If the pregnancy is only one month old, it is not possible to have a medical abortion at this time. When the menopause is just one month old, only a urine test or a blood test can be done to find out if the pregnancy is present, but at this time, the gestational sac cannot be seen by ultrasound and ectopic pregnancy cannot be ruled out until the gestational sac is seen. Before having a medical abortion, an ultrasound must be performed to determine the size and location of the gestational sac before a medical abortion can be performed at the patient’s discretion. In addition, there are risks associated with medication abortion and it is generally recommended that the third day of medication is best taken in the hospital.