Risk of MDMA use in early pregnancy

I took MDMA without knowing I was pregnant. What is the risk in early pregnancy?

I took MDMA (a pink heart pill, about 150 mg) at a party a month ago. I  supposed that my period appeared the following week, and…surprise…I found out I was pregnant.

I feel really bad about the effects it may have had on my future child. The gynecologist told me that he does not know, that there are just a few studies, and that it is my responsibility. I have nightmares. No, I am not using drugs again. But I didn’t know that I had a pregancy at any time. To what extent is my child at risk?

Originally posted in SR 2.0 (Private 14/5/14) . Reviewed 20/7/22

Stay calm! The available scientific data suggests that sporadic and unintentional MDMA use during early pregnancy is unlikely to harm your baby. During pregnancy, only use necessary prescription drugs and talk to your doctor before taking any medications. Obviously, it is mandatory to avoid all recreational drugs.

Events like dental operations, taking antibiotics or pain relief drugs are common during early pregnancy. Very few medicines cause problems in isolation during the first few weeks of pregnancy because the fetus and placenta don’t establish circulation until later.

Amphetamine and methamphetamine are associated with fetal malformations in heart and face, but only in women who use these substances daily. . Studies on MDMA and pregnant animals also involve doses and frequencies that cannot be extrapolated to occasional use by humans.

It is worth noting that 10-15% of pregnancies end in miscarriage during the first trimester. This is natural since in many cases, chromosomal alterations and other malformations make the pregnancy unviable. Therefore, it is not uncommon for women to suffer miscarriages in the first few weeks of pregnancy. Even in this case, it is impossible to attribute this incident to MDMA sporadic use in the first weeks.