5 Questions to Ask Before Deciding on an Abortion

Making the decision to have an abortion is not one that should be taken lightly. There are many factors to consider before making a final decision. In this blog post, we will discuss five questions that you should ask yourself before deciding to have an abortion. Making the right choice for you is important, and we hope that this post will help you make the best decision for your situation.

What are the risks associated with having an abortion?

There are both physical and psychological risks associated with abortion. Physical risks can include infection, hemorrhage, organ damage, and death. Psychological risks can include depression, anxiety, guilt, and post-traumatic stress disorder. It is important to consult with a knowledgeable person to discuss the risks associated with abortion before making a final decision. Contact us if you need someone to talk to.

What are my other options?

When you find yourself facing an unplanned pregnancy, abortion may seem like the only option, but it isn’t. There are two additional options you should consider: adoption and parenting.

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Decisions: College Pregnancies

If you’re a college student and you find out that you’re pregnant, you might be feeling a range of emotions. You might be excited, scared, or worried about how this will affect your future. Whatever you’re feeling, it’s important to remember that you’re not alone. There are people and resources available to help you through this time.

You probably have questions – a lot of them. Let us help answer some of those for you.

“I just found out I’m pregnant. I’m still in college and I’m scared. What do I do? What can I do?”

When faced with an unplanned pregnancy, you have options. You need to decide whether you will abort the pregnancy, carry it to term and then put the child up for adoption, or if you want to keep and raise the child yourself. Each option involves difficult choices and comes with its own pros and cons.

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Decisions: Pregnant in High School

Being a teenager is hard enough, but being a teenage parent can seem downright daunting. Not only are you trying to navigate the ups and downs of adolescence, but you also have added stresses like figuring out how to afford diapers or dealing with morning sickness. Teen pregnancy can make an already challenging time seem impossible, but it doesn’t have to be that way. There is hope and light at the end of the tunnel.

What should I do if I’m pregnant?

The most important thing to do if you think you might be pregnant is to take a pregnancy test as soon as possible. If you need help getting a pregnancy test, reach out. We can provide you with a Lab-Quality Pregnancy Test and confidential results. Once you know for sure that you’re pregnant, you can start exploring your options and making a decision about what’s best for you.

You said I can explore my options? It seems like I only have one option.

Some girls feel like they have to get an abortion in order to continue with their education and future goals, but that’s not the case. While abortion may seem like the only choice, it is important to remember that there are multiple options available:

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Am I Pregnant?

Answer these questions to help determine whether or not you may be pregnant.

Have you been experiencing bodily changes? Do you think you may be pregnant? This can be an exciting time but also a puzzling time. To add to the confusion, many pregnancy signs and symptoms can have causes unlinked to pregnancy.

At Ramona Women's Clinic we have compiled this list of questions to determine whether or not you may be pregnant. Please contact Ramona Women's Clinic if you have any other questions or would like to make an appointment for a free and confidential consultation.

Early signs of pregnancy tend to differ from one woman to the next and your best bet is to take a pregnancy test as soon as possible. But paying attention to early symptoms of pregnancy is also important, and these symptoms can start as early as your first month of pregnancy. With that in mind, consider these questions about the early signs of pregnancy:

1. Have you missed a period?

A missed period is a common early sign of pregnancy. Many pregnant women begin seeking answers because they know they’re late for their next period. If your period is over a week late, you may consider this a possible indicator of pregnancy, and as other pregnancy symptoms start to appear, you may find that this symptom was the first you experienced. However, a late period may not be an accurate sign if you typically have irregular menstrual cycles, as you could simply have a late period that month.

If you are currently having your period, then it is most likely that you are not pregnant, as the lining of your uterus is shedding the blood it had stored up before ovulation. If it’s been more than a month since your last menstrual period, then you might be pregnant, as your endometrial lining could have, at that point, received a fertilized egg and is now working to support it. Tracking your period is not the only way to determine whether or not you’re pregnant, but this, along with a few other symptoms, tends to be a good indicator.

One good method to track your period is to mark the calendar on the first day of your menstrual cycle. According to Women’s Health, a typical menstrual period lasts between 24 and 38 days (1). If you count 24 days after the first day of your last period, you will be able to estimate when your next period will begin. According to the Mayo Clinic, you’ll also experience an increase in basal body temperature when you are ovulating. If you track your temperature throughout your cycle, you should be able to track your period, which will appear 12-16 days after ovulation (2). There are also many apps available to help you with this, like Flo Period and Ovulation Tracker.

2. Have you been feeling frequently nauseous?

Nausea is another of the common early pregnancy symptoms in the first trimester and may or may not be accompanied by vomiting. This symptom affects more than half of pregnant women and is known as morning sickness, even though it can be experienced any time of the day. It typically lasts throughout the first weeks of pregnancy and subsides after your first trimester of pregnancy. “Not all women experience nausea, while others experience it throughout their pregnancy,” reported Medical News Today. “Nausea can begin as early as 5 weeks, with most women experiencing some level of nausea by week 8 of pregnancy” (3). The severity can differ from person to person. It isn’t totally clear what the cause is for morning sickness, but it may be due to hormonal changes.

Morning sickness is a pregnancy symptom that can occur throughout your pregnancy, but the nausea is not solely confined to the morning. During pregnancy you will have hormone changes in your body. An increase in the hormone HCG, or human chorionic gonadotropin, is thought to be a factor in causing morning sickness, which typically is a mild form of nausea. If, however, the nausea is intense and causing extreme, frequent vomiting, you may have hyperemesis gravidarum, which can lead to dehydration and rapid weight loss. According to Medline Plus, you should contact your doctor if frequent, intense vomiting continues, as this is one of the medical conditions that could require treatment and hospitalization (4).

3. Do you have swollen, tender breasts or nipples?

The American Pregnancy Association reports that this is one of the most common symptoms of pregnancy. “Changes to the breasts can start as early as 1 to 2 weeks after conception” (5). The APA also stated that about 17% of pregnant women surveyed reported breast changes as the first sign of pregnancy. This typically occurs in the early weeks of pregnancy, but could occur up to four to six weeks in. Because of the increase in the amount of blood flow throughout this area, you may experience tingling, aching, and swelling/enlargement of the breast tissue, often leading to sore breasts. You may also notice darkening of the areas surrounding the nipples. Once your body adjusts to your new hormonal changes, breast tenderness should subside.

According to Parents.com, when increased amounts of the hormone progesterone, along with estrogen and prolactin, is produced, milk glands inside your breasts begin to grow. This can become uncomfortable, as these hormones expand your blood vessels to help raise the blood volume in your breasts. To help with the discomfort, wear a more supportive bra and looser clothing. Take warm showers, apply warm and cool compresses, and, if nothing else is helping, talk to your doctor about taking Tylenol (6).

4. Have you noticed spotting and cramping?

When the fertilized egg attaches to the lining of the uterus, this may cause light spotting and even mild cramping. WebMD calls this “implantation bleeding,” and it typically resembles a light period. This “occurs anywhere from 6 to 12 days after the egg is fertilized. The cramps resemble menstrual cramps, so some women mistake them and the bleeding for the start of their period.” However, there are some distinct differences. Some of the key differences include a smaller amount, shorter time, lighter color, and absence of clotting. The cramps pregnant women experience may seem similar to those during PMS. But implantation cramps are also different—these cramps would be present even after you’ve missed your period. Other common early signs of pregnancy include leg cramping and back pain, typically in the lower back (7).

Light vaginal bleeding and cramping due to implantation bleeding typically only occur within the first trimester. According to Healthline, spotting can occur any time throughout your pregnancy, but for different reasons. Light bleeding in the first trimester is typically because of implantation and can occur all the way to the end of the first trimester. Throughout the second trimester, bleeding or vaginal discharge may occur if there is a problem with the cervix or placenta. If bleeding happens frequently, contact your healthcare provider. Spotting may also take place after having sex while pregnant. If bleeding happens in the third trimester of pregnancy and is accompanied by mucous, it may be a sign that labor is beginning (8).

5. Do you have headaches more frequently?

Headaches are so common that this alone is not necessarily considered one of the first signs of pregnancy. In this case, you may also be experiencing lightheadedness or dizziness due to hormonal changes in your body. You should consider them in conjunction with other pregnancy symptoms you’re experiencing.

MayoClinic states that acetaminophen (Tylenol) is generally considered safe for a pregnant woman, though you should talk to your doctor before taking any medication. Other, non-medicinal methods to ease headache pain include managing your stress, including exercise in your daily routine, eating regularly, and following a consistent sleep schedule (9).

6. Are you experiencing strange food cravings and an increased appetite?

If you are pregnant, you may start to experience cravings for certain foods. Often, the foods you normally desire won’t sound good to you at all. These food aversions and cravings may also be due to hormonal changes, along with changes in your senses. Your body is also working really hard to build a new life, so of course you’re experiencing an increased appetite! Be sure to fill up on healthy, pregnancy-approved snacks so your body will receive the energy it needs.

According to The Mother Baby Center, weight gain and increased appetite during your pregnancy are completely common and expected. Oftentimes, your cravings may be a signal that your body needs a certain type of nutrient, like iron. If you find yourself with an appetite that is out of control and cravings that are hard to handle, try eating satisfying, protein-heavy food that will keep you full longer. Be sure to drink plenty of water and—most importantly— DON’T stress about the scale. The most important thing is that you and your baby are healthy (10).

7. Are you going to the bathroom a lot?

With pregnancy, you may notice changes in your bladder sensitivity. This is a common pregnancy symptom and can be traced back to hormone changes, your growing uterus, and increased blood circulation to the pelvis. Because of these changes, you may find yourself making more frequent trips to the restroom.

According to What to Expect, frequent urination will likely last throughout your pregnancy. The change in frequency may or may not affect you much, depending on your personal arrangement of internal organs – it varies from woman to woman. To reduce the frequency, lower your caffeine intake and limit your fluids before bed (11).

8. Do you feel light-headed?

Feeling dizzy or light-headed, especially immediately after standing or changing your position quickly, can be a sign of pregnancy. Dizziness may be the result of a change in your blood volume and blood pressure, or it could be a deficiency in iron. Light-headedness can be caused by many different factors, so this symptom on its own is not considered a reliable sign of pregnancy. When paired with other symptoms, though, pregnancy could be something to consider.

Healthline refers to several different methods to help with the dizziness, including limiting long periods of standing, slowly changing positions from laying down or sitting to standing, frequently snacking, drinking plenty of water, and avoiding tight clothing (12).

9. Are you moody recently?

Sudden mood changes and fatigue are also attributable to hormonal changes. These changes could take place as early as the first month of pregnancy. This is because your body is producing a hormone called progesterone. This hormone supports the pregnancy and is responsible for milk production in the breasts as well.

The American Pregnancy Association states that most women experience their most intense mood swings within the first 6-10 weeks of pregnancy, as this is when you experience the largest influx of hormones. Hormone levels usually stabilize through the second trimester, and then, during the third trimester, pick back up as your body prepares to give birth. Give yourself grace through these times. Be sure to eat a healthy diet, exercise, and talk to your loved ones. You’ll feel like yourself again before you know it (13). Just having someone to talk to can help with your emotional well-being. At The Pregnancy Help Center of Manteca, CA we are here to hear you. Contact us to book a consultation or just a friendly conversation.

10. Are you feeling fatigued?

“You may feel fatigue early and late in pregnancy,” according to the March of Dimes. “Your body may be tired because it’s working hard to take care of your growing baby. Your body is making pregnancy hormones and you’re using a lot of energy, even when you sleep. You may have trouble sleeping at night because you’re uncomfortable or you need to get up to go to the bathroom. Later in pregnancy, leg cramps may wake you up at night” (14). The good news is that such high levels of fatigue are particularly strong in the early stages of pregnancy and will likely subside after the first trimester and then fluctuate through the entire pregnancy.

Eating frequent meals helps keep your energy up throughout the day, according to Healthline. Also, avoid caffeine after lunch and be sure to take plenty of naps. When convenient, take naps during the day. Your body is working incredibly hard, so be sure to take it easy during this time. You’ll likely feel like you have more energy in the second trimester of your pregnancy (15).

11. Are you experiencing sensitivity to smell or a metallic taste in your mouth?

Though there may be little scientific consensus on these, they are some of the earliest signs of pregnancy. This heightened sense of smell may also be one of the causes of nausea, as is the metallic taste in your mouth.

Due to a surge in estrogen, you may be experiencing a metallic taste in your mouth. To help combat this, BabyCenter recommends you eat tart, acidic foods, and gargle with saltwater or baking soda (16).

12. Have you been constipated or bloated?

Speaking of hydration, that’s not a bad idea— this symptom can be very uncomfortable! If you’ve had fewer than three bowel movements in a given week, you may be dealing with pregnancy constipation. Hormonal changes can be the culprit behind bloating and constipation.

According to Medical News Today, this bloating and constipation is one of the symptoms of early pregnancy and often develops in the first trimester, and gets worse in the third trimester, as the baby takes up more space in your body. To help ease the symptoms, drink plenty of water, eat tiny, frequent meals, increase your fiber intake with foods like dried fruit and whole grains, and make sure you exercise a little each day (17).

13. Have you been experiencing increased heartburn?

This may affect more women in the later stages of pregnancy and isn’t really considered one of the signs of early pregnancy. However, it’s generally considered to stem from your increase in progesterone levels, so don’t rule it out, especially if it’s not something you normally experience.

Your body changes a lot when you’re pregnant. According to the Cleveland Clinic, heartburn is caused by the big changes in your body shape – like your uterus expanding, as well as changes in hormones. This can cause disruption in your digestive system, which can cause stomach acid to rise more easily through your esophagus. Talk to your doctor before taking any antacids, as some may contain materials that are dangerous while pregnant. Some home remedies include eating several small meals a day, eating slowly, avoiding spicy or citrusy foods, and limiting caffeine. You can also practice sitting up straight, avoid laying down after eating, and limit your food intake late at night. All of these methods will help keep stomach acid from rising to your chest (18).

If you are pregnant, you may be experiencing several of these early pregnancy signs. Sometimes, however, it can be difficult to tell from symptoms alone. Another way to determine if you are pregnant is to take a home pregnancy test.

Often thought as the best way to determine if you’re pregnant, home urine tests claim to be 99% accurate. There is a slight chance you receive a positive result, even though you aren’t actually pregnant, which is called a “false-positive.” A false-positive may result if the fertilized egg is no longer attached to the uterine lining or from side effects from fertility drugs or problems with your ovaries. There is also a chance for a false-negative result. This can happen if you take the urine test too early, if you use the home test kit incorrectly, or if you have diluted urine. A blood test will give you 100% accuracy and will be administered at your first doctor’s appointment. If you would like a pregnancy test at Ramona Women's Clinic call us for a free and confidential consultation.

In order for the pregnancy home test to get an accurate reading, you have to have enough HCG (human chorionic gonadotrophin) in your urine. This is the hormone released by the cells surrounding the growing embryo, which allows your body to realize it is pregnant. Reading and following the directions precisely will reduce the possibility of false negatives occurring. Ramona Women's Clinic will give you a free and confidential clinical grade pregnancy test with more accuracy.

If you are pregnant, don’t wait until you see a health care provider to begin taking prenatal vitamins. These vitamins contain several essential nutrients for you and your baby’s health, including folic acid, vitamin D, and calcium.

We hope that these questions helped you and gave you more knowledge about what you may be experiencing. If you would like more information, contact Ramona Women's Clinic at (831) 637-4020.

If you’ve experienced any of these pregnancy signs and symptoms or have received a positive pregnancy test and want further information, give us a call. You shouldn’t have to go through this time in your life alone and your prenatal care is of the utmost importance. We’re here to help.

Disclaimer: This website and blog does not provide medical advice, diagnosis, or treatment. Content from this website and blog is not intended to be used for medical diagnosis or treatment. The information provided on this website is intended for general understanding only and is not intended to be a substitute for professional medical advice.

  1. https://www.womenshealth.gov/menstrual-cycle/your-menstrual-cycle#:~:text=How%20can%20I%20keep%20track,cycles%20are%20different%20each%20month
  2. https://www.mayoclinic.org/tests-procedures/basal-body-temperature/about/pac-20393026#:~:text=Your%20basal%20body%20temperature%20is,predict%20when%20you'll%20ovulate
  3. https://www.medicalnewstoday.com/articles/290414#12-early-signs-of-pregnancy
  4. https://medlineplus.gov/ency/article/001499.htm#:~:text=Hyperemesis%20gravidarum%20is%20extreme%2C%20persistent,that%20occurs%20in%20early%20pregnancy
  5. https://americanpregnancy.org/getting-pregnant/early-pregnancy-symptoms/
  6. https://www.parents.com/pregnancy/my-body/aches-pains/pregnancy-symptoms-complaints-breast-pain/
  7. https://www.webmd.com/baby/guide/pregnancy-am-i-pregnant#1
  8. https://www.healthline.com/health/how-long-does-spotting-last#pregnancy-spotting
  9. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/headaches-during-pregnancy/faq-20058265#:~:text=Most%20pregnant%20women%20can%20safely,any%20medication%2C%20including%20herbal%20treatments
  10. https://www.themotherbabycenter.org/blog/2020/07/weight-gain-during-pregnancy-what-is-healthy/
  11. https://www.whattoexpect.com/pregnancy/symptoms-and-solutions/frequent-urination.aspx#expect
  12. https://www.healthline.com/health/pregnancy/dizziness-in-pregnancy#seeking-help
  13. https://americanpregnancy.org/healthy-pregnancy/pregnancy-health-wellness/mood-swings-during-pregnancy/
  14. https://www.marchofdimes.org/pregnancy/common-discomforts-of-pregnancy.aspx#
  15. https://www.healthline.com/health/pregnancy/pregnancy-fatigue
  16. https://www.babycenter.com/pregnancy/your-body/metallic-taste-during-pregnancy_20004810#:~:text=Having%20a%20metallic%20taste%20in,with%20salt%20or%20baking%20soda
  17. https://www.medicalnewstoday.com/articles/bloating-in-pregnancy#home-care
  18. https://my.clevelandclinic.org/health/diseases/12011-heartburn-during-pregnancy
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Free Pregnancy Test


If you think you may be pregnant your next step should be scheduling a FREE Pregnancy Test from Ramona Women’s Clinic.  You do NOT have to go through this process alone. At Ramona Women’s Clinic we can help you deal with the results, no matter what they are, in a manner that is best for you and your situation. We have compassion for you and want to help you in any way we can.


If you think you may be pregnant it is important to know about the changes taking place in your body that may indicate pregnancy.  Remember every woman is different and common signs of pregnancy may or may not pertain to your situation.

Some common symptoms of early pregnancy include:

  • Missed period
  • Nausea
  • Vomiting
  • Breast tenderness
  • Frequent urination
  • Fatigue

For a complete list of pregnancy symptoms click HERE.

According to WebMD the only way to know for sure if you are pregnant is “by taking a pregnancy test

At Ramona Women’s Clinic we can give you a FREE and confidential pregnancy test.  When you call for an appointment we will answer your questions and provide you with help you need every step of the way.

How Soon Should I Take a Pregnancy Test?

According to Healthline, “You should wait to take a pregnancy test until the week after your missed period for the most accurate result.

If you don’t want to wait until you’ve missed your period, you should wait at least one or two weeks after you had sex. If you are pregnant, your body needs time to develop detectable levels of HCG. This typically takes seven to 12 days after successful implantation of an egg.

You may receive an inaccurate result if the test is taken too early in your cycle.”

Should I take a home pregnancy test?

According to a healthy lifestyle article on the Mayo Clinic website, “Taking a home pregnancy test can be nerve-wracking, especially if you’re not sure you can trust the results. Know when and how to take a home pregnancy test — as well as some of the possible pitfalls of home testing.”

If you are not sure when the best time is to take the home pregnancy test and take the test too early, check the test results too soon, use diluted urine or have been taking fertility drugs or medications containing HCG, there is a chance the results will be inaccurate.

Home pregnancy tests including such brand names as First Response, ClincialGaurd, Clearblue, Pregmate, New Choice and Wondfo, advertise to be 99% accurate.

National pharmacies and retail stores offer generic and store brand pregnancy tests including, Walgreen’s One Step, Target’s Early Results Pregnancy Test-Up&Up, CVS Early Result Pregnancy Test and Wal-Mart’s Equate Early Result Pregnancy Test.

All over the counter tests recommend if you think you a pregnant you should contact your health care provider.  That is where Ramona Women’s Clinic comes in.  We can help you confirm your pregnancy and discuss your options for the future.

Use the calculator below to help approximate a likely due date if pregnancy is considered a possibility.

Note: This is not a sufficient/accurate tool for calculating fetal gestation. We highly recommend utilizing a medical grade pregnancy test, followed by an ultrasound to be fully informed. Contact us to schedule an appointment.

How do pregnancy tests work?

There are two basic kinds of pregnancy tests, the first uses urine and can be purchased over the counter, and the second test uses a blood sample and is administered in a doctor’s office or clinic.  Both tests measure the level of the hormone hGC, human chorionic gonadotropin that indicates a pregnancy.

According to Medicinet.com, “hCG is made when a fertilized egg implants in the uterus. This usually happens about six days after the egg and sperm merge. But studies show that in up to 10 percent of women, implantation does not occur until much later, after the first day of the missed period. The amount of hCG rapidly builds up in your body with each passing day you are pregnant.”

Clinical pregnancy tests are more accurate than over the counter home tests.

The primary reason a clinical pregnancy test is more accurate than an over the counter home test is the experience and frequency in which the clinic administers tests.  At Ramona Women’s Clinic we have given hundreds of tests and are constantly updating our kits for optimum freshness and accuracy.

There are many variables that lead to inaccurate readings from a home tests. At Ramona Women’s Clinic we do our best to eliminate those variables so you know for sure whether or not you are pregnant.

1- https://www.webmd.com/baby/guide/pregnancy-am-i-pregnant#1-2

2- https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940

3- https://www.medicinenet.com/pregnancy_test/article.htm#are_there_different_types_of_pregnancy_tests

4- https://www.healthline.com/health/pregnancy/five-signs-to-take-pregnancy-test#when-to-test

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Pregnancy Options

If you have just learned that you are pregnant, or suspect that you might be, you could be wondering about your options. If this was unexpected, this is not a time to panic. Many women have been in your shoes before and there are resources to help you decide what to do next. 

First and foremost, you should confirm the pregnancy with a doctor’s visit. Your doctor will advise you on the most important things to do in order to care for your health and the health of your baby in the early days of pregnancy. Getting an ultrasound can help to determine the stage of your baby’s development.

There are three options after you confirm your pregnancy: parenting, abortion, and adoption

The first option is parenting. You can give birth to and raise your baby. The bond between a child and mother can be incredibly strong, and will likely change you as a person. As you provide for your new family member and dedicate your time to your baby, know that there are many organizations who will provide resources to assist you. 

Second, you can consider an abortion, which will end your pregnancy. There are various methods by which an abortion is performed, based on the baby’s development. The first type is the medical abortion and the second is the surgical abortion. Abortion can be an expensive option and does have physical risks to the mother of which you should be aware. 

Finally, you can look into adoption. Several agencies are available which could help you to select non-biological parents to raise the child as their own. There are different types of adoption with varying levels of contact that you could have with your child. An open adoption allows you to meet the adoptive parents, and, under some circumstances, could mean getting to know your child. A semi-open adoption would allow some contact such as letters or photos that would be processed through the adoption agency. A closed adoption means that you would not have any relationship with your child or the child’s adoptive parents. Adoption is the most affordable option because there is no financial cost to you. In fact, in most cases, all of medical care for you and your baby would be paid by the adoptive parents. This option gives your baby a future with a family who longs for a child of their own.

No matter what decision you make, remember that each of these has different benefits and challenges. It is your decision alone, so take your time to fully consider the options.

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If you have changed your mind after taking the abortion pill there is a chance you can save your pregnancy.  An antidote is available to work to stop the effects of the abortion pill.  It is not uncommon for a woman to have feelings of regret after taking the abortion pill.  At Ramona Women’s Clinic we can help you learn everything you need to know about the Abortion Pill Reversal procedure and where you can get the help you need in your local community.

Here are frequently asked questions from the Abortion Pill Reversal website.

FAQ Abortion Pill Reversal

What is abortion pill reversal?

Abortion Pill reversal is a protocol used to reverse the effects of the chemical abortion process (medication abortion, abortion pill, medical abortion, RU-486) [1][2][3]. For those who regret starting a chemical abortion, the abortion pill reversal offers a last chance to choose life. There is hope and help available for those who change their minds and want to continue a pregnancy at the APR helpline 877.558.0333 and website.

What should a woman do if she wants to reverse her chemical abortion?

A woman who chooses to reverse the effects of mifepristone and continue her pregnancy should call the Abortion Pill Rescue hotline 877.558.0333 or go to the APR website to begin a live chat. The APR Healthcare Team is waiting to help.

Why is progesterone used?

Mifepristone blocks progesterone’s actions by binding to progesterone receptors in the uterus and the placenta. Progesterone is the natural hormone in a woman’s body that is necessary to nurture and sustain a pregnancy.[4] By giving extra progesterone, the hope is to outnumber and outcompete the mifepristone in order to reverse the effects of mifepristone.[5]

Is it too late to reverse the abortion pill?

For those seeking abortion pill reversal, the goal is to start the protocol within 24 hours of taking the first abortion pill, mifepristone, also known as RU-486. However, there have been many successful reversals when treatment was started within 72 hours of taking the first abortion pill.

Even if 72 hours have passed, call our hotline (877) 558-0333. We are here to help. It may not be too late.

The abortion clinic said I have to complete the abortion; is that true?

No, it is always your choice to change your mind. Even if you have started the chemical abortion process, reversal may still be a choice for you.

What if I am cramping or spotting? Does it mean it’s too late to reverse the abortion pill?

Spotting or bleeding is common during reversal treatment. It is important and safe to continue the progesterone even if you experience spotting or bleeding, unless directed otherwise.

If you experience heavy bleeding, faintness, severe abdominal pain, or fever, seek emergency medical attention immediately. This could be an effect of the mifepristone and would require immediate care.

It is important to have an ultrasound to confirm that your baby is in the uterus as soon as possible.

What if I want to reverse the abortion pill but I’ve waited too long? What do I do then?

Please call our hotline number (877) 558-0333. You may still be pregnant. It may not be too late.

What about the other pills the abortion clinic gave me?

The second medication is called misoprostol or Cytotec. Its purpose is to cause the uterus to contract and expel the baby.

The Misoprostol/Cytotec is not needed if you want to try to reverse the chemical abortion.

How do I start the Abortion Pill Reversal process?

  • Call our hotline (877) 558-0333.
  • Our on-call Healthcare Professional will ask you some basic questions to see if reversal is possible.
  • The Healthcare Professional will then connect you with a doctor or medical provider in your area to start treatment, if that is your choice.

What is the treatment to reverse the abortion pill?

An ultrasound will be done as soon as possible to confirm heart rate, placement, and dating of the pregnancy.

The doctor or other medical provider will prescribe progesterone, given as a pill to be taken orally or vaginally or possibly by intramuscular injection.

The treatment will usually continue through the first trimester of pregnancy.

What is the success rate of Abortion Pill Reversal?

Initial studies of APR have shown that APR has a 64-68% success rate. Without the APR treatment, mifepristone may fail to abort the pregnancy on its own. In other words, your pregnancy may continue even without APR if you decide not to take misoprostol, the second abortion drug likely prescribed or provided to you when you took mifepristone. APR has been shown to increase the chances of allowing the pregnancy to continue.

However, the outcome of your particular reversal attempt cannot be guaranteed.[6]

What about birth defects? Is my baby going to be OK?

The American College of Obstetricians and Gynecologists (ACOG) in its Practice Bulletin Number 143, March 2014, states that: “No evidence exists to date of a teratogenic effect of mifepristone.” In other words, it does not appear that mifepristone, RU-486, causes birth defects.

Progesterone has been safely used in pregnancy for over 50 years. Initial studies have found that the birth defect rate in babies born after the APR is less than or equal to the rate in the general population. Neither Mifepristone nor progesterone is associated with birth defects. [7][8]

What are the possible side effects of progesterone?

Progesterone may cause sleepiness, lack of energy, light headedness, dizziness, gastrointestinal discomfort and headaches. Increased fluid intake might help relieve these symptoms.

It is important that you follow all of the instructions of your APR provider carefully. If you have any questions, contact your provider.

Some progesterone treatments include peanut oil – what if I am allergic to peanuts?

If you are allergic to peanuts or peanut oil, notify your provider before beginning APR. Progesterone may include this ingredient, so it is important that you notify your provider of any of these allergies before taking progesterone. An alternative form of progesterone may be available for those with an allergy.

How much will this cost?

Costs of the treatment varies depending on the progesterone used. Insurance plans may cover treatment. Women who do not have insurance or financial means to pay for treatment should discuss this with their medical provider.

In cases of financial hardship, APR will help you find ways to reduce the cost of the treatment.

Even though I regret my decision to take the abortion pill, there is no way I could keep and raise this baby alone and without support. What do I do?

We are here to help support pregnant women and their developing babies. Contact us and we can connect you to the support you need to make the best decision possible for you and your baby.

If you think parenting might be an option for you, but you have concerns about money, baby supplies, insurance or your parenting skills, there may be local help available.

I’d like to save this pregnancy, but I’ll probably get kicked out of my house. What should I do?

Call us at (877) 558-0333. We will help you find the resources you need for your particular situation. Most women might need a little (or a lot) of help. There are over 2,000 organizations in the United States, and many more around the world, who help women and families with anything from baby bottles and diapers, to peer and professional consultations, and even housing.

Are the abortion pill and the morning after pill the same thing?

No, they are different. The “morning after pill” is marketed as an emergency contraception method. The most commonly used preparation contains a high level of a progestin and can be taken up to 72 hours after sexual intercourse. New insights into how it works make it clear that it can prevent implantation of the young human embryo into the lining of the uterus. This is a contragestational or abortifacient effect, not a contraceptive effect.

The abortion pill, mifepristone, is taken up to 70 days (10 weeks) into a pregnancy with the intention of causing an abortion. It works by blocking progesterone receptors. Progesterone is the necessary hormone that nurtures and supports a pregnancy.

The newest morning after pill, Ella, is very similar to mifepristone in its action in that it blocks progesterone receptors. It is approved by the FDA for use up to five days after intercourse and also has abortifacient effects.

Does your organization provide the abortion pill to women or perform surgical abortions?

Abortion Pill Rescue provides compassionate support for women during their pregnancies and does not provide or refer for abortion services. We work diligently to provide women seeking reversal with information and resources to make healthy choices for their pregnancies.

Do any professional organizations support Abortion Pill Reversal?

The American Association of Pro-Life Obstetricians and Gynecologists, a 2500-member organization, supports offering Abortion Pill Reversal (APR) to women who regret initiating the abortion pill process, after appropriate informed consent.

> View the AAPLOG statement here


There are many cases of women who have changed their minds after taking the abortion pill and gone on to have a successful pregnancy with the Abortion Pill Reversal protocol.  So while you are not alone, your situation is unique to you.  At Ramona Women’s Clinic we have years of experience and the answers for which you are looking.  Please contact us. We are here to help you.

[1] Mifeprex REMS Study Group (2017). Sixteen Years of Overregulation: Time to Unburden MifeprexNew England Journal of Medicine.

[2] Medication Abortion. Mayo Clinic Web Site. https://www.mayoclinic.org/tests-procedures/medical-abortion/about/pac-20394687. Published July 7, 2018. Retrieved September 8, 2018.

[3] Medical Management of First Trimester Abortion. Clinical Management Guidelines for Obstetricians-Gynecologists Practice Bulletin. Number 143. March 2014.

[4] Progesterone Treatment to Help Prevent Premature Birth. March of Dimes Web Site. https://www.marchofdimes.org/complications/progesterone-treatment-to-help-prevent-premature-birth.aspx. Published 2018. Retrieved September 8, 2018.

[5] Hormones in Pregnancy. Niger Med J. 2012 Oct;53(4):179-83. doi: 10.4103/0300-1652.107549.

[6]Delgado, G, M.D., Condly, S. Ph.D., Davenport, M, M.D., M.S.,Tinnakornsrisuphap, T Ph.D., Mack, J., Ph.D., NP, RN,  Khauv, V., B.S., and Zhou, P. A Case Series Detailing the Successful Reversal of the Effects of Mifepristone Using Progesterone. Issues in Law & Medicine, Volume 33, Number 1, 2018

[7] Unleashing the power of a woman’s cycle: Progesterone Support in Pregnancy. NaPro Technology Web Site. https://www.naprotechnology.com/progesterone.htm. Retrieved July 11, 2018.

[8] Progesterone and Pregnancy: A Vital Connection. Resolve Web Site. https://resolve.org/infertility-101/the-female-body/progesterone-pregnancy-vital-connection/. Published 2018. Retrieved July 11, 2018.

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Pregnancy Confirmation Ultrasound

The main reason you should get an ultrasound is simply to see how far along you are in your pregnancy.  With this safe and accurate procedure you will also be able to detect the fetal heartbeat, determine the baby’s age and approximate due date. One of the most exciting services we offer at Ramona Women’s Clinic is a FREE ultrasound.


  • Confirm pregnancy
  • Detect the fetal heartbeat
  • Determine the age of the baby and due date
  • Pinpoint the location of the pregnancy (normal or ectopic pregnancy)


An ultrasound is simply a method of creating an image with the use of high frequency sound waves, so high they cannot be heard by human ears.  The sound waves bounce back to the ultrasound equipment to form the image on a monitor.  The procedure is totally safe and painless for both you and your baby.


At Ramona Women’s Clinic you will receive a FREE abdominal ultrasound in which our medical professional will pass the wand over your belly to transmit the image to the ultrasound monitor.


There is another ultrasound procedure, in most cases performed by a gynecologist, called a transvaginal ultrasound.  According to Healthline.com,  “A transvaginal ultrasound, also called an endovaginal ultrasound, is a type of pelvic ultrasound used by doctors to examine female reproductive organs…This is an internal examination. Unlike a regular abdominal or pelvic ultrasound, where the ultrasound wand (transducer) rests on the outside of the pelvis, this procedure involves your doctor or a technician inserting an ultrasound probe about 2 or 3 inches into your vaginal canal.”1B


One very important reason you should get an ultrasound is to determine the location of the pregnancy.  If the pregnancy is not in the right place there could be a problem. According to MedLinePlus.gov, “An ectopic pregnancy is a pregnancy that occurs outside the womb (uterus). It may be fatal to the mother.” 2B



It is a good idea to wear loose fitting clothes for easy access to your abdomen when you come to Ramona Women’s Clinic to have your FREE ultrasound.  It is recommended that you drink plenty of liquids (water) and try to not empty your bladder before the procedure. A full bladder makes it easier for the baby to be seen.

The ultrasound is given after the pregnancy is confirmed and your pregnancy has advanced.  If the ultrasound is given too early in the pregnancy the image of the baby will not be defined.


A great starting point may be for you to make an appointment for your ultrasound—it’s FREE and confidential and our caring staff can answer any question you may have. Before your ultrasound you will meet with one of our advocates to go over your medical history and discuss all of your concerns.   At Ramona Women’s Clinic we are here to help you with your pregnancy.


1A – https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/diagnosis-treatment/drc-20372093

1B – https://www.healthline.com/health/transvaginal-ultrasound

2A – https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/symptoms-causes/syc-20372088

2B – https://medlineplus.gov/ency/article/000895.htm

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Considering an Abortion? Here’s the Info You Need

Are you pregnant? Do you think you may be pregnant? If so, you may find yourself wondering what your options are. At this point, many people begin looking for abortion information and find the waters to be muddied. The decisions you’re facing are stressful enough as it is. Our goal is to equip you with the facts about abortion so you can make an informed decision about your pregnancy.

So how do we start? Well, first things first. You’ll want to confirm whether you’re pregnant or not.

Am I Pregnant? The Urine Test

A urine test will identify the pregnancy hormone, also known as human chorionic gonadotropin (hCG). They are highly accurate in their detection of hCG levels. However, if you took the test close to the time you missed your period, you may get a more accurate reading now that some time has gone by. The hCG concentration increases each day during early pregnancy, so it may be ideal to test yourself about a week after missing your period.

Two Options for Urine Testing

Your first option is the home pregnancy test (HPT). These have been on the market for several decades and tend to be quite accurate. If you go this route, make sure your test is not expired and that you carefully follow the instructions.

However, we highly recommend the second option, which is clinical testing. Going into a clinic for your urine test should take away some of the stress of human error. You’ll have the assurance of knowing that the people there are knowledgeable and have gone through the process many times before. This is also an opportunity to gather additional information in a safe, confidential setting.

Confirming Pregnancy

So let’s say you go to a clinic and your pregnancy test is positive. First of all, that’s typically all the information you’d receive regarding the status of pregnancy. You’d probably be told that the test is positive, rather than being told that you’re pregnant. We understand that there are many factors involved and that a positive reading can mean different things for different people.

As effective as these tests are, there’s always the chance for error. That’s why you’ll want to confirm your pregnancy with an ultrasound. This is something we can do for you right here at our office. The ultrasound will confirm whether you have a viable pregnancy. It will also give you a more accurate dating of your pregnancy.

Another thing to consider at this point is making an appointment with your physician. Don’t have a physician? No problem. The pregnancy clinic or resource center can help you find one right for you. If you don’t already have someone in mind, your physician can refer you to an OB/GYN. Another thing you can be tested for at that time is sexually transmitted diseases (STDs).

Not Ready? Educate Yourself with Abortion Information

There are many young women who go through the steps already mentioned and for one reason or another, do not feel ready to continue the pregnancy. The most important thing at this point is to gather all the abortion facts you can so you can make an educated decision. We’re talking about questions like what abortion is, what it involves at each stage of pregnancy, and whether there are any risks associated with abortion. We’ll now take a look at some information on abortion to get a clearer picture.

Abortion Information and Facts

What is Abortion?

Clearly, this is a hot topic and it can be difficult to find the abortion information you really need. So let’s take a look at what a federal government agency has to say. According to the Center for Disease Control (CDC), “a legal induced abortion is defined as an intervention performed by a licensed clinician (e.g., a physician, nurse-midwife, nurse practitioner, or physician assistant) that is intended to terminate an ongoing pregnancy.” That said, there are several types of possible abortions. While there are different ways to break these types down, we’ll simplify it here.


Miscarriage, also known as spontaneous abortion, can be defined as “a pregnancy that ends on its own, within the first 20 weeks of gestation.” This is the most common way a pregnancy is lost, with 10-25% of all clinically recognized pregnancies ending in miscarriage. This usually occurs during the first 13 weeks of pregnancy and is obviously quite different from the other information about abortion covered here.

Chemical Abortion

The Guttmacher Institute states that “medication abortions accounted for 39% of all abortions in 2017, up from 29% in 2014.” The United States Food and Drug Administration approved the drug mifepristone in 2000. This is a first trimester abortion, something that occurs within the first 10 weeks of gestation. The intent with this pill is to end a pregnancy in women who have experienced their last period in the past 10 weeks, or 70 days.

Surgical Abortion

One method of surgical abortion is called an aspiration abortion. This is another type of abortion that occurs in the first trimester. Normally, the patient will need to be dilated well before the procedure takes place. The abortion practitioner then uses either a plastic cannula or a hand-held syringe to pull the baby out of the uterus. Early-stage aspiration abortions are done between 5-9 weeks, but can be done between 10-14 weeks if using a machine-operated pump.

Another method of surgical abortion is known as dilation and evacuation. This is the method used during the second trimester. It involves vacuum aspiration as well as utilizing forceps to remove the baby from the uterus. If it’s been more than 13 weeks since your last menstrual period, a dilation and evacuation is most likely the type of abortion you’d be having. While this is typically an outpatient procedure, risks increase as your pregnancy progresses.

Risks Associated with Abortion

We just mentioned the fact that risks increase as your pregnancy progresses. That brings up an important topic many women are looking for when seeking abortion information. So what are the risks?

  • According to the Mayo Clinic, “Women who have multiple surgical abortion procedures may also have more risk of trauma to the cervix.” This can pose problems for future pregnancies.
  • Studies have listed “induced abortion” as a breast cancer risk factor.
  • One study concluded that abortion can pose a serious threat to the mother’s life. Again, we look to the CDC for statistics: “The national legal induced abortion case-fatality rate for 2008–2013 was 0.62 legal induced abortion-related deaths per 100,000 reported legal abortions.”
  • There may be emotional side effects related to abortion, whether the abortion was planned or not. There may be increased risk of mental health problems following an abortion.
  • Another infrequent yet serious complication of induced abortion is pulmonary thromboembolism.


So What’s Right For You?

It’s important for you to gather accurate pregnancy and abortion information so you can make an informed decision. You hold the key insights as to what’s going on in your life and what your future will look like. But people are here waiting to help. Do you need someone to talk to?

Just pick up the phone or send an e-mail to schedule an appointment at your convenience. You’ll get a thoughtful, non-judgmental response on the other end. Please note, our office doesn’t provide or perform abortions but can provide the abortion information you need. We’re here to help you choose the best next steps for your life.

Disclaimer: This website and blog does not provide medical advice, diagnosis or treatment. Content from this website and blog is not intended to be used for medical diagnosis or treatment. The information provided on this website is intended for general understanding only and is not intended to be a substitute for professional medical advice.

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Pregnant During the Holidays

The holiday season, Halloween to New Year’s, in general can be very exciting.  For some people, the entire year is just made perfect by the culmination of the holiday season.  The costumes of Halloween, followed by the most amazing Thanksgiving dinner of turkey, dressing and some pumpkin pie to finish the deal.  Only to be made perfect by the lights and all the trimmings that come with Christmas that lasts until New Year’s.


Of course, for some, the holiday season is only a reminder for the loss of a loved one, sister, brother, mother or father?  Despite the joyous time, there can be a side of sadness and tragedy.  I can say without reservation that during the holiday season, despite my joy of the season, I miss my mom and I miss my dad.


Perhaps this year is different for you.  You are no longer thinking about the joyous time of the season.  You are no longer focused on the loss of a loved one.  Perhaps this year you are realizing that without any action at all, next Christmas will have the pitter patter of little feet.  Little feet that belong to a baby.  One you might bring into this world.  Perhaps looking at all your friends enjoying the season helps you see even more how scary your pregnancy diagnosis is for you.  Your friends get to party!  They get to ring in the new year without stressing.


However, you are tired, and in bed by 9 pm.  Your thoughts are not on who will drive you home after a night of drinking.  Perhaps your thoughts are on who will drive you to your abortion.  Wait, is that what you want?  Is that really your only option?  It’s time for Thanksgiving dinner.  Will I tell my mom she will be a grandma at such a young age?  Or, she is ok with being a grandma, but she would have been much happier if you would have gotten married first.  What do you say to her?  You are daddy’s girl, now telling daddy you are no longer that little girl.


This time not only can be stressful, it IS stressful.  But you must know, it does not matter if tomorrow is Thanksgiving or Christmas.  What matters is-what do you do next?  Who do you talk to next?  What really are your options and who do you talk to about those options?  One thing you need to know is that there is time.  It doesn’t matter what day in December it is.  What matters is you, your feelings and your options.


We are here to talk about each and every option, as well as, each and every step.  Baby steps are needed, we can help with that.  A giant step forward?  Come talk to us first.  That giant step might end up being a little smaller than you think.  One moment at a time.  Tomorrow will be there, and we will be here for you.

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