When is it most appropriate to have a medication abortion?

Patient's question:

Doctor, hello: I would like to ask a question. My last menstrual period started on October 15th and ended on the 21st. Then, on the 30th, I had sexual intercourse with my partner. It is now the 18th of this month, and my period has not arrived yet. I usually have very regular periods. I took a pregnancy test, and it showed that I might be pregnant. Is it appropriate for me to go to the hospital for medication abortion? Does medication abortion work?
Follow-up question: Doctor, hello: You said to first confirm if it is an intrauterine pregnancy. How can I know if it is an intrauterine pregnancy without a test? What is an ectopic pregnancy? Does ectopic pregnancy affect life? Ectopic pregnancy

Doctor's answer:

Hello: Based on your situation, it is first necessary to confirm an intrauterine pregnancy. If you are within 49 days of pregnancy, you can consider medication abortion. However, this should be done under the guidance of a doctor. After medication abortion, you can generally return to normal work after resting for 2-3 days. But you should pay attention to the following basic points:
- Rest appropriately and avoid excessive workload;
- Avoid catching a cold or getting sick;
- Eat more nutritious foods to help your body recover quickly;
- Maintain cleanliness of the external genital area. You should not have sexual intercourse for one month, as the damaged endometrium needs time to heal and to prevent infections of the reproductive organs.
Two weeks after medication abortion, you should observe whether there is bleeding or abdominal pain. If necessary, go to the hospital for an ultrasound examination. If incomplete abortion is detected, immediate uterine evacuation should be performed.
If you suddenly experience heavy active bleeding, fever, severe abdominal pain, or other symptoms, you should seek medical attention immediately.

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