How long into a pregnancy can a medical abortion be performed?

Feb 13, 2025 Source: Cainiu Health
Disease description:

I accidentally got pregnant, but I don't have plans to have a child, so I'm considering termination. I heard that after a certain gestational age, medical abortion is no longer suitable. I would like to know how early in pregnancy medical abortion can be performed?

Doctor's answer (1)
Dr. Zhang Lu

Medical abortion, also known as medication abortion, is a common method of terminating a pregnancy. It is usually suitable within the first seven weeks of pregnancy.

Within the first seven weeks of pregnancy, specific medications such as mifepristone and misoprostol can be taken to terminate the pregnancy. The effectiveness and safety of medical abortion are relatively high in early pregnancy, but they decrease gradually as the gestational age increases. Therefore, if considering medical abortion, it should be performed as early as possible under the guidance of a qualified physician, strictly following medical instructions to ensure safety and effectiveness.

Prior to undergoing medical abortion, the pregnant woman must visit a hospital for a series of examinations, such as ultrasound, complete blood count, and coagulation function tests, to ensure there is no ectopic pregnancy, vaginal or genital inflammation, or other conditions. During the medical abortion process, the patient must take the medication exactly as directed by the physician, without altering the dosage or discontinuing the medication on her own. After taking the medication, the patient must remain in the hospital for one hour of observation and may leave only after no abnormalities are detected. Close monitoring of physical condition is necessary after medical abortion, and follow-up examinations should be conducted when necessary to ensure complete abortion and absence of complications.