Facing Unplanned Pregnancy Fears: What to Do and Your Options

I don't want to get pregnant!!

Hello, my last menstrual period started on May 24th, and my cycle is about 28 to 31 days.
Although I know it was a risky period, I had sexual intercourse with my boyfriend on June 9th.
We used a condom, but during the process, I noticed that the condom broke.
We stopped immediately, and there was no ejaculation, but I am still worried that sperm may have leaked out.
Today is the 26th, and it has been 4 to 5 days without my period.
I am so anxious that I can't sleep.
I do not want to be pregnant, and I am very scared.
What should I do now? How will the hospital check me? I am afraid of having to expose myself in front of strangers.
I can't face the outcome.
If I am really pregnant, I want to have an abortion.
I am 158 cm tall and weigh 40 kg, and I have thalassemia.
Besides general anesthesia for a surgical abortion, can medication be used? Isn't RU486 legal now? Can I use it for an abortion? What side effects might there be? Do you have any suggestions? I am really scared to go to the hospital, and I fear the judgmental looks from others.
I apologize for asking so many questions.
Thank you.

Huihui, 20~29 year old female. Ask Date: 2001/06/26

Dr. Lin Zhaopei reply Obstetrics and Gynecology

If your menstrual period is 4 to 5 days late, you can purchase a pregnancy test kit or stick from a pharmacy to determine if you are pregnant.
If you are pregnant and considering an abortion, you may consider surgical options or the oral medication RU-486.
If we calculate from May 24 as the last menstrual period, you can consider using RU-486 before July 12.
Since RU-486 is a Schedule IV controlled substance and is only to be used by obstetrician-gynecologists (due to indications, complications, safety, and other concerns), it is recommended to visit an obstetrics and gynecology clinic for proper care.

Reply Date: 2001/06/26

More Info

Facing an unplanned pregnancy can be an overwhelming experience, especially when compounded by fears and anxiety about the potential outcomes. It’s important to approach this situation with a clear understanding of your options and the resources available to you.

First and foremost, if you suspect you might be pregnant, the first step is to take a home pregnancy test. These tests are widely available at pharmacies and can provide you with quick results. If the test is positive, it’s crucial to schedule an appointment with a healthcare provider to confirm the pregnancy through a blood test or ultrasound. This step is essential not only for confirmation but also to discuss your health and any concerns you may have.

If you are indeed pregnant and considering your options, it’s important to know that you have several paths to explore. In the United States, abortion is a legal option, and there are two primary methods: medication abortion (often referred to as the abortion pill) and in-clinic procedures.
1. Medication Abortion: This method typically involves taking two different medications. The first, mifepristone (often known as RU486), is taken at a healthcare provider's office. This medication works by blocking the hormone progesterone, which is necessary for the pregnancy to continue. The second medication, misoprostol, is taken at home 24 to 48 hours later. This causes the uterus to contract and expel the pregnancy. Medication abortion is generally safe and effective, especially within the first 10 weeks of pregnancy. However, it’s crucial to have a follow-up appointment with your healthcare provider to ensure that the abortion is complete and to address any complications.

2. In-Clinic Abortion: If you are beyond the medication abortion timeframe or prefer a procedural approach, in-clinic abortions are available. These can be performed through suction aspiration or dilation and curettage (D&C). Your healthcare provider will discuss the best option based on how far along you are in your pregnancy and your medical history.

Regarding your concerns about the procedure and the fear of judgment, it’s important to remember that healthcare providers are trained to handle these situations with compassion and confidentiality. They are there to support you and ensure your health and safety. If you feel anxious about the examination or procedure, consider bringing a trusted friend or family member for support.
As for your specific health concerns, such as Mediterranean anemia, it’s essential to discuss these with your healthcare provider. They can provide guidance on how your condition may affect your options and what precautions to take.

If you are feeling overwhelmed, it may also be beneficial to speak with a mental health professional. They can help you process your feelings and fears regarding the pregnancy and assist you in making a decision that feels right for you.

Lastly, if you decide to pursue an abortion, be aware of the potential side effects, which can include cramping, bleeding, nausea, and fatigue. Your healthcare provider will give you detailed information about what to expect and how to manage any discomfort.

In conclusion, while facing an unplanned pregnancy can be daunting, you have options and support available. Taking the first step by confirming your pregnancy and consulting with a healthcare provider can help you navigate this challenging time with more clarity and confidence. Remember, you are not alone, and there are resources to help you through this process.

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