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Abortion

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Get the information you need before making a pregnancy decision.

If you’re considering the abortion pill or an abortion procedure, it’s important to first understand key details about your pregnancy and your health. Salem Pregnancy offers free, confidential appointments where you can receive lab-quality pregnancy testing, limited ultrasounds, and medically accurate information about your options.
We know this can feel overwhelming. Facing an unexpected pregnancy often comes with a lot of questions and emotions, and you deserve the time and space to process everything without feeling rushed.

At Salem Pregnancy, you will never be charged for services. We believe women deserve access to clear medical information and compassionate care without anyone profiting from their pregnancy decision. That’s why all of our services are completely free of charge.


4 Things to Check Before Taking the Abortion Pill
If you’re considering the abortion pill, it’s important to confirm a few key details about your pregnancy and your health first.

1. Confirm your pregnancy and how far along you are
The abortion pill is only FDA-approved for use during the early weeks of pregnancy. A lab-quality pregnancy test and ultrasound can help confirm the pregnancy and determine how far along you are.

2. Rule out an ectopic pregnancy
An ectopic pregnancy occurs when the pregnancy develops outside the uterus, most commonly in the fallopian tube. The abortion pill does not treat ectopic pregnancies, and this condition requires immediate medical attention. An ultrasound can help identify this.

3. Check for sexually transmitted infections (STIs)
Some STIs, such as chlamydia or gonorrhea, can be present without symptoms. If an infection is present during an abortion procedure, it can sometimes spread into the uterus and reproductive organs, increasing the risk of pelvic inflammatory disease (PID). Early testing and treatment can help protect your reproductive health and future fertility.

4. Understand your health and possible risks
Every woman’s health situation is different. Reviewing your medical history, medications, and possible side effects can help you better understand what to expect and make a fully informed decision.

How Does the Abortion Pill Work?
The abortion pill (also called medication abortion) typically uses two prescription medications taken in sequence: mifepristone and misoprostol.

Step 1: Mifepristone
The first medication, mifepristone, blocks the hormone progesterone, which is needed to support a pregnancy. Without progesterone, the pregnancy stops developing and the lining of the uterus begins to break down.

Step 2: Misoprostol
The second medication, misoprostol, is usually taken 24–48 hours later. It causes the uterus to contract and expel the pregnancy through cramping and bleeding, similar to a miscarriage.
Most women begin experiencing cramping and bleeding a few hours after taking the second medication.
FDA Recommendations and Guidelines

The U.S. Food and Drug Administration (FDA) has approved the use of mifepristone with misoprostol to end a pregnancy through 10 weeks (70 days) of gestation.

Key FDA guidance includes:
  • The medication must be prescribed by a certified healthcare provider who can assess whether the patient is an appropriate candidate. 
  • The pregnancy should be confirmed and dated, often with an ultrasound or medical evaluation. 
  • Patients should receive information about risks, warning signs, and when to seek medical care. 
The medication should not be used for ectopic pregnancies, which require different medical interventions.

Why Ordering Abortion Pills Online Can Be Risky

Before any abortion decision, it is important to know how far along the pregnancy is, whether the pregnancy is located in the uterus, and whether there are health concerns such as an ectopic pregnancy or infection. The FDA states that mifepristone is not for treatment of ectopic pregnancy, and WHO (World Health Organization) guidance on quality abortion care emphasizes the importance of accurate information, appropriate assessment, and access to follow-up care.
Ordering abortion pills online can carry different levels of risk depending on where the pills come from. The FDA warns that buying prescription medicines from unverified online sellers can expose consumers to drugs that may be counterfeit, contaminated, expired, improperly stored, or not the medication they claim to be.

One of the biggest concerns is not knowing the source of the pills. The FDA says some websites that look like pharmacies are actually selling prescription drugs of unknown origin and may operate outside U.S. safety standards. The agency has also issued warning letters to online sellers for offering unapproved prescription drugs and drugs with inadequate directions for safe use.

There is also a practical safety issue:
when pills come from an unknown website, a woman may not have a trustworthy clinician to contact if she has questions about heavy bleeding, severe pain, fever, or signs of complications.

If you choose to order abortion pills online and experience a medical emergency, seek immediate medical care. Be sure to tell the healthcare provider exactly what you have taken so they can give you the safest and most appropriate treatment.

 
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Abortion Pill Reversal

If you have taken the first abortion pill (mifepristone) and regret your decision, it may be possible to try to continue the pregnancy through a process sometimes called abortion pill reversal (APR).
Abortion pill reversal involves the use of progesterone, a hormone naturally produced in pregnancy that helps support the uterine lining and maintain pregnancy. The goal is to counteract the effects of mifepristone, which blocks progesterone.
This treatment must begin as soon as possible after taking the first pill and before taking the second medication (misoprostol). The sooner treatment starts, the more likely it may be to work.


How to Access Abortion Pill Reversal
If you have taken the first abortion pill and want to explore the possibility of reversal, you can contact the Abortion Pill Rescue Network, which connects women with medical providers who may offer this treatment.
24/7 Helpline:
1-877-558-0333

You can also visit:
AbortionPillReversal.com

 
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What Is a Surgical Abortion?

A surgical abortion is a medical procedure performed by a healthcare provider in a clinic or hospital to end a pregnancy by removing a fetus from the uterus. It is sometimes called an in-clinic abortion because it is done in a medical setting rather than at home.
The type of procedure used usually depends on how far along the pregnancy is and the patient’s health.


Common Types of Surgical Abortion

Vacuum Aspiration (Suction Abortion)
This is the most common surgical abortion procedure in early pregnancy. A provider inserts a thin tube through the cervix into the uterus and uses suction to remove the fetus.

Dilation and Curettage (D&C)
In this procedure, the cervix is opened (dilated) and medical instruments are used to remove the fetus from the uterus. A suction device may also be used. D&C is sometimes performed during the first trimester or to treat miscarriage.

Dilation and Evacuation (D&E)
This procedure is typically used later in pregnancy (usually after the first trimester). The cervix is dilated and a combination of suction and surgical instruments is used to remove the fetus from the uterus.

Before Scheduling Any Abortion Procedure
It’s important to confirm a few medical details first, including:
  • How far along the pregnancy is
  • Whether the pregnancy is located in the uterus (not ectopic)
  • Your reproductive health, including STI testing

Salem Pregnancy does not preform or refer for abortion, instead we offer free pregnancy testing, limited ultrasounds, and STI testing, and abortion options screening appointments, so you can understand your pregnancy and your health before making a decision.
 
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Abortion Laws in North Carolina

Abortion laws vary by state, and North Carolina has specific regulations that affect when and how abortions can be performed.

Legal Time Limit
In North Carolina, abortion is generally legal through the first 12 weeks of pregnancy. Most abortions after that point are not permitted under state law. 

Important Health Considerations

Every medical procedure carries risks. With abortion, risks may vary based on how far along you are and the method used.

Potential considerations include:
  • Incomplete abortion
  • Heavy bleeding
  • Infection
  • Undiagnosed ectopic pregnancy
  • Emotional impact after the procedure

An ultrasound and STI testing can help protect your health before making a decision.
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Healing After an Abortion

If you’ve already had an abortion and are experiencing grief, regret, or emotional pain, you are not alone

Our Abortion Recovery Program provides confidential referrals and support resources to help you process and heal.
 
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