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Abortion/Molar pregnancy and RU186

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Expert: - 1/17/2009


Question
Hello Dr. Joan, I am 35 and had a molar pregnancy 10 years ago that resulted in a choriocarcinoma, for which I successfully received chemotherapy treatment. I am now 4 weeks pregnant and considering the medical abortion pill, but am concerned about my past medical history and also concerned that this might be another molar. Will an HCG test be sufficient to see if it is molar, and if it is not, is the medical abortion safe for me?  Thank you very much.

Answer
Dear Emily,
The abortion pill is safe in this situation. The chances of a repeat molar pregnancy are extremely small. However, you do need to tell the doctor your past history, so that they can follow your hormone level when it is complete, and make sure it goes down to zero.  
I hope this is helpful.
Doctor Joan
Earlyabortionoptions.com
New York City

Abortion

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Doctor Early Options

Expertise

We are a group of family doctors who provide abortion care for over a decade. We can answer any health or medical related questions about early abortion, including the aspiration procedure, the abortion pill (RU486), or surgical abortion. We run a practice called Early Options, located in New York City: http://www.EarlyAbortionOptions.com. The practice is dedicated to making early abortion part of mainstream medical care. There are other family doctors around the United States who practice a similar approach to early abortion care: see http://www.EarlyAbortion.com. Please do not ask "private" questions so that other women can learn from your experience. Please tell me what country you are from so that we can better help you.

Experience

Experience in the area: We are all board certified family doctors who have special training in early abortion and reproductive health. Dr. Joan Fleischman is the founder of Early Options (earlyabortionoptions.com) dedicated to making early abortion part of mainstream medical care. Organizations: National Abortion Federation American Association of Family Physicians

Education/Credentials
Dr. Joan Fleischman, Founder M.D., Harvard Medical School M.P.A., John F. Kennedy School of Government

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