A doctor or nurse will give you mifepristone in the office or clinic. This drug blocks the hormone progesterone, which the embryo needs to implant in your uterus and grow. You take it a few hours or up to 4 days after the first pill. You can either take the medicine by mouth or by placing the pills into your vagina.
Misoprostol makes your uterus contract to push out the pregnancy tissue. Most people pass the pregnancy within 4 to 5 hours after taking the pills. Others take up to 2 days. You might want to take a couple of days off from work because of the discomfort. Once you ovulate, you can get pregnant again. Your doctor might recommend that you wait to have sex for a week or two after your abortion.
The cost of the abortion pill varies from clinic to clinic. Some insurance companies will cover the cost. Methotrexate and misoprostol MTX is an abortion method you can use in your first 7 weeks of pregnancy. Methotrexate is a cancer drug. Just as it stops cancer cells from multiplying, it stops cells in the embryo from multiplying.
Misoprostol then contracts the uterus to release its contents. Doctors mainly use it for women who have a pregnancy outside their uterus, an ectopic pregnancy. An ectopic pregnancy can be life-threatening if it continues.
It comes as a shot or a pill that you take by mouth. The abortion will start within 1 to 12 hours after you take the medicine. The bleeding may be heavy for 4 to 8 hours. It can take a few days or weeks for the abortion to finish. Some people take up to a month. Your doctor might advise you to wait a week or two before having sex again. Some insurance companies will cover it. Vacuum aspiration is done during the first trimester first 12 weeks or early second trimester 12 to 16 weeks of pregnancy.
Some people choose vacuum aspiration as the main method for having an abortion. Others need it after a medical abortion fails to end their pregnancy. Vacuum aspiration uses gentle suction to pull the fetus and placenta out of the uterus.
The procedure only lasts 5 to 10 minutes. You may need to stay at the clinic for a few hours afterward to make sure the abortion is complete. Some clinics will do your procedure on the same day as your first appointment. Avoid sex for at least a week after the procedure. Your periods should return about 4 to 6 weeks afterward. Your doctor might advise you to use birth control to prevent a pregnancy in the first few weeks after your abortion.
The further along you are in your pregnancy, the more the procedure will cost. Some insurance companies will cover part or all of the cost. The procedure may be done over a two-day period. On the first day, the doctor dilates or widens your cervix to make it easier to remove the pregnancy tissue. On the second day, the doctor uses forceps to remove the fetus and placenta, a tube to suction out the uterus, and a scoop-like instrument called a curette to scrape out the uterine lining.
How does it work? During a visit to the clinic, a doctor places a speculum into your vagina. The doctor numbs the cervix and then gradually widens, or dilates, your cervix. Then, a tube is placed into your uterus. Suction, created by an electric machine or by a hand-held syringe, is applied on the other end of the tube and empties your uterus. You will first swallow a medication that causes your pregnancy to stop growing. One to three days after swallowing the first medication, you will place into your vagina another medication.
Your uterus will contract and you will have bleeding and cramping at home. You will return to the clinic to confirm that the abortion was successful. How effective is the method?
About 3 percent to 5 percent of women will need a suction curettage abortion due to continued pregnancy, prolonged or excessive bleeding, or patient choice.
How far along in my pregnancy can I use this method? Six to14 weeks since the first day of your last menstrual period. Women are often asked to wait until six weeks of pregnancy to decrease the possibility of leaving all or part of the pregnancy behind after the surgical procedure. If performed earlier than six weeks, the procedure may be less effective. Four to nine weeks since the first day of your last menstrual period.
Medical abortion can be performed as soon as a woman knows she is pregnant. It is more effective and leads to less bleeding at earlier gestations five to seven weeks compared to eight to nine weeks.
How many clinic visits are required? Usually requires one visit -- for health education, exam and procedure. You may return to the clinic if you need follow-up care.
Requires at least two visits -- one for health education, exam and medications and another to confirm that the abortion was successful. You may return to the clinic if you need further follow-up care. How long is each appointment? If you are between six and 12 weeks pregnant, the appointment will take approximately three hours. Later abortions usually require longer or multiple visits.
These are all factors you should discuss with your GP or provider. See for example Abortion procedures - surgical : a factsheet by Better Health Channel, a website managed and authorised by the Department of Health and Human Services, Victoria. Philip Goldstone, Jill Michelson and Eve Williamson 'Early medical abortion using low-dose mifepristone followed by buccal misoprostol: a large Australian observational study' Medical Journal of Australia ; 5 : How much will an abortion cost?
How will I feel after an abortion? How safe is abortion? Post abortion care Adoption Parenting Looking after yourself during pregnancy Ending a wanted pregnancy After an abortion. Which method is best for me? Which option is best for you? Some other factors women take into consideration are: Location: Depending on where you live, you may have difficulty finding a service which provides your preferred option.
Generally speaking, if you: feel comfortable with the idea of having a miscarriage at home; live near to a service that provides medication abortion or are eligible for a telehealth medication abortion; would like to avoid a surgical operation; don't mind more than one appointment; and are fewer than nine weeks pregnant then medication abortion may be suitable for you.
If you: prefer to complete the abortion in a single visit; prefer not to be conscious for the procedure; can access a service which provides a surgical abortion; and feel comfortable with having a surgical procedure and anaesthetic then surgical abortion may be suitable for you. References 1.
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