Is medication abortion better than surgical abortion?

Patient's question:

I am 38 years old, have never been pregnant, had one medication abortion, and four induced abortions. I am pregnant again this time, but due to special circumstances, I cannot carry the pregnancy. It is less than thirty days since I became pregnant. With my condition and age, can I decide to have a medication abortion?

Doctor's answer:

According to your description, medication abortion can be performed, but first, an ultrasound examination is required to carefully observe how the gestational sac enters the uterine cavity, because a diagnosis of the gestational sac entering the uterine cavity is necessary before medication abortion can be implemented.
Recommendation: Have a color Doppler ultrasound examination at the follow-up obstetrics department. As long as the gestational sac is visible in the uterine cavity, the doctor can prescribe abortion medication.
Note: Abortion medication should be taken under the guidance of a doctor for safety. Medication abortion is not significantly related to age; it is primarily determined for intrauterine pregnancies within 49 days.

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