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March 6, 2026
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Over half of U.S. abortions now done with pills, not surgery

More than half of U.S. abortions are now done with pills rather than surgery, an upward trend that spiked during the pandemic with the increase in telemedicine, a report released Thursday shows.

In 2020, pills accounted for 54% of all U.S. abortions, up from roughly 44% in 2019.

The preliminary numbers come from the Guttmacher Institute, a research group that supports abortion rights. The group, by contacting providers, collects more comprehensive abortion data than the U.S. government.

Use of abortion pills has been rising since 2000 when the Food and Drug Administration approved mifepristone — the main drug used in medication abortions.

The new increase “is not surprising, especially during COVID,” said Dr. Marji Gold, a family medicine physician and abortion provider in New York City. She said patients seeking abortions at her clinic have long chosen the pills over the medical procedure.

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