by | November 14, 2024

What Is an Abortion? Separating Facts from Myths

What is an abortion? Learn the truth about medical and surgical abortion methods, access, safety, and the facts that combat harmful myths and stigma.

Misinformation about abortion can be frustrating—and even harmful. Sometimes, it’s hard to answer the basic question, “What is an abortion?

Patients have come into my clinic full of anxiety after following advice they thought was medically grounded. One told me about visiting a crisis pregnancy center—designed to look like a legitimate clinic but aimed at discouraging people from seeking abortion care. She’d been given false information about her pregnancy, including how far along she was, which delayed the care she needed and put her at risk of losing her access to legal abortion care.

Let’s look at the facts about abortion—what it is, what it isn’t, and the truths you deserve to know. Whether you’re reading this to support someone else, inform yourself, or understand your options, I want to arm you with facts. No misinformation, no agenda—just real answers to help you make decisions with confidence.

Defining Abortion

Abortion is a medical procedure, but many details often get lost. Put simply, abortion ends a pregnancy, and different methods depend on how far along the pregnancy is and what’s best for the patient. 

Generally, there are two main types: medical abortion and surgical abortion. 

Medical abortion, often done in the early stages, uses two medications to end the pregnancy. The first, mifepristone, blocks hormones needed for the pregnancy to continue, while the second, misoprostol, helps the body expel the pregnancy naturally, similar to a heavy period. This process usually occurs within a few hours to a few days, allowing the patient to complete the procedure at home.

Surgical abortion is performed in a clinical setting generally, sometimes in hospitals, and involves safely removing the embryo or fetus using gentle suction or medical instruments, depending on the stage of pregnancy. The procedure is quick, often completed within minutes, and is minimally invasive, allowing patients to go home the same day.

Both methods are safe and effective when done under proper medical care. Studies, like those reported by the World Health Organization, confirm that access to abortion care is essential for health and well-being. Each method has different considerations, but both options exist to ensure the patient’s needs and safety come first.

Abortion and the Law

Abortion access is deeply shaped by federal and state law. In the United States, the legal landscape has shifted dramatically over the years. 

For nearly 50 years, Roe v. Wade protected the right to abortion, establishing it as a constitutional right up to around 24 weeks. But in 2022, the Dobbs v. Jackson Women’s Health Organization decision overturned Roe, leaving states free to set their own abortion laws. 

This patchwork of laws means your right to decide about your body depends on your ZIP code. For some, this means traveling hundreds of miles to get care, while others face wait times that can delay access until it’s too late. State laws also vary on other aspects, like waiting periods and scripted counseling, adding more obstacles for people trying to make timely, informed decisions. 

The lack of federal protections also opens the door for misinformation to thrive, especially in states where abortion access is restricted.

Balancing Medical and Emotional Considerations

Abortion is a safe medical procedure, and it’s essential that we separate the facts from the fear. 

Medical abortions and surgical abortions are extremely safe when performed under proper medical care, with rare complications. Abortion doesn’t affect long-term fertility, and both methods come with a low risk of physical side effects. But despite these facts, there’s a lot of misinformation that tries to paint abortion as dangerous or negatively life-altering.

The emotional side of abortion is just as misunderstood. For some, the decision is straightforward and empowering; for others, it can be deeply personal and complex. Emotional responses vary widely, which is why compassionate counseling support is often part of comprehensive abortion care. 

What matters most is having access to information and support, not judgment or fear. People deserve to make these decisions in a space that respects their values, beliefs, and emotional needs without pressure.

With factual information and access to compassionate care, one can approach this decision with confidence and clarity.

Social and Economic Impacts of Abortion

Abortion access can affect entire communities. I’ve seen patients who just needed a chance to stay in school, keep their jobs, or plan their families on their own terms. Access to abortion helps people do that.

Research shows that when people can make decisions about their pregnancies, they’re more likely to reach their goals and keep their families secure. But when abortion access is taken away, the impact can stretch across generations, especially for people from communities already facing systemic barriers.

The restrictions we see now don’t stop people from needing abortion care—they just make it harder to access, pushing people to travel farther, spend more, and take greater risks. This hits low-income folks, people of color, and those in rural areas hardest. The Brookings Institute explains how abortion laws reinforce existing inequalities, making it clear that abortion access is about fairness and opportunity as much as it is about healthcare.

Separating Abortion Facts from Myths

Misinformation about abortion is everywhere, and it does real harm. I’ve had patients come to me believing things that just aren’t true, from the myth that abortion causes infertility to claims that it’s always a dangerous procedure. 

The truth is that abortion is one of the safest medical procedures when done under proper medical care. Studies show it’s safer than childbirth, yet myths persist because some groups push these falsehoods to scare people away from making their own decisions.

One of the most damaging myths I hear is that abortion will affect someone’s mental health long-term. Research and my own experience both tell me that most people who have an abortion feel relief, not regret. Sure, some people might experience a range of emotions, but with the right support and counseling, we can process those feelings in a healthier way. Myths about lasting emotional harm only add more shame and stigma to something that’s already deeply personal.

Another dangerous area of misinformation is about contraceptives and emergency contraception. Many patients don’t know that emergency contraception is legal and available because they’ve been told otherwise. Some people think emergency contraception is the same as abortion pills. They are not. Emergency contraception works to prevent pregnancy. Abortion pills work to end an already-established pregnancy. Clearing up these myths gives people real power over their health and lives.

Push Past the Abortion Stigma

When it comes to abortion, the most important thing is that people have the information they need to make decisions that fit their lives, values, and health. 

Misinformation confuses people, pushing fear instead of facts. Abortion is safe, it’s a valid form of healthcare, and it’s a personal decision that belongs in the hands of the individual, not society’s judgment. Whether you’re here to support someone, educate yourself, or clarify your own options, I hope you walk away with a clearer view of what abortion is.

If we push past myths and stigma, we can give people the respect and autonomy they deserve. By knowing the facts, you’ll feel more empowered and help to lift some of the weight that misinformation tries to place on people’s shoulders. 

Abortion is about dignity and freedom, and pregnant people should have the power to decide to have or not have an abortion without coercion, fear, or shame.

About Dr. DeShawn

About Dr. DeShawn

Dr. DeShawn Taylor, a gynecologist, gender-affirming care provider, and reproductive justice advocate, has over 21 years' experience as an abortion provider, plus longer advocacy in reproductive healthcare. She leads the Desert Star Institute for Family Planning in Phoenix, Arizona, offering direct care, training, and advocacy to improve healthcare access. Dr. Taylor also serves as an associate clinical professor.