Best Options for Early Abortion

Thursday, June 5th, 2014 by Early Options

One of the most common questions people have about early abortion is, “Which abortion procedure is the best?” Unfortunately, there is no simple answer to this question, and the answer will not be the same for every woman. Every individual in need of an early abortion and her specific circumstances are different. We recognize that what works well for one person might not be the best option for someone else. We encourage our patients to take the time to research their options and find a procedure that makes them the most comfortable. One way to do this is by downloading and reading over our Guide to Early Abortion. This book will provide comprehensive and accurate information on all of the early abortion options available, as well as what to expect with each.

The procedures that are discussed here are heralded by the World Health Organization (WHO) as the safest and simplest methods for ending early pregnancy. Those early abortion procedures are either the abortion pill method or the Manual Vacuum Aspiration Procedure. Both of these procedures are very safe and effective, and neither pose any risk to future fertility, meaning that when the time is right, patients will be able to conceive will no concerns, as quickly as a few weeks after.

The abortion pill, or RU486,  is a 3-step, non-surgical procedure that is completed in the comfort of your home. Basically, the medications that will be taken will induce a miscarriage. The first step in this process is to fo into the doctor’s office. During this initial visit, the doctor will discuss the procedure and your medical history with you, as well as perform an ultrasound to verify gestation, or how far into the pregnancy you are. To take the abortion pill, you must measure between 5-9 weeks. This can usually be calculated by counting from the first day of your last period. After verifying this via sonogram, you will take the first pill in the office. This pill is called Mifeprex, or Mifepristone, and will stop the pregnancy hormone from being released in your body any further. There are usually no major side effects from this pill, although minimal bleeding or spotting and nausea have been known to occur.

The second step in this process is to take additional medication at home 24-72 hours later. This is what will cause the uterus to contract and expel its contents. There will be significant bleeding and passing of tissue during this time. Most abortion doctors will provide you with pain medications and amenities to help make this process more comfortable. Most of the time, this will last for a few hours, after which the bleeding will subside to approximately a normal period flow.

The third and final step is to return to the office for a follow-up visit. The doctor will perform an ultrasound to ensure that the process was successful. Bleeding may or may not continue past your follow-up appointment. Every woman’s body will react differently to the medication making the specific length of bleeding unpredictable, lasting anywhere from days to weeks.

The Manual Vacuum Aspiration Procedure is a non-surgical, 5-minute procedure in which the doctor will expel the contents of the uterus using a handheld device called an aspirator. This is the more popular of the two options, mostly because of the quick recovery time of only 10-15 minutes, and that once completed, women are able to return to their normal daily routines immediately. Many patients return back to work or school the same day. This procedure has many benefits over surgical abortion, including that there is no scraping or cutting of the uterus, meaning no scarring, and there is no need for general anesthesia.

If you have any questions regarding making a decision about either of these procedures, please feel free to contact our doctor and ask your questions by clicking here.