Endometriosis alone is usually not a reason to avoid abortion pills. Because endometriosis can cause chronic pelvic pain, cramping during a medical abortion may feel more intense than average, but this does not mean the pills are not working or that something is wrong. It is important to plan for pain relief ahead of time, know the warning signs that require medical attention, and reach out to a counselor if you have concerns. Contact safe2chose counselors at safe2choose.org/abortion-counseling for confidential, nonjudgemental support.
Common Endometriosis Symptoms That May Affect Pain During a Medical Abortion
- Pelvic pain can be considered the most common symptom of endometriosis. It is a common problem amongst those with endometriosis which can cause painful periods and heavy bleeding. Some people may experience pain during or after sex.
- It is estimated to affect approximately 190 million people globally, approximately one in ten people with a uterus who are of reproductive age and people assigned female at birth.
What Is an Abortion With Pills?
An abortion with pills is a safe method using medication to stop pregnancy development and cause the uterus to contract.
There are two protocols for a safe abortion with pills: an abortion with Mifepristone and Misoprostol or Misoprostol only. The option you choose can depend on accessibility of the pills and personal preference.
To know more about how an abortion with pills works, how to use the abortion pills, or any other relevant questions related to having an abortion with pills, you can start a chat with the safe2choose abortion counselors.
Is It Safe to Use Abortion Pills When You Have Endometriosis?
Endometriosis is not usually listed as a reason someone cannot use abortion pills, but each person’s health situation is different. It’s important to reach out to a trusted healthcare provider for more information.
Contraindications
Abortion pills are generally safe and effective for most people. However, there are some situations in which they may not be recommended or additional medical evaluation is needed before use.
Medication abortion is generally not recommended if:
- An ectopic pregnancy (a pregnancy outside the uterus) is suspected or confirmed. Abortion pills do not treat an ectopic pregnancy, which can be life-threatening if left untreated. Symptoms such as severe one-sided abdominal pain, shoulder pain, fainting, or dizziness require urgent medical evaluation.
- You have a known allergy to mifepristone, misoprostol, or any of the ingredients in these medications.
- You have an intrauterine device (IUD) in place. An IUD should usually be removed by a healthcare provider before using abortion pills.
- You have certain bleeding disorders or are taking anticoagulant ("blood-thinning") medications.
Ectopic pregnancy safety
Seek immediate medical care if you experience any of the following symptoms, especially if you know you are pregnant or think you may be pregnant:
- Severe pain on one side of the lower abdomen or pelvis
- Shoulder pain, particularly if it occurs suddenly or along with abdominal pain
- Dizziness, feeling faint, or fainting
- Severe weakness, lightheadedness, or signs of shock
These symptoms may indicate that an ectopic pregnancy has ruptured, causing internal bleeding. A ruptured ectopic pregnancy is a life-threatening emergency that requires urgent medical treatment.
Can Abortion Cause Endometriosis?
No, abortion is not known to cause endometriosis. It is also important not to confuse endometriosis with endometritis, as they are different conditions. Endometritis is an infection or inflammation of the lining of the uterus, usually caused by bacteria. It can occur after childbirth, miscarriage, abortion, certain gynecological procedures, or as a result of a sexually transmitted infection. However, endometritis is uncommon after a medication abortion or a properly performed procedural abortion, especially when evidence-based clinical guidance is followed.
How to Prepare for Cramping If You Have Endometriosis
Cramping is expected during a medical abortion, but people with endometriosis may be more concerned because they may already experience chronic pelvic pain. Ask a healthcare provider or s2c counselor what pain relief is appropriate for you. Ibuprofen is commonly used by many people, but it may not be suitable for everyone.
When to Seek Medical Help
You should seek medical help if you experience any of the following:
- Very heavy bleeding
- Severe or worsening pain
- One-sided pain
- Fever after 24 hours
- Foul-smelling discharge
- Dizziness
- Fainting
- Difficulty breathing
Contact our abortion counselors if you are unsure of the warning signs.
Should You Choose Abortion Pills or an In-Clinic Abortion If You Have Endometriosis?
Some people prefer using abortion pills at home because it offers greater privacy, flexibility, and the comfort of being in a familiar environment. Others may prefer an in-clinic abortion, where healthcare professionals are available to provide care throughout the procedure.
Both medication abortion and in-clinic abortion are safe and effective when provided according to evidence-based medical guidelines. The best option depends on factors such as how far the pregnancy has progressed, your medical history, access to healthcare, local availability, and your personal preferences.
If you're unsure which option is right for you, a qualified healthcare provider or trusted reproductive health counselor can help you understand the benefits and considerations of each approach so you can make an informed decision.
Conclusion
Having endometriosis usually does not prevent abortion pill use. However, because endometriosis can cause chronic pelvic pain or painful periods, it is important to prepare for pain management and to know the warning signs of complications that require medical attention.
If you have endometriosis and are unsure whether medication abortion is the right option for you, contact the safe2choose counselors for confidential, nonjudgmental support. They can provide evidence-based information, answer your questions, and help you understand what to expect based on your individual situation.
