Medication abortion by mail
5 weeks to 11 weeks and 6 days pregnant: $600
To receive medication abortion care by mail you must:
-
Be at least 18 years of age
-
Be medically eligible
-
Complete and submit our online intake/order form (hyperlink to form)
-
Participate in a virtual visit with one of our physicians
A: We provide medication abortion pills to women who are between 5 weeks to 11 weeks and 6 days pregnant.
A: In a medication abortion, a person takes two sets of pills. The first pill is mifepristone which blocks the hormones that allow a pregnancy to develop. Twenty-four to 48 hour later the individual takes a second set of pills called misoprostol which cause the uterus to contract to expel the pregnancy. The abortion normally occurs within 4 to 24 hours of taking misoprostol.
A: To begin the process you will swallow one mifepristone pill with water. 8 to 72 hours later you will take four misoprostol pills by:​​
-
Placing the pills between your cheeks and gums.
Detailed instructions and video for taking the pills are available on our Patient Portal and are also included in the materials you receive in your package.
-
A. Research shows that the combination of mifepristone and misoprostol is 98% effective when taken as directed.
A: Yes, medication abortion is one of the safest procedures used in modern medicine. Since being approved by the FDA more than 20 years ago, millions of people have had medication abortions. The complication rate associated with the procedure is less than 1% which is lower than the rates for Tylenol, Advil, or Viagra and far lower than childbirth.
A: FDA-approved Mifepristone is one of two drugs used in medication abortions. The oral medication blocks the hormone progesterone which causes the pregnancy to stop growing.
A: Misoprostol, also called Cytotec is a safe, FDA-approved medication that is used in combination with mifepristone to induce medication abortions. Misoprostol works by causing the uterus to contract, causing cramping and bleeding that empties the contents of the uterus and thus ends pregnancy.
Seeking safe, effective abortion care in the privacy and comfort of your home? The Northeast Ohio/Toledo Women’s Centers deliver.
​
We are pleased to announce that you don’t need to visit our clinics to obtain a medication abortion. We can now prescribe FDA-approved abortion pills mifepristone and misoprostol virtually and ship them directly to you. The combination of these two pills is used to perform most early abortions in the U.S. today.
​
In addition to being private, safe, and convenient, obtaining abortion care by mail is affordable. Our $600 fee includes the cost of medication, intake interview and consultation with a member of our staff, shipping and handling, and 24/7 support during your procedure.
To order and receive pills by mail you must be at least 18 years old and between 5 weeks to 11 weeks and 6 days pregnant.
We may only deliver pills to the following types of addresses in Ohio, Michigan, New York, and Pennsylvania:
-
Your home or the home of a friend or family member
-
A PO box
-
FedEx Hold for Pickup and UPS Shipping Center locations. Click here to find FedEx locations. Click here for UPS Centers
-
Hotel, motel, or shelter
While we may only deliver pills to locations in Ohio, Pennsylvania, Michigan, and New York, you do not have to live in those states to receive care. Non-residents can have their pills shipped to and pick them up at FedEx and UPS Locations in the listed states.
Pills are shipped in discreet packaging to protect your privacy.
Important Facts You Need to Know about NOTWC’s medication abortion by mail program
How It Works
STEP 1: Complete our online intake form
You’ll be asked to provide information about yourself and your medical condition. To save time here’s an overview of what you’ll need to complete the form:
-
Photo ID
-
Pregnancy information, including first day of your last menstrual period
-
Medical History
-
Reproductive History
-
Legal and Location Information
-
Payment Information
​
STEP 2: Consult with a member of our compassionate, knowledgeable professional staff
After reviewing your intake form, a member of our staff will contact you by text, chat, or phone call to review your information and determine if you are eligible to proceed with the medication abortion. If you are eligible your pills will be mailed within 24 hours.
​
STEP 3: Your treatment kit will be delivered to the address you provided within 1 to 3 days. The kit will contain:
-
Mifepristone
-
Misoprostol
-
Anti-nausea medication, usually ondansetron
-
Ibuprofen or acetaminophen to relieve pain and discomfort
-
A prescription for additional pain medication, if felt to be appropriate (must be filled in the state of Ohio)
-
A detailed instruction booklet that includes when and how to take the medications, what to expect during the procedure, and symptoms or signs that indicate you should seek medical attention.
​
STEP 4: Take the medication abortion pills—we’ll be with you all along the way
Consult the instruction guide provided with your pills throughout the procedure. You may also click or tap here to view/download an online version of the guide.
​
You may rest assured and take comfort in the fact that our compassionate, professional staff will support you throughout the process and be available to answer any questions you may have until your pregnancy has terminated.
Basic facts about medication abortion
In a medication abortion, a person takes two sets of pills. The first pill is mifepristone which blocks the hormones that allow a pregnancy to develop. Twenty-four to 48 hour later the individual takes a second set of pills called misoprostol which cause the uterus to contract to expel the pregnancy. The abortion normally occurs within 4 to 24 hours of taking misoprostol.
After taking Misoprostol, you may experience cramping and bleeding within two to four hours. You may feel like you are having a very crampy period with heavy bleeding or an early miscarriage. Most women will expel the pregnancy in 24 hours although in some cases it may take up to 48. The cramping and bleeding may be accompanied by chills, nausea, and fever, which are side effects of misoprostol. We will give you prescriptions to manage any pain or nausea you may experience.
​
Remember, we are here to support you, so do not hesitate to contact us if you have questions or concerns during as the abortion proceeds.
​
You may feel tired for one to two days after taking misoprostol, but you should be able to go back to work and resume normal activities after the bleeding and cramping have stopped. Bleeding or spotting lasts an average of 9 to16 days but may continue for up to 30 days.
-
After taking misoprostol, you experienced significant bleeding and cramping as heavy or heavier than your period that may include clots and tissue.
-
Your pregnancy symptoms, including nausea, fatigue, breast tenderness, and food aversions should begin to fade in a few days.
-
A pregnancy test taken four weeks after treatment is negative.
-
Mifepristone Information Sheet
FAQ Sheet Medication Abortion
How much am I bleeding?
One Step Urine HCG Pregnancy Test
Connect & Breathe Talkline
How well does birth control work?
Financial Assistance is Available
If you are unable to pay for the abortion care you need, financial assistance is available from a number of sources. Our experienced team can help you identify and secure the assistance you need during your consult or you can call us at 330.923.4009 ext. 9 to learn more.
​
Not a Resident of Ohio, Michigan, New York, or Pennsylvania?
To serve eligible patients who live in Kentucky, West Virginia, and Indiana we will deliver pills to Fed Ex Hold for Pickup and UPS Shipping Centers located near Ohio’s borders with those states.
Request Medication by Mail
-
STEP 1: Complete our online intake form
-
STEP 2: Consult with a member of our compassionate, knowledgeable professional staff
-
STEP 3: Your treatment kit will be delivered to the address you provided within 1 to 3 days.
​