Understanding your options: Surgical Abortion vs Medical Abortion

Understanding your options: Surgical Abortion vs Medical Abortion

June 15, 2022 Off By Kevin Richardson

Time of reading 7 min 18 secs

Choosing to have an abortion may be difficult. Determining which kind of abortion method is most appropriate for your specific situation can add to the uncertainty of making that decision. This essay aims to help you better understand the options that are open to you by comparing and contrasting the abortion procedures of surgical abortion and medication abortion.

Surgical abortion

Up to 80,000 Australian women have abortions by surgical means each year, making it one of its most prevalent and safest medical operations. Abortion is one of the safest ways to terminate a pregnancy.

Surgical abortion has a low complication risk when carried out within this period. It is most usually done in the first trimester, up to 14 weeks into the pregnancy. Although it is possible to get a surgical abortion in the second trimester of pregnancy (up to 20 weeks in most states and up to 24 weeks in Victoria), the process itself is more complicated.

In the first trimester of pregnancy, a surgical abortion is often performed while the patient is under the influence of “twilight sedation,” but a local anesthetic is also a possibility. After the anesthetic has had a chance to take effect, the doctor will put a tiny tube into the uterus and then use gentle suction to remove the contents of the uterus and the lining of the uterus. Because of this, a surgical abortion is often referred to as a “suction curette.”

The process itself only takes around ten minutes; however, having a surgical abortion may take anywhere from four to five hours from the time a patient arrives at the clinic until they are ready for surgery and have fully recovered from the effects of the anesthesia. Following the impact of the anesthesia has worn off and you have been instructed on how to care for yourself after the procedure correctly, you will need to be driven home.

The dangers of having an abortion via surgery

Surgical abortion is one of the safest surgeries that may be performed in Australia; nonetheless, there is always a possibility of complications with any kind of surgery. Even though there is a possibility of difficulties in around 3 percent of patients, serious complications are very uncommon. The following is a list of the potential dangers involved with having an abortion using surgical means:

  1. The most prevalent complication, which may affect up to 2 percent of women who have an abortion, is an incomplete abortion, which occurs when a fragment of the lining of the uterus or the fetus itself is left behind in the uterus. This may result in bleeding that causes problems or discomfort, and it may also be necessary to repeat the surgery.
  2. Continuing pregnancy is relatively rare (one in 500). However, it is more frequent in treatments done in patients younger than six weeks.
  3. Infection is sporadic, accounting for fewer than 1 percent of cases. Antibiotics will typically be provided to you or prescribed in conjunction with your surgery to lessen the risk.
  4. Damage to the cervix is rare, and the repercussions are seldom long-lasting when it does occur.
  5. Perforation of the uterus, which occurs when the surgical tools produce a hole in the uterus wall, is potentially the most catastrophic consequence. Stiсвя, thankfully it happens only very seldom when the surgeon is skillful.
  6. It is unusual for bleeding after a surgical abortion performed during the first trimester.

Following a surgical abortion, women must seek medical attention as quickly as possible if they have excessive bleeding, fever, or significant pain or discomfort.

Why choose an abortion using surgical means?

When it comes to terminating a pregnancy in the first trimester, surgical abortion is an option that is exceedingly safe and has a very high success rate. The following are some of the benefits of opting for an abortion by surgical means:

  • In comparison to medical abortion, it may be conducted much later in the pregnancy.
  • The actual process takes a few minutes, and patients often need to make only a single trip to the clinic for it.
  • When compared to medical abortion, there is often less blood and cramping after a surgical abortion.
  • During the whole process, medical personnel are present.
  • It is possible to carry out the procedure under twilight sedation, which lessens both consciousness and pain sensation.
  • It has a very low incidence of complications and a very high percentage of success.
  • You are free to continue nursing, in contrast to when you will be required to stop breastfeeding to have a medical abortion.
Surgical Abortion vs Medical Abortion

Surgical Abortion vs Medical Abortion

Abortion by Abortion Pills

In Australia, most pregnant women may access a non-surgical abortion alternative called medical abortion up to 77 days into their pregnancies. Since 2012, medical abortion has been more readily accessible in Australia. The choice between a medicinal abortion and a surgical abortion is heavily influenced by the specifics of the patient’s situation and their own preferences.

Accessing a termination has become more discrete and less intrusive for many of Australia’s female population due to the legalization and widespread availability of medical abortion. The relatively recent development of medical abortion by teleconsultation has made early termination of pregnancy more easily accessible to women living in rural and regional locations and women who cannot travel to an abortion clinic for their procedure.

Once a pregnancy has been confirmed by ultrasound (often around 5 weeks), a medical abortion may be performed up to 11 weeks (77 days) into the gestational period. A combination of two drugs that, when taken simultaneously, are effective in ending a pregnancy is what is used to carry out the abortion procedure.

  1. The first dose of your medicine will either be given to you by your physician or provided to you to take at home. This drug is an anti-hormone, and its mechanism of action involves suppressing the effects of progesterone, which is the hormone that must be present for a pregnancy to proceed.
  2. After waiting between 24 and 48 hours after taking the first drug, you will then buccally administer the second medication (placing the tablets between the cheek and gum for 30 minutes before swallowing any remaining fragments with water).

The second medicine helps the uterus evacuate the pregnancy by opening the cervix and assisting the uterus in contracting the cervix. After taking the second medicine, this should happen anywhere from 30 minutes to 24 hours later; however, most women should anticipate having vaginal bleeding and cramps and pass some pregnancy tissue within 4 hours of taking the second medication.

You must get an ultrasound before being provided the medicine for a medical abortion. This is done to ensure that you are no more than 11 weeks (77 days) pregnant and to rule out the possibility of an ectopic pregnancy (a pregnancy in the tubes).

Although a few medical disorders might rule you out as a candidate for a medical abortion, almost all women can undergo this procedure without any problems. If you have a bleeding condition or are using blood thinning drugs, have difficulties with your adrenal glands, or take corticosteroid treatments like prednisone. Medical abortion is not an option for you.

Your physician will review your medical history to determine whether or not you are qualified to have a medical abortion. When you are undergoing a medical abortion, you will also need to be able to get prompt medical attention in an emergency situation.

The dangers of having a Medical Abortion

Medical abortion is a risk-free and efficient way to end a pregnancy up to 9 weeks into gestation; but, similar to surgical abortion, medical abortion can include certain dangers, including the following:

  1. The most frequent kind of complication is an incomplete abortion (1-4 percent ). It is characterized by the pregnancy being partially evacuated from the uterus, which may result in painful cramping and profuse bleeding. If the bleeding or cramping does not stop, a surgical operation may be necessary.
  2. Less than one percent of pregnancies end up being ongoing pregnancies. An abortion by surgical means is the standard recommendation.
  3. Infection is a rare occurrence (less than 1 percent ).
  4. Excessive bleeding is severe enough to call for a blood transfusion in about one in every thousand instances.

What to anticipate after the consumption of the second dose of medicine

It is common to have vaginal bleeding and cramps, and these symptoms often manifest themselves within a few hours after taking the second medicine (misoprostol). The severity of the cramping and bleeding experienced by each sufferer varies.

  • The bleeding typically lasts between ten to sixteen days on average, and it is common for the flow to be thicker than a typical period of two to three days during this time.
  • Nausea, vomiting, diarrhea, chills, and fever are other potential adverse reactions to the medicine; however, these reactions are often moderate and temporary.

If any of the following apply, please get in touch with your service doctor:

  • You are soaking more than two maxi pads every hour for more than two hours.
  • You have significant cramps or agony that pain medicine cannot alleviate.
  • You continue to have adverse effects such as fever, chills, severe discomfort, or any other symptoms for more than 24 hours after taking Misoprostol.
  • Do You have any concerns after taking the medication.

If the patient does not experience bleeding, a second dosage of misoprostol may be necessary, or an alternative form of pregnancy termination may be recommended. If this happens to you, you should make an appointment with your primary care physician as soon as you can.

Why choose Medical abortion?

Medicinal abortion is a viable choice for women who are less than 9 weeks into their pregnancies and who do not choose to endure surgical termination of their pregnancy. The following are some other reasons why women prefer medicinal abortion versus surgical abortion:

  • It is not necessary to provide anesthesia;
  • The method does not involve any cutting or slicing;
    There is a higher level of discretion as compared to surgical abortion;
  • Because it is not a surgical process, there are no hazards linked with surgery when it comes to medicinal abortion;
  • You are in the comfort of your own home and have the option of accepting help from friends and/or family members;
  • Because it is comparable to having heavy menstruation or a miscarriage, some women report that it makes them feel “more natural.”

What are your recommendations?

Above all else, the choice of whether to have a medical or a surgical abortion is entirely up to you. It must consider the specifics of your situation, including your medical history and your own preferences. If you are confused about which choice is best for you, it is always best to speak to your doctor or schedule an appointment for a telephone consultation with one of our pre-care nurses. If you are unsure about which option is best for you, it is always best to talk to your doctor.

Choosing to have an abortion may be difficult. Determining which kind of abortion method is most appropriate for your specific situation can add to the uncertainty of making that decision. This essay aims to help you better understand the options that are open to you by comparing and contrasting the abortion procedures of surgical abortion and medication abortion.

Surgical abortion

Up to 80,000 Australian women have abortions by surgical means each year, making it one of its most prevalent and safest medical operations. Abortion is one of the safest ways to terminate a pregnancy.

Surgical abortion has a low complication risk when carried out within this period. It is most usually done in the first trimester, up to 14 weeks into the pregnancy. Although it is possible to get a surgical abortion in the second trimester of pregnancy (up to 20 weeks in most states and up to 24 weeks in Victoria), the process itself is more complicated.

In the first trimester of pregnancy, a surgical abortion is often performed while the patient is under the influence of “twilight sedation,” but a local anesthetic is also a possibility. After the anesthetic has had a chance to take effect, the doctor will put a tiny tube into the uterus and then use gentle suction to remove the contents of the uterus and the lining of the uterus. Because of this, a surgical abortion is often referred to as a “suction curette.”

The process itself only takes around ten minutes; however, having a surgical abortion may take anywhere from four to five hours from the time a patient arrives at the clinic until they are ready for surgery and have fully recovered from the effects of the anesthesia. Following the impact of the anesthesia has worn off and you have been instructed on how to care for yourself after the procedure correctly, you will need to be driven home.

The dangers of having an abortion via surgery

Surgical abortion is one of the safest surgeries that may be performed in Australia; nonetheless, there is always a possibility of complications with any kind of surgery. Even though there is a possibility of difficulties in around 3 percent of patients, serious complications are very uncommon. The following is a list of the potential dangers involved with having an abortion using surgical means:

  1. The most prevalent complication, which may affect up to 2 percent of women who have an abortion, is an incomplete abortion, which occurs when a fragment of the lining of the uterus or the fetus itself is left behind in the uterus. This may result in bleeding that causes problems or discomfort, and it may also be necessary to repeat the surgery.
  2. Continuing pregnancy is relatively rare (one in 500). However, it is more frequent in treatments done in patients younger than six weeks.
  3. Infection is sporadic, accounting for fewer than 1 percent of cases. Antibiotics will typically be provided to you or prescribed in conjunction with your surgery to lessen the risk.
  4. Damage to the cervix is rare, and the repercussions are seldom long-lasting when it does occur.
  5. Perforation of the uterus, which occurs when the surgical tools produce a hole in the uterus wall, is potentially the most catastrophic consequence. Stiсвя, thankfully it happens only very seldom when the surgeon is skillful.
  6. It is unusual for bleeding after a surgical abortion performed during the first trimester.

Following a surgical abortion, women must seek medical attention as quickly as possible if they have excessive bleeding, fever, or significant pain or discomfort.

Why choose an abortion using surgical means?

When it comes to terminating a pregnancy in the first trimester, surgical abortion is an option that is exceedingly safe and has a very high success rate. The following are some of the benefits of opting for an abortion by surgical means:

  • In comparison to medical abortion, it may be conducted much later in the pregnancy.
  • The actual process takes a few minutes, and patients often need to make only a single trip to the clinic for it.
  • When compared to medical abortion, there is often less blood and cramping after a surgical abortion.
  • During the whole process, medical personnel are present.
  • It is possible to carry out the procedure under twilight sedation, which lessens both consciousness and pain sensation.
  • It has a very low incidence of complications and a very high percentage of success.
  • You are free to continue nursing, in contrast to when you will be required to stop breastfeeding to have a medical abortion.
Surgical Abortion vs Medical Abortion

Surgical Abortion vs Medical Abortion

Abortion by Abortion Pills

In Australia, most pregnant women may access a non-surgical abortion alternative called medical abortion up to 77 days into their pregnancies. Since 2012, medical abortion has been more readily accessible in Australia. The choice between a medicinal abortion and a surgical abortion is heavily influenced by the specifics of the patient’s situation and their own preferences.

Accessing a termination has become more discrete and less intrusive for many of Australia’s female population due to the legalization and widespread availability of medical abortion. The relatively recent development of medical abortion by teleconsultation has made early termination of pregnancy more easily accessible to women living in rural and regional locations and women who cannot travel to an abortion clinic for their procedure.

Once a pregnancy has been confirmed by ultrasound (often around 5 weeks), a medical abortion may be performed up to 11 weeks (77 days) into the gestational period. A combination of two drugs that, when taken simultaneously, are effective in ending a pregnancy is what is used to carry out the abortion procedure.

  1. The first dose of your medicine will either be given to you by your physician or provided to you to take at home. This drug is an anti-hormone, and its mechanism of action involves suppressing the effects of progesterone, which is the hormone that must be present for a pregnancy to proceed.
  2. After waiting between 24 and 48 hours after taking the first drug, you will then buccally administer the second medication (placing the tablets between the cheek and gum for 30 minutes before swallowing any remaining fragments with water).

The second medicine helps the uterus evacuate the pregnancy by opening the cervix and assisting the uterus in contracting the cervix. After taking the second medicine, this should happen anywhere from 30 minutes to 24 hours later; however, most women should anticipate having vaginal bleeding and cramps and pass some pregnancy tissue within 4 hours of taking the second medication.

You must get an ultrasound before being provided the medicine for a medical abortion. This is done to ensure that you are no more than 11 weeks (77 days) pregnant and to rule out the possibility of an ectopic pregnancy (a pregnancy in the tubes).

Although a few medical disorders might rule you out as a candidate for a medical abortion, almost all women can undergo this procedure without any problems. If you have a bleeding condition or are using blood thinning drugs, have difficulties with your adrenal glands, or take corticosteroid treatments like prednisone. Medical abortion is not an option for you.

Your physician will review your medical history to determine whether or not you are qualified to have a medical abortion. When you are undergoing a medical abortion, you will also need to be able to get prompt medical attention in an emergency situation.

The dangers of having a Medical Abortion

Medical abortion is a risk-free and efficient way to end a pregnancy up to 9 weeks into gestation; but, similar to surgical abortion, medical abortion can include certain dangers, including the following:

  1. The most frequent kind of complication is an incomplete abortion (1-4 percent ). It is characterized by the pregnancy being partially evacuated from the uterus, which may result in painful cramping and profuse bleeding. If the bleeding or cramping does not stop, a surgical operation may be necessary.
  2. Less than one percent of pregnancies end up being ongoing pregnancies. An abortion by surgical means is the standard recommendation.
  3. Infection is a rare occurrence (less than 1 percent ).
  4. Excessive bleeding is severe enough to call for a blood transfusion in about one in every thousand instances.

What to anticipate after the consumption of the second dose of medicine

It is common to have vaginal bleeding and cramps, and these symptoms often manifest themselves within a few hours after taking the second medicine (misoprostol). The severity of the cramping and bleeding experienced by each sufferer varies.

  • The bleeding typically lasts between ten to sixteen days on average, and it is common for the flow to be thicker than a typical period of two to three days during this time.
  • Nausea, vomiting, diarrhea, chills, and fever are other potential adverse reactions to the medicine; however, these reactions are often moderate and temporary.

If any of the following apply, please get in touch with your service doctor:

  • You are soaking more than two maxi pads every hour for more than two hours.
  • You have significant cramps or agony that pain medicine cannot alleviate.
  • You continue to have adverse effects such as fever, chills, severe discomfort, or any other symptoms for more than 24 hours after taking Misoprostol.
  • Do You have any concerns after taking the medication.

If the patient does not experience bleeding, a second dosage of misoprostol may be necessary, or an alternative form of pregnancy termination may be recommended. If this happens to you, you should make an appointment with your primary care physician as soon as you can.

Why choose Medical abortion?

Medicinal abortion is a viable choice for women who are less than 9 weeks into their pregnancies and who do not choose to endure surgical termination of their pregnancy. The following are some other reasons why women prefer medicinal abortion versus surgical abortion:

  • It is not necessary to provide anesthesia;
  • The method does not involve any cutting or slicing;
    There is a higher level of discretion as compared to surgical abortion;
  • Because it is not a surgical process, there are no hazards linked with surgery when it comes to medicinal abortion;
  • You are in the comfort of your own home and have the option of accepting help from friends and/or family members;
  • Because it is comparable to having heavy menstruation or a miscarriage, some women report that it makes them feel “more natural.”

What are your recommendations?

Above all else, the choice of whether to have a medical or a surgical abortion is entirely up to you. It must consider the specifics of your situation, including your medical history and your own preferences. If you are confused about which choice is best for you, it is always best to speak to your doctor or schedule an appointment for a telephone consultation with one of our pre-care nurses. If you are unsure about which option is best for you, it is always best to talk to your doctor.