Is medication abortion painful?

Patient's question:

Doctor, my girlfriend is pregnant and is planning to have a medication abortion. She is very afraid of pain. Is a medication abortion painful?

Doctor's answer:

Your girlfriend is preparing to have a medication abortion after becoming pregnant. A medication abortion is primarily achieved through the oral administration of drugs to induce miscarriage. It generally involves two medications. When taking the first medication orally, there is no pain. However, the last three tablets are usually taken orally, as this medication can enhance uterine contractions, which may cause pain to reappear. This pain is relatively mild compared to a surgical abortion and may be similar to menstrual cramps. It is generally tolerable, and if necessary, local cold compresses or oral hemostatic drugs can be used for symptomatic treatment.

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