Woman sits at a laptop with medication packages and a phone on the table in front of her.

Mail-Order Abortion Pills: What You Need to Know

Thinking About Ordering Abortion Pills Online?

If you just found out you’re pregnant, you might be searching Google for things like “mail-order abortion pills,” “abortion pills online,” or “how to get abortion pills by mail.”
 
You probably have questions. That’s normal.
 
Before ordering anything online, it can help to understand how medication abortion works, where the medication comes from, and what you should know about your pregnancy first.
 
While Alternatives does not perform abortions, prescribe or dispense abortion pills, or refer patients to abortion providers or abortion-pill providers, we want to provide the education you need to make a decision about your pregnancy.

What Are Mail-Order Abortion Pills?

Medication abortion generally involves two medications: mifepristone and misoprostol. (FDA, 2026)

Mifepristone blocks progesterone, while misoprostol causes the uterus to contract and empty. (FDA, 2026)

Mifepristone can be dispensed through pharmacies and shipped to patients under the FDA’s current requirements. (FDA, 2026)

If you’re looking at an online provider, it’s important to know exactly who is providing the medication and what medical support is available.

Before Ordering Abortion Pills Online, Know These Things

1. Know how far along you are

Pregnancy dating matters when considering medication abortion. The FDA-approved abortion pill regimen is intended for ending a pregnancy through 10 weeks gestation. (FDA, 2026)

A pregnancy test can tell you that you’re pregnant, but it doesn’t tell you everything about the pregnancy. An ultrasound can help determine things like how far along you are in your pregnancy. (ACOG, 2017)

2. Know where the pregnancy is located

An ectopic pregnancy happens when a pregnancy develops outside the uterus. Medication abortion does not treat an ectopic pregnancy, and an ectopic pregnancy can become a serious medical emergency. (FDA, 2026)

An ultrasound may provide information about the location and development of a pregnancy and can help establish gestational age when clinically appropriate. (FDA, 2026; ACOG, 2017)

3. Know if your pregnancy is viable

An ultrasound can show if you need further testing due to the possibility of a spontaneous miscarriage occurring. (ACOG, 2024)

If a miscarriage occurs, then your decision-making process will look different. In a miscarriage, medical intervention may be needed, but the pregnancy ends on its own (spontaneously). An induced abortion is different because the pregnancy is purposefully ended instead of being allowed to progress.

4. Know where your medication is coming from

Not every website offering abortion pills online provides the same medical oversight.
 
If you’re researching an online provider, ask:
  • Who is prescribing the medication?
  • Is the provider licensed?
  • Is the pharmacy certified?
  • Where is the medication coming from?
  • Who can you contact if you have questions?
  • What follow-up care is available?

What If You're Still Not Sure What You Want to Do?

You don’t have to have everything figured out today.
 
An unexpected pregnancy can bring questions about:
  • Money
  • School
  • Your relationship
  • Housing
  • Childcare
  • Your career
  • Your future
Those are real concerns.
 
Before making a decision, it can help to understand what’s actually happening with your pregnancy and what resources might be available to you.
 
That’s where Alternatives can help.

Free Pregnancy Services at Alternatives Medical Clinic

Alternatives Medical Clinic is our licensed and accredited medical clinic offering free pregnancy services. While Alternatives does not perform abortions, prescribe abortion pills, dispense abortion pills, or refer patients to abortion providers, we do offer the following FREE services:
  • Free pregnancy testing
  • Limited obstetrical ultrasounds
  • STD testing and treatment
  • Prenatal vitamins
  • Pregnancy-related education and support
You can come to us for the services we do provide without needing to have your entire future figured out.

So, What Does Alternatives Do?

While we do not prescribe, perform, or refer for abortions, we do offer:
  • Free pregnancy testing
  • Limited obstetrical ultrasounds
  • STD testing and treatment
  • Prenatal vitamins
  • Parenting education
  • Life-skills classes
  • Boutique with diapers, wipes, car seats, baby and toddler clothing, and other essential items
  • Parenting support
  • Scholarship opportunities for qualifying parents

You Can Start With Education

If you’re searching for mail-order abortion pills, you may feel like you need to make a decision right away.
 
You don’t have to start there.
 
You can start by learning how far along you are. You can ask questions. You can find out what support is available.
 
If you’re looking for free pregnancy testing or ultrasound services, contact us today!
 
We’re here to help you take your next step, with clear education and practical support.

References

American College of Obstetricians and Gynecologists. (2017). Methods for estimating the due date: ACOG Committee Opinion No. 700. Obstetrics & Gynecology, 129(5), e150–e154. https://doi.org/10.1097/AOG.0000000000002046
 
American College of Obstetricians and Gynecologists. (2024). Early pregnancy loss. https://www.acog.org/womens-health/faqs/early-pregnancy-loss
 
U.S. Food and Drug Administration. (2026). 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
 
U.S. Food and Drug Administration. (2026). Information about mifepristone for medical termination of pregnancy through ten weeks gestation. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation