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Bleeding and cramping are the most common signs that abortion pills are working properly. Heavy bleeding with clots often occurs within several hours after taking misoprostol and may continue throughout the day. Cramping can range from mild to intense as the uterus empties. Some people also experience nausea, diarrhea, chills, or tiredness temporarily. After the main process ends, bleeding generally becomes lighter and pregnancy symptoms start to fade. These reactions are usually expected during a medical abortion. However, very heavy bleeding, fainting, or severe pain that does not improve may require urgent medical attention. Proper follow-up care is important to confirm successful completion.

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