Ectopic Pregnancy: Symptoms, Diagnosis, and Treatment Options

Facing an ectopic pregnancy can be overwhelming, especially if it’s your first pregnancy. You might be asking questions like:

What are my treatment options? Will I be okay? Can the fetus survive an ectopic pregnancy? 

At Pathway Health Clinic, we’re here to educate, empower, and support women navigating unplanned pregnancies, including ectopic pregnancies. In this guide, we’ll break down what an ectopic pregnancy is, its symptoms, warning signs, and how to develop a treatment plan with your healthcare provider.

What is an Ectopic Pregnancy?

An ectopic pregnancy happens when a fertilized egg implants outside the uterus, most commonly in the fallopian tubes (known as a tubal ectopic pregnancy), but also in the abdominal cavity or on an ovary.[1] 

Unlike a normal pregnancy, an ectopic pregnancy cannot progress to term because the fetus cannot survive outside the uterus. For the mother, it’s a serious, life-threatening condition requiring immediate medical attention.[2] 

Common Symptoms of Ectopic Pregnancy

Early on, ectopic pregnancy symptoms may mimic a typical pregnancy, including[3]:

  • Missed period
  • Nausea
  • Breast tenderness

A pregnancy test will show positive results.[4] However, as the condition advances, distinct warning signs emerge. Look out for these early ectopic pregnancy symptoms[5]:

  • Vaginal bleeding
  • Lower abdominal, pelvic, or back pain
  • Weakness or dizziness

Seek medical help immediately if you experience[6]:

  • Shoulder pain (from blood leaking out of the fallopian tube)
  • Severe pelvic or abdominal pain with bleeding
  • Fainting or extreme lightheadedness

Without treatment, the growing fertilized egg can rupture the fallopian tube, causing dangerous internal bleeding in the abdomen.[7] This can lead to shock, fainting, and the need for emergency surgery.[8]

How is an Ectopic Pregnancy Diagnosed?

Early diagnosis is critical to prevent complications like a ruptured fallopian tube.

To receive an official diagnosis, meet with your doctor or go to the emergency room. They will be able to confirm the pregnancy through a blood test to measure hCG levels.[9] The doctor may then use:

  • A transvaginal ultrasound to pinpoint the pregnancy’s location.[10]
  • An abdominal ultrasound to check for internal bleeding.[11]

Ectopic Pregnancy Treatment Options

Once diagnosed, the doctor will create a treatment plan. Your options depend on the timing and severity of your condition:

  • Medication: If detected early with no unstable bleeding, a drug like methotrexate may be prescribed to stop fetal growth and end the pregnancy. Follow-up visits will monitor hCG levels to confirm the pregnancy has ended.[12]
  • Surgery: A salpingectomy removes both the ectopic pregnancy and the ruptured fallopian tube. A salpingostomy removes only the ectopic pregnancy, preserving the fallopian tube if it hasn’t ruptured.[13]

The good news? About 85% of ectopic pregnancies are caught before rupture, reducing the need for invasive surgery.[14] Early detection is key to a safer outcome.

Is Ectopic Pregnancy Removal Considered an Abortion?

A common question is whether ectopic pregnancy treatment is considered an abortion. The answer is no. The CDC defines abortion as a procedure to end an intrauterine pregnancy, which doesn’t apply to ectopic cases.[15] 

Additionally, there are no abortion laws that would prohibit women from receiving care for ectopic pregnancies. 

Free Ultrasounds in Vista, California

You don’t have to navigate this alone. At Pathway Health Clinic, our compassionate team provides free pregnancy tests and ultrasounds and a safe space to get answers. 

Don’t delay—call us at (760) 945-4673 or schedule an appointment online today!

This article is for informational purposes only. Pathway Health Clinic does not provide treatment for ectopic pregnancy, only free pregnancy tests and ultrasounds to confirm the state of your pregnancy. Upon the confirmation of the ectopic pregnancy, please meet with your primary healthcare provider as quickly as possible to receive treatment. 

Sources

  1. Ectopic Pregnancy – Symptoms & Causes. Mayo Clinic. (2022, March 12). https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/symptoms-causes/syc-20372088
  2. See source #1.
  3. See source #1.
  4. See source #1.
  5. Ectopic Pregnancy. Cleveland Clinic. (2023, January 18). https://my.clevelandclinic.org/health/diseases/9687-ectopic-pregnancy#symptoms-and-causes
  6. See source #1.
  7. See source #1.
  8. See source #1.
  9. Ectopic Pregnancy – Diagnosis & Treatment. Mayo Clinic. (2022, March 12). https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/diagnosis-treatment/drc-20372093 
  10. See source #9.
  11. See source #9.
  12. See source #9.
  13. See source #9.
  14. Dvash, S., Cuckle, H., Smorgick, N., Vaknin, Z., Padoa, A., & Maymon, R. (2021, January 29). Increase rate of ruptured tubal ectopic pregnancy during the covid-19 pandemic. European journal of obstetrics, gynecology, and reproductive biology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968738/  
  15. CDC’s Abortion Surveillance System FAQS. Centers for Disease Control and Prevention. (2024, May 15). https://www.cdc.gov/reproductive-health/data-statistics/abortion-surveillance-system.html 
The Benefits of Therapy and Couples Therapy

Life can throw challenges at us that feel overwhelming, whether it’s stress, anxiety, or struggles in our relationships. If you’re searching for a way to navigate these difficulties, therapy might be the answer you’ve been looking for. 

At Pathway Health Clinic, we provide therapy in Vista, CA, offering a safe and supportive space for individuals and couples to heal, grow, and thrive. Whether you’re seeking personal growth or working to strengthen your relationship, our compassionate approach to couples therapy and individual therapy can help you find clarity and peace.

What Is Therapy?

Therapy is a process where you work with a trained professional to explore your thoughts, feelings, and behaviors in a safe, non-judgmental environment. It’s not about “fixing” you—you’re not broken. Instead, therapy helps you understand yourself better, process emotions, and develop tools to handle life’s challenges. 

Whether you’re dealing with anxiety, depression, trauma, or just feeling stuck, therapy can guide you toward a healthier, more fulfilling life.

How Can Therapy Help Me?

Therapy offers many benefits, including:

  • Emotional Clarity: Gain insight into why you feel the way you do and learn to manage overwhelming emotions.
  • Improved Relationships: Understand how your thoughts and behaviors impact your connections with others.
  • Coping Strategies: Develop practical tools to handle stress, anxiety, or conflict in healthy ways.
  • Personal Growth: Reconnect with your strengths and rediscover a sense of purpose.

At Pathway Health Clinic, our therapists are skilled in evidence-based approaches, ensuring you receive high-quality care tailored to your needs. Whether you’re new to therapy or have tried it before, we’re here to meet you where you are.

Why Choose Couples Therapy?

Relationships can be one of life’s greatest joys, but they can also bring challenges. If you and your partner are struggling with communication or trust, couples therapy can help you rebuild a stronger connection. 

However, couples therapy isn’t just for relationships in crisis. It’s a powerful tool for any couple wanting to deepen their connection or work through specific issues. Here’s how it can help:

  • Better Communication: Learn to express your needs and listen to your partner without judgment.
  • Conflict Resolution: Discover healthy ways to resolve disagreements without hurting each other.
  • Rebuilding Trust: Address past hurts and work toward a more secure, trusting relationship.

Our therapists at Pathway Health Clinic create a safe space where both partners can share openly. We use proven techniques to help you understand each other’s perspectives and build a stronger, healthier relationship. Whether you’re facing a specific issue or just want to grow closer, couples therapy in Vista, CA, can make a difference.

What to Expect from Therapy at Pathway Health Clinic

Starting therapy or couples therapy can feel like a big step, but it’s easier than you might think. Here’s what you can expect when you work with us:

  • A Safe, Confidential Space: Your privacy is our priority. You can share openly without fear of judgment.
  • Personalized Care: We tailor our approach to your unique needs, whether you’re seeking individual therapy or couples therapy in Vista, CA.
  • Compassionate Support: Our therapists are trained to listen deeply and guide you with empathy and respect.
  • Practical Tools: You’ll leave each session with strategies to apply in your daily life, helping you see real progress.

Your first session is a chance to share your story and goals. There’s no pressure to have everything figured out. We’ll work together to create a plan that feels right for you.

Take the First Step Toward Healing

If you’re ready to take control of your emotional well-being or strengthen your relationship, therapy in Vista, CA, at Pathway Health Clinic is here for you. Reaching out for help is a sign of strength, not weakness. Whether you’re exploring therapy for yourself or couples therapy with your partner, we’re here to support you every step of the way.

Don’t let fear or uncertainty hold you back. Contact Pathway Health Clinic today to schedule your first session. Our team is ready to help you find the peace, clarity, and connection you deserve. Discover the difference therapy and couples therapy in Vista, CA, can make in your life.

Therapy and Couples Therapy in Vista, CA

Life is too short to carry emotional burdens alone or let relationship challenges go unresolved. Therapy and couples therapy offer a path to healing and growth. At Pathway Health Clinic, we’re committed to helping you live a more balanced, fulfilling life. Whether you’re in Vista or nearby, our team is here to provide the care you need.

Ready to get started? Visit our website or call us to learn more about therapy and couples therapy in Vista, CA. Take the first step toward a brighter future today.

How Much Does the Abortion Pill Cost?

If you’re facing an unplanned pregnancy, you probably have many questions, especially about the cost of the abortion pill. Does insurance cover the abortion pill? If not, what is the out-of-pocket cost? Sorting through the numbers and processing your emotions can feel overwhelming, but it’s essential to be informed.

Before you decide to take the abortion pill, it’s crucial to understand all the facts. Keep reading to learn more about the cost of the abortion pill and what you need to know.

Does Insurance Cover the Abortion Pill?

Most California insurance plans are required to cover abortion services. SB 245 requires that beginning in January 2023, insurance plans that cover abortion will be required to cover all abortion services with no prior authorization and with no cost sharing.[1]

However, employers that provide self-funded health care coverage or grandfathered plans are exempt.[2] In some cases, you may be required to pay out-of-pocket for the abortion pill.

How Much Does the Abortion Pill Cost Without Insurance?

The abortion pill can cost between $650 and $1,100 without insurance.[3] Prices vary depending on the dosage required and the provider from whom you purchase it.

Additional Costs to Consider

Like any medical procedure, the abortion pill carries risks and potential side effects, which could require follow-up care, antibiotics, or even surgery. Additional costs may include:

  • Hemorrhaging: Bleeding is common after taking the abortion pill. However, if you soak through two full-size sanitary pads per hour for two or more hours, it may indicate hemorrhaging.[4]
  • Incomplete Abortion: This occurs when some pregnancy tissue remains in the uterus after taking misoprostol. Emergency surgery may be needed to remove the remaining tissue and prevent infection.[5]
  • Infection: Symptoms like nausea, vomiting, diarrhea, or a fever lasting more than 24 hours after taking the second medication may indicate an infection, which could require antibiotics or surgery to treat.[6]

What Should I Do Before Taking the Abortion Pill?

We understand that facing an unplanned pregnancy can be scary. It’s easy to feel overwhelmed, but take a deep breath. You’re not alone, and it’s important to make an informed decision. 

Before taking the abortion pill, you need to get an ultrasound.

Why Do I Need an Ultrasound?

You may be wondering why you’d want an ultrasound if you’re considering the abortion pill. 

The reason is that it helps answer two key questions about your pregnancy:

  1. Is my pregnancy viable? A viable pregnancy means that, in the early stages, growth and development are progressing as expected. For example, after about 6 weeks gestation, the fetal heartbeat can be detected by an ultrasound.[7] If there is no heartbeat, it may mean that a miscarriage or ectopic pregnancy has occurred—in either case, abortion is no longer an option to consider.
  1. How far along am I? It’s important to know how far along you are (your gestational age) since the abortion pill is only FDA-approved for up to 10 weeks from your last menstrual period.[8]

What Are My Pregnancy Options?

In the chaos of an unplanned pregnancy, it can be easy to make a snap decision out of fear. It’s important to understand each of your pregnancy options, so you can make a decision you feel confident in. 

Pathway Health Clinic is here to answer all of your questions regarding abortion, adoption, and parenting—all without judgment. 

Abortion Pill Information in Vista, California

The risks associated with the abortion pill may be costly. Compassionate care is priceless. The licensed medical staff at Pathway Health Clinic is here to provide the insight and support you need to make an empowered decision for your unplanned pregnancy—all at no cost to you!

Give us a call at (760) 945-4673 or schedule your appointment online today.

Please be aware that Pathway Health Clinic does not provide or refer for abortion services. 

Sources

  1. California Legislature. (2022, March 23). Senate Bill No. 245, Abortion Services: Cost Sharing. https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB245
  2. California Department of Insurance. How California law protects insurance coverage for abortion. (2022, July 21). https://www.insurance.ca.gov/01-consumers/110-health/30-have/Coverage-for-Abortion.cfm
  3. As advertised by abortion providers as of June 2025.
  4. U.S. National Library of Medicine. (2023, December 2023). Mifepristone (Mifeprex). MedlinePlus. https://medlineplus.gov/druginfo/meds/a600042.html
  5. Mayo Foundation for Medical Education and Research. (2022, July 29). Medical Abortion. Mayo Clinic.  https://www.mayoclinic.org/tests-procedures/medical-abortion/about/pac-20394687 
  6. See source #5.
  7. Männer, J. (2022, June 9). When Does the Human Embryonic Heart Start Beating? A Review of Contemporary and Historical Sources of Knowledge about the Onset of Blood Circulation in Man. Journal of Cardiovascular Development and Disease. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225347/# 
  8. Center for Drug Evaluation and Research. (2023, March 23). Mifeprex (Mifepristone). U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/mifeprex-mifepristone-information 
The Truth About Getting the Abortion Pill Through Telehealth

With the rise of virtual healthcare, getting the abortion pill through telehealth has become increasingly common. Many women search online for how to get the abortion pill online or explore telehealth abortion options, but should you get abortion pills online? How safe is it? What risks are involved? And why is it important to talk to a medical professional in person?

Let’s break it all down.

What Is the Abortion Pill?

The abortion pill, also called a medication abortion, involves taking two drugs: mifepristone and misoprostol. These work together to end a pregnancy and are FDA-approved for use up to 10 weeks (70 days) from the start of your last menstrual period.[1]

Can A Telehealth Provider Prescribe Abortion Pills? 

If you reside in California, then you can have a virtual appointment with an abortion provider who is licensed in your state. However, we strongly recommend meeting with a medical professional in-person for an ultrasound. 

The ultrasound can determine how far along you are in your pregnancy. This is important to know, as you can only take the abortion pill for up to 10 weeks from your last menstrual period. 

This is because it becomes less effective the farther along you are. If you take the abortion pill later on in your pregnancy, you could experience serious complications and may need emergency surgery to complete the procedure. 

The ultrasound can also detect any conditions that would make you ineligible for the abortion pill, such as a miscarriage or ectopic pregnancy. This will help you make a fully informed decision. 

Can You Get the Abortion Pill Online?

Yes—you can legally get the abortion pill online from a certified pharmacy after an abortion provider in California has prescribed it to you. However, we recommend speaking to a medical professional in person beforehand.[2]

The Risks of Getting the Abortion Pill Online Without Seeing a Medical Professional 

The abortion pill may seem like a private and convenient solution to an unplanned pregnancy, but convenient doesn’t mean risk-free. While many people search “how to get the abortion pill without seeing a doctor” or “abortion pill online no appointment,” skipping medical consultation can carry some real risks:

1. Missed Medical Conditions

Without an in-person consultation, it’s easy to miss signs of a miscarriage or ectopic pregnancy, which is rare but life-threatening and cannot be treated with the abortion pill. Medical professionals use ultrasounds to rule out these life-threatening conditions. You should also not take the abortion pill if you are allergic to the medication, have a blood clotting disorder, or have an IUD in place.[3]

2. Incorrect Timing

Per the FDA, the abortion pill can only be used within the first 10 weeks of pregnancy. Without knowing exactly how far along you are, you could be taking it too late, increasing the risk of complications or an incomplete abortion.[4] An ultrasound can help you determine how far along you actually are. 

3. Unverified Medications

The FDA does not encourage women to order the abortion pill online without a prescription. Ordering pills from unlicensed or overseas websites puts you at risk of getting counterfeit or ineffective medication.[5] 

4. Lack of Emotional Support

An in-person consultation allows you to talk through your options, ask questions, and get emotional support. If you order abortion pills by mail, this part of the process can be missing. 

5. Lack of Support During the Abortion

During an abortion, questions may arise about pain level, amount of bleeding, and recovery. If you order abortion pills online, then you likely won’t have anyone to guide you through the process or to answer your questions. 

6. Lack of Follow-Up After the Abortion

Every woman who takes the abortion pill should receive follow-up care to evaluate for complications. So, if you obtain abortion pills online, it may be difficult to find follow-up care.

The Risks of a Telehealth Abortion Appointment

A telehealth abortion appointment may feel more convenient and private. But, telehealth does not allow an abortion provider to confirm your gestational age or to evaluate for a miscarriage or ectopic pregnancy with an ultrasound. So, before you speak with a telehealth provider, call Pathway Health Clinic for a free appointment today.

Why You Need to Talk to a Medical Professional in Person 

If you’re thinking about using an online service for the abortion pill, the best first step is to talk with a qualified healthcare provider in person. Here’s why that matters:

  • They can confirm how far along you are in your pregnancy.
  • You’ll learn about what to expect, including risks and side effects.
  • They can also help you understand your state’s laws around telehealth abortions to make sure you’re staying within legal limits.

Considering Buying the Abortion Pill Online? Contact Pathway Health Clinic First.

The rise in abortion services has made the abortion pill more accessible, but increased access doesn’t always mean increased safety. The abortion pill is a serious medical decision that deserves personal attention and support.

Before you order the abortion pill online, we strongly encourage you to reach out and speak with someone first. There are risks involved—physically, emotionally, and legally—and you don’t have to navigate them alone. We’re here to provide accurate information, answer your questions without judgment, and help you make a fully informed decision.

Give us a call at (760) 945-4673 or schedule your appointment online today. All services are confidential and free of charge.

Please be aware that Pathway Health Clinic does not provide or refer for abortion services.

Sources

  1. FDA. (2025, January 17). Information about Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation 
  2. Proclamation on Reproductive Freedom. (2019, May 31). https://www.gov.ca.gov/wp-content/uploads/2019/05/Proclamation-on-Reproductive-Freedom.pdf 
  3. Danco Laboratories, LLC. (2022). MEDICATION GUIDE: Mifeprex. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020687s014lbl.pdf 
  4. See source #3.
  5. See source #1.
Abortion Dos and Don’ts: Your Guide to a Safe Decision

When facing an unplanned pregnancy, abortion might seem like your only option. However, making an informed choice requires understanding the abortion dos and don’ts. 

These guidelines can help ensure your safety and well-being throughout the process. At Pathway Health Clinic, we’re committed to providing you with the facts you need. Here’s what you should—and shouldn’t—do before considering an abortion.

Things to Do Before An Abortion:

  1. Verify Your Pregnancy with an Ultrasound

One of the most critical things to do before an abortion is confirming your pregnancy with an ultrasound. 

This simple test determines the pregnancy’s location (ruling out dangerous ectopic pregnancies) and gestational age. Knowing these details is essential before choosing abortion pills or a surgical procedure. Skipping this step could lead to serious health risks. 

Contact Pathway Health Clinic to schedule a free limited ultrasound today and take the first step toward clarity.

  1. Know What Makes You Ineligible for the Abortion Pill

You should not take the abortion pill if you[1]:

  • Are having an ectopic pregnancy (which can be confirmed with an ultrasound)
  • Have problems with your adrenal glands
  • Are currently being treated with long-term corticosteroid therapy
  • Are allergic to mifepristone, misoprostol or similar drugs
  • Have bleeding problems or are taking blood thinning medication
  • Have inherited porphyria (a disorder that can affect the liver and other organs)
  • Have an IUD in place

You need to know if you have any of these conditions to avoid preventable abortion complications. If you are ineligible for the abortion pill, you will need to explore other pregnancy options.

  1. Understand Your Abortion Options

To make an informed decision, you need to understand how abortions are performed. There are two methods:

  • Abortion Pill: FDA-approved up to 10 weeks of pregnancy.[2] This involves taking mifepristone and misoprostol to end the pregnancy.
  • Surgical Abortion: Performed in a clinic, usually after 10 weeks, with techniques varying by gestational age and state laws.  

  1. Understand the Potential Risks and Complications

A vital step in the decision-making process is learning about potential risks of abortion. 

  • Abortion Pill Risks: For the abortion pill, risks may include prolonged bleeding, infection, allergic reactions, or an incomplete abortion requiring follow-up care. 
  • Surgical Abortion Risks: For surgical abortion, risks may involve bleeding, infection, pain, incomplete abortion, or rare issues like uterine perforation.[3] Repeated procedures may also cause scarring, potentially affecting future fertility.[4] 

Ask your provider to explain these risks in detail so you’re fully prepared.

  1. Plan for Recovery 

Planning for recovery after an abortion is an often-overlooked step. 

After the abortion pill, expect strong cramping and bleeding for a few days, possibly up to four weeks.[5] Surgical abortion recovery typically involves light bleeding for one to two weeks. Arrange time to rest and heal—your body needs it.

  1. Explore All Your Pregnancy Options

The final step is exploring all possibilities. To make a fully informed decision, you need all the facts about parenting, adoption, and abortion. 

Call (760) 945-4673 for a free appointment with our compassionate staff to discuss your options.

Things to Not Do Before An Abortion: 

  1. Don’t Get an Abortion Without an Ultrasound

Topping the abortion don’ts list is getting an abortion without verifying your pregnancy first. Without an ultrasound, you risk missing an ectopic pregnancy, which can be life-threatening if untreated. Protect your health by confirming the details first.

  1. Don’t Buy Abortion Pills Online or from Unapproved Sources

Another critical abortion don’t is purchasing abortion pills from unverified online pharmacies. 

These sources may sell fake, expired, or ineffective drugs, putting your health at risk.[6] 

  1. Don’t Ignore Medication and Substance Warnings

Avoid drugs and alcohol before and after an abortion. These substances can interfere with the abortion process or worsen side effects. Consult your provider about what to steer clear of before proceeding.

  1. Don’t Schedule Plans Right After  

Resist the urge to jump back into your routine. Recovery times vary, and you’ll need space to rest. Cancel plans and prioritize your healing.

  1. Don’t Go Through It Alone  

Don’t isolate yourself after an abortion. Lean on healthcare providers and a support system for guidance and comfort. We’re here to help—call (760) 945-4673 for compassionate care.

Abortion Information in Vista, California  

Navigating the abortion dos and don’ts can feel overwhelming, especially with so much information out there. At Pathway Health Clinic, we simplify the process by offering clear, factual guidance about your pregnancy and options. 

Schedule a free appointment to get personalized support tailored to your needs.

Please be aware that Pathway Health Clinic does not provide or refer for abortion services.

Sources  

  1. FDA. (2023, January). Questions and Answers on Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation   
  2. Mayo Clinic Staff. (2023, November 7). Dilation and Curettage (D&C). https://www.mayoclinic.org/tests-procedures/dilation-and-curettage/about/pac-20384910   
  3. Yvonne Butler Tobah. (2022, August 4). Could an Elective Abortion Increase the Risk of Problems in a Subsequent Pregnancy? https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/expert-answers/abortion/faq-20058551   
  4. Asherman’s Syndrome. Cleveland Clinic. (2022, January 8). https://my.clevelandclinic.org/health/diseases/16561-ashermans-syndrome  
  5. U.S. National Library of Medicine. (2023, January 1). Abortion – procedure – aftercare. MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000658.htm
  6. See source #1.
How Long Does an Abortion Take? Timing and Options

Wondering how long an abortion takes? Whether you’re considering the abortion pill or a surgical abortion, here’s a clear breakdown of what to expect before, during, and after each procedure.

Types of Abortion and Their Timeframes

Two types of abortion exist—the abortion pill (also known as a medical abortion) and  surgical abortion. Both involve different steps and amounts of time.

 

What To Know Before an Abortion

Before proceeding with either option, for your health and safety, it is important to confirm a few key details with a medical professional.

  • How Far Along Are You? 

An ultrasound provides an accurate gestational age, often more reliable than counting from your last menstrual period.

  • Is the Pregnancy Viable? 

A limited ultrasound checks if the pregnancy is developing and rules out an ectopic pregnancy (outside the uterus).

  • Are There Any Medical Risks? 

Conditions like clotting disorders, an IUD, or other medical conditions may affect your eligibility for an abortion. 

At Pathway Health Clinic, we offer free limited ultrasounds to help you get the answers you need. Call us today at (760) 945-4673 to speak with a member of our medical team!

How Long Does the Abortion Pill Take?

The abortion pill process involves two medications: Mifepristone and Misoprostol.

  1. Mifepristone: This drug is taken first, either at a clinic or at home. It blocks the hormone progesterone to stop the pregnancy from continuing.
  2. Misoprostol: This drug is taken 24-28 hours later. It causes the uterus to cramp and expel the pregnancy.

How Long Does Bleeding Last After Abortion?: Cramping and bleeding usually begin within hours of taking Misoprostol. This may last for a few days. Mild bleeding can continue for 9–16 days or up to 4 weeks.[1]

If the bleeding is so heavy that it soaks through two thick pads in an hour, seek emergency care immediately.

How Long Does a Surgical Abortion Take? 

The time a surgical abortion takes depends on the procedure type and how far along you are in your pregnancy. Surgical abortion procedures include vacuum aspiration, dilation and curettage, and dilation and evacuation.[2] 

  • Preparation: The cervix may be dilated a day or two in advance. Before the abortion procedure, you’ll receive a local anesthetic, oral pain relief, or (rarely) general anesthesia. 
  • Procedures:
    • First Trimester: A first-trimester abortion takes about 15–30 minutes. The provider removes the pregnancy through the cervix. 
    • Second Trimester: A second-trimester abortion may take one to two hours. The provider must ensure that they remove all parts of the pregnancy.
  • Recovery: Clinic or hospital staff will monitor you for a few hours to ensure you don’t develop complications.
  • Aftercare: Light bleeding may last for 1–2 weeks.

When Should I Receive Abortion Follow-Up Care? 

Receiving follow-up care after an abortion is crucial. Plan a follow-up visit with your healthcare provider 2 to 3 weeks after the procedure. This will help check for complications and ensure your body is healing well. 

Contact your healthcare provider immediately if you experience any of the following: 

  • Hemorrhaging. Bleeding after the abortion pill is expected. However, if you soak through two full-size sanitary pads per hour, for two or more hours, you could be hemorrhaging.[3]
  • Incomplete abortion. Incomplete abortions occur when some pregnancy tissue remains in the uterus after Misoprostol has been taken. Emergency surgery may be needed to remove the remaining tissue and prevent infection.[4] 
  • Infection. If you develop a fever 24 hours after taking Misoprostol, contact your healthcare provider. You may need antibiotics or even surgery to treat a possible infection.[5]

Abortion Information in Vista, California 

Abortion takes time—both the procedure itself and the recovery process. Before choosing an abortion, call us today at (760) 945-4673 to speak with our compassionate and qualified staff. We’re here to help you make a fully informed decision!

Please be aware that abortion services and referrals are not within Pathway Health Clinic’s scope of practice.

Sources

  1. Danco Laboratories, LLC. (2022). MEDICATION GUIDE: Mifeprex. Danco Laboratories, LLC. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020687s014lbl.pdf
  2. FDA. (2019, July). Prescribing Information for Mifeprex. U.S. Food & Drug Administration. https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/022348s014lbl.pdf 
  3. As stated by abortion providers in May of 2025. 
  4. Mayo Foundation for Medical Education and Research. (2022, July 29). Medical Abortion. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/medical-abortion/about/pac-20394687 
  5. U.S. National Library of Medicine. (2024, November 15). Mifepristone (Mifeprex). MedlinePlus. https://medlineplus.gov/druginfo/meds/a600042.html 
Can You Get Pregnant on Your Period?

Any time you have unprotected sex, there’s a possibility you could get pregnant, including on your period. Although it’s very rare, it can happen. 

If it does happen, it’s important to know your next steps. Keep reading to find out more! 

Can You Get Pregnant on Your Period?

Yes. Although unlikely, it is possible to get pregnant on your period. 

A typical menstrual cycle lasts about 28 days from the start of your period until the start of your next period. Your period begins the cycle, and ovulation (when the ovary releases an egg for fertilization) usually occurs in the middle, around day 14. So, a week or two after your period ends, you ovulate. Around that time, you are more likely to get pregnant.[1] 

However, most women have variability in their monthly cycles. This means that every woman ovulates at a slightly different time, with some women possibly ovulating closer to their periods. 

Plus, after the egg is released, it remains in the body for up to 24 hours. But after sex, sperm can last in a woman’s body for up to five days.[2] So, sex around the time of your period could still lead to a pregnancy. 

Three factors increase the likelihood of getting pregnant during your period:

  • Shorter Menstrual Cycles. You could ovulate a day or two after your period ends. 
  • Extended Period (Duration of Bleeding). You could ovulate shortly after the end of your bleeding. 
  • Mid-cycle Spotting (Light Bleeding). Your spotting mid-cycle could be a sign of ovulation rather than a period. 

Even if you have regular cycles, it may be hard to know when you ovulate. According to one study, only 30% could predict when they were fertile.[3] So, even without these factors, it’s possible to still become pregnant during your period. 

If you think you might be pregnant, call us today at (760) 945-4673 for a free pregnancy test. 

Can You Get Pregnant Right After Your Period? 

Yes, it’s possible to get pregnant right after your period, especially if you have a short menstrual cycle or an extended period. 

Can You Get Pregnant Right Before Your Period? 

It’s unlikely to get pregnant right before your period because the lining of your uterus is not ready for a fertilized egg. But since sperm can last in the reproductive tract for up to five days, sex right before your period could still lead to pregnancy. 

What Does a Shorter Period Mean? 

Women can bleed between three to seven days when on their periods. Factors such as stress, medications, illness, hormonal changes, or lifestyle changes can impact your period.[4] If you’ve missed a period, you should first rule out pregnancy by taking a pregnancy test. If the test is positive, your next step is to receive an ultrasound. 

How Far Along Am I?

Home pregnancy tests can only detect HCG in your urine. They cannot tell you how far along you are or if the pregnancy is viable. The most reliable way to figure that out is to receive an ultrasound.

Call (760) 945-4673 to see if you qualify for an ultrasound. 

When Do Pregnancy Symptoms Begin? 

Women typically develop pregnancy symptoms two weeks after conception. Symptoms include a missed period, tender breasts, tiredness, and nausea. 

How Soon Can I Take a Pregnancy Test? 

You can take a pregnancy test as soon as you’ve missed your period. Positive home pregnancy test results occur about eleven days after conception (when the sperm fertilizes the egg). If you’re concerned that you may be pregnant, call Pathway Health Clinic to speak with our qualified medical staff. 

Free Pregnancy Testing in Vista, California

When your pregnancy test comes back positive, it can be easy to panic. Take a deep breath. Pathway Health Clinic is here to help.

We provide free pregnancy testing, free ultrasounds, and a safe place to ask questions and explore your pregnancy options. Give us a call at (760) 945-4673 or schedule your appointment online today. 

Please be aware that Pathway Health Clinic does not provide or refer for abortion services. 

Sources 

  1. Wilcox, A. J., Weinberg, C. R., & Baird, D. D. (1995). Timing of Sexual Intercourse in Relation to Ovulation—Effects on the Probability of Conception, Survival of the Pregnancy, and Sex of the Baby. New England Journal of Medicine, 333(23), 1517–1521. https://doi.org/10.1056/NEJM199512073332301
  2. LaQuita Martinez. (2024, March 31). Pregnancy – identifying fertile days. Medline Plus. https://medlineplus.gov/ency/article/007015.htm
  3. Wilcox, A. J., Dunson, D., & Baird, D. D. (2000). The timing of the “fertile window” in the menstrual cycle: Day specific estimates from a prospective study. BMJ, 321(7271), 1259–1262. https://doi.org/10.1136/bmj.321.7271.1259
  4. Cleveland Clinic. (2023). Irregular Periods. https://my.clevelandclinic.org/health/diseases/14633-abnormal-menstruation-periods#overview
What is Abortion Pill Reversal? 

In the shock of an unplanned pregnancy, an abortion can feel like a relief. But, what can women do if they decide it’s best for them to continue the pregnancy after taking the first abortion pill? 

Even if you’ve taken the first abortion pill, abortion pill reversal may be right for you. Keep reading to learn about abortion pill reversal. 

What is the Abortion Pill? 

The abortion pill involves two medications. The first medication, mifepristone, interferes with progesterone receptors and prevents the pregnancy from developing. The second medication, misoprostol, causes the uterus to cramp and expel the pregnancy. The FDA approves the use of mifepristone up until 10 weeks of pregnancy for women who qualify.[1] 

Is the Abortion Pill Reversible? 

Mifepristone, the first abortion pill, prevents progesterone from binding to receptors in a woman’s body, thus causing the lining of the uterus to break down.[2] During the abortion pill reversal process, a woman takes a dose of progesterone that floods the receptors and outcompetes the mifepristone, thus sustaining the pregnancy. 

What Is Progesterone? 

Progesterone is a hormone that prepares the body for pregnancy and then sustains a pregnancy by building up the lining of the uterus and preventing early contractions. For over fifty years, doctors have prescribed progesterone to treat amenorrhea (missing periods), endometriosis, thyroid disorders, and to prevent preterm birth.[3] 

How Does Abortion Pill Reversal Work?

After an initial assessment that may include an ultrasound, a qualified provider prescribes progesterone, which can be administered orally, vaginally, or intramuscularly. Often, women continue taking progesterone during the first trimester and have frequent follow-ups with a medical professional. 

When Should I Start the Abortion Pill Reversal Process? 

Ideally, you should start the process within 24 hours of taking mifepristone. But, don’t let that discourage you. There have been successful cases where treatment was started within 72 hours of taking the first half of the abortion pill.[4] 

What are the Side Effects of Progesterone? 

Progesterone may cause fatigue, lightheadedness, dizziness, headaches, or nausea.[5] During the abortion pill reversal process, some women continue to experience adverse side effects from the mifepristone they took initially such as nausea, vomiting, or diarrhea.[6] 

What is the Abortion Pill Reversal Success Rate? 

A 2018 study showed that 66% of women who take progesterone to reverse the abortion pill process go on to have healthy pregnancies.[7] 

Is Abortion Pill Reversal Safe? 

A study from 2023 showed that women experienced no adverse effects from taking progesterone after taking mifepristone.[8] Further, a study in 2018 showed that of babies born after abortion pill reversal, only 2.3%  experienced birth defects, which reflects the 3% of birth defects in the general population.[9] 

How Much Does Abortion Pill Reversal Cost? 

The cost of your treatment depends on the type of progesterone your doctor prescribes and your insurance coverage. 

In cases of financial hardship, the Abortion Pill Reversal Network will help you find ways to reduce the cost of the treatment.

Abortion Pill Reversal Information in Vista, California 

You aren’t in this alone. Pathway Health Clinic is here to help you explore all of your pregnancy options, so you can make an informed and empowered decision. 

If you’ve already taken the abortion pill, time is of the essence. Contact the Abortion Pill Reversal Network to get started.

Call Now

Sources 

  1. Danco Laboratories, LLC & FDA. (2016, March). Mifeprex Label. FDA. https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/020687s020lbl.pdf
  2. See #1. 
  3.  Di Renzo, G. C., Tosto, V., & Tsibizova, V. (2020). Progesterone: History, facts, and artifacts. Progesterone In Obstetrics And Gynaecology, 69, 2–12. https://doi.org/10.1016/j.bpobgyn.2020.07.012
  4. Frequently Asked Questions. Abortion Pill Reversal. (n.d.). https://www.abortionpillreversal.com/abortion-pill-reversal/faq 
  5. Nagy, B., Szekeres-Barthó, J., Kovács, G. L., Sulyok, E., Farkas, B., Várnagy, Á., Vértes, V., Kovács, K., & Bódis, J. (2021). Key to Life: Physiological Role and Clinical Implications of Progesterone. International journal of molecular sciences, 22(20), 11039. https://doi.org/10.3390/ijms222011039
  6. FDA. (2023, January). Questions and Answers on Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation. FDA. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation?sm_guid=NTU1NzgyfDYzMDE1OTM2fC0xfGppbUBha2ZhbWlseS5vcmd8NTY4OTI4MXx8MHwwfDE5OTYwMDk4OHwxMDg2fDB8MHx8NTQ3NzI2fDA1
  7. Delgado, G., Condly, S. J., Davenport, M., Tinnakornsrisuphap, T., Mack, J., Khauv, V., & Zhou, P. S. (2018). A case series detailing the successful reversal of the effects of mifepristone using progesterone. Issues in law & medicine, 33(1), 21–31.
  8. Turner, J. V., Garratt, D., McLindon, L. A., Barwick, A., & Spark, M. J. (2024). Progesterone after mifepristone: A pilot prospective single arm clinical trial for women who have changed their mind after commencing medical abortion. Journal of Obstetrics and Gynaecology Research, 50(2), 182–189. https://doi.org/10.1111/jog.15826
  9. See #7. 
Pregnancy Tests: How They Work, Accuracy, and More

You might wonder if home pregnancy tests provide accurate results. Regardless of how you feel about being pregnant, there are a few things you should know about home pregnancy tests. 

Keep reading to learn more.

How Do Pregnancy Tests Work? 

About 10 days after conception (when a sperm fertilizes an egg), the embryo implants into a woman’s uterus. Her body then releases the hormone human chorionic gonadotropin (HCG) to sustain the pregnancy.[1] Home pregnancy tests detect the presence of HCG in the urine. 

When is the Best Time to Take a Pregnancy Test 

Although the body produces HCG at implantation (10 days after conception), HCG may not be detectable in the urine until about 14 days after conception. So, most home pregnancy tests recommend testing once you’ve missed your period. If taken before a missed period, the test could be negative even though a woman is early in her pregnancy.[2] 

How Accurate are Pregnancy Tests?

Every home pregnancy test works differently, so women should read and follow the instructions that come with the test. When used correctly, home pregnancy tests can be up to 99% accurate.[3] 

If taken too early, used improperly, or improperly read, the test could be negative. After a negative home test, women should wait a few days and then retest. 

Where Can I Get a Pregnancy Test?

Home pregnancy tests are available over the counter (without a prescription). Some women find that digital tests are easier to read.[4] Regardless of the type used, carefully read the instructions. Some women prefer going to a clinic to confirm pregnancy. 

You can schedule a free pregnancy test at Pathway Health Clinic. Give us a call at (760) 945-4673 to get started.

Call Now

When to Take a Pregnancy Test with an Irregular Period

If your period is irregular, you can take a pregnancy test two weeks after sex or if you develop pregnancy symptoms. 

What’s the Difference Between PMS and Pregnancy Symptoms? 

Some pregnancy symptoms make feel and look like premenstrual symptoms (PMS), such as breast tenderness, fatigue, moodiness, or spotting. However, other symptoms such as nausea, headaches, frequent urination, and weight changes, are often present in pregnancy but not before a period. If you’re experiencing any of these symptoms, take a pregnancy test at home.[5] 

Can You Have a Positive Pregnancy Test after a Miscarriage?

After a miscarriage, positive pregnancy tests can occur for two to four weeks as the HCG levels continue to decrease. If you’ve experienced a miscarriage, you should speak with your healthcare provider about next steps.[6] 

Why is One Pregnancy Test Positive and the Other Negative? 

If you’ve missed your period and taken pregnancy tests that gave you both positive and negative results, wait a few more days before taking additional tests. If the results still vary, speak with a healthcare provider. 

Call Pathway Health Clinic to speak to our qualified healthcare team! 

Call Now

Do You Need a Blood Pregnancy Test? 

In a clinical setting, blood tests detect the presence and the amount of HCG in blood. Healthcare providers use blood tests to verify pregnancy, to estimate the gestational age, and to monitor the progression of pregnancy. However, urine pregnancy tests suffice for most women.[7]

Can You Have an Abortion After a Positive Pregnancy Test? 

Although a positive pregnancy test detects HCG in your urine, the results do not tell you how far along you are in your pregnancy or whether the pregnancy is viable. The best way to figure that out is to receive an ultrasound.

Call us at (760) 945-4673 to see if you qualify for a free ultrasound. 

Call Now

What Do You Do After a Positive Pregnancy Test? 

The first few moments after a positive pregnancy test can be scary. Women can feel angry, sad, nervous, happy, or simply numb. Whatever the results of your pregnancy test may be, we will provide the information you need to make the best decision for your health and future.

Give us a call at (760) 945-4673 or request an appointment online. All services are confidential and free of charge.

Request an Appointment

Please be aware that Pathway Health Clinic does not provide or refer for abortion services.

Sources

  1. American Pregnancy Association. (n.d.). Pregnancy Tests. American Pregnancy Association. https://americanpregnancy.org/healthy-pregnancy/are-you-pregnant/pregnancy-tests/
  2. Mayo Clinic. (2022, December 23). Home pregnancy tests: Can you trust the results? Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940
  3. Tomlinson, C., Marshall, J., & Ellis, J. E. (2008). Comparison of accuracy and certainty of results of six home pregnancy tests available over-the-counter. Current medical research and opinion, 24(6), 1645–1649. https://doi.org/10.1185/03007990802120572
  4. Johnson, S., Cushion, M., Bond, S., Godbert, S. & Pike, J. (2015). Comparison of analytical sensitivity and women’s interpretation of home pregnancy tests. Clinical Chemistry and Laboratory Medicine (CCLM), 53(3), 391-402. https://doi.org/10.1515/cclm-2014-0643
  5. John D. Jacobson. (2022, November 10). Pregnancy Test. Medline Plus. https://medlineplus.gov/ency/article/003432.htm
  6. Mayo Clinic Staff. (2023, September 8). Miscarriage. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298
  7. FDA. (2019, April 29). Pregnancy. FDA. https://www.fda.gov/medical-devices/home-use-tests/pregnancy
Can You Buy Abortion Pills Over the Counter?

If pregnancy wasn’t a part of your plan, you may be looking for a private and easy way to end it. You may be wondering if you can pick up abortion pills over the counter at your local pharmacy.

In today’s blog, we’ll discuss whether you can get abortion pills over the counter and what you need to know before moving forward. Keep reading to learn more.

Are Abortion Pills Available Over the Counter? 

Over the counter medications do not require a prescription and can be used by individuals without the involvement of a healthcare provider.[1] However, abortion pills do require a prescription and oversight by a healthcare provider, so abortion pills are not available over the counter. 

Per the FDA, mifepristone and misoprostol (the two pills used in the abortion pill protocol) must be prescribed by a certified healthcare provider.[2] Only a certified pharmacy can dispense the medication. 

Can I Get Abortion Pills Over the Counter in California?

Currently, the abortion pill is legal in California. However, as mentioned above, you cannot get it over the counter. You will need a prescription from a qualified provider to be able to purchase it from a certified pharmacy.[3]

You should never order abortion pills online from overseas pharmacies, as studies show that the pills contain an unknown amount of the medication and could be dangerous.[4]

Is Plan B an Abortion Pill? 

While they seem similar, Plan B and the abortion pill are not the same things. The difference is that Plan B aims to keep you from getting pregnant in the first place and may disrupt a newly formed embryo from continuing to grow[5], but the abortion pill is designed to end a pregnancy every single time it is used. 

What You Need to Know Before Taking the Abortion Pill 

These are a few things you’ll want to know before you search for the abortion pill: 

  1. Estimated Gestational Age. Gestational age (how far along you are in pregnancy) can be estimated based on a woman’s last menstrual period, but an ultrasound is the most exact way to determine the gestational age.[6]
  1. Location of the Pregnancy. An ectopic pregnancy develops outside of the uterus and can be life-threatening if not properly treated. So, before taking abortion pills, it is recommended that a woman receive an ultrasound first. 
  1. Viability of Pregnancy. Almost 10-20% of known pregnancies end in a miscarriage, and almost 80% of those occur within the first three months of pregnancy.[7]

You will not be eligible for the abortion pill if[8]:

  • You’re more than ten weeks pregnant. 
  • You have an IUD (Intrauterine Device). 
  • You have a clotting disorder or some other medical condition. Speak with a healthcare professional before an abortion. 
  • Don’t have access to emergency care. In the case that you experience complications after a medical abortion, you should have access to emergency care. 

Call Pathway Health Clinic today for a free appointment at (760) 945-4673. 

Abortion Pill Information in Vista, California 

Making a decision about an unplanned pregnancy can feel overwhelming, but you don’t have to do it alone. Pathway Health Clinic is here to help! We provide free pregnancy tests, ultrasounds, and abortion information, so you can make the best decision for your health and future.

Give us a call at (760) 945-4673 or request an appointment online. All services are free and confidential!

Please be aware that Pathway Health Clinic does not provide or refer for abortion services.

Sources

  1. Q&A On OTC. FDA. (2022, November). https://www.fda.gov/drugs/cder-small-business-industry-assistance-sbia/small-business-assistance-frequently-asked-questions-regulatory-process-over-counter-otc-drugs
  2. Questions and Answers on Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation. FDA. (2023, January). https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation?sm_guid=NTU1NzgyfDYzMDE1OTM2fC0xfGppbUBha2ZhbWlseS5vcmd8NTY4OTI4MXx8MHwwfDE5OTYwMDk4OHwxMDg2fDB8MHx8NTQ3NzI2fDA1
  3. See source #2.
  4. See source #2.
  5. Kahlenborn, C., Peck, R., & Severs, W. B. (2015). Mechanism of action of Levonorgestrel emergency contraception. The Linacre Quarterly, 82(1), 18-33. https://doi.org/10.1179/2050854914y.0000000026
  6. Ultrasound in Pregnancy. Cleveland Clinic. (2022). https://my.clevelandclinic.org/health/diagnostics/9704-ultrasound-in-pregnancy
  7. Miscarriage. Mayo Clinic Staff. (2023, September 8). https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298 
  8. See source #2.