Although you can have an abortion up to 19 weeks, it is a good idea to see the doctor as soon as you can. The risk of complications is also lower if you have the procedure earlier in the pregnancy.
The contents on this site is for information only, and is not meant to substitute the advice of your own physician or other medical professional. You can have: Medical termination with the abortion pill up to 9 weeks Manual Vacuum Aspiration up to 12 weeks Surgical termination by Dilation and Curettage up to 19 weeks but usually only performed after 9 weeks We only perform terminations up to 19 weeks.
How soon did you know you were pregnant? Did you wait before taking a test or seeing a doctor? How common is abortion and who has it?
What is a Threatened Abortion? How is Abortion Regulated Around the World? Why Choose Healthwise? One to One Care. Vaginal bleeding may last about 14 days.
You will see your doctor, or go to a lab for a test, 7 to 14 days after taking the medicine. This is to see if you are recovering well and to make sure the medicines worked.
Medical care before and after a medical abortion includes physical exams and lab tests, education about what to expect, self-care instructions, information on when to call your doctor, and birth control planning.
Medicines currently available in the United States for inducing abortion are: Mifepristone and misoprostol. Mifepristone, also known as Mifeprex or RU, blocks the effects of the hormone progesterone. This stops the placenta 's growth, softens the cervix, and makes the uterus ready for labor.
Misoprostol is then used to start contractions to clear the uterus of all tissue. This hormone softens and opens dilates the cervix and triggers uterine contractions. Misoprostol used alone may end a pregnancy but is much more effective when used with other medicines, such as mifepristone or methotrexate, in first-trimester abortions. Choices: Surgical Abortion A surgical abortion ends a pregnancy by surgically removing the contents of the uterus.
Surgical methods in the first trimester 5 to 12 weeks Manual vacuum aspiration MVA or machine vacuum aspiration uses suction through a small tube to empty the uterus of all tissue. Nonsurgical method in the second trimester Induction abortion ends a second-trimester pregnancy by using medicines to start induce contractions, which expel push the fetus from the uterus.
If the fetus has severe medical problems, a woman may choose to have an induction abortion. What to Think About Your abortion options are affected by your medical history, how many weeks pregnant you are, and what options are available in your region. It draws tissue out of the uterus.
Machine vacuum aspiration uses a tube attached to an electric pump. It draws tissue from within the uterus. Can only be used during early pregnancy up to about 10 weeks Can be used from early to mid-pregnancy: Manual vacuum aspiration MVA can be used as early as 5 weeks, and as late as 12 weeks after the last menstrual period.
Machine vacuum aspiration can be used around 5 to 12 weeks after the last menstrual period. Takes 2 or more medical visits over 7 to 14 days Usually takes 1 visit May take several days to complete most of the abortion process happens gradually, at home Is complete in the time it takes for the procedure Does not require anesthesia or sedative Does not require general anesthesia though it can be used.
In extremely rare cases, leads to death less than 1 out of , Pain associated with a medical or surgical abortion ranges from mild to severe and depends on each woman's physical and emotional condition. Abortion and breast cancer Research suggests that the hormonal changes during pregnancy may be protective and reduce the risk of breast cancer.
Before, During, and After an Abortion: When to Call a Doctor If you think you may be pregnant, see a doctor for a pregnancy test, examination, and pregnancy counseling as soon as possible. Who to see Surgical abortions are minor surgeries that require a health professional with specialized training.
The following health professionals can perform abortions: Gynecologist Family medicine doctor who has special training Certified nurse-midwife Nurse-practitioner who has special training Physician assistant who has special training Some health professionals offer medical abortion only and recommend another health professional if a vacuum aspiration becomes necessary.
Normal symptoms that most women experience include: Irregular bleeding or spotting for as long as the first 3 weeks. Cramping for the first 2 weeks. Some women have cramping like menstrual cramps for as long as 6 weeks. Emotional reactions for 2 to 3 weeks. Signs of complications Less than 1 out of women who have an abortion have serious problems afterward. Both medical and surgical abortions usually cause bleeding that is different from a normal menstrual period.
Severe bleeding can mean: Passing clots that are bigger than a golf ball, lasting 2 or more hours. Soaking more than 2 large pads in an hour, for 2 hours in a row.
Bleeding heavily for 12 hours in a row. Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever. Severe pain in the belly that is not relieved by pain medicine, rest, or heat Hot flushes or a fever of Hormonal changes after a pregnancy can cause depression that requires treatment.
Your ability to become pregnant in the future Medical abortion and vacuum aspiration do not affect your ability to become pregnant in the future. Ask your doctor when it's okay to have sexual intercourse. To prevent infection and pregnancy, it is important to use condoms as directed by your doctor when you start to have intercourse again. This is a good time to also start a highly effective birth control method that fits your lifestyle. For more information, see the topic Birth Control.
Induced abortion. In RS Gibbs et al. Philadelphia: Lippincott Williams and Wilkins. American College of Obstetricians and Gynecologists , reaffirmed Medical management of abortion.
Obstetrics and Gynecology , 4 : — 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. When should you see a doctor? How will you know what decision is right for you? Carefully think through your choices, which are to: Have a baby, and support and raise your child to adulthood.
Have a baby, and place the baby for adoption. Have an abortion. When can an abortion be done? Examinations and Tests Examinations and tests are used to diagnose a pregnancy and to check for any health conditions you may have that need special consideration. A physical examination before an abortion includes: Taking your vital signs, such as blood pressure and heart rate.
Listening to your heart and lungs. Performing a pelvic examination to find out the size and shape of your uterus.
The size of the uterus can help estimate the number of weeks you are pregnant. A pelvic examination also allows your doctor to check the ovaries and fallopian tubes for a possible tubal ectopic pregnancy , which would feel like an abnormal mass in the pelvis.
Laboratory tests before an abortion include: A urine pregnancy test to find out if you are pregnant. You may have missed a menstrual cycle for another reason, such as stress, and not because you are pregnant.
A blood test to find out: Whether you have low blood iron anemia. If you have anemia, your doctor may want you to take some iron supplements before and after an abortion. Your blood type and whether you are Rh-negative. If you are Rh-negative , you should receive a vaccine called Rh immunoglobulin after an abortion.
For more information, see the topic Rh Sensitization During Pregnancy. This is not a routine test before an abortion but may be done to reduce the risk of complications, such as an infection, after the procedure. A Pap smear to check for cervical cell abnormalities dysplasia , if you are due for one not a routine test before an abortion. Choices: Medical Abortion Medical abortion is the use of medicines to end a pregnancy.
At the first visit, your doctor will give you one medicine to take during the visit or at home. You will take the second medicine 24 hours after the first medicine. Bleeding and cramping starts within a few hours after you have taken the second medicine. Cramps may be strong. You can take ibuprofen also called Aleve or Motrin to help with pain. Bleeding will be heavier than a regular period and will have some clots until the pregnancy has passed. Vaginal bleeding may last about 14 days.
You will see your doctor, or go to a lab for a test, 7 to 14 days after taking the medicine. This is to see if you are recovering well and to make sure the medicines worked. Medical care before and after a medical abortion includes physical examinations and lab tests, education about what to expect, self-care instructions, information on when to call your doctor, and birth control planning.
Mifepristone blocks the effects of the hormone progesterone. This stops the placenta 's growth and softens the cervix. Misoprostol is then used to trigger uterine cramping to clear the uterus of all tissue.
This hormone softens and opens dilates the cervix and triggers uterine cramping to clear the uterus of all tissue. Misoprostol used alone may end a pregnancy. But it works much better in first-trimester abortions when it's used with other medicines, such as methotrexate. Methotrexate and misoprostol. Methotrexate interferes with the placenta's growth.
Misoprostol is then used to triggers uterine cramping to clear the uterus of all tissue. Choices: Surgical Abortion A surgical abortion ends a pregnancy by surgically removing the contents of the uterus. Surgical methods in the first trimester 5 to 12 weeks Manual vacuum aspiration MVA or machine vacuum aspiration uses suction through a small tube to empty the uterus of all tissue. Non-surgical method in the second trimester Induction abortion ends a second-trimester pregnancy by using medicines to start induce contractions, which expel push the fetus from the uterus.
If the fetus has severe medical problems, a woman may choose to have an induction abortion. What to Think About Your abortion options are affected by your medical history, how many weeks pregnant you are, and what options are available in your region.
It draws tissue out of the uterus. Machine vacuum aspiration uses a tube attached to an electric pump.
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