Early Medical Abortion Vs Surgical Abortion Procedure: Which Is Best?
One of the questions most frequently asked of Physicians is whether or not the medical or surgical abortion procedure is best for terminating early pregnancy. The solution is that this will depend on what the individual patient feels is a good procedure once the benefits and risks of each technique have been discussed and whether any contraindications have already been established. More women have preferred using the abortion pill most importantly other options for terminating pregnancy following a FDA approval for used in 2000.
Contraindications for the medical abortion procedure are as follows: 1) distance the individual lives from the medical office; if a lot more than two hours, she actually is not a candidate; 2) chronic usage of corticosteroids; 3) bleeding disorders; 4) possible ectopic pregnancy; 5) IUD in the intrauterine cavity; 6) inability to return to the office for follow-up sonogram to make sure that the pregnancy tissue has been expelled; 7) allergy to either of the medications used to perform the abortion pill procedure (Misoprostol, and RU 486); 8) refusal to get a medical procedure if the medical abortion procedure fails; and 9) if the length of pregnancy is beyond the 14th week of gestation.
Studies have not yet determined the safety and effectiveness of the abortion pill procedure beyond the 9th week. European and South American studies have shown the medical abortion procedure to be highly effective and safe up to 14 weeks from the patient’s last menstrual period. The failure rate increases exponentially with the amount of weeks. The success rate is between 94 to 98% for medical abortions up through 14 weeks of gestation. Patients who elect to have the surgical abortion procedure performed have greater 99.9% success rate around 14 weeks.
For the medical abortion procedure, the RU 486 tablet is given before the patient leaving the office and the Misoprostol pills are administered 2 to 4 days after discharge from the medical facility. Patients need to return for at least one follow-up visit and sometimes a third visit could be necessary to ensure that the gestational tissue is absent from the intrauterine cavity. An ultrasound is performed to determine if you can find retained products of conception or for the current presence of a continued pregnancy. This is done 7 to 14 days following the initial office visit. For surgical procedures, only one office visit is necessary. Surgical abortion procedures usually require 2 to 4 minutes to execute.
Patients indicate that the discomfort level is similar with both medical and surgical abortion procedures. With the surgical abortion, women describe the discomfort as moderate. On a pain scale of 1 1 to 10 with 1 as little to no discomfort and 10 because the greatest, most patients state the particular level is between 4 and 5, and lasts for 8 to 10 minutes. With the medical abortion, the cramping generally begins 4 to 6 6 hours after taking the Cytotec tablets and may last from 6 to a day. The pain is normally described as an even 4. Rarely is pain medication required; however, analgesics such acetaminophen or ibuprofen are usually effective in over 90% percent of cases.
The fees for the two procedures are nearly the same; however, the costs of a medical abortion are beginning to increase due to the escalating costs of manufacturing the medications.
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Patients who have the surgical abortion generally recover within 15 minutes. Patients who are significantly less than 6 weeks pregnant are permitted to return to their routine activities on the same day of the procedure and they could have sexual intercourse the next day. Following a abortion pill procedure, vaginal bleeding usually lasts from 8 to 2 weeks, but may continue up to 30. In rare instances it could last up to 60 days.
In summary; the type of abortion procedure a patient chooses is ultimately up to her as long as there are no contraindications. The abortion pill procedure is now available in some clinics around 14 weeks. Please contact your nearest clinic for more info.