Before a surgical abortion, you'll be asked to have a medicine to open the cervix. This happens either a few hours or 1 to 2 days before the operation, depending on the medicine used. A tube is inserted into the womb through the cervix the opening to the womb from the vagina , and the pregnancy is removed using suction.
The doctor may need to use special instruments to help remove the pregnancy, depending on how many weeks pregnant you are. This is used after 14 weeks of pregnancy. It involves inserting special instruments called forceps through the cervix and into the womb to remove the pregnancy.
It normally takes about 10 to 20 minutes and you're usually able to go home the same day. You do not usually need to have any other tests or appointments after a surgical abortion, or a medical abortion in hospital.
If you have a medical abortion at home, you may need to have a special kind of pregnancy test or scan to make sure the pregnancy has ended. If you have a medical abortion, you may have short-lived side effects from the medicines, such as diarrhoea and feeling sick.
If you have a surgical abortion, the general anaesthetic and sedation medicines can also have side effects. This most often takes 3 to 5 hours. The amount will be more than you have with your period. This means the medicines are working. You can take pain relievers such as ibuprofen Motrin, Advil or acetaminophen Tylenol to help with the pain.
Do not take aspirin. Expect to have light bleeding for up to 4 weeks after a medical abortion. You will need to have pads to wear. Plan to take it easy for a few weeks. You should avoid vaginal intercourse for about a week after a medical abortion. You can get pregnant soon after an abortion, so talk with your health care provider about what birth control to use. Make sure you are using an effective contraception before you resume sexual activity. You should get your regular period in about 4 to 8 weeks.
Make a follow-up appointment with your provider. You need to be checked to make sure the abortion was complete and that you are not having any problems. In case it did not work, you will need to have an in-clinic abortion. Most women have a medical abortion safely. There are a few risks, but most can be treated easily:. Whenever possible, you should be given a choice of how you would like the abortion to be carried out.
After an abortion, you'll probably need to take things easy for a few days. It's likely you'll have some discomfort and vaginal bleeding for up to 2 weeks. Read more about how an abortion is carried out. Abortion is a safe procedure. Abortions are safest, and happen with less pain and bleeding, when carried out as early as possible in pregnancy.
Most women will not experience any problems, but there is a small risk of complications, such as:. If complications do occur, you may need further treatment, including surgery.
Having an abortion will not affect your chances of becoming pregnant again and having normal pregnancies in the future. You may be able to get pregnant immediately after an abortion. This will help her feel calm. Then the doctor injects the area around the opening to the womb called the cervix with medicine. This makes the area numb. The doctor uses a tool or medicine to stretch open dilate the cervix.
He or she then inserts a tube through the cervix and into the uterus. The tube is attached to a suction or vacuum pump. The contents of the uterus are suctioned out and emptied through the tube.
For most women, surgical abortion feels like strong menstrual cramps. Women are often given medicine to help with the pain. They can usually go home as soon as an hour after the procedure. They are told to rest when they get home. Acetaminophen or ibuprofen can also help. Bleeding may continue off and on for a few weeks. When done by health care professionals during the first or second trimesters, both medical and surgical abortions are generally very safe.
Serious complications are rare. Women may feel many different emotions after an abortion, such as grief, relief, happiness, and sadness. There is no right or wrong way to feel after an abortion. Talk to you doctor about how you are feeling. Last Updated: September 17, This information provides a general overview and may not apply to everyone.
Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
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