Can Birth Control Pills Replace Abortion Pills? Your Options - Obstetrics and Gynecology

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Can oral contraceptives be used as a substitute for abortion pills?


Hello, I have a question to ask you.
Can oral contraceptives be used as a substitute for abortion pills? I am about 16 to 17 days into my pregnancy, and since both surgical abortion and abortion pills are quite expensive, and I already have two older children, with no job and the father of the child having an unstable job, the costs are significant.
So, if contraceptive pills are much cheaper, can they be used instead of abortion pills? Would that be effective?

Niming, 30~39 year old female. Ask Date: 2016/02/23

Dr. Tian Yiwen reply Obstetrics and Gynecology


The function of oral contraceptives is to prevent pregnancy before it occurs.
Its components are completely different from those of abortion pills and cannot replace them.
It is advised to seek legitimate medical channels and not to self-medicate or seek illegal abortion methods, as this can lead to minor injuries or, in severe cases, pose a serious threat to life.

Reply Date: 2016/02/23

More Info


When it comes to the question of whether birth control pills can replace abortion pills, it's essential to understand the distinct purposes and mechanisms of these two types of medications. Birth control pills, also known as oral contraceptives, are designed to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and thinning the uterine lining. They are not intended for use in terminating an existing pregnancy.

On the other hand, abortion pills, which typically consist of mifepristone and misoprostol, are specifically formulated to terminate a pregnancy. Mifepristone works by blocking the hormone progesterone, which is necessary for the pregnancy to continue. Misoprostol is then used to induce contractions and expel the pregnancy from the uterus. This process is medically supervised and is intended for use within a specific timeframe, usually within the first ten weeks of pregnancy.

Given that you are already over five weeks pregnant, using birth control pills will not be effective in terminating your pregnancy. Attempting to use them for this purpose could lead to serious health risks and complications, including incomplete abortion, heavy bleeding, and infection. It is crucial to consult with a healthcare provider to discuss your options.

If you are considering an abortion due to financial constraints or personal circumstances, there are resources available that may help. Many clinics offer services on a sliding scale based on income, and some organizations provide financial assistance for those seeking abortions. It is important to reach out to a healthcare professional or a local reproductive health clinic to explore your options and receive appropriate care.

Additionally, it is worth noting that the decision to terminate a pregnancy is deeply personal and can be influenced by various factors, including emotional, physical, and financial considerations. It is essential to take the time to reflect on your situation and seek support from trusted friends, family, or counselors who can help you navigate this challenging decision.

In summary, birth control pills cannot replace abortion pills, and using them inappropriately can pose significant health risks. If you are considering terminating your pregnancy, it is vital to consult with a healthcare provider who can guide you through the available options and ensure that you receive safe and appropriate care. Remember, you are not alone in this situation, and there are resources and support systems available to help you make the best decision for yourself and your family.

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