What conditions are required for medication abortion?

Patient's question:

I want to have a medication abortion. I have already gone to the hospital for an ultrasound, and the results showed the uterus to be 42mm long, 37mm wide, and 36mm thick. However, the doctor said it was too small and told me to wait a few more days before having the medication abortion. But I saw online that it's better to have a medication abortion as early as possible, and it can be done within 49 days after the last menstrual period. So I have some doubts and don't quite understand.

Doctor's answer:

Facing the increasingly popular trend of "medical abortion," women preparing to undergo medical abortion might as well listen to the advice from gynecology and obstetrics experts:


  ● The medication must be taken by women who are pregnant within 45 days of their last menstrual period and are under the age of 34;


  ● Good physical condition, no contraindications. Contraindications include: a history of or current severe systemic diseases, impaired liver and kidney function, allergic constitution, heart disease, high blood pressure, anemia, asthma, glaucoma, pregnancy-related skin itching, and suspected ectopic pregnancy, long-term heavy medication use, smoking more than 10 cigarettes daily, and alcoholism;;


  ● A B examination should be performed before taking the medication to confirm an intrauterine pregnancy;


  ● At least 3 to 5 days of rest should be taken after the abortion;


  ● Strictly follow medical advice and make follow-up appointments on time;


  ● Do not take the medication consecutively;


  ● The hospital chosen for consultation must have emergency conditions (such as the ability to perform emergency Dilation and Curettage, intravenous fluids, and blood transfusions);

  ● Do not use it as a common contraceptive method.

  After all, medical abortion is only a measure for failed contraception, and it can cause harm to women. Medical experts and ethicists agree that the more important thing is contraception, and during the process of contraception, men should understand how to care for women and take on a portion of the responsibility. Women, on the other hand, should proactively learn and master contraceptive methods, enhance their resilience, and shift from being passive to being proactive.

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