What self-administered medical abortion really looks like


In April, the FDA relaxed its regulations to allow people to access abortion pills by mail (although they still need a telemedicine visit) during the COVID pandemic, allowing some self-administered abortions.

Vogue teens spoke to a young woman who, due to various factors, decided to manage her abortion on her own with medication. Below, she explains why she had an abortion outside of a clinical setting, what it looked like, and how managing her own abortions made her feel.

Makayla, Texas

Makayla had just turned 20 when she found out she was pregnant. She got misoprostol and decided to have an abortion at home on her own.

“It was about a year after my first abortion, so I didn’t really like the idea of ​​going back to a clinic. I had my first abortion at 15 weeks, and unfortunately I was so far away because I couldn’t access care earlier. I had to go to an emergency pregnancy center, which delayed my care for weeks. And it made a big difference in the cost and the time I had to spend in this clinic. So this time I was lucky enough to find out that I was pregnant so early.

Yet during this year I have not been able to achieve financial stability. Fortunately, I knew more people in the reproductive health system in Texas, so when I found out I was pregnant, I knew who to turn to so I could get medication.

I had a roommate at the time but they weren’t there and I wanted to be alone, just me and my cats. That’s how I feel empowered, usually – doing things on my own. But I had supportive people I could talk to who could help me take care of myself, drop off snacks, pregnancy tests, and sanitary napkins. So I felt supported that way.

I was in my bed able to sleep for the most part, honestly, with just like a big old maternity pillow. I would get up every few hours to take my meds, go to the bathroom, then go back to bed. Being able to be in the comfort of my home when I’m going through a tough time is kind of all everyone wants, isn’t it? I felt like I had a lot more power and control than I ever would have felt in a clinic.

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You want more Vogue teens? Check this out: Biden administration launches first gender equity strategy, including plans to protect abortion

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