We’re Here For You
At carafem, we believe health care should be easy to understand, easy to access, and centered around you and your needs. We value you, your time, and your preferences, so we’ve built the carafem experience to be compassionate, convenient, and centered around you. If you are looking for abortion, birth control, or testing, we’re here to help.
carafem offers abortion care (abortion pill and the carafem procedure), birth control, and testing healthcare services. We pride ourselves on easy to understand information and real talk and always put your needs first. To learn more about any of our services, you can visit one of the pages below.
Pregnant and Not Sure What To Do?
First and foremost, take a deep breath. You are not alone. We got you and we support you no matter what you choose. You can call us anytime at (855) Say-Cara to discuss your options. Curious about what services we offer? Just keep reading. We’re always here to help. Call us for anything, anytime: (855)-SAY-CARA
Frequently Asked Questions
Answering questions is our thing! Whether you’re wondering about costs or curious to understand how far along you are in your pregnancy or just have a specific question about abortion, check out our frequently asked questions to get some answers.
Visit our FAQ »
Cost and Appointments
We understand that out-of-pocket costs are a big concern and play an important factor in your decision. Head to our cost page to learn more about how much you will pay out of pocket for a procedure, and whether your insurance company will be able to cover any costs.
More about abortion costs »
An unplanned pregnancy can create a lot of different emotions. It may be helpful to talk through what is happening and how you are feeling. We trust All-Options, NAF, and Exhale. Each organization provides a different kind of support but all are friends of carafem. some of your options.
- All-Options: An organization that offers confidential and judgment-free support before, during, or after your abortion. Visit All-Options.org or call 1-888-493-0092.
- National Abortion Federation: The NAF offers many tools to help you decide what to do about an unplanned pregnancy. For unbiased information about abortion, and possible financial assistance, call 1-800-772-9100.
- Exhale: Are you looking for space to process your feelings about abortion? Exhale is here for you. Call their talk line at 866-647-1764 or text them
Have more questions?
Emergency contraception is like our little back-up friend who is the last line of defense against pregnancy. If you’re not on any type of preventative birth control, you can still protect yourself in the heat of the moment. Use a condom, or diaphragm, or enjoy outercourse (other activities other than vaginal sex). If none of these things happen, look to this famous back-up method: EC. (Sometimes you forget to take your pills, or you forget a condom, or you just need some peace of mind – whatever it is, EC can help.)
The “morning-after pill,” Plan B, or what we call emergency contraception (EC) is an awesome resource to take after sex to prevent pregnancy.
There are some EC options: over-the-counter (non-prescription), prescription, or the copper IUC. You can take EC up to five days (or 120 hours) after unprotected sex but effectiveness decreases each day if you are taking over-the-counter EC (like what you received at carafem, or Plan B One-Step, Next Choice One Dose, and My Way).
Ella, the newest form of EC, is available by prescription and it works up to 5 days, like other EC pills. Most importantly, it does not decrease in effectiveness during those 5 days.
Getting a copper IUC (brand name Paragard), is the most effective EC. It lowers your chance of pregnancy by 99.9%! However, it requires making an appointment, and having a provider insert it. Please contact us as soon as possible if you are interested in using a copper IUC as EC.
Is your birth control not working for you? Find out what other options you have to prevent pregnancy.
It’s been more than 5 days since your unprotected moment? Think you’re already pregnant? You still have options. Read more information about emergency contraception.
What is Depo Provera?
Depo Provera, DMPA, or “the shot” contains a progestin. This is similar to the hormone progesterone, which is naturally produced by the female body. DMPA is given by injection every 12 weeks and is slowly absorbed into the bloodstream to prevent pregnancy. Depo-Provera is the brand name of DMPA.
How does DMPA work?
DMPA works by:
- preventing ovulation (egg release from the ovary)
- thickening of the mucus of the cervix so that sperm cannot enter the uterus (womb)
How effective is DMPA?
DMPA is up to 99% effective. This means that of 100 people using DMPA consistently over a year, it is possible that 1 woman may become pregnant.
What are the advantages of DMPA as a method of contraception?
- a long-acting, highly effective method of contraception
- does not require daily pill-taking
- suitable for people who can’t take contraceptives containing estrogen
What are the disadvantages of DMPA as a method of contraception?
DMPA changes bleeding/period patterns. It is not possible to predict which changes will occur, but they can include:
- most commonly, periods stop completely after the first or second injections
- irregular or spot bleeding
- prolonged bleeding (this is usually light, however, can cause inconvenience to people)
- heavy bleeding (rare)
What are the possible side effects of DMPA?
DMPA has few side effects. However, side effects may include:
- small weight gain in some people
- change in sexual interest
- mood changes
DMPA use is associated with a slight loss of bone density, but this loss is largely reversible once DMPA use finishes. The injection is long-acting and if side effects occur they may last up to 3 months (it is not possible to reverse the effects of an injection once it is given).
For more information or to report an adverse event, you can call the FDA at 1-800-FDA-1088.
The Difference Between Emergency Contraception and the Abortion Pill.
Both emergency contraception and the abortion pill (medical abortion), are excellent resources should you find yourself with an unintended situation.
Whether the condom broke, you forgot to take some birth control pills, you’re a little late getting your shot, or maybe you didn’t know what birth control to use. Things happen. You still have options: emergency contraception to prevent pregnancy, or the abortion pill for if you have become pregnant and you don’t want to be.
There are some key differences between the two methods. Here’s a chart to map out those differences and help you figure out your next steps.
The most important difference: have you just had sex and are looking for a way to prevent pregnancy? Look to emergency contraception. Or have you already taken a pregnancy test that says you’re pregnant, and you don’t want to be? Look to the abortion pill.
|The Important Questions||Emergency Contraception (EC)||Medical Abortion (Abortion Pill)|
|What are we talking about?||Otherwise known as the “morning-after pill” or Plan B||Also known as medication abortion or RU486|
|When is it most effective?||Works up to 5 days (120 hours) after unprotected sex||Taken within the first 10 weeks of pregnancy|
|How does it work?||Prevents pregnancy by either preventing an egg from being released or allowing a fertilized egg to pass through the uterus without implanting||Stops pregnancy growth and stimulates the uterus to cramp, bleed, and expel the pregnancy|
|Are there different kinds?||There are 4 different types of EC including Copper IUD, Ella, Levonorgestrel Based Pills||A combination of two different medications: mifepristone and misoprostol|
|Does it cause an abortion?||EC works before a pregnancy test will register positive: within 5 days after sex.||Yes.|
|How do I get it?||Can buy it over the counter from your drugstore||Must go to a trained provider at a clinic or health center|
|How much does it cost?||Levonorgestrel Pills: $25 at carafem||$350-600 at carafem|
|What are the side effects?||Irregular bleeding, headaches, nausea||Bleeding, cramping – similar to a miscarriage|
|Is it safe?||Yes||Yes|
Finding out you’re pregnant:
If you had vaginal sex and you haven’t gotten your period since it may be a good idea to get a pregnancy test.
Some potential signs of pregnancy:
- Missing your period
- Breast tenderness
- Nausea, vomiting
Finding out you’re pregnant can cause a lot of different reactions. It may be helpful to take some time to really process what is happening, and then to reach out to a support person to help talk through some of your options.
In addition to our services, there are several online resources we recommend:
Deciding on abortion:
carafem supports you no matter what you choose. You can call us anytime to discuss what you’re going through and we can help you plan and prepare for next steps—judgment-free and with clear information.
Some questions to think about:
- How do you feel about being pregnant? Do you want to have a baby? Is this the right time to be responsible for a child?
- What are your values around when and how you would like to be a parent?
- Would you be able to take care of a baby? Would you be able to afford it?
- Would you have a support system to help raise this child?
- What will happen to your goals, hopes, and overall life path?
- Would you still be able to go to school? Participate in activities or clubs? Go to college? Or pursue the kind of career you want?
- How will this affect my other children?
If you are thinking about abortion, making your decision within the first 10 weeks will make it a safer, less expensive, and easier process.
Additionally, consider some laws that may be in your state such as parental notification or consent.
Talking to an adult:
Telling an adult, especially your parents, “I’m pregnant” and/or “I want an abortion”, may seem like the hardest conversation you will ever have. If you need help, carafem can be with you throughout this process.
Some quick pointers:
- Choose the right time
- Keep calm and stick to the facts.
- Keep in mind: being uncomfortable is only temporary—you will have to move forward one way or another.
- They may take some time to process like you did.
- You know what’s best for yourself, but it can be helpful to involve a supportive person to help think things through.
Check out these links for more tips: