Can pregnancy be terminated with medication after more than one month?

　　“Medication-induced abortion” generally refers to medical abortion. In most cases, medical abortion may be an option for pregnancies of approximately one month’s duration; however, it is not suitable for all individuals. The decision must be made after comprehensive evaluation—including gestational age and the patient’s overall health status. It is strongly recommended to first visit a reputable hospital for examination and diagnosis, then follow the physician’s guidance accordingly. A detailed analysis follows:

　　Medical abortion has strict gestational age limitations and is typically indicated only for healthy women with pregnancies of ≤49 days (≤7 weeks). If, after ultrasound confirmation, the pregnancy is intrauterine, the gestational sac meets size criteria, and the patient has no contraindications—such as severe hepatic or renal disease, known drug allergies, or cardiovascular disease—medical abortion may be performed under physician supervision. This method terminates early pregnancy via oral medication, eliminating the need for surgery and resulting in relatively less uterine trauma and faster post-procedure recovery.

　　However, if an ectopic pregnancy is confirmed by examination—even at approximately one month’s gestation—medical abortion is absolutely contraindicated, as it may cause life-threatening intra-abdominal hemorrhage. Similarly, medical abortion is unsuitable when the gestational sac is excessively large, contraindications are present, or there is a history of multiple prior abortions or uterine anomalies. Attempting medical abortion under such circumstances may lead to complications including incomplete abortion, severe hemorrhage, or infection. Additionally, women over 40 years of age or those with long-term smoking or alcohol use histories should exercise caution when considering medical abortion.

　　During medication administration, close monitoring of vaginal bleeding and expulsion of the gestational sac is essential. After the procedure, adequate rest is required; physical exertion should be avoided. External genital hygiene must be maintained, and sexual intercourse must be abstained from for one month. Follow-up examinations are mandatory. Immediate medical attention is required if excessive bleeding, severe abdominal pain, or other concerning symptoms occur.