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There are a number of different ways people choose to self-manage their abortions. One increasingly common way is with abortion medication – a combination of pills. Over 20 years of use has proven these pills are extremely safe and effective in ending a pregnancy. In fact, abortions with pills now account for more than half of all abortions in the United States.

Medication abortion is an FDA-approved method to end a pregnancy that consists of two medications: mifepristone and misoprostol. Many people are already obtaining these medications to use in the setting they choose, despite the legal and logistical barriers. Misoprostol can also be taken safely on its own, and can be far less expensive and more accessible in situations with barriers and/or restrictions.

If it were only about the science, we believe these pills would already be available over the counter – to pick up when and where it is convenient like other similarly safe medications. When they are provided along with instructions, what to expect, and possible side effects they could be used to self-manage care and just like other health issues, a person who experiences a rare or unexpected side effect would seek medical attention.


Everyone should be able to choose the option that works best for them, whether that is care with a provider at a clinic or with telehealth abortion services, or self-managing their abortion at home without a medical provider.


For more information on how abortion medication works, you can visit the following resources:


For centuries, people have ended their own pregnancies using herbs, teas, or other methods passed down from families and cultural traditions over generations. Some of those traditions are still used today. Herbs to self-manage an abortion are part of both ancient Indigenous knowledge and current lived experience. For many people they may feel like a more natural choice or may be more accessible. No matter how someone chooses to self-manage their abortion, they should never face shame, stigma, arrest, or prosecution.