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How to Buy Abortion Pills in North Dakota: A Comprehensive Guide

March 02, 2024 13:10

March 14, 2024 19:46

Reading time: 10 minutes


Accessing safe and legal abortion services is a fundamental right for individuals in North Dakota. However, restrictive laws and limited healthcare options can make it challenging for people to obtain the care they need. In this guide, we will discuss how to buy Abortion Pills in North Dakota and navigate the process with confidence and dignity.

Section 1: Understanding Abortion Laws in North Dakota

Following the Supreme Court’s overturning of Roe v. Wade:

North Dakota has implemented a stringent new abortion ban with few allowances.


As of April 24, 2023, North Dakota has put into effect a complete abortion prohibition, barring the procedure at any point during pregnancy, except in cases of severe health risks or potential fatality. Victims of rape and incest are permitted abortions up to six weeks into gestation.

Following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, which nullified Roe v. Wade, North Dakota initially tried to enforce its trigger ban, but this was halted by a court injunction. Subsequently, the state repealed and replaced it with the current all-encompassing ban.

North Dakota has rescinded several other abortion-related laws, such as gestational restrictions at six weeks, and twenty weeks post-fertilization, bans on D&E procedures, and abortions sought for reasons of sex or genetic abnormalities.

The state only permits abortions post-viability and disallows D&X procedures. Additionally, North Dakota mandates a mandatory twenty-four-hour waiting period, biased counseling, and the offer of an ultrasound; alongside bans on public funding, and private insurance coverage.

Moreover, the state necessitates consent from both parents, legal guardians, or a judge for a minor’s abortion.

North Dakota upholds TRAP laws focusing on abortion providers, including facility standards, admitting privileges requirements, and reporting obligations. The state mandates that only licensed physicians can provide abortion care and prohibits the use of telemedicine for such purposes. Violations of these regulations may lead to civil and criminal penalties for providers.

State Policies

North Dakota does not provide explicit constitutional or statutory protections for abortion. Instead, the state’s stance leans heavily towards banning abortion outright: “Between normal childbirth and abortion, it is the policy of the state of North Dakota that normal childbirth is to be given preference, encouragement, and support by law and by state action, it being in the best interests of the well-being and common good of North Dakota citizens.” While the state Supreme Court has acknowledged that the right to life and safety encompasses the right to an abortion, it is only permitted when necessary for the individual’s health or life preservation.

Post-Roe Restrictions

In 2023, North Dakota replaced its 2007 trigger ban with a comprehensive ban. However, the state’s pre-Roe ban from 1973 was also repealed.


Following the Supreme Court’s decision to overturn Roe v. Wade, North Dakota has instated a new total abortion ban with limited exceptions.

Section 2: Abortion Pills

Abortion Pills (KillPreg), also known as Medication Abortions, provide a non-invasive and safe way to terminate an early pregnancy.

What are Abortion Pills?

Abortion Pills are a combination of medications typically used to terminate a pregnancy up to 11 weeks gestation. The two most common medications used in Medication Abortions are Mifepristone and Misoprostol. These medications work together to effectively end a pregnancy by inducing contractions and expelling the contents of the uterus.

Types of Abortion Pills:

1. Mifepristone: Also known as the “Abortion Pill,” Mifepristone is typically the first medication taken in a Medication Abortion regimen. It works by blocking the hormone progesterone, which is needed for pregnancy to continue.

2. Misoprostol: Misoprostol is usually taken 24 to 48 hours after Mifepristone. It causes the uterus to contract and expel the pregnancy tissue. This medication is crucial in completing the abortion process.

How to buy Abortion Pills in North Dakota
How to buy Abortion Pills in North Dakota

Section 3: Process of Obtaining and Using Abortion Pills:

There are several ways to obtain Abortion Pills in the US, including:

1. Clinics: Planned Parenthood and other healthcare clinics provide abortion services, including prescribing and administering Abortion Pills.

2. Telemedicine Providers: Some organizations offer remote consultations and mail-order services for obtaining Abortion Pills.

3. Online Pharmacies: Some reputable online pharmacies (Panda Healthcare) may also offer Abortion Pills, but caution is advised to ensure the quality and legality of the medications.

Steps to Purchase Abortion Pills in North Dakota:

In light of law restrictions, many individuals in North Dakota turn to Abortion Pills as a safe and effective alternative for terminating early pregnancies. Abortion Pills, also known as Medication Abortion or the abortion pill, consist of two medications — Mifepristone and Misoprostol — that are taken in sequence to induce a miscarriage. These pills are FDA-approved and are over 95% effective in terminating early pregnancies up to 10 weeks gestation.

While purchasing Abortion Pills in North Dakota may present challenges, there are legal and safe ways for individuals to access them. Here are some steps to consider:

1. Consult with a Telemedicine Provider: Due to the restrictive abortion laws in North Dakota, seeking guidance from a telemedicine provider can be a discreet and convenient option. Several online platforms offer telemedicine services for Medication Abortion, allowing individuals to consult with a licensed healthcare provider remotely and receive a prescription for Abortion Pills.

2. Purchase Abortion Pills from a Trusted Source: Once you have a prescription for Abortion Pills, you can purchase them from a reputable online pharmacy or reproductive health organization. It is crucial to ensure that the source is legitimate and follows FDA guidelines for dispensing medication.

3. Follow Dosage Instructions Carefully: When taking Abortion Pills, it is important to carefully follow the dosage and administration instructions provided by your healthcare provider. This includes taking the medications in the recommended sequence and seeking medical assistance if you experience any complications.

4. Seek Aftercare Support: After taking Abortion Pills, it is common to experience side effects such as cramping and bleeding. It is essential to have access to aftercare support, either from your healthcare provider or a local abortion fund, to address any concerns or complications that may arise.

Navigating the Challenges:

Buying Abortion Pills in North Dakota, a red state with restrictive abortion laws, can be a daunting task. However, with the availability of telemedicine services, reputable online pharmacies, and supportive networks, individuals can access safe and effective abortion care discreetly and legally. It is crucial to know your rights, seek reliable information and support, and prioritize your health and well-being throughout the process.

Once the pills are prescribed, the individual can take them in the comfort of their own home. It is essential to follow the provider’s instructions carefully, including the correct dosage and timing of the medications. In most cases, a follow-up appointment or check-in is recommended to confirm the completion of the abortion and address any concerns.

How do Abortion Pills work?

Mifepristone is taken first, usually at a healthcare provider’s office. It works by blocking the hormone progesterone, which is needed for the pregnancy to continue.

Misoprostol is taken 24 to 48 hours later, either at the provider’s office or at home. It causes the uterus to contract and expel the pregnancy tissue.

Dosage recommendations:

The typical dosage for Mifepristone is 200 mg, taken orally.

The typical dosage for Misoprostol is 800 mcg, taken buccally (placing the pills in the cheek pouches) or vaginally.

The specific dosages and administration instructions may vary depending on the healthcare provider and the stage of pregnancy.

Possible side effects:

Common side effects may include cramping, bleeding, nausea, vomiting, diarrhea, and headache.

Serious side effects are rare but can include heavy bleeding, infection, and incomplete abortion.

When to seek medical help:

It is important to seek medical help if you experience severe abdominal pain, heavy bleeding that soaks through more than two pads per hour for two hours in a row, fever, or signs of infection.

Follow-up care with a healthcare provider is crucial to ensure that the abortion is complete and to address any concerns or complications.

Considerations and Precautions:

Before opting for Abortion Pills, it is crucial to consider the following factors:

1. Gestational Age: Medication Abortion is most effective in the early stages of pregnancy, typically up to 10 weeks gestation. Beyond this timeframe, other abortion options may be recommended.

2. Potential Risks and Side Effects: While Abortion Pills are generally safe, they can cause side effects such as cramping, bleeding, and nausea. In rare cases, complications may occur, so it’s essential to be aware of the potential risks.

3. Emotional Support: It’s normal to experience a range of emotions before, during, and after an abortion. Having a support system in place, whether it’s friends, family, or a counselor, can be beneficial during this time.

Section 4: Support Resources and Counseling Services

Medical Abortion, also known as Medication Abortion, is a safe and effective option for terminating early pregnancies. While Medical Abortion can be a private and discreet method, individuals may benefit from accessing support resources and counseling services throughout the process.

1. Abortion Funds:

Abortion funds are grassroots organizations that help individuals cover the cost of abortion care, including Medical Abortion. These funds provide financial assistance, transportation support, and advocacy for reproductive rights. Organizations such as the National Network of Abortion Funds (NNAF) and local abortion funds across the country offer resources and support to individuals seeking abortion care, including Medical Abortion.

2. Telemedicine Providers:

Telemedicine providers offer remote healthcare services, including consultations and prescriptions for Medical Abortion. Through telemedicine platforms like Planned Parenthood Direct, TelAbortion, and Aid Access, individuals can access Medical Abortion services from the comfort of their own homes. Telemedicine providers also offer counseling services and aftercare support to ensure individuals have a positive experience with Medical Abortion.

3. Reproductive Health Clinics:

Reproductive health clinics, such as Planned Parenthood and independent abortion providers, offer comprehensive Medical Abortion services, including counseling and support throughout the process. These clinics have trained healthcare professionals who provide accurate information, emotional support, and aftercare services to individuals undergoing Medical Abortion. Additionally, reproductive health clinics may offer sliding-scale fees or financial assistance programs to make abortion care more accessible.

4. All-Options Talkline:

The All-Options Talkline is a national resource that provides confidential support and counseling to individuals navigating pregnancy, abortion, adoption, and parenting decisions. The Talkline offers nonjudgmental and compassionate support for individuals considering Medical Abortion, as well as information on practical resources, emotional support, and referrals to abortion providers.

5. Counseling and Mental Health Services:

Seeking counseling and mental health services can be beneficial for individuals undergoing Medical Abortion, as the process can evoke a range of emotions and experiences. Mental health professionals, therapists, and counselors can offer support, coping strategies, and a safe space to process emotions related to the abortion experience. Organizations like Exhale Pro-Voice and Hotline provide confidential emotional support and counseling services to individuals post-abortion.

6. Online Communities and Support Groups:

Online communities and support groups can provide individuals undergoing Medical Abortion with peer support, shared experiences, and a sense of community. Platforms like Reddit’s r/abortion and the 1 in 3 Campaign offer online forums, discussion groups, and virtual support spaces for individuals to connect, share stories, and access information about Medical Abortion.


Navigating the process of buying Abortion Pills in North Dakota can be complex and challenging, but with the right information and support, individuals can access the care they require with dignity and respect.

By understanding the laws, options, and resources available, individuals can make informed decisions about their reproductive health and rights. Remember, you are not alone, and help is always available for those who seek it.

Additional information — Abortion laws of North Dakota.

Full information about delivery options.


Dr. Kopp Kallner. M.D. in Obstetrics & Gynecology, Columbia University Medical School.

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