Pregnancy Concerns and Safe Abortion Options for Young Couples

I'm not sure if I'm pregnant!!! Is abortion safe?

I am 21 years old and so is my girlfriend.
We always use condoms during intercourse and do not remain inside after ejaculation.
However, my girlfriend's last menstrual period was on November 26.
Although we know her period is not due yet, she has started experiencing vomiting symptoms (on December 20).
We had intercourse around December 16-20, and I noticed some blood on the outside of the condom, which was not mine.
After that, we did not have any further sexual encounters.
Could this have any impact? Is the vomiting possibly due to stress? Does morning sickness cause vomiting of food? (She did not eat much that evening.) When can a pregnancy test be used? If a woman undergoes an abortion within two weeks after her period, is the menstrual regulation method effective? Does it have a higher risk of incomplete abortion and complications? What is the safest method for an abortion? If she is indeed pregnant, where can we find a good doctor? We are looking for recommendations in Kaohsiung or Tainan.
If we decide to have an abortion, does a young woman who has previously given birth necessarily have to undergo a medical abortion? I saw in your online Q&A that RU486 has the least risk; is this correct in terms of normal conception in the uterus?

Ailus, 20~29 year old female. Ask Date: 2004/12/27

Dr. Wu Zongcheng reply Obstetrics and Gynecology

Dr.
Wu Tsung-Cheng, the Director of the Department of Obstetrics and Gynecology at Tainan Hospital, Executive Yuan Health Department, responds to you, Ailus:
1.
Condoms are the most convenient contraceptive method, but they are not the most effective, with a failure rate of about 20%.

2.
Vomiting does not necessarily indicate pregnancy.

3.
Urine pregnancy tests are very sensitive and can typically detect pregnancy about one week after conception.
Based on your indicated menstrual date of November 26, you can test for pregnancy now.

4.
Early medical abortion is safe: for pregnancies of 6 to 8 weeks, the use of Ru-486 has a success rate of 90%.
If the abortion is incomplete, a surgical abortion can be performed.
For pregnancies over 9 weeks, a surgical abortion is recommended.

5.
Qualified obstetricians and gynecologists can perform the above procedures.

Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/12/27

More Info

When it comes to understanding pregnancy concerns and safe abortion options for young couples, it's essential to address several key aspects, including the potential for pregnancy, the implications of symptoms like nausea, and the options available should a pregnancy occur.

Firstly, regarding the risk of pregnancy, it’s important to note that while using condoms significantly reduces the likelihood of conception, no contraceptive method is 100% effective. The presence of blood on the condom could indicate a variety of things, including potential irritation or a minor injury, but it is crucial to ensure that it is not related to any underlying health issues. If your girlfriend is experiencing nausea, it could be due to several factors, including stress, hormonal changes, or even early signs of pregnancy. Pregnancy-related nausea, often referred to as "morning sickness," can occur even before a missed period, so it’s wise to monitor her symptoms closely.

For pregnancy testing, home pregnancy tests are generally reliable and can be taken as early as the first day of a missed period. However, for the most accurate results, it is recommended to wait at least one week after the missed period to take the test. If the test is positive, or if there are any doubts, consulting a healthcare provider is crucial for confirmation and guidance.

If a pregnancy is confirmed and the couple is considering abortion, it’s important to understand the various options available. Medical abortion, often referred to as the "abortion pill" (such as RU486), is a common method that can be used within the first 10 weeks of pregnancy. This method is generally considered safe and effective, but it is essential to have a healthcare provider involved to ensure proper administration and follow-up care. Surgical options are also available, and the choice between medical and surgical abortion should be made based on individual circumstances, preferences, and medical advice.

Regarding the timing of an abortion, if it is performed within two weeks of a missed period, it is typically safe and effective. However, the risk of incomplete abortion or complications can increase with later procedures, so early intervention is advisable. It’s crucial to seek care from a qualified healthcare provider who specializes in reproductive health to ensure the best outcomes and minimize risks.

In terms of finding a reputable healthcare provider in areas like Kaohsiung or Tainan, it is advisable to look for clinics or hospitals that specialize in women's health and have good reviews or recommendations. Many healthcare providers offer confidential services and can provide comprehensive care, including counseling and support throughout the process.

Lastly, it’s important to address the emotional and psychological aspects of facing an unintended pregnancy. Open communication between partners is vital, and seeking counseling or support groups can be beneficial in navigating the decision-making process.

In summary, while the use of condoms significantly reduces the risk of pregnancy, it is not foolproof. If pregnancy is suspected, timely testing and consultation with a healthcare provider are essential. Should the need for abortion arise, understanding the options and seeking care from qualified professionals will help ensure safety and support throughout the process.

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