Who should not use medication abortion?

Medication abortion methods may be contraindicated if a woman suffers from specific conditions or diseases. The following table provides a list of contraindications (by medication abortion method).

Mifepristone/Misoprostol
Methotrexate/Misoprostol
Misoprostol Alone
  • Confirmed or suspected ectopic pregnancy
  • Allergy to mifepristone
  • Allergy to misoprostol
  • Chronic systemic use of corticosteroids
  • Coagulopathy
  • Current anticoagulant therapy
  • Chronic adrenal failure
  • Inherited porphyries
  • IUD in situ (must be removed prior to induction)
  • Allergy to methotrexate
  • Allergy to misoprostol
  • Coagulopathy
  • Severe anemia
  • Acute or chronic renal disease
  • Acute or chronic hepatic disease
  • Acute inflammatory bowel disease
  • Uncontrolled seizure disorders
  • IUD in situ (must be removed prior to induction)
  • Allergy to misoprostol
  • Uterine/genital infection*
  • Coagulopathy*
  • Hypertension*
  • Severe Anemia*
  • Cardiovascular disease*
  • Cerebrovascular disease*
  • IUD in situ (must be removed prior to induction)

    * women with these conditions were excluded from clinical studies and may not be eligible for the misoprostol-only regimen

 


If you have questions about medication abortion, please visit our page on frequently asked questions.

Please contact us with suggestions, updates, or link requests at medicationabortion@ibisreproductivehealth.org 

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