Which is less harmful, aspiration or curettage?

Nowadays, with the liberalization of sexual concepts, unexpected pregnancies are becoming more and more common. If the current situation is not suitable for keeping the child, abortion is the best option. There are many ways to have an abortion. For example, in the early stages of pregnancy, you can terminate the pregnancy through medical abortion or painless abortion, but if it is more than three months, you will need to have an induced abortion. The main methods of inducing labor are vacuum extraction and curettage. So what is the difference between these two surgeries?

1. Definition

Vascular abortion: Abortion is a surgical method of terminating pregnancy. Vacuum aspiration is suitable for those who are pregnant within 10 weeks. A suction tube can be inserted into the uterine cavity and the embryonic tissue can be sucked out with negative pressure to terminate the pregnancy.

Dilation and Curettage: Dilation and Curettage is a procedure in which the endometrial tissue is scraped out and collected from the uterus.

2. Purpose

Vascular aspiration: termination of pregnancy.

Curettage: diagnostic biopsy; treatment of irregular uterine bleeding; removal of fetal tissue (for induced abortion or treatment of incomplete spontaneous abortion);

3. Indications

Vascular aspiration: for women who are within 10 weeks of pregnancy and wish to terminate the pregnancy without any contraindications. Those who are not suitable to continue the pregnancy due to certain diseases.

Curettage: Menstrual disorders, those who need to understand the changes in the endometrium and its response to sex hormones; excessive menstrual bleeding; vaginal bleeding after sexual intercourse; infertility, those who need to understand whether ovulation occurs; endometrial polyps; uterine fibroids; early diagnosis of uterine cancer; early diagnosis of cervical cancer; endometrial hyperplasia; intrauterine contraceptive device incarceration; artificial abortion; incomplete spontaneous abortion.

4. Harm to women

Vacuum abortion is currently the most widely used method of abortion, which uses negative pressure to suck out the embryonic tissue to terminate the pregnancy. This type of abortion is usually only performed within 6-12 weeks of pregnancy. If it is performed too late, the embryo will be too large to be easily sucked out, and it will easily increase surgical complications.

Vacuum extraction is performed on smaller gestational sacs, while larger gestational sacs cannot be completely extracted by simple suction. In order to prevent any residue, a scraping test of the inner wall of the uterus is still required. Curettage causes the most damage, and the uterine membrane takes a long time to recover.

We all know that curettage and aspiration uterine cavity are both types of abortion surgery. Whether it is curettage or aspiration uterine cavity, it needs to be performed under the guidance of a doctor. The doctor will also choose the appropriate abortion method based on our physical condition.