RU486: Abortion Options for Unmarried Women in Taiwan - Obstetrics and Gynecology

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Regarding RU486?


Hello, doctor.
I am unmarried but have a steady boyfriend.
Due to premarital sexual activity, I purchased a pregnancy test from a pharmacy and found out that I am pregnant.
However, we both agree that we are not ready for marriage and are not in a suitable situation to have children.
I would like to ask if, as an unmarried person, I can go to a hospital for an abortion procedure.
Also, is there such a thing as RU486? If the pregnancy is less than one month along, will doctors at general hospitals perform the abortion using this method? I am a bit apprehensive about traditional dilation and curettage (D&C) procedures.
Additionally, does health insurance cover this? Thank you.

Zhou, 20~29 year old female. Ask Date: 2004/05/20

Dr. Chen Changfu reply Obstetrics and Gynecology


Dear netizens: Hello! According to the Maternal and Child Health Act, adult women can legally terminate a pregnancy when it may affect their life or mental and physical health.
Therefore, you can go to a hospital and request a physician to perform an abortion.
For safety considerations, it is not recommended to use the RU-486 abortion pill if the pregnancy has exceeded seven weeks.
The costs for medications or procedures to terminate a pregnancy that are not due to medical necessity are not covered by health insurance.

Reply Date: 2004/05/20

More Info


When it comes to understanding the options available for abortion, particularly for unmarried women in Taiwan, it is essential to consider both medical and legal aspects. RU486, also known as mifepristone, is a medication used for medical abortion, and it has been approved for use in many countries, including Taiwan, under specific guidelines.

Firstly, it is important to note that unmarried women can seek abortion services in Taiwan. The healthcare system is designed to provide access to reproductive health services, including abortion, regardless of marital status. However, it is advisable to consult with a qualified healthcare provider to discuss your specific situation, as they can provide personalized guidance based on your health history and the duration of your pregnancy.

RU486 is typically used for pregnancies that are less than seven weeks along. If you are within this timeframe, you may be eligible for a medical abortion using RU486. The process usually involves taking two medications: mifepristone (RU486) followed by misoprostol, which helps to expel the pregnancy. This method is generally considered safe and effective, with a success rate of about 95% for pregnancies under seven weeks. However, there is a small chance (around 5%) of incomplete abortion, which may require a follow-up procedure.

In terms of the procedure itself, if you are considering a surgical abortion, it is essential to discuss the options with your healthcare provider. Surgical methods, such as aspiration or dilation and curettage (D&C), are also available and can be performed in a clinical setting. Many women express concerns about surgical procedures due to potential pain or complications, but healthcare providers can offer sedation options to make the experience more comfortable.

Regarding health insurance coverage, in Taiwan, the National Health Insurance (NHI) system does provide coverage for abortion services, but there may be specific conditions or limitations based on the circumstances of the pregnancy and the method chosen. It is advisable to check with your healthcare provider or the hospital's billing department to understand what costs may be covered under your insurance plan.

In conclusion, as an unmarried woman in Taiwan, you have the right to access abortion services, including the option of using RU486 for medical abortion if you are within the appropriate gestational age. It is crucial to have open and honest discussions with your healthcare provider about your options, the procedures involved, and any concerns you may have. They can provide you with the necessary information and support to make an informed decision that is right for you. Remember, your health and well-being are the top priority, and seeking professional medical advice is the best way to navigate this situation.

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