Can You Take The Abortion Pill Without an Ultrasound?
When considering abortion pills, it’s common to wonder whether an ultrasound is really necessary. At Hope for Life Pregnancy Center in Camden, SC, an ultrasound is more than a routine medical step—it’s an important safeguard for your health and safety. If you need help getting one scheduled, we can connect you with a trusted provider.
An ultrasound determines how far along the pregnancy is and ensures the pregnancy is developing where it should be. This helps protect your health and ensures you receive accurate information before making any decisions about your next steps.
Finding the Fetus
Abortion pills are typically used only during the early stages of pregnancy — usually up to 10 weeks (70 days from the first day of your last period).1 An ultrasound not only confirms how far along you are but also checks whether the pregnancy is located in the uterus.
If the pregnancy is developing outside the uterus (known as an ectopic pregnancy), the abortion pill will not work and could lead to serious complications if left untreated.
Getting an ultrasound might feel like an extra step, but it’s an important way to ensure your safety and peace of mind.
How the Abortion Pill Works
The abortion pill process, also called medication abortion, involves two medications: mifepristone and misoprostol.
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Mifepristone blocks the hormone progesterone, which the body needs to continue the pregnancy.
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Misoprostol causes the uterus to contract and empty.
This method is approved for use within the first 70 days of pregnancy. It’s also worth knowing that about 10–20% of pregnancies end naturally in miscarriage.2 A pregnancy test may show a positive result even after a miscarriage, which is why an ultrasound is essential. It confirms whether the pregnancy is viable and ensures it’s not ectopic.3
Accurate information about how far along the pregnancy is directly affects the safety and success of the abortion pill, making an ultrasound an important first step before taking any medication.
When Not to Use the Abortion Pill
The abortion pill isn’t right for everyone. Certain medical conditions, medications, or complications may make it unsafe. A healthcare provider can help determine whether this method is appropriate and safe for you.
If you’re unsure, scheduling an ultrasound and consultation can give you the clarity and confidence you need to move forward safely.
Assessing Risks and Considerations
Every pregnancy decision carries emotional and physical weight.
While many women experience no major complications from a medication abortion, some do face risks such as:
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Incomplete abortion
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Heavy or prolonged bleeding
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Infection
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Rare but serious medical emergencies
Skipping an ultrasound increases those risks. It’s the only way to confirm that the pregnancy is not ectopic and is within the recommended time frame for abortion pills. Without that information, it’s impossible to know for sure whether the medication is appropriate or safe.
Taking time to understand your options — and your health — is an important part of caring for yourself.
Get Help Determining Your Options
If you’re feeling uncertain or overwhelmed, you don’t have to face this alone. Hope for Life Pregnancy Center offers free, confidential services, including pregnancy testing, and we can help connect you with a trusted ultrasound provider so you have clear, accurate information before making any decisions.
You deserve to feel safe, supported, and informed. Our team provides compassionate, judgment-free care to help you understand all your options and make the choice that’s right for you.
Reach out today to schedule a free appointment or chat with a nurse for immediate support.
Sources
1. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
2. https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes
3. https://my.clevelandclinic.org/health/diagnostics/9704-ultrasound-in-pregnancy