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

Nowadays, there are many women who get pregnant unexpectedly, especially many pregnant women are students at school. Some of them are pregnant for the first time and have no idea what to do. They are also very anxious. It is impossible to keep the baby, so they have to abort it. However, there are so many ways of abortion now, including medical abortion and surgical abortion. There are many people around who use different methods, and they don’t know how to choose. So is surgical abortion better or medical abortion?

Many women who have unexpected pregnancies are very conflicted about whether to choose surgical abortion or medical abortion. Many college students become pregnant, and their economic conditions are generally limited. If they have many miscarriages, they will choose medical abortion, but some people still feel that painless surgical abortion is better.

According to the length of pregnancy, artificial abortion can be divided into early artificial abortion and mid-term induced abortion. Different months have different surgical methods for artificial abortion. Within 7 weeks, medical abortion can be performed, 5-10 weeks, suction uterine abortion, 10-14 weeks, clamping must be used, and more than 14 weeks, only mid-term induced labor can be performed. It is most appropriate to have an artificial abortion within 10 weeks of pregnancy. Because the earlier the abortion is performed, the simpler and safer it will be; otherwise, the operation will be complicated and the recovery time will be longer.

First of all, no matter whether you choose medical abortion or painless abortion, the result is the artificial termination of the normal physiological process, which will disrupt the endocrine balance of the human body, cause disorders of the reproductive neuroendocrine axis, cause menstrual disorders, amenorrhea, etc. Therefore, it is very important to do a good job of contraception when you do not plan to get pregnant. If you accidentally get pregnant, you should deal with it as soon as possible. Medical abortion should be within 7 weeks of amenorrhea and diagnosed as early pregnancy. In cases where artificial abortion is not suitable, such as after childbirth, after abortion, or in cases of genital malformations, uterine perforation, etc., and medical abortion can easily lead to excessive bleeding, it must be performed in an abortion institution with certain equipment. It is best to have a painless abortion within 10 weeks of pregnancy. At this time, the uterus is still not very large, the operation generally does not require cervical dilation, and the impact on the body is relatively small.

Compared with painless abortion surgery, medical abortion does not require surgical operation and there is no possibility of artificially introducing bacteria into the uterine cavity, so the chance of postoperative infection will be relatively reduced. However, the bleeding time after medical abortion is relatively long. Prolonged vaginal bleeding provides fertile ground for the growth and reproduction of bacteria. Due to the effects of drugs and continuous vaginal bleeding, the internal opening of the cervix is ​​also in a relaxed state. If there is an ascending bacterial infection at this time, it will also cause pelvic inflammation.

Only by carefully following the precautions after medical abortion can the occurrence of pelvic inflammation be effectively prevented. In addition, there is a 10% failure rate for medical abortion, and a 10% rate for heavy vaginal bleeding and incomplete abortion. In these cases, a uterine curettage is required. At present, our hospital adopts the internationally leading technology SHE'S visual painless abortion technology, which is safe, visual and painless, with less bleeding and fewer complications. It completely solves the pain caused by traditional surgery and the problems of many long-term and short-term complications, and has become a blessing for those who wish to terminate their early pregnancy.

In short, medical abortion causes less damage to the uterus, is suitable for performance within 7 weeks of pregnancy, and is relatively cheap. However, medical abortion may result in incomplete abortion, and uterine cleaning may be required. Painless abortion is relatively safer because it is visible and painless. Therefore, it is generally recommended. Of course, the prerequisite is that you must go to a regular hospital for the painless abortion.

Expert explanation:

There are two common methods of abortion: medical abortion and artificial abortion. Generally speaking, medical abortion is for a shorter pregnancy. In this case, medical abortion is usually performed. Of course, many people are used to medical abortion, which avoids the pain of artificial abortion, but it also has some disadvantages. Sometimes, medical abortion may not be able to expel the embryo at one time, which will cause residue. In this case, a second uterine curettage must be performed to remove the remaining fetal membrane or villi. This is equivalent to trying to avoid the pain, but it causes greater pain. This also has this disadvantage.

In addition, the bleeding time of medical abortion is relatively long. Although artificial abortion is more painful, it is easier to clean. Therefore, it is recommended that you do not have sexual intercourse within two weeks after medical abortion or artificial abortion, and I think it is best to do so within a month to avoid infection. Also, pay attention to rest, which is generally about two weeks. Try to pay attention to nutrition and daily life. I think you should try to protect yourself like a normal delivery to avoid regrets for future pregnancies.

If you have a medical abortion, you should observe your bleeding. If the bleeding time is very long and accompanied by abdominal pain, try to go to the hospital for an ultrasound to see if there is any residue and have a uterine curettage as soon as possible. If you have abdominal pain or low-grade fever after surgical or medical abortion, try to go to the hospital for treatment.

Regarding the question of whether surgical abortion or medical abortion is better, everyone has different opinions. If it is a first-time pregnant woman, it is better to have a medical abortion, which will cause less harm to the body. However, most pregnant women feel that medical abortion will be very painful and they cannot accept it, so they will choose surgical abortion. No matter which method is used, it will be harmful to the female body.