Patient's question:
Around 40 days pregnant! If you don't want it, should you choose an abortion or medication abortion? What are the side effects of abortion and medication abortion? Could medication abortion result in incomplete miscarriage? Will abortion affect future fertility? What if medication abortion is incomplete? ....... What is a D&C procedure?Doctor's answer:
Hello, medication-induced abortion can be used within 49 days. The medication mifepristone currently used has a dosage of only 1/4 to 1/3 of the initial dose, so the side effects are not significant, mainly including worsening early pregnancy symptoms and fatigue. The side effects of prostaglandins are primarily gastrointestinal reactions, such as nausea, vomiting, diarrhea, and lower abdominal pain due to uterine contractions. Some individuals may experience fever, dizziness, flushing, and numbness.To prevent or treat gastrointestinal side effects, compound ethinyl estradiol or metoclopramide can be taken before and after medication. For severe abdominal pain, painkillers and spasmolytics such as pethidine or atropine derivatives can be used. However, it is important to avoid using anti-prostaglandin medications like indomethacin, flurbiprofen, or salicylic acid derivatives.
?? A small number of pregnant women may experience abortion after taking mifepristone. 80% of women using prostaglandin drugs expel the chorionic villi sac within 6 hours; about 10% expel it within 1 week of medication. Therefore, it is important to monitor the expelled material if there is any bleeding. If tissue is expelled at home, it should be brought to the doctor for examination to confirm whether it is chorionic villi tissue.
?? According to whether the chorionic villi sac is expelled or not, follow up at the medical institution where the medication was administered within 8 to 15 days after taking the drug, as prescribed by the doctor, to determine the effectiveness of medication-induced abortion. If medical staff determine that the medication-induced abortion has failed or is incomplete, an artificial abortion procedure must be performed to terminate the pregnancy.
?? Although the chorionic villi sac is expelled during medication-induced abortion, the decidua tissue in the uterus is slowly expelled, so the bleeding period is longer, averaging 18 to 20 days. Some women may develop anemia or complications such as postpartum hemorrhage due to excessive bleeding and prolonged duration.