Patient's question:
The last menstrual period was on August 10th. At 60 days, an ultrasound revealed that the embryo was too small and had no heartbeat. The doctor recommended a follow-up in one week. At 67 days, a color Doppler ultrasound showed a gestational sac measuring 13mm25mm14mm with a fetal pole of 4mm, but no cardiac activity was observed, suggesting a possible missed miscarriage. I would like to ask if it is now medication abortion or surgical abortion? Is it possible to have an abortion under anesthesia? I have a history of cesarean section and it has been 3.5 years since then.Doctor's answer:
The best time for medication abortion is within 49 days of pregnancy. You have already been pregnant for about two months, so I recommend choosing a painless uterine preservation abortion. It has a quick recovery time, does not harm the uterus, and does not affect future fertility. If you choose medication abortion, the failure rate will increase. If the medication abortion is incomplete, a second uterine evacuation may be required. In your current situation, it is recommended to seek medical attention as soon as possible. The longer you wait, the greater the harm to you. Wishing you a smooth recovery.