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Your Top Questions on Abortion and Birth Control, Broken Down


Explore TikTok users’ top questions on abortion and birth control, answered by OB-GYN Dr. Raegan McDonald-Mosley.

Twenty-one states currently have abortion restrictions tighter than the precedent set by Roe v. Wade. Not only do these bans leave people without necessary reproductive healthcare, but they fail to set a precedent for how people in the U.S. should handle access to abortions and other forms of care. With abortion laws left up to the states, questions regarding safe and legal abortion are on the rise. 

Power to Decide is a nonprofit fighting for sexual and reproductive health advancement for all so that people have control over their bodies, allowing them to decide if, when and under what circumstances to have a child. Raegan McDonald-Mosley, MD, MPH, chief executive officer of Power to Decide and practicing OB-GYN, is dedicated to educating people on abortion and the healthcare options that come with it. 

As a helpful tool, Power to Decide created the series #AskDrRaegan as a way to provide candid, judgment-free sexual health information to young people by meeting them where they are: on social media. Below is a list of TikTok users’ top questions on abortion and birth control answered by Dr. Raegan. 

Is Medication Abortion Painful?

As an OB-GYN who provides abortions (along with other reproductive care), Dr. Raegan shares helpful and reliable abortion information on her #AskDrRaegan series via TikTok. The account, Bedsider, is a part of an evidence-based digital platform that offers medically accurate, relevant and resonant information on all aspects of reproductive well-being. Above, she shares information on pain that may come with medication abortions, as well as how to prevent and manage it. 

According to Dr. Raegan on medication abortion, some people experience small amounts of pain similar to period cramps whereas others experience pain similar to the contractions you have while giving birth. Although the pain from a medication abortion can last longer than a procedure, the pain should improve after passing the pregnancy.  

How Long Does an Abortion Take? 

@bedsider

Here’s what to know about how long each type of #abortion takes 🕰️ #AskDrRaegan #abortionfacts #healthclass #mifepristone #misoprostol

♬ Eternal – Danilo Stankovic

The two types of abortions—the abortion pill and abortion procedure—span under 10 minutes minutes to several hours. 

“With the abortion pill you take two different medications. The first medication stops the pregnancy from continuing to develop, and the second medication causes cramping and bleeding to empty your uterus,” said Dr. Raegan. 

The first medication taken to begin an abortion is mifepristone and the second is misoprostol—you might remember mifepristone from disputes around FDA approval of the medication in the U.S. Supreme Court in April and again most recently in December.  

Although the use of both pills is recommended by the World Health Organization, misoprostol-only abortions are 85 to 95 percent effective when used up to 11 weeks from the first day of your last period. 

Can I Be Asleep During an Abortion?

According to Dr. Raegan, there are various options for sedation during an abortion procedure. Anti-anxiety medication, conscious or moderate sedation, and general anesthesia are all examples of options offered through some abortion care providers. 

“Sedation may cost extra. You can, and should, ask your provider about what the options are for sedation. And be sure that you’re comfortable with those options,” said Dr. Raegan. 

I Threw Up Taking My Birth Control Pill. Now What?

@bedsider

It happens to the best of us! 😬 What to do. ⬆️ #AskDrRaegan #FAQ #Oops #TodayILearned #BirthControl #ThxBirthControl #foryou

♬ Eternal – Danilo Stankovic

“If you threw up within two hours of taking your pill, treat it as a missed pill and take the next pill in your pack right away,” said Dr. Raegan. 

She also notes that it’s a good idea to use a backup contraception method for the next seven days to prevent pregnancy. 

Will Birth Control Make Me Gain Weight? 

Although everyone’s body reacts differently to various birth control methods, most will not cause weight gain. 

“Research shows that the pill, the patch, the hormonal IUD, the ring, and non-hormonal methods like the copper IUD or condoms don’t cause weight gain. Studies do show that injectable birth control can cause weight gain. In fact, about one in four people who use the shot will gain some weight,” said Dr. Raegan. 

Up next:

U.S. democracy is at a dangerous inflection point—from the demise of abortion rights, to a lack of pay equity and parental leave, to skyrocketing maternal mortality, and attacks on trans health. Left unchecked, these crises will lead to wider gaps in political participation and representation. For 50 years, Ms. has been forging feminist journalism—reporting, rebelling and truth-telling from the front-lines, championing the Equal Rights Amendment, and centering the stories of those most impacted. With all that’s at stake for equality, we are redoubling our commitment for the next 50 years. In turn, we need your help, Support Ms. today with a donation—any amount that is meaningful to you. For as little as $5 each month, you’ll receive the print magazine along with our e-newsletters, action alerts, and invitations to Ms. Studios events and podcasts. We are grateful for your loyalty and ferocity.





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