Is it better to have abortion by surgery or by medicine?

Many people are always confused about whether to have a surgical abortion or a medical abortion when they are preparing for an abortion. These are the two most common methods of abortion. In fact, in the early stages, it is still better to choose medical abortion. This method is conservative and does not require any surgery. It will make people recover faster, but it will also take two or three weeks of rest after the medical abortion.

Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion.

Postoperative precautions

1) Follow up on schedule; 2) No sexual intercourse or bathing for one month; 3) Appropriate activities; 4) Take a 2-week vacation; 5) Contraceptive guidance: After medical abortion, you can take short-acting oral contraceptives at the same time, or have an intrauterine device inserted after 2 menstruations.

Follow-up

Follow-up of medical abortion is the most important, because after the gestational sac is expelled, the decidua will still be gradually expelled, so regular follow-up is crucial. 1) One week after medication: If the fetal sac is not expelled on the day of medical abortion, a follow-up examination should be conducted one week later. If it is confirmed that the pregnancy is continuing or the embryo has stopped growing, vacuum aspiration should be performed. 2) 2 weeks after medication: If there is not much bleeding after the fetal sac is expelled, you can continue to observe the situation. B-ultrasound examination or HCG measurement should be performed. If necessary, the uterus should be cleaned and the scraped material should be sent for pathology. 3) After 6 weeks of medication, evaluate the abortion effect and understand the menstrual recovery status. If vaginal bleeding persists, uterine curettage may be necessary.

Abortion effect evaluation

1) Complete abortion: spontaneous expulsion of the complete gestational sac or no obvious expulsion of the gestational sac 14 days after medication, no gestational sac found by B-ultrasound or negative urine pregnancy test, uterus returns to normal size, and bleeding stops without curettage; 2) Incomplete abortion: spontaneous expulsion of the gestational sac within 14 days after medication, and curettage is performed due to excessive bleeding from the gestational sac including the decidua or for too long until the onset of menstruation; 3) Failure: no expulsion of the gestational sac within 14 days after medication, the uterus remains the same or continues to grow, blood HCG rises, gestational sac is still found by B-ultrasound, and artificial abortion vacuum aspiration is used to terminate the pregnancy.

complication

Many women, especially unmarried women, mistakenly believe that medical abortion is not a surgery and will not harm the body. In fact, medical abortion, like vacuum abortion, is an artificial intervention in the physiological process of pregnancy, which will harm women's health to a certain extent. 1) Infection. After a woman takes anti-pregnancy drugs, the embryonic sac tissue in the uterine cavity can be discharged on the same day. Sometimes the pregnancy tissue is not completely discharged, the uterus is poorly involuted, and vaginal bleeding lasts for a long time, which can last for 2-3 weeks or even 1-2 months. Long-term chronic blood loss can cause anemia and reduce the body's resistance. At this time, bacteria often travel back through the vagina and cause inflammation of the endometrium.

Incomplete abortion

Some women suffer incomplete miscarriage after taking the medicine, which affects uterine contraction and the repair of endometrial wounds, causing a significant increase in vaginal bleeding, which is 2-3 times more than the normal menstrual volume. In severe cases, heavy bleeding may occur, leading to anemia and shock, requiring blood transfusions and emergency surgery for curettage and hemostasis.