Globally, millions of pregnant people have safely ended their pregnancies using misoprostol.
Often sold in pharmacies, misoprostol is inexpensive, easy to store and handle, and is a safe method for people seeking to end their pregnancy. The medication softens and dilates the cervix, causes uterine contractions, and pushes pregnancy tissue out. Misoprostol’s multidimensional use in medicine makes it more accessible when compared to other abortion pills, like mifepristone. Misoprostol is 85% successful in inducing abortion in the first trimester, when used as recommended.
The attached evidence-based guide was developed by IWHC and informed by the latest guidance from the World Health Organization (WHO) and the International Federation of Gynecologists and Obstetricians (FIGO). It explains how pregnant people can end a pregnancy with misoprostol, because everyone has the right to safe abortion care.
Where to Purchase Misoprostol:
Aid Access consults and prescribes misoprostol to residents of the United States for miscarriage management. (English and Spanish)
Cytotec Mexico has comprehensive information on mifepristone and misoprostol, and confidentially sends abortion pills to residents of Mexico. The cost of pills ranges from approximately 40 USD to 75 USD depending on dosage; prices are listed on the website in pesos. (Spanish)
TelAbortion sends abortion pills as part of a US-based study into the effective delivery of telemedicine abortion. The price of this service may vary from state to state and person to person. Services are currently available to eligible residents of Colorado, Georgia, Hawaii, New Mexico, New York, Maine, Oregon, and Washington State.
Women Help Women provides various contraception options and mifepristone and misoprostol to people living in countries with restricted or no access to legal abortion. The United States is not on the list of supported countries, but residents of other countries can complete a confidential consultation online to evaluate if they are eligible to receive the medical abortion pills for a donation. (English, Spanish, French, German, and others)
Women on Web provides mifepristone and misoprostol to people living in countries with restricted or no access to legal abortion. United States residents cannot use this resource, but Women on Web offers the pill regimen to residents of 90+ countries across the Americas, Africa, Europe, and Asia for a sliding scale donation fee that may be waived in some circumstances. (English, Spanish, French, German, Chinese, Russian, and others)
How to Use An Abortion Pill offers comprehensive information on what you can expect before, during, and after taking mifepristone and misoprostol to induce abortion. In addition to FAQs, the website also covers abortion laws and resources by country. (This information is available in 24 languages!)
Safe2Choose has a great resource on how to buy mifepristone and misoprostol locally. The website does not offer telemedicine services, but a multilingual staff are available to answer questions about abortion pills confidentially online.
Repro Legal Helpline by If/When/How: Lawyering for Reproductive Justice is a free, confidential helpline that offers information to people in the United States about their legal rights regarding self-managed abortion.
Women on Waves provides information and instructions on self-managed abortion for both the combined mifepristone/misoprostol regimen and misoprostol alone. (Arabic, Dutch, English, French, Polish, Portuguese, Spanish, and Swahili). Women on Waves also hosts this page which warns against scam sites that claim to sell misoprostol.
MAMA Network (Chichewa, English, French, Igbo, & Swahili)
Gynuity (Arabic, English, French, Spanish, Turkish, Vietnamese)