Does Abortion Hurt?

If you’re facing an unexpected pregnancy and considering abortion, you might be asking yourself, “Will it hurt?” That’s a common and valid question. The answer varies depending on your body, the type of abortion, and how far along the pregnancy is. Understanding what to expect physically and emotionally is an important part of making an informed decision.
Need answers now? Text a nurse anonymously and at no cost: 843-536-0002.
Understanding Abortion Types: Chemical vs. Surgical
There are two primary methods of abortion: medical (chemical) and surgical.¹
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Medical abortion uses medication—typically mifepristone followed by misoprostol—to end a pregnancy. This method is approved by the FDA for use within 70 days (10 weeks) of the first day of your last menstrual period.2
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Surgical abortion involves a procedure performed at a medical facility to remove the pregnancy tissue. This option is typically used for pregnancies beyond the 10-week mark.3
Each method has different procedures, timelines, and potential side effects.
How Painful Are Abortions?
Pain and discomfort vary from person to person.
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During a medical abortion, you may experience strong cramping, bleeding, and symptoms similar to a heavy, intense period. Some women describe the pain as moderate, while others report it as more intense.
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A surgical abortion is typically done under anesthesia or sedation, so you may not feel pain during the procedure itself. Afterward, some women experience cramping, discomfort, and spotting for a few days.
In general, the further along the pregnancy is, the more discomfort you may experience during or after either procedure. Again, the physical pain you feel will mainly vary from person to person and from pregnancy to pregnancy.
What are the risks of abortion?
Like all medical procedures, abortion involves potential risks. These may include:
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Excessive bleeding
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Infection
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Incomplete abortion, which may require additional treatment
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Damage to the uterus or surrounding organs (in rare cases)
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Side effects related to anesthesia (for surgical procedures)
Medical abortions may not be effective in all cases. Follow-up care is essential to ensure the pregnancy has ended and to confirm that no complications have occurred.
Also, if the pregnancy is ectopic—developing outside the uterus—the abortion pill will not treat it, and can be dangerous if taken without proper diagnosis. That’s why an ultrasound is strongly recommended before any abortion to confirm the location and viability of the pregnancy.4
Emotional Impact of Abortion
Abortion affects people in different ways emotionally. Some women feel a sense of relief, while others experience sadness, regret, or emotional distress.5
Whatever you're feeling, your emotions are valid. Having a trusted support system and access to professional counseling can make a significant difference. You’re not alone, and help is available if you need to talk to someone.
Is Abortion Legal in South Carolina?
In South Carolina, abortion is prohibited once cardiac activity is detected, typically around six weeks into pregnancy. This law, known as the Fetal Heartbeat and Protection from Abortion Act, includes exceptions in cases of rape, incest, or when the mother's life is at risk.
These legal restrictions do not apply to the treatment of ectopic pregnancies or miscarriages. Additionally, under current South Carolina law, individuals seeking or obtaining an abortion cannot be criminally prosecuted.
If you have questions about abortion laws in your area, our team is here to provide anonymous and confidential support to help you understand your options.
Post-Abortion Care and Support
After an abortion, it’s important to care for both your physical recovery and emotional well-being. Having access to supportive resources can make a big difference in how you process the experience.
At Pregnancy Center of Dillon County, we offer free and confidential post-abortion care, whether your abortion happened recently or some time ago.
You don’t have to navigate this alone.
So, the question "Do abortions hurt?" isn't just about physical pain—it's about the whole experience, including emotions, legality, risks, and care. Text anonymously to 843-536-0002 with one of our care experts and learn the facts to help you make an informed decision.
A free, confidential consultation will allow you to confirm your pregnancy, estimate the progression of your pregnancy, and ask any questions you may have regarding abortion pills or procedures.
Sources:
1. National Institute of Child Health and Human Development. "What are the different types of abortion?" nichd.nih.gov
2. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
3. https://www.acog.org/womens-health/faqs/induced-abortion
4. American College of Obstetricians and Gynecologists. "Facts About Abortion." acog.org; https://www.mayoclinic.org/tests-procedures/medical-abortion/about/pac-20394687
5. https://mcpress.mayoclinic.org/pregnancy/how-you-may-feel-when-youre-no-longer-expecting/