversals have been reported when treatment began within 72 hours.
If it has been:
- Less than 24 hours: Contact the Abortion Pill Reversal Network (APRN) as soon as possible.
- 24–72 hours: Successful reversals have still been reported, so reach out right away.
- More than 72 hours: The APRN recommends calling rather than assuming it is too late.
A healthcare professional can review how much time has passed, evaluate your pregnancy, and determine whether treatment may be appropriate.
Facts About Abortion Pill Reversal
The Abortion Pill Reversal uses progesterone, which has long-standing established uses in reproductive medicine.
A 2024 review describes evidence-based uses of supplemental progesterone in certain circumstances involving threatened or recurrent miscarriage and fertility treatment.
Early research examining progesterone after mifepristone included a 2012 case series of six women who had taken mifepristone and then received progesterone. Four of the six carried their babies to term.
A larger 2018 case series reported continuing pregnancies following progesterone treatment after mifepristone, with pregnancy continuation rates of 64–68% among the two progesterone treatments with the highest reported success rates.
You can read more about the protocol and available research on our Abortion Pill Reversal page.
Connect With Help Now
If you want to continue your pregnancy after taking mifepristone, start with a phone call.
Call the Abortion Pill Reversal Network at 877-558-0333 to speak with a healthcare professional 24/7. The network can discuss your situation and connect you with a provider who offers APR.
You can also find local care nearby for additional pregnancy services and information.