Cannabinoids for Pain Control During Medical Abortion

Inclusion Criteria: * Aged 21 years or older * Consented for elective medical abortion * Pregnancy with intrauterine gestational sac up to 10 0/7 weeks, dated by ultrasound * Able and willing to receive text messages via phone * English speaking * Able and willing to give informed consent and agree to the study terms * Have assistance at home; no motor vehicle use while taking study medications Exclusion Criteria: * Desires to continue pregnancy or currently breastfeeding * Lack of access to cell phone and texting capabilities * Prior participation in this study * Early pregnancy failure * Contraindications to the study medications: Marinol or marijuana derivatives, sesame oil, Ibuprofen * Contraindications to medical abortion with Mifepristone or Misoprostol * History of methadone, buprenorphine or heroin use within the last year * History of a seizure disorder * Used marijuana 5 or more days in the last week * History of any adverse effects associated with prior use of recreational or medical marijuana products, or sensitivity/allergy to Marinol.