A consultation on the internet is very similar to a face to face consultation. In the online consultation the doctor asks you questions in order to get all the information needed to make sure you can safely have a medical abortion. The doctor depends on the information you give, as is also the case in a face to face consultation.
There are few reasons why you might not be able to take the medicines that cause an abortion. You should not use the medicines if:
- someone is forcing you to end your pregnancy.
- the first day of your last menstrual period was more than 9 weeks ago.
- you have an allergy to Mifepristone, Misoprostol, or prostaglandins.
- you have one of the following diseases: chronic adrenal failure, hemorrhagic disorders or bleeding disorders/diseases, Inherited Porphyries, severe anemia, or severe untreatable asthma. (It is highly unlikely that you have one of these diseases and do not know it yet.)
- you have an intrauterine device (IUD). This must be removed before using the medicines.
- you have an ectopic pregnancy (a pregnancy outside the womb).
- you can not get to a hospital or first aid centre within an hour.
- you are alone. You should ask a partner, friend or other trusted person to stay with you while you use the medicines.
More scientific information:
Screening women for contraindications on the internet is very similar to the screening process at a face-to-face visit between a doctor and a patient. The doctor generally finds out about contraindications by asking the patient if she has any of these medical conditions. “All contraindications to Mifepristone-Misoprostol, aside from gestational age…are uncommon and based on medical history and therefore should already be known to women. Indeed, doctors screen women mainly by asking them if they have the conditions" 7 .
