Thinking about abortion?
Thinking about abortion?
Thinking about abortion?
A woman has many decisions to make when consideringabortion. If you're thinking about abortion, yourhealth care providermay talk with you about a few different abortion methods. You may be offered the option to have an in-clinic abortion procedure, which is the kind of abortion discussed on this page. Or you may be offered theabortion pill.
Whetheryou're thinking about having an in-clinic abortion, you're concerned about a woman who may be having one, oryou're someone who's just curious about abortion methods, you may have many questions. Here are some of the most common questions we hear women ask about in-clinic abortions. We hope you find the answers helpful. And if you're thinking of having an in-clinic abortion procedure, we hope they help you decide what is best for you.
How Effective Are In-Clinic Abortion Procedures?
You can feel confident in knowing that these abortion methods are very effective. They work almost every time they are done. You'll follow up with your health care provider after your abortion so you can be sure that it worked and that you are well.
What Happens During an In-Clinic Abortion?
It's common for women to be nervous about having an abortion or any other medical procedure. But most of us feel better if we know what to expect. Your health care provider will talk with you and answer your questions. But here's a general idea of how it works and what to expect.
Before the abortion procedure, you will need to
discuss your options
talk about your medical history
have laboratory tests
have a physical exam which may include an ultrasound
read and sign papers
ASPIRATION ABORTION THE MOST COMMON KIND OF IN-CLINIC ABORTION
During anaspirationabortion
Your health care provider will examine youruterus.
You will get medicine for pain. You may be offered sedation a medicine that allows you to be awake but deeply relaxed.
Aspeculumwill be inserted into your vagina.
Your health care provider may inject a numbing medication into or near yourcervix.
The opening of your cervix may be stretched with dilators a series of increasingly thick rods. Or you may have absorbent dilators inserted a day or a few hours before the procedure. They will absorb fluid and get bigger. This slowly stretches open your cervix. Medication may also be used with or without the dilators to help open your cervix.
You will be given antibiotics to prevent infection.
A tube is inserted through the cervix into the uterus.
Either a hand-held suction device or a suction machine gently empties your uterus.
Sometimes, an instrument called a curette is used to remove any remaining tissue that lines the uterus. It may also be used to check that the uterus is empty. When a curette is used, people often call the abortion a D&C dilation and curettage.
An aspiration procedure takes about 5 to 10 minutes. But more time may be needed to prepare your cervix. Time is also needed for talking with your provider about the procedure, a physical exam, reading and signing forms, and a recovery period of about one hour.
D&E DILATION AND EVACUATION
During aD&E
Your health care provider will examine you and check your uterus.
You will get medication for pain. You may be offered sedation or IV medication to make you more comfortable.
A speculum will be inserted into your vagina.
Your cervix will be prepared for the procedure. You may be given medication or have absorbent dilators inserted a day or a few hours before the procedure. They will absorb fluid and grow bigger. This slowly stretches open your cervix.
You will be given antibiotics to prevent infection.
In later second-trimester procedures, you may also need a shot through your abdomen to make sure there is fetal demise before the procedure begins.
Your health care provider will inject a numbing medication into or near your cervix.
Medical instruments and a suction machine gently empty your uterus.
A D&E usually takes between 10 and 20 minutes. But more time is needed to prepare your cervix. Time is also needed for talking with your provider about the procedure, a physical exam, reading and signing forms, and a recovery period of about one hour.
How Do In-Clinic Abortions Feel?
You may have concerns about how an abortion will feel. Most women feel pain similar to menstrual cramps with both of these abortion methods. For others, it is more uncomfortable.
Your health care provider will help to make it as comfortable as possible. You will be given pain medication. Local numbing medicines are usually used. Some clinics offer sedation. Rarely, general anesthesia may be offered for certain procedures. It allows a woman to sleep through the procedure but it increases the medical risks and how long you must remain at the clinic.
You may have cramps after an abortion. You will probably want to relax for the rest of the day.
BLEEDING AFTER IN-CLINIC ABORTION PROCEDURES
You may have some bleeding after your abortion. This is normal. You may pass a few clots about the size of a quarter. It's normal to have
spotting that lasts up to six weeks
heavy bleeding for a few days
bleeding that stops and starts again
It'sOK to use pads or tampons, but using pads makes it easier to keep track of your bleeding.
It's also normal to have no bleeding after an abortion.
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