Private Office Offering Medical And Surgical Abortion

Comparison of Medical versus Surgical Abortion
Your decision to have an abortion or continue a pregnancy is not a simple or easy one. It is important to take the time you need to make the choice that is best for you. If you choose to end your pregnancy, and it has been 9 weeks or less since your last period, you may be able to have a medical abortion.

Medical Abortion

A medical abortion uses two medicines to end a pregnancy. The first one (either mifepristone or methotrexate) weakens the attachment of the pregnancy to the uterus. A second medication (misoprostol) put into the vagina the same day or one or two days later, makes the uterus cramp and causes bleeding to expel the pregnancy. With a medical abortion, women often have stronger cramping and heavier bleeding than with a period. Bleeding and spotting usually last about 9-16 days. A return visit is needed to ensure the abortion is complete. Complications are rare. A small number of women will need a vacuum aspiration because of heavy bleeding or because the medical abortion does not end the pregnancy. Very rarely a blood transfusion is needed because of excessive bleeding.

Surgical Abortion

The cervix (opening to the uterus) is stretched open slightly. The pregnancy is then removed through a small tube using suction. Vacuum aspiration is usually done in a medical office or clinic and the procedure takes 5 to 10 minutes. During the procedure, and for a short time afterward, women may have strong cramping. Spotting or bleeding like a period may last for a few days or weeks. Complications are rare, but include infection, excessive bleeding, a tear in the cervix or uterus, incomplete abortion, or a continuing pregnancy.

Medical Abortion
High success rate (about 98%)
Usually avoids surgical procedure
Requires at least two visits
Abortion usually occurs within 4 hours of second medication
May be used early in pregnancy
Oral pain medication can be used
Some of the process may happen at home
Medications cause a process similar to a miscarriage
Surgical Abortion
High success rate (about 99%)
Instruments inserted into the uterus
Can be done in one visit
Procedure is completed in 5-10 minutes
May be used early in pregnancy
Anesthesia/Sedation can be used
Procedure is done in a medical office or clinic
Health care provider performs the procedure
Free services for low income eligible CA residents

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