Experiencing severe chills, shivering, or a mild fever is a very common side effect of misoprostol (the second abortion pill).
Misoprostol temporarily affects your body’s temperature regulation as it causes the uterus to contract. These chills typically begin within a few hours of taking the medication and usually resolve on their own within 24 hours.
Effective Ways to Manage Chills at Home
Use Warm Layers and Blankets
Dress in comfortable, warm layers and keep extra blankets nearby. Because your body temperature can fluctuate rapidly between chills and warmth, wearing loose clothing that is easy to put on or take off helps you stay comfortable.
Use a Heating Pad Safely
Applying a low-to-medium setting heating pad to your abdomen or lower back can help soothe both cramping and the physical discomfort of chills. To protect your skin, always place a cloth or towel between the heating pad and your body.
Stay Hydrated
Chills can sometimes accompany mild dehydration or a temporary temperature rise. Sip water, herbal tea, or clear broths regularly throughout the process to keep your body properly hydrated. For more details on what to expect during the process, read our guide on expert answers on abortion.
Over-the-Counter Pain Relievers
With your clinician’s approval, taking anti-inflammatory medications like ibuprofen can help manage both the cramping and mild fever or chills associated with the medication. Always review your dosage and medication compatibility with your care team. To understand how remote clinical guidance supports you through symptom management, explore our overview on how does a virtual abortion work.
When Chills Indicate Something More Serious
While chills are normal during the first 24 hours after taking misoprostol, they can sometimes signal an infection if they occur later or are accompanied by other red flags.
Contact Your Clinician Immediately If You Experience:
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A persistent, high fever (over 100.4°F or 38°C) that does not come down with medication or lasts longer than 24 hours after taking the pills.
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Chills that start several days after the procedure rather than immediately.
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Severe pelvic pain or tenderness that is not relieved by pain medication.
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Heavy bleeding that soaks through two or more maxi pads per hour for two consecutive hours.
To learn more about safe healing milestones and warning signs, review our detailed guide on how to heal after an abortion.
Confidential Support with Serenity Choice Health
At Serenity Choice Health, we prioritize your long-term wellness, clinical safety, and complete data security from your initial consultation through your ongoing care.
Book Your Confidential Appointment Today
If you have questions about your recovery symptoms or need to speak with a clinician securely, please book a telehealth appointment with our clinical team today.
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.
