Abortion Pill Side Effects

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The abortion pill (medical abortion) commonly causes cramping and vaginal bleeding as the primary side effects, typically beginning within hours of taking the medication[4][2][8].

Other frequently reported side effects include:

  • Nausea, vomiting, and diarrhea[1][6][2]
  • Dizziness and headache[1][6][2]
  • Fever and chills[1][6][2]
  • Fatigue and body aches[2]
  • Back pain and breast tenderness[6][2]
  • Blood clots passed vaginally, usually no larger than a tennis ball[2][3]
  • Irregular or prolonged bleeding, sometimes lasting for weeks[1][7][5]

Most symptoms resolve within several hours to a day, although light bleeding or spotting may persist for up to several weeks[5][7]. Seek medical attention if severe symptoms develop, such as:

  • Heavy bleeding (filling two or more large pads per hour for more than two hours)[1][8]
  • Persistent nausea, vomiting, diarrhea, or fever lasting longer than 24 hours (may indicate infection)[1][2]
  • Severe abdominal pain not controlled by pain medication[3]

Less common but serious complications can include:

  • Hemorrhage (very heavy bleeding), sometimes requiring a blood transfusion[1]
  • Retained tissue in the uterus requiring further treatment[1]
  • Pelvic or uterine infection (can present with fever, pain, abnormal discharge, or general illness)[1][3]
  • Continued pregnancy if the medication is not fully effective[1]
  • Rarely, sepsis (severe body infection)[3]
  • Cardiac side effects, such as changes in heart rhythm (QT prolongation), fainting, or serious arrhythmias[5]

Follow-up with a healthcare provider is recommended to ensure the procedure is complete and to monitor for complications[4][3].

References

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