Medical Abortion - Gynecology

What is Medical Abortion?

Medical abortion is the process of terminating a pregnancy using pharmaceutical drugs. It is a non-surgical method that is usually effective within the first trimester (up to 10 weeks of pregnancy). The most commonly used drugs for medical abortion are mifepristone and misoprostol.

How Does Medical Abortion Work?

Medical abortion typically involves a two-step process. First, the patient takes mifepristone, which blocks the hormone progesterone necessary for pregnancy to continue. After 24-48 hours, the patient takes misoprostol, which causes the uterus to contract and expel the pregnancy tissue.

Who is Eligible for Medical Abortion?

Medical abortion is generally recommended for women who are within the first 10 weeks of pregnancy. It may not be suitable for women with certain medical conditions, such as bleeding disorders, severe anemia, or those on long-term corticosteroid therapy. A thorough medical history and examination are essential to determine eligibility.

What are the Benefits of Medical Abortion?

Medical abortion is non-invasive, can be performed in the privacy of one's home, and avoids the risks associated with surgical abortion. It also allows women to have more control over the timing and setting of their abortion.

What are the Risks and Side Effects?

While medical abortion is generally safe, it can have side effects such as cramping, bleeding, nausea, vomiting, diarrhea, and headaches. Serious complications are rare but can include heavy bleeding, infection, or an incomplete abortion, which may require surgical intervention.

What is the Success Rate of Medical Abortion?

The success rate of medical abortion is approximately 95-98% when performed within the first 10 weeks of pregnancy. The effectiveness decreases slightly as the pregnancy progresses.

What is the Aftercare for Medical Abortion?

After a medical abortion, it is important to follow up with a healthcare provider to ensure the abortion is complete and to monitor for any complications. Patients should avoid inserting anything into the vagina, such as tampons or engaging in sexual activity, for at least two weeks to reduce the risk of infection.

Can Medical Abortion Affect Future Fertility?

Medical abortion does not typically affect future fertility. Most women can return to their normal menstrual cycle within a few weeks, and ovulation can occur as soon as two weeks after the abortion. However, it is important to discuss any concerns with a healthcare provider.

Are There Emotional Considerations?

Emotional responses to medical abortion can vary widely. Some women may feel relief, while others may experience a range of emotions, including sadness, guilt, or anxiety. It is important to have access to emotional support and counseling if needed.

What is the Legal Status of Medical Abortion?

The legality of medical abortion varies by country and region. It is essential to be aware of the local laws and regulations regarding abortion services. In some areas, telemedicine services may be available to provide medical abortion to those who cannot easily access a healthcare provider.



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