How long after pregnancy can you have medication abortion?

Patient's question:

My friend probably got pregnant around November 17-19.
Is it suitable to have a medication abortion now?
How long after pregnancy is it suitable to have a medication abortion?
What are the differences between medication abortion and induced abortion?

Doctor's answer:

The best time for medication abortion is when the gestational age is less than 49 days, which is within one and a half months after the last menstrual period. At this time, the uterus is not too large, there is not much gestational tissue, and the fetus is also small. Compared to this, the risk of medication abortion within the best time frame is relatively lower. However, it is necessary to stay in the hospital to observe whether the gestational tissue is completely expelled, as improper abortion can lead to severe bleeding.
The process of medication abortion is not as simple as some advertisements claim. From taking the medication to the abortion, it generally takes 3-4 days. During this period, there may be certain adverse reactions, such as nausea and abdominal pain, and some women may even experience spasmodic abdominal pain, which can also affect health. If the bleeding is prolonged or excessive after medication abortion, it may lead to anemia and infection. However, its long-term side effects still need further observation. Close monitoring is required after medication, and if the abortion fails, surgical termination should be performed promptly. Moreover, medication abortion is not suitable for everyone.

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