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Medical Versus Surgical Abortion: Deciphering the Options

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This article will discuss the various aspects of medical and surgical termination of pregnancies.

Medically reviewed by

Dr. Monica Mathur

Published At November 7, 2023
Reviewed AtNovember 7, 2023

Introduction:

Abortion is still a contentious issue that sparks heated debate worldwide. People frequently find themselves in a challenging situation when faced with an unanticipated pregnancy, forced to make a personal and perhaps life-altering choice. To make a decision that aligns with one's values, situation, and medical requirements in such cases, it is essential to know all possibilities, including medicinal and surgical abortion.

This article thoroughly evaluates and compares surgical and medicinal abortion techniques. While a surgical abortion requires a procedure by a healthcare provider, a medical abortion involves medication to induce the end of a pregnancy. By examining both procedures' benefits, drawbacks, safety issues, and efficiency, this article will give people the information they need to make wise choices about their reproductive health.

What Is Abortion?

The medical or surgical termination of a pregnancy before the fetus can live outside the womb is known as an abortion. The pregnancy ends due to the removal or expulsion of the embryo or fetus from the uterus. Abortion may be a woman's conscious decision or may be required for medical reasons to preserve the pregnant woman's life or health.

Depending on the stage of pregnancy and local laws and regulations, abortion techniques can change. Early abortions may typically be carried out using drugs (such as the abortion pill or medical abortion) that cause the pregnancy to end, although later abortions may require surgical procedures.

What Is the Fundamental Difference Between Medical and Surgical Abortion?

The methods utilized to end the pregnancy are the key difference between medical and surgical abortion.

Medical Abortion: A medical abortion, sometimes referred to as a non-surgical abortion, entails the use of medication to end a pregnancy. Usually, Mifepristone and Misoprostol are combined and administered one after the other. Progesterone, necessary for sustaining the pregnancy, is blocked by the first medication, Mifepristone. As a result, the uterine lining becomes thinner, and the embryo cannot develop. When used a day or two after Mifepristone, Misoprostol causes contractions that end the pregnancy. The first ten weeks of pregnancy usually are when medical abortions are carried out.

Surgical Abortion: A healthcare expert performs a minor procedure during a surgical abortion. Depending on the pregnancy stage, numerous surgical techniques are available:

  • Manual Vacuum Aspiration (MVA): During the first seven weeks of pregnancy, MVA is typically carried out. It entails inserting a tiny tube connected to a manual suction tool into the uterus. Using suction, the medical expert carefully removes the uterus' contents.

  • Electric Vacuum Aspiration (EVA): EVA is a technique similar to manual vacuum aspiration (MVA), but it uses an electric-powered suction apparatus. Between seven and fifteen weeks of pregnancy, it is often used.

  • Dilation and Curettage (D&C): Between thirteen and fifteen weeks of pregnancy, D&C is carried out. Suction and a sharp curette, a thin, spoon-shaped instrument, dilate the cervix and remove the pregnancy.

  • Dilation and Evacuation (D&E): These are procedures carried out after fifteen weeks of pregnancy. It entails opening up the cervix and removing the pregnancy with the aid of suction, forceps, and other medical devices.

Which Type of Abortion Is Better?

The decision to have a medical or surgical abortion should be made in conjunction with a healthcare provider and depends on a number of variables. Both approaches have advantages and disadvantages but are secure and efficient.

  • A medical abortion includes using medication to cause a miscarriage, typically a combination of two medications (Mifepristone and Misoprostol). Usually, it takes place during the first ten weeks of pregnancy. To complete the abortion, the procedure often entails taking the first medicine at a healthcare professional's office and the second medication at home. Medical abortion can feel more like a natural miscarriage and allows for privacy. However, compared to a surgical abortion, it could include more protracted bleeding and cramps.

  • An abortion by surgery entails a quick operation by a medical professional to expel the pregnancy from the uterus. Various variables, including gestational age and the medical professional's experience, may affect the advised method. Compared to a medical abortion, a surgical abortion typically takes less time and may result in shorter bleeding times.

  • Several variables, including the gestational age of the pregnancy, individual preferences, medical history, and professional medical advice, influence the decision between a medical and surgical abortion. It is crucial to seek advice from a licensed healthcare professional who can give precise information, respond to inquiries, and assist people in choosing the best course of action for their unique situation.

What Are the Side Effects of Each Type of Abortion?

Medical Abortion:

  • Common Side Effects: After taking the medicine, cramping, stomach pain, and vaginal bleeding are frequent adverse effects. These side effects resemble a heavy period and could continue for several days.

  • Nausea and Vomiting: Although some people may suffer from these symptoms, they can frequently be treated with anti-nausea medicine.

  • Diarrhea: This can happen occasionally but is often minor and transient.

  • Headache: A side effect that could happen is a mild headache.

  • Weakness: During an abortion, one may experience dizziness and weariness.

  • Incomplete Abortion: In just a small percentage of cases, a surgical operation may be necessary to carry out the abortion.

Surgical Abortion:

  • Common Side Effects: After a surgical abortion, cramping, abdominal discomfort, and vaginal bleeding are frequent after-effects. These side effects resemble a heavy period and could continue for several days.

  • Infection: Following a surgical abortion, there is a small but real chance of infection. Fever, pelvic pain, and unusual vaginal discharge are possible symptoms. If an infection is detected, prompt medical care is required.

  • Cervical or Uterine Injury: In a small percentage of cases, surgical devices used during the treatment may harm the cervix or uterus. This may result in issues that call for additional medical attention.

  • Anesthesia-Related Risks: If general anesthesia is utilized, hazards include allergic responses, respiratory difficulties, and adverse effects on the cardiovascular system. Local or regional anesthesia, which poses fewer hazards, is nevertheless frequently employed.

  • Emotional and Psychological Effects: After having an abortion, some people may feel various feelings, such as sadness, guilt, or relief. Having the proper emotional support during this time is crucial.

Conclusion:

In conclusion, individual circumstances, personal decisions, and medical factors ultimately determine which method of abortion is preferable medical or surgical. The woman's wishes, gestational age, and general health should determine the choice. Both procedures offer safe and effective ways to end a pregnancy. A non-invasive and discreet method that can be carried out at home is a medical abortion, which involves taking drugs to induce abortion. It gives people greater freedom and control, enabling women to participate actively. However, several doctor visits are necessary, and it is often advised for early pregnancies. The procedure for a surgical abortion, on the other hand, is carried out by a medical practitioner in a clinic or hospital setting. Both early and late in pregnancy, it is a quick and effective procedure. Although it might be considered more invasive, it has the benefit of only needing to be done once.

Dr. Monica Mathur
Dr. Monica Mathur

Obstetrics and Gynecology

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