Patient's Query
Hi doctor,
I missed my period. My last period was 1.5 months ago. I checked UPT, and it is positive. I do not want the child. What to do?
Please guide.
Hi,
Welcome to icliniq.com.
I read your query and understand your concerns.
Your last menstrual period was one and a half months back, which makes it approximately seven weeks of pregnancy as of now.
A positive urine pregnancy test confirms pregnancy. However, before considering any medication, the first and most important step is to get an ultrasound, preferably a transvaginal scan (TVS) or an early pregnancy scan, to confirm that the pregnancy is intrauterine (inside the uterus) and not ectopic (outside the uterus).
Abortion pills should never be taken without a proper medical evaluation. These medications are prescription-only and must be used under a doctor’s supervision.
Taking them without confirming the gestational age or ruling out ectopic pregnancy can be dangerous and may lead to heavy bleeding, incomplete abortion, or infection.
The necessary investigations at this point include:
A transvaginal ultrasound to confirm whether the pregnancy is inside the uterus and to determine the gestational age.
Basic blood tests, including hemoglobin, blood group, and Rh (Rhesus factor) typing, to assess your overall health and plan safe care.
If you do not wish to continue the pregnancy, consulting a gynecologist in person is vital. If the ultrasound confirms an intrauterine pregnancy less than nine weeks, then a medical abortion using Mifepristone and Misoprostol tablets can be done.
However, this must be done only under medical supervision to ensure correct dosing and to manage any complications.
If the pregnancy is beyond nine weeks or if medical abortion is not suitable, then a surgical procedure may be required. In all cases, self-medication is unsafe and strongly discouraged due to the risk of complications.
For follow-up, please see a gynecologist soon with your ultrasound report. Only after reviewing the scan can the doctor advise on the safest and most appropriate method for termination if desired.
For the future, please consider using reliable contraception such as condoms, oral contraceptive pills, or an IUD (intrauterine device) based on your preference and health condition. Avoid relying frequently on emergency contraceptive pills, as they are not meant for regular use.
I hope this answers your query. Feel free to reach out anytime.
Thank you.
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Answered byDr. Usaid Yousuf
Medically reviewed byiCliniq medical review team
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