Is it possible to have a medical abortion one month into pregnancy?

Mar 12, 2025 Source: Cainiu Health
Disease description:

My girlfriend is 22 years old and recently discovered she has accidentally become pregnant for one month. I think she is still too young and would like to consult whether it is possible to have a medical abortion at one month of pregnancy.

Doctor's answer (1)
Dr. Zhang Lu

Generally, if there are no contraindications, medication abortion is an option during the first month of pregnancy. Medical abortion is typically suitable for early pregnancy, usually within 49 days of gestation, and should be considered only after a B-ultrasound confirms intrauterine pregnancy. At this stage, the pregnant woman can take abortion medication under a doctor's guidance to terminate the pregnancy. However, medical abortion is not absolutely safe and may result in complications such as incomplete abortion, excessive bleeding, prolonged bleeding, or infection. Therefore, it must be performed under a doctor's supervision and in accordance with medical protocols.

Women considering medical abortion during the first month of pregnancy are advised to visit a正规 hospital for comprehensive examinations, including a B-ultrasound to confirm the location and size of the gestational sac and to rule out contraindications for medical abortion, such as abnormal liver or kidney function or coagulation disorders. After confirming eligibility for medical abortion, the pregnant woman should strictly follow the doctor's instructions regarding medication and closely monitor physical changes. If any abnormalities occur during the process, such as excessive bleeding or severe abdominal pain, immediate medical attention should be sought.