See, this is very interesting for me, because I have also had an abortion, and while I don't relate at all to any mental or emotional stress or distress, and didn't really feel any toll in that regard (I, myself, was very flippant about it, and still am. I respect that some women won't be, but I had no feelings but relief about it), so I won't comment on that portion, I was entirely blown out of the water by the physical pain of the procedure.
I feel like anything I'd read, including a great many medical sources, feminist sources, and the actual instructions given with the medication, didn't prepare me at all for what to expect, and in fact, I feel like it was minimized by a lot. I went into it expecting "extra rough period cramp" type of pain. Several articles (and the advice given by with the meds) advised to put on a comfort show and have some food that I enjoy; take some over the counter pain meds. It was easily the worst pain I've felt in my life. I had an abdominal surgery a few months ago, I've broken a few bones, I cut the tip of my finger off last year, and none of these, even a teensy bit, compared to the mildest pain I experienced during my abortion.
I was completely blindsided. I almost caved and asked to be taken to the hospital, because NOTHING I had read had described anything even close to how bad the pain was. It came in waves, and there would be thirty to forty minute intervals where I couldn't even speak if I wanted to. I curled into a ball and just laid there. I won't lie and say it wasn't traumatic.
My first thought, tbh, was "holy shit, is this what other women's period cramps feel like? Have I just been lucky this whole time?" But a while back, when I still used TikTok, I came across an abortion joke video, and a ton of women in the comments were discussing how painful it was, and how they weren't prepared for it properly because they'd been told to expect much milder pain.
It was about a 9 hour process, for me, and as soon as the pain waned, I was out like a light. I had no residual symptoms the next day, thankfully, but during it I was almost positive that something had to be going wrong, because I hadn't seen anyone anywhere mentioning that it could hurt that bad.
I'd have made the same choice, regardless, but honestly I think some much stronger pain medication should be prescribed, and I think more research should be done to find out what factors impact how bad the pain will be, so we can at least be better prepared for what to expect.