Can you have medication abortion if you are less than one month pregnant?

Patient's question:

I am now a mother of two and accidentally got pregnant again. I don't want this child and plan to have an abortion. I just want to ask if it's possible to have an abortion after being pregnant for less than a month.

Doctor's answer:

Less than one month into pregnancy is often not detectable through careful examination. The pregnancy duration is calculated from the first day of the last menstrual period, not from the time of sexual intercourse. Medical abortion is effective for early intrauterine pregnancy within 49 days. Based on your description of the situation, it is recommended to first visit a hospital for a thorough examination to confirm the pregnancy duration. Generally, around 40 days of missed periods, an ultrasound can be performed to confirm an intrauterine pregnancy. Once an intrauterine pregnancy is confirmed, the hospital can prescribe medication for abortion. If there are no contraindications to medical abortion within 49 days of missed periods, medication abortion can be considered. In medical abortion, 80% of cases result in successful miscarriage, while 20% may require incomplete miscarriage, often needing a second procedure to clear the uterus. After medical abortion, it is important to closely monitor vaginal bleeding and seek medical attention promptly if any abnormal symptoms occur.

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