Can I have abortion by medicine if I am more than 40 days pregnant?

There are two main ways to perform an abortion, one is surgical abortion and the other is medical abortion. Compared with surgical abortion, the success rate of medical abortion is relatively low, but medical abortion eliminates the need for surgery, so many women still choose medical abortion. However, medical abortion is only for women who are in a relatively early stage of pregnancy. If the pregnancy is too advanced, the success rate of medical abortion will be greatly reduced. So, can medical abortion be chosen at 40 days of pregnancy?

Can I have abortion by medicine at 40 days of pregnancy?

Medical abortion refers to the use of Mifepristone tablets plus misoprostol to terminate early pregnancy. The former causes degeneration and necrosis of the uterine decidua and softening of the cervix, while the latter causes contraction of the uterus and promotes the expulsion of the embryo. Experts say that the best time for medical abortion is to terminate the pregnancy within 49 days after an unexpected pregnancy. Of course, this is only a reference time for medical abortion. The specific time for medical abortion is mainly based on the results of B-ultrasound examination. Medical abortion is appropriate when the gestational sac reaches a certain size. It is not as people usually think that the earlier the medical abortion is done, the better.

It usually takes three to four days to terminate an unwanted pregnancy with medical abortion. Under normal circumstances, it takes four days to take the medicine for medical abortion, on an empty stomach, one tablet each morning and evening for the first three days, and three tablets at a time on the fourth day. Generally, there is no feeling in the first three days, but the pain becomes more severe after taking the medicine on the fourth day. Some people do not react obviously.

When taking mifepristone, the adverse reactions are mild and most women do not feel anything. After taking the medicine, you can go home and work as usual. A few people may experience mild dizziness, abdominal pain, and a small amount of vaginal bleeding (bleeding or not does not affect the abortion effect). After taking misoprostol, about 70% of people will expel the fetal sac within 4-6 hours.

Someone asked, how long after a medical abortion can you have sex? Experts said that it is basically normal to have lower abdominal pain and a small amount of vaginal bleeding after a medical abortion for no more than a week. If you feel obvious discomfort after one week, you need to have a follow-up check-up in time. Under normal circumstances, women should actively undergo anti-inflammatory treatment and take relevant care measures after having a medical abortion. They should refrain from sexual intercourse within one month and avoid contact with cold water.

The dangers of medical abortion

1. It may easily cause incomplete abortion. Some women suffer incomplete miscarriage after taking the medicine, which affects uterine contraction and the repair of endometrial wounds, causing a significant increase in vaginal bleeding, which is 2-3 times more than the normal menstrual volume. In severe cases, heavy bleeding may occur, leading to anemia and shock, requiring blood transfusion and emergency surgery to curettage and stop the bleeding.

2. Affect future pregnancy. If an unmarried woman has repeated pregnancies and miscarriages, the endometrium may be repeatedly damaged. Because the endometrium is damaged, once they need to have a normal pregnancy, they are prone to placenta previa, which can cause heavy prenatal bleeding. Some women also experience habitual miscarriage due to medical abortion.

3. Endocrine disorders. Medical abortion can disrupt female endocrine system and induce gynecological inflammation. The process of medical abortion can cause adverse reactions such as abdominal pain, nausea, and diarrhea. In addition to the physical damage, the hormonal changes it causes are also difficult to detect. Mifepristone has a steroidal structure and is an antiprogestin that interferes with the supportive effect of progesterone on pregnancy at the uterine receptor level. It disrupts the endocrine system, and the body needs time to recover. Mifepristone is very harmful to women's ovaries and uterus.