What You Need to Know About Abortion Pills: Myths Busted and Facts Explained

Medical abortion often referred to as the abortion pill  is safe, effective, and used by thousands of women across the UK each year. But despite its clinical success, misinformation remains widespread.

In this guide, we bust the most common myths and clarify the facts, so you can feel informed and confident in making the decision that’s right for you.

✅ Myth 1: “Abortion Pills Aren’t Safe”

Fact: When used correctly under clinical guidance, abortion pills are extremely safe and carry a low risk of complications.

• 95–98% of people complete the abortion without needing further medical treatment.
• Side effects like cramps, bleeding, nausea, and diarrhoea are common — but serious complications (like infection or haemorrhage) are rare.

At Top at Home, all medication is prescribed by UK-licensed gynaecologists, delivered discreetly, and includes aftercare support.

✅ Myth 2: “You Can Become Infertile After a Medical Abortion”

Fact: There is no evidence that medical abortion affects your ability to have children in the future.

• Ovulation can return as soon as 7–10 days after the abortion.
• Many women choose to begin contraception immediately afterward to avoid an unplanned pregnancy.

✅ Myth 3: “Abortion Pills Cause Birth Defects if They Don’t Work”

Fact: While most abortions are successful, if the pregnancy continues after using Mifepristone and Misoprostol, studies do not show a significant increase in the risk of birth defects. However, continuing a pregnancy after starting a medical abortion is not recommended without further medical review.

If your abortion is incomplete, your care team may recommend a second dose or a surgical procedure to safely complete it.

✅ Myth 4: “You Can Only Take the Pills at a Clinic”

Fact: Since 2020, telemedicine abortion is legal and available across England, Wales, and Scotland. You can now:

• Consult with a clinician remotely (via video or phone)
• Receive abortion pills by post
• Complete the abortion at home with guidance and follow-up

At Top at Home, this is the model we’ve pioneered giving you privacy, flexibility, and compassionate care from start to finish.

✅ Myth 5: “You Must Take Misoprostol Exactly 24 Hours After Mifepristone”

Fact: Timing matters, but there’s flexibility.
You can take Misoprostol between 6 and 72 hours after Mifepristone and still have a safe, effective outcome. The most commonly recommended window is 24–48 hours.

✅ Myth 6: “You Can Reverse the Abortion Pill”

Fact: There is no scientifically validated way to reverse the effects of Mifepristone once taken.

Some organisations promote so-called "abortion pill reversal" but this is not supported by the Royal College of Obstetricians and Gynaecologists (RCOG), NHS, or World Health Organization. Once the process starts, it should be medically supported and completed safely.

What to Expect After Taking the Pills

Here’s a general timeline of symptoms to help you prepare:

‍

When to Seek Medical Help

Contact a healthcare provider or NHS 111 urgently if:

• You soak more than 2 maxi pads per hour for over 2 hours
• You have a fever above 38°C lasting more than 24 hours
• You experience severe or increasing abdominal pain
• You notice foul-smelling discharge or signs of infection

Our team at Top at Home is available 7 days a week to support you by phone, WhatsApp, or video.

Support After Abortion

Everyone processes abortion differently. Some feel relief, others feel a mix of emotions. Whatever you’re feeling - it’s valid.

• Free, confidential counselling is available via the NHS, BPAS, or Brook.
• You can also speak to our team for referrals to trusted mental health services.

Final Thoughts

Making the decision to have an abortion is never easy, but being informed helps. Medical abortion is safe, effective, and legal in the UK — and you don’t have to go through it alone.

Whether you're seeking clarity, care, or simply someone to talk to, Top at Home is here for you — with expert support, confidentiality, and respect at every step.

📞 Need support now? Call 0333 305 9004

‍

Written by Dr Aka