What is Self-Managed Abortion?

September 5, 2024

In the past few years, there’s been a growing focus on abortion and reproductive rights. Events such as the Reproductive Health Act enacted in New York at the start of this year and the Human Life Protection Act passed in Alabama a few months ago have served to make the spotlight shine brighter on the issue. Out of this debate has spawned a new focus: self-managed abortion. This has been the cause of much controversy and conflicting information, making it difficult to know what it truly is. In today’s blog, we dispel the myths around this topic and share the facts. Keep reading to learn more, then contact Hope Pregnancy Center for more information on all pregnancy options.

What is Self-Managed Abortion?

Self-managed abortion is when a woman performs their own abortion outside of a clinic or doctor’s office without the assistance of medical personnel. These types of abortions are typically performed by taking large doses of medications, but other methods involve the use of herbs (sometimes called natural home remedies; more on this below). Self-managed abortions are typically performed by women who want an abortion to be conducted discretely, who are unable to go to an abortion provider, are unable to afford a clinical abortion or simply would like the procedure to be done in the familiar setting of their home.

Is Self-Managed Abortion Legal?

The legality of self-managed abortion is murky at best. While using the abortion pill is legal in clinical settings, almost all U.S. states deem it illegal for individuals to obtain or use abortion pill medications without the assistance of a clinic or a prescribed physician. In addition, each state has differing laws that apply to medical abortion, making the question of legality a state by state basis. Women who bought abortion medications online, such as Purvi Patel, Jennie Linn McCormack and Kenlissa Jones, were all arrested for performing self-managed abortion. While the charges against them were later dropped, these cases have set the precedent for legal action against self-managed abortion practices.

What are the Risks?

The method of using herbal remedies to induce an abortion are extremely risky and unreliable. The most common approaches are taking large doses of certain vitamins or herbs. However, these methods are not recognized by the medical community, do not have verifiable standards or success rates and put you at risk for infection and other medical issues. The most common misconception is that because something is “herbal” it’s safe to try, but this could not be further from the truth. In 2018, an Argentinian woman died while attempting to have a self-managed abortion using herbal remedies. These herbal procedures are dangerous at best and should not be a replacement for medical care.


Side effects of the abortion pill include heavy bleeding, headache, diarrhea, nausea, vomiting and cramping. However, with self-managed abortions, it gets more complicated than that. The abortion pill is medically allowed in cases where a pregnancy is less than ten weeks along. However, in McCormack’s case, she thought she was less than nine weeks, but she was actually closer to 20 weeks. Utilizing the abortion pill at such a late stage in her pregnancy was not medically allowed and is part of the reason behind her arrest.


This is why it is vital to get a limited ultrasound before making any decisions about your pregnancy. Many states, including Oklahoma, make it mandatory to receive a limited ultrasound before being able to take any actions regarding abortion methods. The reason for this is that a limited ultrasound confirms a viable pregnancy, as well as how far along you are, which determines what abortion methods are available to you. Without having this information, you are putting your health at risk unnecessarily.

Be Informed

Just like with any medical procedure, abortion is something you need to be well-informed on if you are considering it for yourself. Your health and safety are of the utmost importance and you need accurate information to make an informed decision. At Hope Pregnancy Center, we offer free limited ultrasounds and abortion education. Our goal is to provide you with accurate medical services and information and provide the education and tools you need to explore your pregnancy options. All of our services are provided at no charge, are 100% confidential, and we never financially benefit from your decision. Hope does not provide abortions, but is here for you if you need a safe space to explore your pregnancy. Contact us to schedule a free and confidential appointment.

By Alexia Amend February 13, 2025
When you take a pregnancy test and pregnancy is NOT part of the plan. This is what happened when I took my first pregnancy test. I stared in disbelief wondering how on earth this could be happening to me. I was only 18, a senior in high school and not at all planning to have a baby. I felt fear and anxiety pressing down on me, and in my panic, I made a decision I wish I would have taken more time to make. I thought that having an abortion would be like hitting a reset button and that it would make it like I had never been pregnant. I didn’t know about fetal development, the risks associated with an abortion, what other options were available to me, or how I might feel someday looking back. All I knew was that I was pregnant and that it was a problem to be solved. Abortion promised to be an easy solution. It was not. I remember the emptiness I felt as I left the abortion clinic. Was this normal? I had just felt my body struggle against the suction machine and lose. I remember feeling the moment I became no longer pregnant. This wasn’t a reset. This wasn’t making it go away; this was something different. I couldn’t put it into words then, but looking back I can see the emptiness I felt become the predominate feeling in my life. I was empty. I tried hard to fill that emptiness by clinging to my boyfriend even more and working harder than ever to make my plans happen. Maybe then it would somehow justify what I had done. Nine months later I found myself looking at another positive pregnancy test. How? How could this happen again? What was I going to do? This time, I didn’t make the decision immediately. I went to Hope Pregnancy Center and learned more about my options. I learned about fetal development, abortion procedures and their risks, adoption, and parenting. They gave me the information I needed to make an informed decision. I looked very seriously at adoption. I went to an agency and was able to ask questions about the process and what it would be like if I chose that path. I felt like this pregnancy was a chance to make up for my decision to terminate my first pregnancy. So, in the end, my boyfriend and I decided to parent. He told me he would be there for me and we would be ok. He left when I was 5 months pregnant. He decided it was too much for him and he didn’t want to be a dad. All my worst fears came true. My boyfriend left, my goals and plans crumbled all around me. And now I was going to have a baby to raise on my own. I went back to Hope and took their parenting classes. I learned so much that helped prepare me for motherhood. I also earned items in the baby boutique that I would otherwise not been able to afford. They encouraged and supported me when I thought I was alone. Looking back, I can see what at first seemed negative, really was a positive. My daughter is now 25 and has two sweet boys of her own. I am so thankful for the gift she has been in my life. But having her didn’t ease the pain I felt from my abortion. In fact, it amplified it in many ways. It was hard to look at her ultrasound and know that was the same age I had my abortion. I didn’t celebrate any of my pregnancies because I always felt the shame and regret of ending my first pregnancy. It wasn’t until 10 years after having my daughter that I learned there was help available for women, like me, who have had an abortion. Hope Pregnancy Center offers a program called Forgiven and Set Free where post abortive women can come together and find healing. When I took the class, I learned just how deeply abortion wounded me. The class allowed me a safe place to look at the darkest day of my life and know that I am not alone. I am so thankful Hope was there for me when I needed hope most. And now I get the privilege of working on staff and being part of the team that helps women who feel the fear, anxiety, pain, guilt and shame, just like I felt, have Hope.
September 5, 2024
Sexually transmitted diseases (STDs) can be a serious concern. We offer free Sexually Transmitted Disease information in Oklahoma as well as education, resources and referrals. Just because STDs are common doesn’t mean they’re no big deal. Left untreated, infections can cause irreversible damage to your reproductive system, which can lead to high risk pregnancy, miscarriage, infertility, sterility or other long-term complications. Serious complications can occur if an STD isn’t treated before you undergo an abortion procedure. STD testing is extremely important before deciding whether or not to have an abortion. Here’s how. During an abortion procedure, cells infected with Chlamydia or Gonorrhea can travel from your vaginal opening up into your uterus. When the cells travel and are not treated, you are at greater risk for developing a secondary infection called Pelvic Inflammatory Disease (PID). PID is pretty serious. According to the Center for Disease Control , it can put you at risk for ectopic pregnancy, infertility, abscess, chronic pelvic/abdominal pain, and pain and bleeding during sex. In order to avoid medical complications, the best thing to do is to make it a priority to get screened and treated first if you’re headed to the abortion clinic. You owe it to yourself to be safe. Don’t ignore the important step of STD testing before an abortion. The Center for Disease Control can provide you with accurate and up-to-date information on each STI.
September 5, 2024
When people come to Hope Pregnancy Center for pregnancy testing or consultations, they often share with us stories of how they thought they couldn’t become pregnant or why they thought they were safe. Let’s look at some of the more common myths about unintended pregnancy and conception. If you are concerned you may be pregnant, contact Hope Pregnancy Center today.
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