Yes, experiencing chills—and even shivering—is a very common and normal side effect of the second medication, misoprostol. While it can feel alarming, it is usually a temporary reaction that resolves within a few hours.
1. Why Chills Happen
Misoprostol interacts with the part of your brain that regulates body temperature. This can cause your internal “thermostat” to fluctuate rapidly.
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The Reaction: You may feel sudden, intense cold or shaking (chills), often followed by a temporary fever or feeling very flushed.
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Timing: These symptoms typically begin within 30 to 60 minutes of taking misoprostol and usually peak during the first few hours of the medication abortion process.
2. Differentiating Normal from Warning Signs
Because chills are so common, it is important to know the timeline of a normal recovery:
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Normal: Chills and a low-grade fever that appear shortly after taking the pills and disappear within 24 hours.
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A Concern: Chills that start several days after the procedure, or a fever that lasts longer than 24 hours, can be a sign of a rare infection and should be evaluated by a medical professional.
3. How to Stay Comfortable
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Layer Up: Keep blankets and warm socks nearby before you take the medication so you can easily bundle up when the chills start.
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Warmth from Within: Sipping warm herbal tea or broth can help soothe the internal shivering sensation.
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Pain Relief: Taking Ibuprofen as recommended not only helps with cramps but can also help regulate your body temperature and reduce the discomfort of a mild fever.
Support at Serenity Choice Health
We provide the clinical oversight to ensure your side effects stay within the normal range.
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24/7 Monitoring: If you are worried about the intensity of your chills or the duration of a fever, our medical team is available around the clock to provide guidance.
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Virtual Reassurance: Accessing free telehealth abortion in Illinois means you don’t have to guess if your symptoms are normal—you can get a professional opinion instantly.
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Recovery Tracking: We help you monitor your physical recovery milestones so you know exactly when you should be feeling back to your usual self.
Are the chills happening right now, or are you preparing your recovery space and want to know what supplies to have on hand? Contact our medical team or book a confidential appointment to review your symptom checklist.
Dr. James Carter is a board-certified physician and lead clinician at Serenity Choice Health, specializing in reproductive health access and medication abortion protocols. With over 20+ years of experience, he combines clinical expertise with patient-centered care to ensure safe, compassionate, and confidential reproductive healthcare.
