How Risky Is Abortion?

If you're considering abortion, you're likely sorting through a lot of information—some of it helpful, some of it confusing, and some of it conflicting. This is a deeply personal decision, and you deserve medically accurate, compassionate, and pressure-free support as you explore your options.

The medical risks associated with abortion can vary depending on the type of procedure, your personal health history, and how far along the pregnancy is. At CareNet of Missoula, we’re here to answer your questions and provide free ultrasounds and educational resources—so you can make the most informed decision for your health and future.

Medical Risks of Chemical Abortion

A chemical abortion (also known as the abortion pill) involves taking two medications: mifepristone and misoprostol. Mifepristone blocks progesterone, a hormone necessary for pregnancy to continue, while misoprostol causes the uterus to contract and expel the pregnancy.

While many women take the abortion pill without experiencing serious complications, there are some risks to be aware of. According to the FDA, side effects may include: 

• Heavy bleeding

• Infection

• Sepsis

• Uterine rupture

• Ruptured ectopic pregnancy

• In rare cases, death

Clinical studies cited by the FDA report that serious adverse reactions occur in less than 0.5% of cases. However, a separate 2023 analysis of insurance claims following chemical abortions reported a higher rate of serious complications—about 11.2%—based on a study of over 154,000 chemical abortions.

If you've started a chemical abortion and are feeling uncertain about continuing, there is a protocol known as Abortion Pill Reversal, which involves progesterone therapy. Early studies have shown a 64–68% success rate. For immediate support, you can call the 24/7 Abortion Pill Reversal hotline at 1-877-558-0333.

Medical Risks of Surgical Abortion (Dilation & Evacuation)

A Dilation and Evacuation (D&E) procedure is a form of surgical abortion that is typically performed during the second trimester. Like any medical procedure, it carries some risk, though many women undergo it without complications.

Possible risks may include:

• Injury to the cervix or uterus

• Infection

• Heavy bleeding

• Retained tissue

• Uterine perforation or rupture

As with chemical abortion, risks may increase depending on your personal health history and how many previous abortions you've had. According to a review by the National Academies of Sciences, Engineering, and Medicine, women who have had two or more D&E procedures may have a higher chance of complications in future pregnancies, such as preterm delivery.

While the report did not find conclusive links between abortion and conditions like ectopic pregnancy, miscarriage, breast cancer, or long-term mental health disorders, it emphasized that more research is needed in some areas to draw definitive conclusions.

Emotional Considerations After Abortion

While some women feel relief after an abortion, others may experience a mix of emotions—sometimes immediately, and sometimes later on. Feelings of grief, loss, or regret are not uncommon and can be difficult to process alone.

At CareNet of Missoula, we offer confidential, compassionate post-abortion support for any woman who is struggling emotionally after an abortion experience. You don’t have to carry that weight alone. Healing is possible, and we’re here to walk with you.

Is Abortion Legal in My State?

Laws surrounding abortion vary widely by state and are changing frequently. To find out what is currently legal where you live, visit this interactive map of abortion policies by state for the most up-to-date information.

You’re Not Alone—We’re Here to Help

Understanding the risks and realities of abortion is a critical part of making an informed decision. At CareNet of Missoula, we are not here to pressure or persuade—we're simply here to support you with information, medical services, and compassion.

Whether you're still gathering information, feeling unsure, or need someone to talk to, our doors are open. All services are free and confidential.

Let us know how we can help.