Frequently Asked Questions

Question 1

What forms of identification do you accept?

Answer

You can provide any form of ID that has your name, photo, and date of birth. Hey Jane provides care regardless of immigration status. You don't need to be a resident of one of our eligible states in order to get care there, but in order to meet state regulations, you must be physically located in CA, CO, CT, IL, NJ, NM, NY, or WA to begin the treatment process and have the medications mailed to your location.

We require the person who is pregnant to complete our intake process and verify their identity for both the medical safety of the patient and to meet legal requirements. To verify the identity of the pregnant person, we ask them to provide a photo of themselves holding their ID.

Question 2

What are the steps to sign up for treatment?

Answer

To sign up for treatment, you’ll complete a few steps online:

Fill out your intake form
Pay for treatment
Download Spruce, a secure messaging app

After these steps are completed, our clinical team will review your intake form and reach out to you via Spruce with any questions.

Start your intake here.

Question 3

How does Hey Jane determine how many weeks pregnant I am, and why is it important?

Answer

Early in pregnancy, without a sonogram, pregnancy dating is counted from the first day of your last period. Hey Jane uses the first day of your last menstrual period to determine how far along you are in weeks and days. This is called your gestational age. Your fetal age, which is calculated from the date of conception, may be different.

Your gestational age is how we’re able to determine your eligibility for care. We provide care to patients up to 10 weeks of pregnancy. Beyond that, in-clinic care is likely a better fit.

Question 4

Is Hey Jane legit?

Answer

Yes! Hey Jane is one of the first clinics to offer safe, effective and completely legal abortion care through telemedicine. We have served thousands of satisfied patients since launching in January 2021. Check out real feedback from past patients. You can also rest assured knowing that we have been independently certified by the National Abortion Federation, and LegitScript, the leading verification system for online healthcare. We've even been covered by major news outlets, including New York Times, Forbes, Tech Crunch, USA Today, and Shape.

‍

Question 5

Where do the medications come from?

Answer

Your medications will be shipped by our mail-order pharmacy partner, Honeybee. You’ll receive an email from them once your prescription has been submitted. The email includes important information, including your tracking number. The email will come from noreply@honeybeehealth.com. If you don’t see it, try checking your spam folder.”

‍

Question 6

Who provides care through Hey Jane?

Answer

Prescriptions are provided by US-based board-certified medical providers licensed in your state. Our providers are licensed in the following states: California, Colorado, Connecticut, Illinois, New Jersey, New Mexico, New York, and Washington.

Question 7

How do I get treatment through Hey Jane?

Answer

Getting treatment with Hey Jane is simple.

Complete a quick medical history intake
Learn more about the treatment
Submit required consent forms
Verify your identity
Provide payment (financial assistance available)
Download the Spruce app
Consult with a Hey Jane provider

If treatment is approved, you will receive medications shipped directly to your address.

You can contact us any time through the secure Spruce messaging app. We’re open 10am-8pm EST (7am-5pm PST). In the very rare event of a medical emergency, 24/7 support is available.

‍

Question 8

Is this legal?

Answer

Yes, the US Food and Drug Administration (FDA) approved mifepristone (the first of two medicines used in a medication abortion) in 2000 to end pregnancies up to 11 weeks, and since 2021 has allowed providers like Hey Jane to mail abortion pills to patients. Currently, Hey Jane is serving patients in states that do not have any restrictions surrounding telemedication abortion. To find out more about what is legal in your state and where to go if you are at a later stage in your pregnancy and want an abortion, visit ineedana.com, call the National Abortion Federation hotline, or visit If/When/How. The Guttmacher Institute also provides a state-by-state breakdown of current abortion laws. All links can be found on our Resources page, too.

Question 9

What is Spruce?

Answer

Spruce is our HIPAA secure messaging app we use for all of our patient communications. This is where all communications with your Hey Jane clinical care team will take place. Spruce is a required step in receiving care with Hey Jane.

Question 10

What forms of payment do you accept?

Answer

At this time, we accept payment via credit card, debit card, or cash card. Your insurance may cover treatment with Hey Jane. You can also use your HSA/FSA.

We currently accept Aetna insurance plans. If you use your insurance, the cost of care will vary depending on your plan. We are actively working on expanding our insurance coverage. Hey Jane offers sliding-scale pricing based on each patient's personal and financial circumstances.

If you need additional financial assistance, we have partnered with abortion funds in select states to help support eligible Hey Jane patients—visit our Resources page to learn more.

Question 11

Do I need a phone or computer to use Hey Jane?

Answer

You will need access to a phone or a computer in order to use our secure chat app Spruce, which is the main way we will communicate with you throughout your treatment.

Question 12

Why is downloading Spruce mandatory?

Answer

Spruce is our HIPAA secure messaging app we use for all of our patient communications. Your privacy is important to us! Spruce is a HIPAA secure platform, that is password protected. All communication with your Hey Jane clinical care team will take place over Spruce (like chatting in a doctor’s office!)

‍

Question 13

In what locations are the abortions performed?

Answer

The consultation for your abortion will take place online wherever the patient is located within California, Colorado, Connecticut, Illinois, New Jersey, New Mexico, New York, and Washington. The abortion treatment will take place wherever the patient feels most comfortable taking the medications within California, Colorado, Connecticut, Illinois, New Jersey, New Mexico, New York, and Washington. If you are not in those states, the organization Plan C has information on obtaining abortion pills.

Question 14

I am planning to travel during my treatment. Is that okay?

Answer

We recommend staying put for the first 48 hours of the treatment to ensure you have easy access to the bathroom, a comfortable space, and the ability to easily contact us if any questions come up.

Question 15

I live in a state that recently banned abortion. Am I eligible to get the medications mailed to me?

Answer

Unfortunately, no. In order to meet state regulations, you must be physically located in CA, CO, CT, IL, NJ, NM, NY, or WA to begin the treatment process and have the medications mailed to your location.

Question 16

How do I know if I’m eligible for care?

Answer

We are actively helping patients physically located in the states of CA, CO, CT, IL, NJ, NM, NY, and WA.

Additionally, in order to be confirmed for treatment with Hey Jane, patients must meet our medical eligibility requirements—which patients will be asked about during the intake process. This allows us to safely provide them the medications virtually. If for some reason patients don't meet our medical eligibility requirements, we may recommend that they go get an ultrasound before treatment or seek in-person care.

We require the person who is pregnant to complete our intake process for both the medical safety of the patient and to meet legal requirements. To verify the identity of the pregnant person, we ask them to provide a photo of themselves holding their ID. To learn more about our ID requirements, head here.

The best way to tell if you are eligible for treatment with Hey Jane is to begin our intake form.

Question 17

What are your medical eligibility requirements?

Answer

In order to be approved for treatment with Hey Jane, you must meet our medical eligibility requirements—which you'll be asked about during the intake process. This allows us to safely provide you the medications virtually. If for some reason you don't meet our medical eligibility requirements, we may recommend that you go get an ultrasound before treatment or seek in-person care.

Question 18

Who can get a medication abortion with Hey Jane?

Answer

For now, we're offering treatment for people in California, Colorado, Connecticut, Illinois, New Jersey, New Mexico, New York, or Washington. We're expanding to more states soon.
People who are 18 and older.
People who have a gestational age of 10 weeks or less. Gestational age is how long you've been pregnant. It's measured from the first day of your last menstrual period.
People who are medically eligible.

If you have any of the following, you might not be able to get treatment with Hey Jane:

Irregular periods
History of an ectopic pregnancy or tubal ligation (having your tubes tied)

It's rare to have a medical condition that would make medication abortion unsafe. Prior to getting treatment with Hey Jane, a provider will go over your medical history to make sure treatment with Hey Jane is safe for you.

Hey Jane provides care, regardless of immigration status, and you can provide any form of ID that has your name, photo, and date of birth. You must be the pregnant person to complete our intake forms, and speak to our care team.

If you are under 18, visit ineedana.com for more information about the laws in your state and how to access the treatment you need. For legal support, call or text Jane's Due Process' hotline: (866) 999-5263.

Question 19

I’m on my someone else’s insurance. Will they find out that I got an abortion with Hey Jane?

Answer

We won’t ever discuss your treatment with your partner, parent, or anyone else. However, as part of regular health insurance communications, your insurance company sends some of your confidential health information—like the services you received and when—to the policyholder of your health plan.

Question 20

How much does Hey Jane cost?

Answer

The cost of treatment with Hey Jane will vary depending on how you pay. There are two ways to pay for care: using your insurance, or through Hey Jane's sliding-scale offering.

Pay through insurance: We currently accept Aetna insurance plans in all states we operate in. If you use your insurance, our team will help you understand your expected coverage and costs.

Get sliding-scale pricing: We take a tiered approach to pricing — your price is determined by your personal and financial circumstances.

At this time, we accept payment via credit card, debit card, or cash card. You can also use your HSA/FSA. If you need financial assistance, we have partnered with abortion funds in select states to help support eligible Hey Jane patients.

Occasionally, a sonogram or lab work may be needed to ensure that medication abortion is right for you or for diagnostic purposes following your treatment. While not covered in your payment to Hey Jane, we'll walk you through obtaining care and provide transparency on your options every step of the way.

Question 21

Can I use insurance with Hey Jane?

Answer

We currently accept Aetna insurance plans in all states we operate in. If you use your insurance, our team will help you understand your expected coverage and costs. We are actively working on expanding our insurance coverage through other partners. You can also use your HSA/FSA to pay for treatment.

Question 22

Do I need insurance to receive treatment from Hey Jane?

Answer

No, insurance coverage is not required to get care with Hey Jane. If we currently don't accept your insurance, or your insurance doesn't cover treatment with Hey Jane, we do offer cash pay prices. We're currently accepting Aetna insurance plans.

Question 23

Why is Hey Jane so affordable?

Answer

We're able to provide care remotely, meaning we don't assume the unnecessary costs of brick-and-mortar clinics. We're able to provide the same abortion treatment you'd get in a clinic at a way lower rate.

Learn more about the average cost of abortion in your state.

Question 24

Does Hey Jane offer financial assistance?

Answer

At this time, the best way to get financial assistance is through abortion funds—and Hey Jane has partnered with select abortion funds to help support eligible patients. Visit our Abortion fund partners page to learn more.

Question 25

Do you offer refunds?

Answer

If you decide not to move forward with abortion treatment with Hey Jane after payment, we are able to accommodate refunds within the first 24 hours of payment and before the prescription has been sent to the pharmacy. We cannot guarantee refunds in all circumstances due to our quick turnaround time. Please view our refund policy for details.

‍

Question 26

What will the packaging for the treatment look like?

Answer

The package will arrive in a plain white envelope to protect your privacy. The return address is listed as “HH” to ensure it’s not obvious who the sender is.

Question 27

What are the shipping times and how long will it take for my medications to arrive?

Answer

We know it’s important to get your treatment fast. Here’s what you can expect.

In order for us to confirm your request and add it to our queue, we need to…

Verify you’ve downloaded Spruce. This is the app you use to communicate with your provider. Here’s how to download. You will get access to Spruce as a Hey Jane patient.
Collect all required medical information. Most information is collected during your intake but a team member may reach out for more info after you’ve paid. Please keep an eye on Spruce and respond quickly to avoid delays.

Once we’ve confirmed your request, a provider will review your information within 1 business day (weekends and holidays excluded). If you’re approved for treatment, your prescription will be submitted to our mail-order pharmacy partner, Honeybee.

The pharmacy will mail the medication directly to your address via the shipping option you've selected. For Standard Shipping, we use Fedex Priority which should arrive in 3-5 business days. For Next Day Shipping, we use FedEx Express which should arrive in 1-2 business days.

For patients with PO box shipping addresses, our pharmacy partner will mail using USPS options.

Business days are M-F. Saturday and Sunday are not business days. In other words, medications are not prescribed and packages are not shipped on Saturday or Sunday. Occasionally, further delays may come into play.

Question 28

Can Hey Jane ship medications to PO boxes?

Answer

Our free standard shipping option—via USPS Priority Mail—can deliver to PO boxes. UPS Next-Day shipping, however, does not deliver to PO boxes at this time.

Question 29

How do I track my package?

Answer

Once your prescription has been submitted (within 1 business day after your intake is complete), you’ll receive an email with tracking information from our mail-order pharmacy partner, Honeybee. The email will come from noreply@honeybeehealth.com. If you don’t see it, try checking your spam folder.

Question 30

How do I join The Lounge at Hey Jane?

Answer

The Lounge at Hey Jane is our private peer-to-peer support forum. Access is available for Hey Jane patients only—if Hey Jane is your provider, we welcome you to join at any time! Message us on Spruce for more info. You will get access to Spruce as a Hey Jane patient.

Question 31

How can I contact Hey Jane?

Answer

Are you a Hey Jane patient?

Message us directly on the Spruce app.

Email us:

info@heyjane.co

Text us:

(405) 643-7957

Press inquiries:

press@heyjane.co

Interested in joining our team?

See our open roles or email hiring@heyjane.co

‍

Question 32

Where can I take the abortion medications?

Answer

Wherever you’re comfortable, like: your house, a loved one’s house, etc. Your treatment should take place within California, Colorado, Connecticut, Illinois, New Jersey, New Mexico, New York, or Washington. If you are not in those states, the organization Plan C has information on obtaining abortion pills.

Question 33

Do I take abortion pills orally or vaginally?

Answer

Mifepristone, the first medication of a medication abortion, is swallowed orally.

Misoprostol, the second medication, can be taken one of two ways; buccally (in the cheeks of your mouth) or vaginally.

Vaginal:

Either in a squatting position or lying on your back or side, use your finger to push 4 misoprostol tablets, one by one, deep into your vagina (at least one finger’s length inside). After the pills are inserted, lie down and wait for 30 minutes.

Buccal (between the cheeks of your mouth and gums):

Put 2 misoprostol pills on one side of your mouth (between your cheek and gums), and the other 2 on the other side of your mouth. Wait 30 minutes for the pills to dissolve, then swallow what is left of the pills. It is okay to swallow your saliva as the pills dissolve.

The medicine will work the same if you take it in your cheeks (buccally), but it can cause more nausea and other side effects.

Question 34

How should I prepare for an abortion with pills?

Answer

Here are some tips to help you get ready before you take the pills.

Pick up a few items from your local pharmacy or online store:

Menstrual pads (not tampons)
Heating pad
Over-the-counter pain medicine (ibuprofen is preferred)

Choose a time when you will take each medicine.

The cramping and bleeding usually start a few hours after you take the second medicine (misoprostol), so choose a time when you’ve had a good meal, plenty of rest, and can be in a comfortable, private place (like your home) where you can rest.

Drink plenty of water during the treatment process

Eating lightly (i.e. crackers or toast) may also help with nausea

Review treatment instructions and what to expect

Heavy bleeding, cramping, nausea, fever or chills are common side effects in the first 24 hours after taking the second medicine (misoprostol). Emergencies from this treatment are rare, and most symptoms can be treated from home with pain medicine and rest.

Make a safety plan in case you need emergency medical help. It’s very unlikely, but it’s important to be ready.

Identify the closest emergency room. You should be able to get there in 1 hour or less.
Determine how you would get to the emergency room. It’s not safe to drive yourself in an emergency situation.

Question 35

How do I take the abortion pills?

Answer

A huge benefit of abortion pills is you can perform the abortion privately.

The patient performs the abortion by taking the medications. Below are the steps to take the abortion pills:

‍

Step 1: Swallow one mifepristone (200 mg) pill with water.

‍

‍Wait 24-48 hours. Choose a time to start Step 2 when you’ve had a good meal and plenty of rest.

‍

30 minutes before Step 2, take 800 mg of ibuprofen (4 over-the-counter tablets). This will help decrease your cramps and bleeding, which usually start a few hours after Step 2.

‍

Step 2: Place 4 (four) misoprostol pills (800 mcg) inside your vagina OR between your cheeks and gums for 30 minutes

You must complete Step 2 even if you have started bleeding.

Vaginal:

Either in a squatting position or lying on your back or side, use your finger to push 4 misoprostol tablets, one by one, deep into your vagina (at least one finger’s distance inside). After the pills are inserted, lie down and wait for 30 minutes.

Buccal (between cheeks and gums):

Put 2 misoprostol pills on one side of your mouth (between your cheek and gums), and the other 2 on the other side of your mouth. Wait 30 minutes for the pills to dissolve, then swallow what is left of the pills. It is okay to swallow your saliva as the pills dissolve.

The medicine will work the same if you take it in your cheeks (buccally), but it can cause more nausea and other side effects.

‍

If you'd like to take Step 2 vaginally, you can take them the same day as step 1 so long as you are not already bleeding! If you plan on taking step 2 buccally, please take them between 24-48 hours after step 1.

Step 3: Place 4 misoprostol pills (800 mcg) between your cheeks and gums for 30 minutes.

You only need to complete Step 3 if:

You are more than 9 weeks pregnant, wait 4 hours and then complete Step 3
‍You are less than 9 weeks pregnant, only complete Step 3 if you have not had bleeding as heavy as a period 24 hours after Step 2.

Put 2 misoprostol pills on one side of your mouth (between your cheek and gums), and the other 2 on the other side of your mouth. Wait 30 minutes for the pills to dissolve, then swallow what is left of the pills.

Question 36

What should I expect after I take the abortion pills?

Answer

Remember that each person’s experience is different and the symptoms can vary from person to person.

Bleeding:

Heavy bleeding and strong cramps start a bout 1-4 hours after taking the second medicine (misoprostol). Heavy bleeding means the treatment is working.
Bleeding can be very heavy (usually heavier than your period), sometimes with clots (up to the size of a lemon). Heavy bleeding is normal. If you completely soak through 2 maxi pads per hour for at least 2 hours in a row, you are bleeding too much and should seek care.
Heavy bleeding can last for a few hours (usually around 6 hours), but usually not more than 24 hours, then gets lighter.
Use maxi pads so you can tell how much you’re bleeding. You can use tampons when the heavy bleeding lets up.
If you see pregnancy tissue (usually white or gray in color), it can be flushed down the toilet. You may not see it. The pregnancy is very small.
It’s normal to have bleeding or spotting for a few days or weeks after treatment. It may start and stop a few times. It should get lighter and lighter.
Your period should come back in about 4-8 weeks, but this is different for each person

Pain & Cramping: Strong cramping is a normal part of the treatment and usually starts a few hours after taking the second medicine (misoprostol).

Here are some things that can help:

Take pain medicine, like ibuprofen (or Tylenol if you’re allergic). You can take ibuprofen 800 mg every 8 hours (or Tylenol every 4-6 hours) as needed
Put a hot water bottle or heating pad on your belly
Take a shower
Sit on the toilet
Have someone rub your back
Drink warm tea or soup

You will cramp less and less as the hours and days go by.

Other common symptoms:

Fever and chills: are common during the first 24 hours after taking the second medicine (misoprostol). Ibuprofen or Tylenol can help. This should go away within 24 hours.
Headache: ibuprofen or Tylenol can help
Nausea, vomiting, diarrhea: this should go away in 1 or 2 days after you take the pills.
Feeling tired: you may feel tired for 1 or 2 days. You should be back to normal soon.
Breast changes: tenderness should go away within a week. You may leak a milky discharge. Wear a snug-fitting bra if you do. This should stop in a couple days.

When can I go back to my regular activities? It is safe to go back to your regular activities -- school, work, driving, exercise -- as soon as you feel up to it.

You can eat normally before, during, and after the treatment.
You can have sex and/or use tampons whenever you are ready.
You can take a shower or bath as soon as you want to.

You should start to feel better each day after treatment. Please let us know if you don’t.

Sadness or mood changes: You may feel relieved when the abortion is over. You may also feel sad or moody, which is normal and can come from hormonal changes now that you’re no longer pregnant. If you think your emotions are not what they should be, please talk to us. There are also great support text and talklines on our Resources page.

Question 37

When can I go back to my regular activities after taking the abortion pills?

Answer

It is safe to go back to your regular activities -- school, work, driving -- as soon as you feel up to it.

You can eat normally before, during, and after the treatment.
You can have sex and/or use tampons whenever you are ready.
You can take a shower or bath as soon as you want to.

You should start to feel better each day after treatment. Please let us know if you don’t feel better.

Question 38

What is Rh factor and why is it important?

Answer

Rhesus (Rh) factor is a protein some people have in their blood. If your blood has the protein, you are Rh positive. If your blood does not have the protein, you are Rh negative. About 85% of people are Rh positive. If you know your blood type, then you know if you are Rh negative or Rh positive. The + or - in your blood type tells you what your Rh type is. Your Rh type stays the same for your whole life.

If you have vaginal bleeding during pregnancy (like with an abortion, miscarriage, or during labor), fetal blood cells can enter your blood. If you are Rh negative, this can cause your body to develop Rh antibodies. These antibodies can cause serious problems in future pregnancies, which includes causing a severe anemia in the fetus.

Evidence shows that this risk is very low in pregnancies that are less than 10 weeks, even if you are Rh negative.

If you are Rh positive, you will not develop Rh antibodies.

Rhₒ(D) immune globulin (sometimes called RhoGAM) is a shot that can stop your body from producing Rh antibodies, so that you won’t have problems in future pregnancies. Some providers recommend this shot within 3 days of vaginal bleeding if you are Rh negative.

If you do not know your blood type, you can do a blood typing test at home or at a healthcare facility. If you choose to get further testing, please visit our Resources page to find a provider near you.

Your Hey Jane provider will discuss this further with you, too, in case you have any questions.

Question 39

How do I know if the abortion pills worked?

Answer

You should have cramping and bleeding after taking the second medicine (misoprostol), usually as heavy or heavier than your period.

Your pregnancy symptoms (nausea, breast soreness) should start to go away and disappear within about 1 week after using the pills. This is a good sign that you are no longer pregnant.‍

A pregnancy test will stay positive for about 4 weeks after the treatment (even if you are no longer pregnant), so it’s important not to take one sooner.

In the rare event that the treatment does not work, the abortion must be completed, since misoprostol has a small risk of birth defects. Additionally, if you have not passed the pregnancy after taking the medications, you may need to be evaluated at a healthcare facility to make sure you do not have an ectopic pregnancy (a pregnancy outside the uterus).

If the medications don't work, you may be able to take another round of medicines or you will need to get an in-clinic procedural abortion. At Hey Jane we will be with you every step of the way to make sure you get the care you need. To find abortion clinics near you, go to ineedana.com or visit our Resources page.

Question 40

What are symptoms I should be concerned about after taking the abortion pills? When should I contact a medical provider?

Answer

Throughout your treatment, we’re here to support you.

If you don’t find the answer to your question in this guide, you can always send a Hey Jane provider a message, and you should get a response within 24 hours.

Check out our Resources page for many support options, including talk/textlines and websites for things like emotional support during/after an abortion and much more.

Serious complications from this treatment are rare, and most side effects can be managed from home. For urgent concerns, we’ll give you a phone number to reach a provider 24/7 or you should go to your nearest emergency department.

Emergencies: When to Urgently Contact a Provider

If you have any of the following at any time:

You soak more than 2 maxi pads an hour for more than 2 hours in a row
Belly pain or cramps that don’t get better with pain medicine or a heating pad
Dizziness or vomiting lasting more than 4 hours
Weakness, nausea, or diarrhea lasting more than 24 hours

If you have any of these at least 24 hours after taking the misoprostol pills in Step 2:

Cramping or bleeding is not getting better
You have a fever of 101 F or higher (fever is common during the first 24 hours) - always check your temperature with a thermometer
You have not had bleeding as heavy as a period
Your belly pain is getting worse
You start to feel very ill after the heavy cramping and bleeding is over

One week after taking the pills, if you have any of the following:

You do not feel that you passed the pregnancy
Your pregnancy symptoms (such as nausea and breast tenderness/soreness) are not getting better
Cramping or bleeding is not getting better
You have a fever of 101 F or higher (fever is common during the first 24 hours)
Your belly pain is getting worse

Question 41

What is an ectopic pregnancy and how do I know if I have one?

Answer

An ectopic pregnancy is a pregnancy that grows outside of the uterus, often in the fallopian tube. Ectopic pregnancies are very rare -- they occur in approximately 1-2% of pregnancies. Risk factors for having an ectopic pregnancy include having one in the past, having an IUD in place when you became pregnant, and previous pelvic surgery or tubal ligation (having your tubes tied).

You can make sure that your pregnancy is inside the uterus by having an ultrasound. If you have a medication abortion without having an ultrasound first, there is a small chance that you could have an undetected ectopic pregnancy. Medication abortion will not end an ectopic pregnancy, so if you do not pass tissue and blood after taking the misoprostol (the second medicine), you might have an ectopic pregnancy.

Ectopic pregnancies can be a life-threatening situation if left untreated because if the pregnancy grows too large it can cause the fallopian tube to burst, which can cause severe bleeding. You should seek immediate medical care if you have worsening abdominal pain 24 hours after taking the medications, if you do not have bleeding within 24 hours after taking the medications, or if you continue to feel pregnant about 7 days after taking the medications.

Ectopic pregnancies are treated everywhere, even in places where abortion is restricted. Treatment for ectopic pregnancies depends on your particular situation and includes medications or surgery.

Question 42

Where can I get more information on birth control? When should I start?

Answer

It is important to know that you can become pregnant again almost immediately after using the abortion pills. For this reason, it is recommended to use condoms or another form of birth control if you don’t want to get pregnant.

You can get condoms, internal condoms, sponges, and spermicide at your drugstore. Condoms are the only method that protect against sexually transmitted infections.
If you have unprotected sex or the condom breaks, you can use emergency contraception (EC), also known as the morning-after pill. EC can help stop you from getting pregnant if you take it within 3 days of unprotected sex. You can get EC from the drugstore or from a healthcare facility.
There are many different birth control options available - including pills, the patch, the vaginal ring, and many more. The implant and the IUD are great options, too. Here's a good resource to explore your birth control options.
If you're interested in starting birth control, discuss this with your Hey Jane provider - they will happily answer any questions and send a prescription for you.
You can also go to this link to connect with a provider near you.
You can start birth control on the date you and your provider decide, even if you're bleeding.

Question 43

Who can I talk to for support after I’ve had an abortion?

Answer

Once you are no longer pregnant, you may feel relieved. You may also feel sad or moody, which is normal. These feelings may come from hormonal changes now that you are no longer pregnant. Our team is here to support you. If you think your emotions are not what they should be, please reach out to your Hey Jane provider.

You can also get support through Exhale’s free, national textline provides emotional support, resources and information. All texts are completely confidential and counselors offer support without judgment. If you’d prefer to call, Connect & Breathe’s confidential, toll-free talkline is available at 866-647-1764. Their talkline is staffed by trained volunteers, offering secular, unbiased information.

Hey Jane patients also have access to The Lounge, our private peer-to-peer support forum—message us on Spruce for more info. You will get access to Spruce as a Hey Jane patient.

Visit our Resources page for more support options, and a list of support talk and text lines.

Question 44

Is abortion safe? What are the risks?

Answer

Abortion is very safe, regardless of which kind you have. In fact, abortion is one of the safest medical procedures out there.

Complications occur in less than 0.4% of people for medication abortion, and less than 1% for in-clinic procedural abortion.

There are a lot of rumors about abortion and many aren't true. Abortion does not lower your chances of getting or staying pregnant in the future. Abortion does not cause infertility or cause birth defects in a future pregnancy. In fact, you can get pregnant almost immediately after having an abortion.

Having an abortion does not increase your risk for breast cancer and does not cause depression or mental health issues.

‍‍

Medication Abortion

Medication abortion is about 4 times safer than aspirin and 14 times safer than continuing a pregnancy.

Complications are rare and most are not serious.

The most common complication is a continued pregnancy. If the pregnancy continues after taking the abortion pill, you may be able to take more medicine or you will need to have an abortion procedure.
Serious risks, such as heavy bleeding and infection, are very rare.

One type of pregnancy that cannot be ended using pills is an ectopic pregnancy (a pregnancy outside the uterus) - ectopic pregnancies are very rare. Medication abortion does not end an ectopic pregnancy. Ectopic pregnancies can be life threatening, so it's important to follow up with a doctor if you still feel pregnant one week after taking the pills. Contact your doctor immediately if: you do not have bleeding within 24 hours after taking the medications, you continue to feel pregnant about 7 days after taking the medications, or you have worsening abdominal pain more than 24 hours after taking the medications.

Question 45

What is medication abortion and how does it work?

Answer

Medication abortion (also called the abortion pill) is a safe and effective way to end an early pregnancy. It was approved by the FDA in 2000 to end pregnancies up to 10 weeks. Today, nearly 40% of abortions in the US are done with medications. The simple treatment involves taking two medicines over a couple days.

The first medicine you take is mifepristone, which blocks the pregnancy hormone (progesterone) and stops the pregnancy from growing. Then, 24-48 hours later you take a second medicine, called misoprostol. Misoprostol causes cramping and bleeding to empty the uterus.

You can expect bleeding like a heavy period. Taken together, these two pills work up to 98 out of 100 times to end an early pregnancy.

After you take mifepristone (the first medication), you must complete the abortion. If treatment with medication does not work the first time, you may have the option to repeat the medicines or you will need an in-clinic procedural abortion. Hey Jane will be with you every step of the way to make sure you get the support and care you need.

No sedation or general anesthesia needed.

Question 46

Is medication abortion with Hey Jane safe?

Answer

Abortion, regardless of the type you have, is very safe. Having an abortion does not cause breast cancer or mental health issues. It also does not make it harder to have children in the future.

Hey Jane uses the same evaluation procedures and medications as an in-person medication abortion. Therefore, if you follow the instructions, we expect that it will be equally effective and safe. Complications from this treatment are very uncommon - they occur in less than 1% of patients. When used correctly, the medications work up to 98% of the time.

Hey Jane has several potential advantages over an in-person abortion with pills:

You don’t have to go in person to a clinic, which may make it more convenient and less costly.
You may be able to schedule the consult sooner than you could go to a clinic for treatment.
It may be more private because you can speak with a Hey Jane provider from your home.

Hey Jane may also have disadvantages for some:

If someone other than you opens the package that you're mailed, they could find out that you are having an abortion.

Since Hey Jane does not require blood tests or ultrasounds:

Your risk for an undiagnosed ectopic pregnancy (a pregnancy outside the uterus) may be increased. Ectopic pregnancies are very rare.
It is possible that your pregnancy dating (how far along you are in your pregnancy) could be inaccurate. Taking the abortion pills later in your pregnancy is not unsafe; however, you can have more bleeding or the treatment may not work.

While very unlikely, if the treatment does not work or if you any problem occurs, your Hey Jane provider will make sure you get the care you need every step of the way.

Question 47

Is medication abortion the same thing as emergency contraception (like Plan B)?

Answer

In short, the answer is no. The abortion pills (mifepristone and misoprostol) are very effective to end a pregnancy, but they cannot be used to prevent a future pregnancy.

If you have unprotected sex or the condom breaks, you can use emergency contraception (EC), also known as the morning-after pill or Plan B. EC can help stop you from getting pregnant if taken within 3 days of unprotected sex. You can get EC from the drugstore or from a healthcare facility.

It is important to know that you can become pregnant again almost immediately after using the abortion pills. For this reason, it is recommended to use condoms or another form of birth control if you don’t want to get pregnant.

You can get condoms, female condoms, sponges, and spermicide at your drugstore. Condoms are the only method that protect against sexually transmitted infections.
There are many different birth control options available - including pills, the patch, the vaginal ring, and many more. The implant and the IUD are great options, too. Here's a good resource to explore your birth control options.
If you're interested in starting birth control, discuss this with your Hey Jane provider - they will happily answer any questions and send a prescription for you.
You can also go to this link to connect with a provider near you.
You can start birth control on the date you and your provider decide, even if you're bleeding.

Question 48

What’s the difference between a medication abortion (an abortion with pills) and an in-clinic procedural abortion?

Answer

For ending a pregnancy in the first trimester, there are a few options:

A medication abortion at a clinic
A medication abortion online (like with Hey Jane)
An in-clinic procedural abortion

MEDICAL ABORTION (THE ABORTION PILL)

A medication abortion is when you can take pills to end a pregnancy at home (or a location of your choosing). It is approved for pregnancies up to 10 weeks from the first day of your last menstrual period. The pills cause bleeding in order to pass the pregnancy, similar to an early miscarriage.

You can get a medication abortion two different ways:

At a clinic: You will have an in-person visit with a medical provider, who will give you the abortion pills to take at home.
‍
Through a telemedicine consultation, like with Hey Jane: Your consultation is done online from your home, and your provider will mail the medications directly to you - these are the same medications that you would get from a clinic.

IN-CLINIC PROCEDURAL ABORTION

Procedural abortion in the first trimester is performed by a trained provider at a healthcare facility. Gentle suction is used to remove the pregnancy. It can be used for pregnancies up to 12-14 weeks*, depending on your state’s laws.

All of these options are safe and effective, so your choice should be based on what’s important to you.

‍

* Depending on your state’s laws, procedural abortions may be possible after 14 weeks. To learn more about your state’s laws or to find a clinic near you, please visit our Resources page or ineedana.com.

Question 49

What is the difference between a miscarriage and an abortion?

Answer

Pregnancy loss, often called a miscarriage, happens when a pregnancy stops growing. This is very common. About 1 in 4 pregnancies end in pregnancy loss, mostly in the first few months of being pregnant.

Miscarriage is almost never caused by something the pregnant person did. Sex, past abortions, foods, exercise, birth control do not cause pregnancy loss. Miscarriage is usually caused by chromosomal abnormalities that happen by chance in early embryonic development. When a pregnancy starts, cells divide fast to make an embryo, and sometimes mistakes occur. If the body notices that an error has occurred, the pregnancy stops growing.

Most types of pregnancy loss don't mean that you'll have any trouble getting pregnant in the future. For most people, miscarriage in the first trimester is a one-time event and they will then go on to have a healthy pregnancy the next time. In fact, you can become pregnant very soon after a pregnancy loss.

During a miscarriage, the you may have:

Bleeding or spotting from the vagina, sometimes with clots
Cramps, belly or back pain

These symptoms can last for days to weeks, and it's good to let a medical provider know. If you have a fever or very heavy bleeding, you should go to the emergency room.

If you are diagnosed with a miscarriage or believe you might be having a miscarriage, you have several options which include: allowing your body to pass the pregnancy tissue on its own; using medications (i.e. the same pills used in a medication abortion) to induce cramping and bleeding in order to speed up the process; or you can have a procedure in a health clinic in which a medical provider removes the pregnancy tissue with gentle suction.

The emotional experience during a miscarriage is different for everyone, and it can be hard. If you need emotional support around pregnancy loss, check out throughtheheart.org. Check out our Resources page for more information on where to get support.

Question 50

How do I know if I'm pregnant and how long I've been pregnant for?

Answer

Most people find out that they are pregnant if they are sexually active and miss their period. Symptoms of early pregnancy include nausea/vomiting, breast tenderness, and fatigue (feeling tired). The only way to know for certain if you are pregnant is with an ultrasound or pregnancy test (a urine or blood test). You can do a urine pregnancy test from the first day you missed your period and after. Before this time, the level of hormones made by the pregnancy might be too low to show up on the test.

If your period is regular (it comes around the same time every month), you can use the date of your last period to figure out how far along the pregnancy is. Count from the first day of your last menstrual period, include that day and start counting up until today. If you have an irregular period or have been on birth control recently, this might not be accurate. In this case, we suggest seeking care at a healthcare facility. Find out where to get in-person care on our Resources page.

Question 51

How many weeks into pregnancy do I need to make a decision?

Answer

Hey Jane treats patients up to 10 weeks of pregnancy.

You may have different options available to you depending on where you live (and the laws in your state). It may be harder to get an abortion after 11 or 12 weeks of pregnancy in some states, so it’s important to try to have the abortion as soon as possible, if that’s what you choose.

If you might continue your pregnancy, start taking a daily prenatal vitamin.

Be careful when looking for a reliable health center. There are fake clinics called ‘crisis pregnancy centers,’ managed by anti-abortion activists. At these facilities, they may not offer you all the facts about your pregnancy options. Visit our Resources page for more.

Question 52

What is a CPC (Crisis Pregnancy Center) and why should I avoid them?

Answer

A CPC or Crisis Pregnancy Center is a fake clinic. While they may offer free services like ultrasounds or parenting classes, their mission is to stop you from getting abortion care. CPCs are not regulated like regular medical clinics, and though they may appear clinical, they’re not real health care facilities. CPCs often tell people inaccurate information about abortion, contraception, STDs, and sexual health in general. Because they’re not a medical clinic, they’re not required to give accurate medical information or services. They sometimes prevent or delay people from receiving medical care by withholding their medical records. At Hey Jane, we discourage our patients from using the services CPCs provide.

When looking for a place to have an ultrasound performed, confirm your pregnancy, or find your real pregnancy options, know that a trustworthy medical clinic will answer all of your questions related to your pregnancy and won’t hesitate to help you find an abortion provider.

Here are two trusted sites to guide you to legitimate abortion providers:

At Hey Jane, we are a fully accredited and regulated abortion provider and are happy to help keep you informed and comfortable, so that you can make the best choice for you.

Question 53

How do I spot a CPC (Crisis Pregnancy Center)?

Answer

CPCs are often made to look like medical facilities and use tactics like free ultrasounds or diapers to lure people in. They might have volunteer nurses or doctors, but many do not. They generally do not practice medicine (outside of an occasional ultrasound or STI test), and they do not provide true information or use standard medical ethics. They may offer "abortion reversal" (which is not safe), falsely imply abortion causes infertility or breast cancer or even long term mental trauma, myths that have been proven fals through years of scientific research.. Look for the words ``pregnancy options'', “pregnancy resource center”, “pregnancy care center”, “pregnant and scared?”, or “need help?” in internet search results, advertisements, and signage. Call before you walk in, ask what services they provide and ensure they are open discussing all of your options. If at any point they won’t explain who they are or what services they offer, or if they refuse to refer you to an abortion provider, they might be a CPC.

Here are two sites to help you identify CPCs in your area:

Question 54

What are my pregnancy options and how do I decide what to do?

Answer

For a full overview of your options (including pregnancy, different types of abortion, and adoption), please check out our Options Counseling page.

For more support in making a decision, you can call or text the All Options Talkine.

Question 55

How will state-specific laws affect my pregnancy options?

Answer

Depending on how far along your pregnancy is, you may have different abortion options available to you—some of this depends on the laws in your state. It may be harder to find a healthcare provider to do an abortion after 11 or 12 weeks of pregnancy in some states, so it’s important to try to have the abortion as soon as possible, if that’s what you choose.

To find out more about what is legal in your state and where to go if you are at a later stage in your pregnancy and want an abortion, visit Ineedana.com or the National Abortion Federation hotline. The Guttmacher Institute also provides a state-by-state breakdown of current Abortion Laws - see An Overview of Abortion Laws. All links can be found on our Resources page, too.

Frequently Asked Questions

Popular Questions

How Hey Jane Works

Patient Eligibility

Payment and Insurance

Shipping and Tracking

Popular Questions

Abortion Care with Hey Jane

General Abortion Questions

Pregnancy and Common Questions