Pregnancy Signs and Symptoms

Am I pregnant?

Answer these questions to help determine whether 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 Choice Care we have compiled this list of questions to determine whether you may be pregnant. Please contact Choice Care if you have any other questions or would like to make an appointment for a free and confidential consultation.

Placeholder for video

Early signs of pregnancy tend to differ from one woman to the next. To understand if you may be pregnant, take a pregnancy test as soon as possible. Paying attention to early symptoms of pregnancy is important because these symptoms can start as early as your first month of pregnancy. With that in mind, consider these 10 questions about the early signs of pregnancy:

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 through 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 cycle 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.

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. Nausea and vomiting of pregnancy is a common condition. It can occur any time during the day, even though it’s often called “morning sickness.” Nausea and vomiting of pregnancy usually doesn’t harm the fetus, but it can affect your life, including your ability to work or go about your normal everyday activities. There are safe treatment options that can make you feel better and keep your symptoms from getting worse. Nausea and vomiting of pregnancy usually starts before 9 weeks of pregnancy. For most women, it goes away by 14 weeks of pregnancy. For some women, it lasts for several weeks or months. For a few women, it lasts throughout the pregnancy. Some women feel nauseated for a short time each day and might vomit once or twice. In more severe cases, nausea lasts several hours each day and vomiting occurs more frequently. (3). The severity can differ from person to person. It isn’t totally clear what the cause is of 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 causes 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).

Do you have swollen, tender breasts or nipples?

The American Pregnancy Association (APA) 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 the 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, are 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).

Do you have swollen, tender breasts or nipples?

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 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 typical 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).

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.

The Mayo Clinic 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).

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 will not sound good to you. These food aversions and cravings may also be due to hormonal changes, along with changes in your senses. Your body is also working 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.

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).

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 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).

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 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 Choice Care we are here to listen! Contact us to book a consultation.

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 entirely, 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).

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).

Have you been constipated or bloated?

This symptom can be very uncomfortable! If you’ve had fewer than three bowel movements in a 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 late 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).

Constipation is common near the end of pregnancy. Eating more foods with fiber can help fight constipation. Fiber is found in fruits, vegetables, whole grains, beans, nuts, and seeds. You should aim for about 25 grams of fiber in your diet each day. Good sources of fiber include: apples, bananas, lentils, raspberries, split peas, and whole-wheat pasta (18).

Check the labels on packaged foods and choose higher-fiber options if possible. If you have not been getting your 25 grams a day, increase the amount of fiber you eat a little each day. Drink a lot of water as you increase your fiber intake.

Have you been experiencing increased heartburn?

This may affect more women in the later stages of pregnancy and is not 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.

Despite being called “heartburn,” it has nothing to do with your heart. The burning sensation is caused by acid reflux, which happens when stomach acid travels up from your stomach into your esophagus (19).

Cleveland Clinic recommends easing heartburn by

  • Eating yogurt
  • Drinking milk, or
  • Chewing gum to neutralize the acid (19).

Often thought of 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 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. If you would like a pregnancy test at Choice Care 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. Choice Care will give you a free and confidential clinical grade pregnancy test and limited ultrasound.

 

Bleeding in the first trimester happens in 15 to 25 in 100 pregnancies. Light bleeding or spotting can occur 1 to 2 weeks after fertilization when the fertilized egg implants in the lining of the uterus. The cervix may bleed more easily during pregnancy because more blood vessels are developing in this area. It is not uncommon to have spotting or light bleeding after sexual intercourse or after a Pap test or pelvic exam.

 

Vaginal bleeding during pregnancy has many causes. Some are serious and others are not. Bleeding can occur early or later in pregnancy. Bleeding in early pregnancy is common. In many cases, it does not signal a major problem. Bleeding later in pregnancy can be more serious. Contact your obstetrician–gynecologist (ob-gyn) if you have any bleeding at any time during pregnancy.

 

Problems that can cause bleeding in early pregnancy include infection, early pregnancy loss, and ectopic pregnancy. (20)

 

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 Choice Care at 301-932-8811.

 

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 do not have to go through this time in your life alone and your prenatal care is of the utmost importance. We’re here to help.

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 Choice Care at 301-932-8811.

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 do not have to go through this time in your life alone and your prenatal care is of the utmost importance. We’re here to help.

Citations:

  1. https://www.womenshealth.gov/menstrual-cycle/your-menstrual-cycle
  2. https://www.mayoclinic.org/tests-procedures/basal-body-temperature/about/pac-20393026
  3. https://americanpregnancy.org/pregnancy-symptoms/nausea-during-pregnancy/
  4. https://medlineplus.gov/ency/article/001499.htm
  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
  9. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/headaches-during-pregnancy/faq-20058265
  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
  12. https://www.healthline.com/health/pregnancy/dizziness-in-pregnancy
  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
  17. https://www.medicalnewstoday.com/articles/bloating-in-pregnancy
  18. https://www.acog.org/womens-health/experts-and-stories/ask-acog/what-can-help-with-constipation-during-pregnancy
  19. https://my.clevelandclinic.org/health/diseases/12011-heartburn-during-pregnancy
  20. https://www.acog.org/womens-health/faqs/bleeding-during-pregnancy

What to Expect from an Early Ultrasound Scan

WHAT TO EXPECT FROM AN EARLY ULTRASOUND SCAN

Many pregnant women thinking about getting an early ultrasound have questions. We want to answer your questions so you know what to expect. 

A few things to know about early ultrasound scans:

  • Ultrasounds at Choice Care are free
  • Ultrasounds are safe
  • We can help you prepare – and you do not have to go alone
  • How early ultrasounds work and what they look like
  • Common reasons for an early ultrasound

 

If you have more questions after reading this article, we would love to talk with you. Schedule an appointment with us, below.

Ultrasound_GettyImages-996271208-1-1024x576-2.jpg

 Are You Pregnant?

Find out for sure with a free test at Choice Care

Get My Free Test

ULTRASOUNDS AT CHOICE CARE ARE FREE, EVEN IF YOU DO NOT HAVE INSURANCE.

Thanks to our generous donors, we are able to provide you with a free ultrasound. You do not need insurance. We provide this as a service to you and your unborn baby. Our pregnancy center is a nonprofit organization, and we are here to support you. We keep your information completely confidential and do not profit from any decision you make. For more information about pregnancy centers, click here. (1)

WHEN DONE BY A CERTIFIED HEALTH CARE PROVIDER, ULTRASOUNDS ARE SAFE FOR YOU AND YOUR BABY.

Early ultrasounds are medical diagnostic procedures. An ultrasound machine is safe when used by a certified health care provider. If you schedule a prenatal ultrasound with us, you and your baby will be free of any dangerous risks. (2) 

 

 

We understand if you are anxious to see your ultrasound image and we are happy to show you images from your ultrasound scan. Keeping that in mind, the reason for an early ultrasound is to help you know about your health and your developing baby. For that reason, we encourage you to view this procedure as a medical process that serves your health and your baby’s health. There is more information about common reasons for early ultrasounds below.

Untitled design - 2025-05-20T153619.203
2-1024x1024-1.png
3-1024x1024-1.png

PREPARING FOR YOUR ULTRASOUND

There are a few things you might find helpful to know before scheduling an appointment with us. The first thing to know is that we may ask you to drink fluids and avoid urinating for a specific amount of time before the procedure. (More about this in the next section.)

 

We also want you to know that you do not have to come to your appointment alone. If you would like, you may bring your husband or boyfriend, a parent, or another supporter. It may be helpful for them to be aware of how things are developing with your pregnancy as well.

 

HOW EARLY ULTRASOUNDS WORK AND WHAT THEY LOOK LIKE.

A fetal ultrasound, also called a sonogram, produces images of your baby in the womb by using high-frequency sound waves

 

Early ultrasounds are done in the first 14 weeks of pregnancy and show images of the baby’s early development stages. (3) Routine ultrasound images are typically black and white. They are usually somewhat fuzzy but are detailed enough to show us what we need to know about fetal growth. For this reason, it may not be easy for you to identify exactly what you are seeing on the screen. We’ll help you understand what we’re seeing and what it means. We will also give you the option of keeping a few printed images from the scan.

 

There are a few things you will notice when you look at the ultrasound screen. You will see a white image of your baby and umbilical cord, against a dark background. Your doctor will learn a lot of important information about your developing baby by observing these images.

 

For example, a 7-week old baby is just the size of a blueberry, but already has developed limb buds, outer ears, and nearly complete eyelids. At this stage, your baby also has an increased heart rate since the last week and cells that are developing muscles and a spinal column. (5)

 

We share more details about what we can learn together after we cover the two types of ultrasounds. 

 

THERE ARE TWO TYPES OF EARLY ULTRASOUNDS: ABDOMINAL AND VAGINAL.

The transabdominal or standard ultrasound is what you’re probably picturing. (4) To prepare for transabdominal ultrasounds, we ask you to drink a few glasses of water a couple of hours before the procedure. This is because a full bladder helps the high frequency sound waves move more easily, to help provide a clear picture. (6)

 

This is a painless procedure and it usually takes about 20 minutes. To begin, we will ask you to lay on your back on an examining table. Next, we will apply a gel to your abdomen and move a scanner over it. The scanner is a small, hand-held device that is connected to a screen which instantly shows images.

Another type of ultrasound is transvaginal ultrasound. These are usually done for the early stages of pregnancy, or when the images from a transabdominal ultrasound are not quite clear enough. We do not provide this type of ultrasound, but it may be helpful to know about it because it is common.

 

For this procedure, your health care provider will likely ask you to change into a gown and undress from the waist down. Next, you will lie down on an examining table and place your feet in stirrups. 

 

For this process, your health care provider will use a small, slender scanner. The scanner is shaped like a wand. It is covered with a plastic sheath and lubricated before being placed into your vagina. The process is also about 20 minutes long and may cause some discomfort, but shouldn’t be painful. (3)

 

Both types of early ultrasounds are for early pregnancy, in your first trimester. To learn more about additional ultrasounds in the second trimester or third trimester of pregnancy, click here. (7)

COMMON REASONS FOR AN EARLY ULTRASOUND.

One of the most common reasons for an early ultrasound is to confirm pregnancy, which your doctor can also confirm with a blood test. Other reasons include: checking if there is more than one baby and determining your baby’s gestational age, health, and location. Gestational age estimates the weeks of gestation to determine your baby’s due date

 

When it comes to your baby’s health, we will be checking on your baby’s heartbeat, muscle tone, movement, and determine if there are any birth defects. (3)

 

Location is something we will look for, because in certain cases a baby may be developing outside the main cavity of the uterus. This is called an ectopic pregnancy. Most ectopic pregnancies are in the fallopian tube and you can learn more here. (3) Additionally, we will be able to examine the health of your ovaries and uterus. (2)

Untitled design - 2025-05-20T153632.198
5-1024x1024-2.png
Early-Ultrasound-Original-1024x1024-3.png

LIMITS OF EARLY ULTRASOUND

Your ultrasound test will be 2D, not 3D images or 4D ultrasound. However, there is a lot of useful information we can learn together from your pregnancy ultrasound.

 

It will also be helpful for you to know about a few things that an early ultrasound cannot determine. First, it cannot determine your baby’s sex. This is because early ultrasounds are done in the first trimester, and a baby’s gender can only be determined after the second trimester, after 18 to 21 weeks of pregnancy. (3) 

 

Second, ultrasounds in the first six to eight weeks of pregnancy cannot determine the presence of Down syndrome. Doctors don’t perform a nuchal translucency ultrasound for Down syndrome until 14–20 weeks gestation, and then only if a past screening test showed a problem. (3) For other types of ultrasounds and how they work, click here. (2)

 

What we learn about your health, and the health of your baby will help you make decisions that are best for you both. This is the first step in the process and we would love to go on the journey with you.

Ultrasound photo

 Ready to See Your Baby?

Book a Free Ultrasound with Us at Choice Care 

Get My Free Ultrasound

Sources:

 

(1) Care Net. What is a pregnancy center?: Care net pregnancy centers. Pregnancy Centers.
https://www.care-net.org/what-is-a-pregnancy-center

 

 

 

(2) Mayo Foundation for Medical Education and Research. (2020, November 6). Fetal ultrasound. Mayo Clinic.
https://www.mayoclinic.org/tests-procedures/fetal-ultrasound/about/pac-20394149 

 

 

 

(3) March of Dimes. (2019, October). Ultrasound during pregnancy.  https://www.marchofdimes.org/pregnancy/ultrasound-during-pregnancy.aspx

 

 

 

(4) Riley, L., & Isidro-Cloudas, T. (2019, December 2). What to expect at your first ultrasound. Parents. https://www.parents.com/pregnancy/my-baby/your-babys-first-ultrasound/

 

 

(5) Riley, L., & Gough, K. J. (2009, November 5). Week 7 ultrasound: What it would look like. Parents. https://www.parents.com/pregnancy/week-by-week/7/your-growing-baby-week-seven/

 

 

(6) Better Health Channel. (2014, August, 31). 
Pregnancy tests – ultrasound.
https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-tests-ultrasound

 

 

(7) Harris, N., & O’Brien, T. (2022, June 14). Pregnancy ultrasounds week by Week. Parents. https://www.parents.com/pregnancy/stages/ultrasound/ultrasound-a-trimester-by-trimester-guide/

 

 

(8) March of Dimes. (2017, October). Ectopic pregnancy. https://www.marchofdimes.org/complications/ectopic-pregnancy.aspx

 

 

(9) American Pregnancy Association. (2022, February 11).
Ultrasound: Sonogram.
https://americanpregnancy.org/prenatal-testing/ultrasound/

 

 

Medical Abortion Experience: Nobody Told Me

Medication Abortion Experience: 'Nobody Told Me'

Trigger warning: pregnancy termination (Medical Abortion or MA)

Harper* thought MA would be as easy as taking Tylenol for a headache. She took a pregnancy test early and wanted a self-managed abortion in the privacy of her own home. She had easy access to pills online, and assumed ending a pregnancy would be like miscarriage. Plus, she guessed she was about 10 weeks since her last menstrual period. She didn’t have to travel out of state for her abortion experience.

What does grapefruit have to do with induced abortion? Taking the pill isn’t going to be as safe and effective when there’s grapefruit in the mix!

Abortion Care

Harper took the first pill, mifepristone, as directed, and then a few hours after taking misoprostol (the second drug in the abortion pill regimen) she threw up and experienced severe cramping.  The experience was worse than what they said. She was expecting period cramps, not labor.

“I literally gave birth, and nobody told me it would be like that. The contractions were so intense it was unbearable. About 15 mins before it was out I started telling my partner to call someone because I couldn’t handle it anymore.”

Next, her water broke, and then another push later baby came out quickly along with big clots. She immediately felt relief, so she grabbed a glove and fished the embryo out of the toilet. Harper noticed the legs were moving and she could feel the heartbeat in her hand. The heartbeat slowly faded and the embryo stopped moving. Harper was in shock and unsure what to do, after experiencing the most pain she’d ever felt in her whole life.


“Definitely [sic] the most traumatic thing either of us have been through. 🙁 ” she wrote. [1]

 Are two pills safer than Tylenol? Your reproductive health matters. Legal abortion does not necessarily mean safe abortion.

More Abortion Experiences

Likewise, other individuals who decided to terminate their pregnancy share their stories about abortion at home.

“I had a MA at 14 weeks when I was 17 with pills I got online. I bled so much and it was the most horrifying, painful experience of my life. I would have been saved so much trauma if I had been able to consult with a doctor first who could’ve warned me that I’d see this and have to decide what to do with it.” [2]

Common themes include feeling unprepared by the abortion clinic, pain and bleeding, and other complications from medication abortion (infection, heavy bleeding for longer than 21 days). Often individuals have to seek a surgical evacuation for incomplete abortion.

Abortion-Vs-Tylenol-infographic-1
Abortion-Vs-Tylenol-infographic-2
Abortion-Vs-Tylenol-infographic-3

Fast Facts about Medication Abortion

  • MA has a four times higher complication rate than surgical abortion [3]
  • Risks increase as the pregnancy progresses (pills are not FDA-approved after 10 weeks, regardless of your state’s legislation, or what Planned Parenthood says.) [4]
  • Skipping ultrasound runs the risk of undetected ectopic pregnancy (pregnancy outside the uterus). Half of women who have an ectopic pregnancy do not have known risk factors, per ACOG. [5] Two pills won’t treat an ectopic pregnancy.
  • People are not being screened for coercion or abuse. 67% of women described their abortions as either “accepted but inconsistent with their values and preferences” (43%) or “unwanted or coerced” (24%). Only 33% identified their abortions as wanted. [6]
  • Abusers may try to dose their pregnant victims without their knowledge or consent. For example, Robert Kawada is facing numerous charges including poisoning, assault, and battery for allegedly tricking his ex-girlfriend into taking pills to end pregnancy. [7]
A-Pensive-Woman-Outside-1

Before You Get an Abortion

Want to talk to someone who won’t profit from your decision? Pre-abortion consultations at Choice Care exist to answer your reproductive questions. While you’re there, get a [referral for] an ultrasound. 

When it comes to unplanned pregnancy, making the right choice can be extremely difficult. Each story is unique.


Another poster commented about health care professionals not giving people access to appropriate information:

“I’ve had the same.. they really should tell the patient this may happen. I was 9 ish weeks, came out the same. This is incredibly painful, emotionally damaging and not an easy decision to make. I wish people were more compassionate.” [8]

Another-Pensive-Woman-on-a-Couch-1

After Terminating a Pregnancy, Now What?

Did you numb out after your abortion? Or feel a mix of relief and regret? Whether you felt unprepared to see your unwanted pregnancy outside the womb, or your abortion was done in a clinic, find support for abortion healing.

Process your abortion procedure with our staff, some of who have their own abortion stories.

AP-Vs-Tylenol-infographic-4
Abortion-Vs-Tylenol-infographic-5
Untitled design - 2025-05-20T162801.595

Disclaimer: We do not provide or refer for abortions.

Sources

*Harper’s story is an aggregate of women’s stories.

  1. di Fiore, B. (2024, May 7). “I just want my baby back”: Reddit poster shares traumatic abortion pill experience. Live Action News. https://www.liveaction.org/news/baby-reddit-traumatic-abortion-pill-experience/
  2. Short-Size838. (2023, July 21). 10 week old fetus. MedicalGore. https://www.reddit.com/r/MedicalGore/comments/155atyt/comment/jsx4qxz/
  3. Niinimäki, M., Pouta, A., Bloigu, A., Gissler, M., Hemminki, E., Suhonen, S., & Heikinheimo, O. (2009). Immediate complications after medical compared with surgical termination of pregnancy. Obstetrics and gynecology, 114(4), 795–804. https://doi.org/10.1097/AOG.0b013e3181b5ccf9
  4. Center for Drug Evaluation and Research. (2023, September). Questions and answers on mifeprex. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
  5. American College of Obstetricians and Gynecologists. (2020, April). Ectopic pregnancy. ACOG. https://www.acog.org/womens-health/faqs/ectopic-pregnancy Last reviewed: May 2024
  6. Reardon D C, Rafferty K A, Longbons T (May 11, 2023) The Effects of Abortion Decision Rightness and Decision Type on Women’s Satisfaction and Mental Health. Cureus 15(5): e38882. doi:10.7759/cureus.38882
  7. Pelisek, C. (2024, May 29). How a Mass. man was caught allegedly tricking his ex-girlfriend into taking pills to end pregnancy. People.com. https://people.com/man-allegedly-tricked-woman-pills-abortion-8655337
  8. Otherwise_Grape262. (2021, July 21). 10 week old fetus. Medical Gore. https://www.reddit.com/r/MedicalGore/comments/155atyt/comment/jstuumw/