Medical or surgical abortion

A doctor uses suction to empty your uterus. A combination of medications ends the pregnancy and causes your uterus lining to shed. How does it work? During a visit to the clinic, a doctor places a speculum into your vagina.

Medical or surgical abortion

A doctor uses gentle suction to remove the pregnancy and blood from inside the uterus. How does it work? How effective is it? When can it be done? An aspiration abortion can be done as early as five weeks from the first day of the last period.

How many appointments are required? Most only need one appointment that takes hours. This includes counselling, the procedure, and recovery time.

Medical or surgical abortion

Usually it means two appointments including a one-week follow-up. A few will need a third appointment. How long does it take for the abortion to be complete?

The procedure itself usually takes about seven to eight minutes. Most will pass the pregnancy tissue within four hours of using misoprostol. How painful is it? There may be strong cramping for a few minutes during the procedure and for a short time after. Milder cramps may continue for several days to several weeks.

It varies from mild to very strong cramping, with the worst when passing the pregnancy tissue. There are medications to take at home to help manage pain. Milder cramps may or may not continue for several days to several weeks.

Will I be able to get pregnant again in the future and when?

Medical or surgical abortion

The chance of an early aspiration abortion affecting future fertility is extremely rare: In fact, fertility returns very quickly and it is possible to be pregnant again right away. A medication abortion has no effect on future fertility unless there is an extremely rare complication.

Medical Versus Surgical Abortion: Family Planning - OB/GYN UCLA

In fact, fertility returns immediately; birth control methods like the pill should be started the day after using the misoprostol pills. An IUD insertion can be arranged once the followup confirms the pregnancy is gone.

How much will I bleed? Bleeding afterward varies, but is often less than a period. Bleeding may start a few days after and can continue for up to several weeks.

Heavy bleeding and clots are common during the abortion process.

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Can the abortion fail? There is about a one in chance of needing the procedure repeated because of blood clots forming or tissue remaining in the uterus. A pregnancy continuing is very rare. There is about a one in chance that the pregnancy will continue and an aspiration procedure may be necessary.

About 4 in will require the misoprostol a second time, or will choose to have an aspiration procedure to complete the process.MEDICAL OR SURGICAL ABORTION Which procedure is more acceptable by women and has a greater level of satisfaction?

When comparing medical and surgical abortion, focus should therefore not only be on efficacy and complications, but also on acceptability and patient satisfaction. There is a small likelihood of infection after suction curettage abortion. You will be given antibiotics, which, if taken as directed, will reduce the chance that you will get an infection.

There is a very small likelihood of infection after medical abortion. We usually do not recommend antibiotics to . Medical abortion procedures are available for terminating a pregnancy during the early weeks of the first trimester.

For women seeking a medical abortion procedure, a sonogram is recommended to determine if the pregnancy is viable (uterine, non-ectopic pregnancy) and for accurate pregnancy dating.

Abortion - surgical. Surgical abortion is a procedure that ends an undesired pregnancy by removing the fetus and placenta from the mother's womb (uterus). Surgical abortion is not the same as miscarriage. Miscarriage is when a pregnancy ends on its own before the 20th week of pregnancy. MTX is a medical abortion procedure used up to the first 7 weeks (49 days of pregnancy).

This procedure is not as commonly used as in the past because of the availability of mifepristone. Methotrexate is given orally or by injection during the first office visit.

Abortion is a medical procedure that ends a pregnancy. In-clinic abortion procedures are safe, effective and can also be called surgical abortions.

Medical Versus Surgical Abortion: Family Planning - OB/GYN UCLA