Why are women who have not given birth not suitable for medication abortion?

Patient's question:

My sister got married a while ago, and she and her husband are very lovey-dovey now. He had never been in a relationship before, and this was his first one. He heard from others that women who have not been pregnant are not suitable for medication abortion. She wants to consult about this. Why is that?

Doctor's answer:

Regarding the conditions for medication abortion, it generally does not include the type you mentioned. Women who have not become pregnant are not suitable for medication abortion. There are usually two conditions for medication abortion. The first condition is that the duration of missed periods should not exceed 49 days. The second condition is that an ultrasound examination needs to be performed to confirm an intrauterine pregnancy. Generally, for women who have not become pregnant, since the cervix is relatively tight and it is their first pregnancy, medication abortion is usually more appropriate. If a surgical abortion is performed, the pain is relatively greater, and it is less acceptable for women who have not become pregnant.

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