Should we pay attention to whether the gestational sac is expelled during medical abortion?

1. How to choose a contraceptive method

Newly-weds: It is better to take short-acting oral contraceptives. Since the vagina of newly-wed women is tighter, it is not suitable to insert intrauterine devices and vaginal diaphragms.

Breastfeeding women: It is better to use a vaginal diaphragm plus contraceptive cream. It is not advisable to take oral combined contraceptives because it can affect the secretion of milk, which is detrimental to the growth and development of the baby.

Menopausal women: Because the ovarian function has gradually declined, it is better to use condoms, contraceptive films, and contraceptive suppositories instead of oral or injectable contraceptives, as these drugs may affect certain metabolic functions.

2. You must know the dangers of medical abortion

Generally, after the application of mifepristone and misoprostol, the gestational sac in the uterine cavity can be discharged in about 2-3 days. At this time, there will be more vaginal bleeding, and there may be reactions such as dizziness, nausea, vomiting, fatigue, abdominal pain, etc. The decidual tissue in the uterus often takes about 2 weeks to be slowly discharged, and then the bleeding stops. This is called complete abortion, so pregnant women are required to go to the hospital for a follow-up examination 15 days after medical abortion. Mifepristone, also known as Mifepristone or Ru486, is a new type of anti-progestin drug that can induce abortion and terminate early pregnancy. The effectiveness rate when used alone is 65%-85℅, while when used in combination with misoprostol, its success rate (i.e. complete abortion rate) can be as high as over 95℅. It is suitable for pregnant women who have not had their menstruation for 49 days or less and whose urine pregnancy test is positive. The shorter the pregnancy period, the better the effect. However, it is contraindicated for pregnant women with asthma, spasmodic bronchitis, angina pectoris, arrhythmia, heart failure, hypertension, glaucoma, liver and kidney dysfunction, ectopic pregnancy, ulcerative colitis, adrenal cortical insufficiency, long-term use of glucocorticoids, and type 2 diabetes.