Researchers have provided evidence that accessing abortion relates to anticipated, experienced, and internalized stigma. These aspects of stigma have previously been associated with increased psychological distress and physical health symptoms. However, there has been no research on how anticipation, perception, internalization, and stigma-related isolation are related to psychological distress and somatic (physical) symptoms. We examined this question in an online volunteer sample of women in Ireland (N = 155) who have had an abortion. Internalized stigma and stigma-related isolation significantly predicted higher levels of psychological distress, and internalized stigma also significantly predicted somatic symptoms. The direct effect of each type of stigma on somatic symptoms was mediated by psychological distress. Thus, to the extent that women had internalized greater stigma and isolated themselves, they also reported increased psychological distress, and this psychological distress predicted increased somatic symptoms. The relation between internalized stigma and somatic symptoms was also moderated by stigma-related isolation. Our findings complement and extend the existing literature on the relations between stigmatized identities, psychological distress, and physical health problems, particularly regarding women who have accessed abortion. They also indicate that those involved in policy-making and activism around reproductive rights should avoid inadvertently increasing the stigma surrounding abortion.Keywords: stigma, abortion (attitudes towards), distress, physical health, somatization ABORTION STIGMA AND WOMEN'S HEALTH 3 Internalized Stigma and Stigma-Related Isolation Predict Women's Psychological Distress and Physical Health Symptoms Post-Abortion Unwanted pregnancy happens: Around the world, 41% of all pregnancies are unplanned (Singh, Sedgh, & Hussain, 2010). Although some of these pregnancies are voluntarily continued, in other cases people want and need to access abortion services. Indeed, abortion is one of the most common gynecological procedures, experienced by 81 women around the world every minute (Kumar, Hessini, & Mitchell, 2009). Despite the prevalence of abortion, it is sometimes assumed that accessing abortion negatively affects women's well-being, as evidenced by the creation of a supposed "post-abortion syndrome" (PAS), based on the criteria for post-traumatic stress disorder (Reardon, 1987). Hopkins, Reicher, and Saleem (1996), however, claim this supposed syndrome was identified by those with an anti-abortion agenda, and argue that it is used to restrict abortion access (see also Beynon-Jones, 2017). In line with this, evidence demonstrates no consistent effect of abortion on women's well-being (American Psychological Association, 2008; Hanschmidt, Linde, Hilbert, Riedel-Heller, & Kersting, 2016; Major, Appelbaum, Beckman, Dutton, Russo, & West, 2009;Rubin & Russo, 2004).The empirical literature suggests that it is the stigmatization of abortion that may lead women...