Medical abortion in Canada: what Mifegymiso is and what to expect

If you're considering a medical abortion, you probably want clear, practical info without the jargon. Medical abortion uses pills to end an early pregnancy. In Canada the common option is Mifegymiso, which combines mifepristone and misoprostol. This page explains how it works, what usually happens, and when to contact a provider.

How the pills work and the usual timeline

Mifegymiso first blocks the hormone that keeps the pregnancy growing (that’s mifepristone). A day or two later you take misoprostol to cause cramping and bleeding, which empties the uterus. Most people complete the process within 24–48 hours after taking misoprostol, but bleeding can continue for a couple of weeks.

Effectiveness is high for early pregnancies. For pregnancies under 9 weeks, medical abortion usually works for the vast majority of people. If it doesn’t fully work, a follow-up visit can identify retained tissue and options like another dose or a surgical procedure.

What to expect: side effects and normal reactions

Expect heavy bleeding and cramping for several hours after misoprostol—this is how the medication is working. Nausea, diarrhea, fever or chills for a few hours are common with misoprostol. Passing blood clots is normal. Use a heating pad and over-the-counter pain relievers (check with your provider first) to manage cramps.

Keep an eye on bleeding. Spotting and lighter bleeding can last a couple of weeks. If you soak a pad in under an hour, or have severe dizziness or very high fever lasting over 24 hours, contact emergency care or your clinic right away.

Follow-up is important. Your provider may ask you to return or to do a urine or blood test a week or two later to confirm the abortion is complete. If you start new or worsening pain, prolonged heavy bleeding, or fever, get medical help promptly.

Access and privacy: In Canada Mifegymiso is available through clinics, some family doctors, and telemedicine services. Pharmacies dispense the medication once it’s prescribed. If cost is a concern, ask about public clinic options or provincial coverage—many regions offer support.

Questions to ask your provider: Am I eligible for medical abortion now? What should I expect for pain and bleeding? How and when will we check that it’s complete? Who do I call after hours if I’m worried? These answers help you prepare and feel more in control.

Sexual health and contraception: After a medical abortion you can become pregnant again quickly. Talk with your provider about contraception before you leave the clinic, whether you prefer an IUD, pill, implant, or condoms.

If you want help finding a clinic or telehealth service in Canada, local sexual health centers and provincial health websites list options. You don’t have to figure this out alone—ask a clinician for straightforward support and practical next steps.