Options for Managing an Unplanned Pregnancy: What You Need to Know - Obstetrics and Gynecology

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Hello doctor, I would like to ask about my girlfriend's menstrual cycle, which is 19 to 20 days late.
We bought a pregnancy test and confirmed that she is pregnant.
However, we have discussed that we do not want to have a child.
What should I do? Should I buy medication to take, or are there other methods to terminate the pregnancy?

Nìmíng, 20~29 year old female. Ask Date: 2011/06/08

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: If a pregnancy test is positive, it is recommended to visit an obstetrician-gynecologist with your parents to confirm whether the pregnancy is intrauterine and to determine the gestational age.
Then, discuss the medical options with the physician.
Thank you.

Reply Date: 2011/06/08

More Info


Managing an unplanned pregnancy can be a challenging and emotional experience. It's important to approach this situation with care and consideration for both your partner's health and well-being, as well as the potential implications of any decisions made. Here are some options and important information to consider:
1. Consult a Healthcare Provider: The first step should be to consult with a healthcare provider. They can provide accurate information about the options available, including medical and surgical methods for terminating a pregnancy. It's crucial to have a professional guide you through this process to ensure safety and legality.

2. Medical Abortion: If the pregnancy is confirmed and is within the first 10 weeks, a medical abortion may be an option. This typically involves taking two different medications: mifepristone, which blocks the hormone progesterone, and misoprostol, which causes the uterus to contract and expel the pregnancy. This method is generally safe and can be done at home, but it is essential to follow up with a healthcare provider to ensure that the abortion is complete.

3. Surgical Abortion: If the pregnancy is beyond the 10-week mark or if there are any complications with a medical abortion, a surgical abortion may be necessary. This procedure can be done in a clinic or hospital and involves removing the pregnancy tissue from the uterus. There are different types of surgical procedures, such as aspiration or dilation and curettage (D&C), and a healthcare provider can explain which method is most appropriate based on the specific circumstances.

4. Consider Counseling: It may be beneficial for both you and your partner to seek counseling or support services. Unplanned pregnancies can bring up a range of emotions, and talking to a professional can help navigate feelings of anxiety, guilt, or uncertainty. Many clinics offer counseling services as part of their reproductive health care.

5. Legal Considerations: Be aware of the legal aspects surrounding abortion in your area. Laws vary significantly by state or country, including the gestational limits for obtaining an abortion and the requirements for parental consent if applicable. Understanding these laws is crucial to making informed decisions.

6. Post-Abortion Care: After an abortion, it's important to monitor for any signs of complications, such as heavy bleeding, severe pain, or fever. Follow-up appointments with a healthcare provider are essential to ensure that recovery is progressing well.

7. Future Contraception: After managing the current pregnancy, it may be a good time to discuss future contraceptive options with your partner. There are various methods available, including hormonal birth control, intrauterine devices (IUDs), condoms, and more permanent solutions like sterilization. Understanding and choosing the right method can help prevent unplanned pregnancies in the future.

8. Emotional Support: Regardless of the decision made, both partners should support each other emotionally. This can be a difficult time, and having open communication about feelings and concerns is vital.

In summary, if you and your partner have decided not to continue with the pregnancy, the best course of action is to consult with a healthcare provider who can guide you through the available options safely and legally. Remember that this is a personal decision, and it’s important to consider both physical and emotional health throughout the process.

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