Medical abortion: when you should not do

Medical abortion, or the pharmacist - a relatively new method of abortion without surgery.

This method is considered the most physiological and the least dangerous for health. However, there are times when this type of abortion should not be done.

Consider cases when medical abortion should not be done.

What are the terms of medical abortion?



Medical abortion is prescribed only in the first 65 days of pregnancy. But to get a guaranteed result, it is better to have an abortion up to 28 days, that is, up to 4 weeks. In these terms the fetal egg with the uterus is weakly connected, which means that the procedure is easier, the risk of a hormonal failure after that is less. The effectiveness of medical abortion reaches 96%.

Advantages of medical abortion



The advantage of this method of abortion is that there is no trauma inherent in surgical abortions.

This avoids the occurrence of many complications:

  • perforation of the uterus;

  • the appearance of secondary infertility;

  • infection of internal organs.


  • Anesthesia is usually not required - painful sensations are no more intense than with menstruation. In addition, there is no such obvious psychological trauma.

    When is medical abortion contraindicated?



    Any intervention in physiological processes has its own contraindications. They are absolute and relative.

    Absolute contraindications are as follows:

  • Allergic reactions and intolerance of medication used in this type of abortion;

  • Diseases of internal organs: violations of the adrenal glands (used drugs disrupt the action of corticosteroid hormones);

  • Severe form of bronchial asthma (for the treatment of bronchial asthma, drugs based on the same corticosteroids are used);

  • Grounds for suspicion of having an ectopic pregnancy. The doctor, directing a woman to this type of abortion, is obliged to make sure that the fetal egg is in the right place - in the uterine cavity. If this is an ectopic pregnancy, medical abortion can pose a threat to life;

  • Severe form of anemia, other types of abnormal blood coagulation (abortions always have large blood loss);

  • Hereditary disease of porphyria, which causes disturbance of enzymatic work. Enzymes affect the production of hemoglobin, and loss of blood during porphyria is highly undesirable;

  • Myoma of the uterus with large nodes. With myomas, there is a serious risk of severe bleeding;

  • Inflammations and infections of the female genital area, including venereal diseases.


  • Relative contraindications:

  • Breastfeeding period: substances that are part of the drugs taken by a woman, affect the composition of breast milk. And therefore, it is recommended that nursing mothers express the milk before the abortion and do not breast-feed until the substances have been completely eliminated. However, you should know that a break in feeding has a negative effect on lactation;

  • Medical abortion is also prescribed with caution in the presence of cicatrices on the uterus. Pharmabort in such cases is carried out only under stationary conditions and up to 4 weeks;

  • Pregnancy is also a relative contraindication if it occurs during the process of taking hormonal contraceptives or against the background of an intrauterine device;

  • Smoking of a woman is not a contraindication to abortion in itself, but in young women under 35 this habit disrupts the work of the hematopoiesis system, which already has a relative contraindication.