Can I have a medical abortion when I am more than 20 days pregnant?

There are many ways to abandon the baby in your belly after pregnancy. For example, medical abortion, artificial abortion, and induced abortion surgery. These three methods are used at different times. Medical abortion can be used in the first month of pregnancy, artificial abortion can be used in the first to third months of pregnancy, and when the pregnancy exceeds the third month, only induced abortion can be used. Compared with the three methods, medical abortion will cause less harm to the human body. So, can medical abortion be done in the 20th day of pregnancy? How to carry out medical abortion?

Can I have a medical abortion when I am 20 days pregnant?

Compared with surgical abortion and medical abortion, no equipment enters the uterus during the process of medical abortion, the possibility of infection after abortion is relatively small, and the possibility of injury to the uterine wall is also small. During the abortion operation, the suction device must be inserted into the uterus and the appendages in the uterine cavity must be scraped out. If the doctor performing the operation is experienced, the uterine wall will not be injured. However, if the operation is not performed properly, the uterine wall may be damaged. The uterine wall is like a "farmland". If the uterine wall is covered with scars, the "seeds" in the future may lose the "soil layer" for growth and development.

The key to medical abortion is to do it early, so people with regular menstrual cycles can detect pregnancy in time. Medical abortion can be performed in the early stages of pregnancy (39 to 49 days from the first day of the expected date of delivery). Before performing medical abortion, you must do a B-ultrasound examination. First, you must rule out the possibility of ectopic pregnancy; secondly, you must accurately measure the size of the gestational sac. If the gestational sac exceeds 2.3 cm, it is not suitable for medical abortion. In addition, the entire process of medical abortion is relatively long. You need to take medicine at home for 3 days, and then go to the hospital to take dilation drugs on the day of abortion. Then go to the hospital for observation for several hours, and the doctor will determine whether the gestational sac has been expelled from the body. There is also one thing I want to remind everyone: medical abortion has a 5% failure rate. If it fails, surgical abortion is required to save it.

The bleeding time after medical abortion is relatively long. If the bleeding continues for more than 1 week, you must go to the hospital immediately and ask the doctor for help. It is very dangerous to take medicine to cause a miscarriage.

In addition to considering future fertility issues and choosing medical abortion, it is also safer to choose medical abortion during breastfeeding when the uterus is relatively soft. Women who have had cesarean sections before have uterine scars, and women with uterine fibroids may have changes in the shape of their uterus. In these two situations, abortion surgery is more difficult, and medical abortion can also be considered.

In recent years, there is also a technology that cooperates with the use of general anesthesia during abortion surgery, and there is almost no pain during the operation. It is suitable for people who react more sensitively to pain and those who have a psychological fear of miscarriage. However, it is required that the pregnant woman's heart function is normal and she has no allergic symptoms to anesthetics.

Experts warn that no matter which method is used, it must be performed in a reliable hospital (only Grade II A or above hospitals are qualified to perform this type of surgery), and must not be performed in a small clinic that does not have professional standards. Otherwise, inflammation may cause blockage of the fallopian tubes, leading to serious harm of infertility.

No matter which method is chosen, it is a necessary precautionary measure, there are certain risks, and it may even seriously endanger life. The best way is to use appropriate contraceptive methods to reduce unwanted pregnancies.

Medical abortion is mainly for early pregnancy less than 45 days.

How to carry out medical abortion?

The whole process of medical abortion is:

1. Strict selection should be made before taking the medicine, including understanding medical history, conducting systemic and gynecological examinations, laboratory tests such as early pregnancy test, leucorrhea cleanliness, trichomonas and fungi, routine blood test and blood type, and B-ultrasound examination when necessary.

2. The doctor will explain in detail how to take the medicine, the efficacy of the medicine and the possible side effects, and you can only take the medicine after asking for your consent.

3. Take mifepristone orally in the first few days, and take misoprostcycline on the last day. Avoid eating for two hours before and after taking the medicine. Stay in bed after taking prostacyclin on the last day, because miscarriage will occur within two hours.

The current common dosage is 150-200 mg, which can be taken all at once or divided into two doses over no less than 3 days.

4. On the third day, go to the hospital outpatient clinic and add prostacyclin Chinese medicine preparations: 1 mg of Carprofen suppository placed in the female vagina or 600 mg of misoprostol taken orally. Went to the hospital for observation for 6 hours.