Medical abortion is the use of medicine to end a pregnancy. The medicine helps remove the fetus and placenta from the mother's womb (uterus).
There are different types of medical abortions.
An abortion is not the same as a miscarriage. Miscarriage is when a pregnancy ends on its own before the 20th week.
Surgical abortion uses surgery to end a pregnancy.
A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last period. A combination of prescription hormone medicines are used to help the body remove the fetus and placenta tissue. The doctor may give you the medicines after performing a physical exam and asking questions about your medical history.
Medicines used include mifepristone, methotrexate, misoprostol, prostaglandins, or a combination of these medicines.
Medical abortion might be considered when:
Risks of medical (nonsurgical) abortion include:
The decision to end a pregnancy is very personal. To help weigh your choices, discuss your feelings with a counselor, health care provider, or a family member or friend.
Test done before this procedure:
Physical recovery usually occurs within a few days, depending on the stage of the pregnancy. Expect some vaginal bleeding and mild cramping for a few days.
A warm bath, a heating pad set on low, or hot water bottle filled with warm water on the abdomen may help relieve discomfort. Rest as needed. Do not do any vigorous activity for a few days. Light housework is fine. Sexual intercourse should be avoided for 2-3 weeks. A normal menstrual period should occur in about 4-6 weeks.
You can get pregnant before your next period. Be sure to make arrangements to prevent pregnancy, especially during the first month after the abortion.
Complications (problems) rarely occur.
Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion
American College of Obstetricians and Gynecologists. Clinical management guidelines of obstetrician-gynecologists. Medical management of abortion. Obstet Gynecol. 2005 Oct;106(4):871-82. Reaffirmed 2009.
Annas GJ, Elias S. Legal and ethical issues in obstetric practice. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 54.
Jensen JT, Mishell Jr DR. Family planning: contraception, sterilization, and pregnancy termination. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 13.
Simpson JL, Jauniaux ERM. Pregnancy loss. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 26.
Updated by: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
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