Type your tag names separated by a space and hit enter

Medical Abortion

Medical Abortion is a topic covered in the 5-Minute Clinical Consult.

To view the entire topic, please or purchase a subscription.

Medicine Central™ is a quick-consult mobile and web resource that includes diagnosis, treatment, medications, and follow-up information on over 700 diseases and disorders, providing fast answers—anytime, anywhere. Explore these free sample topics:

Medicine Central

-- The first section of this topic is shown below --



  • Medical abortion is induced termination of an early pregnancy by use of medications.
  • The U.S. FDA has approved a combination of two medications, mifepristone (RU-486) an antiprogesterone and misoprostol, a prostaglandin, for pregnancies of up to 70 days gestation. The medications are given in succession to interfere with development of the embryo and to expel the products of conception (POC), respectively.
  • Methotrexate was used in medical protocols before mifepristone and remains a useful medication when ectopic pregnancy is possible. Misoprostol (prostaglandin analogue) alone is used in some areas for termination (less effective than combination with mifepristone) as well as for management of incomplete/missed abortion.
  • Women may prefer medical abortion if they desire to avoid surgery, considering it to be a more natural and private process compared with surgical abortion.


  • There are approximately 62 million women of reproductive age, and 6.4 million pregnancies per year in the United States. Of these, about 48% are unintended.
  • 40% of unintended pregnancies end in termination.
  • The overall rate of abortion is declining and was around 12.1 abortions per 1,000 women of reproductive age in 2014, with 186 abortions per 1,000 live births. Induced abortions in the United States total about 1.2 million yearly.
  • There were about 652,000 abortions reported to CDC in 2014, of which about 23% were medical abortions. The proportion of abortions by medical means is increasing.
  • States have varying regulatory requirements regarding preprocedure ultrasound, mandatory waiting periods between patient counseling and the abortion, and the need for parental involvement when minors seek abortion.

-- To view the remaining sections of this topic, please or purchase a subscription --


Stephens, Mark B., et al., editors. "Medical Abortion." 5-Minute Clinical Consult, 27th ed., Wolters Kluwer, 2019. Medicine Central, im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688197/all/Medical_Abortion.
Medical Abortion. In: Stephens MB, Golding J, Baldor RA, et al, eds. 5-Minute Clinical Consult. 27th ed. Wolters Kluwer; 2019. https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688197/all/Medical_Abortion. Accessed April 24, 2019.
Medical Abortion. (2019). In Stephens, M. B., Golding, J., Baldor, R. A., & Domino, F. J. (Eds.), 5-Minute Clinical Consult. Available from https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688197/all/Medical_Abortion
Medical Abortion [Internet]. In: Stephens MB, Golding J, Baldor RA, Domino FJ, editors. 5-Minute Clinical Consult. Wolters Kluwer; 2019. [cited 2019 April 24]. Available from: https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688197/all/Medical_Abortion.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Medical Abortion ID - 1688197 ED - Stephens,Mark B, ED - Golding,Jeremy, ED - Baldor,Robert A, ED - Domino,Frank J, BT - 5-Minute Clinical Consult, Updating UR - https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688197/all/Medical_Abortion PB - Wolters Kluwer ET - 27 DB - Medicine Central DP - Unbound Medicine ER -