What medicine is best for medical abortion?
Medical abortion (medical abortion) is a non-surgical method of terminating an early pregnancy by taking medication. In recent years, with the advancement of medical technology, medical abortion has become the choice of many women. This article will combine the hot topics and hot content on the Internet in the past 10 days to introduce you in detail the best medication plan for medical abortion, and provide structured data for reference.
1. Commonly used drugs for medical abortion
Medical abortion usually uses a combination of two drugs: mifepristone and misoprostol. Here's a closer look at both drugs:
| Drug name | Mechanism of action | How to use | Common side effects |
|---|---|---|---|
| mifepristone | Blocks progesterone receptors, causing the embryo to stop developing | Take orally, usually first | Nausea, vomiting, fatigue |
| misoprostol | Causes uterine contractions to expel embryonic tissue | Orally or vaginally, take after 48 hours | Abdominal pain, diarrhea, fever |
2. The best plan for medical abortion
According to the World Health Organization (WHO) and medical guidelines from various countries, the best medication regimen for medical abortion is as follows:
| weeks of gestation | Recommended medication regimen | success rate | Things to note |
|---|---|---|---|
| ≤7 weeks | Mifepristone 200 mg orally, followed 24-48 hours later by misoprostol 800 μg orally or vaginally | 95-98% | Need to be used under the guidance of a doctor |
| 7-9 weeks | Mifepristone 200 mg orally, 24-48 hours later misoprostol 800 μg vaginally | 90-95% | May need to repeat medication |
| 9-12 weeks | Mifepristone 200 mg orally, 24-48 hours later misoprostol 400 mcg vaginally every 3 hours, up to 4 times | 85-90% | Need to be performed under hospital supervision |
3. Precautions when using medication for medical abortion
1.Intrauterine pregnancy must be confirmed before use:Exclude the possibility of ectopic pregnancy through B-ultrasound examination.
2.Strictly control the indications and contraindications:Medical abortion is not suitable for the following situations:
3.Observe after taking medication:After taking misoprostol, you need to observe the amount of bleeding and abdominal pain. Under normal circumstances, the bleeding volume should be less than the menstrual volume. If the bleeding volume exceeds 2 times the menstrual volume or heavy bleeding continues, you should seek medical attention immediately.
4.Follow-up examination:B-ultrasound needs to be reviewed 7-10 days after medical abortion to confirm whether the abortion is complete.
4. Comparison between medical abortion and other abortion methods
| Compare items | medical abortion | surgical abortion |
|---|---|---|
| Suitable for pregnancy weeks | ≤12 weeks | ≤14 weeks |
| success rate | 90-98% | 99% |
| recovery time | 1-2 weeks | 1-2 weeks |
| complication | Incomplete miscarriage, bleeding | Infection, uterine perforation |
| Privacy | high | lower |
5. Care after medical abortion
1.rest:After medical abortion, you should rest in bed for 2-3 days and avoid strenuous exercise and heavy physical labor.
2.diet:Eat more foods rich in protein and iron, such as lean meat, eggs, spinach, etc., to help your body recover.
3.health:Keep the vulva clean, and prohibit bathing and sexual intercourse within 2 weeks to prevent infection.
4.contraception:The ovaries may resume ovulation soon after medical abortion, so contraceptive measures should be taken to avoid getting pregnant again in the short term.
6. Frequently Asked Questions
1.How long does it take for bleeding after medical abortion to be considered normal?
Bleeding after medical abortion generally lasts for 1-2 weeks, with heavy bleeding in the first 3 days and then gradually decreasing. If bleeding lasts for more than 2 weeks or the amount of bleeding suddenly increases, seek medical attention promptly.
2.Will medical abortion harm the uterus?
Proper use of medical abortion drugs will cause less damage to the uterus, but there is a risk of incomplete abortion, which may require uterine evacuation surgery.
3.How long does it take to get pregnant after medical abortion?
It is recommended to wait at least 3-6 months after medical abortion before becoming pregnant again to allow the uterus to fully recover.
Summarize:
Medical abortion is a relatively safe and effective method to terminate early pregnancy. Mifepristone combined with misoprostol is currently recognized as the best medication regimen. However, medical abortion must be performed under the guidance of a professional doctor, the medication regimen and precautions must be strictly followed, and post-medical abortion care and follow-up must be done well. Everyone's physical condition is different. If you have any questions or discomfort, you should seek medical consultation in time.
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