Know your options for Abortions


3 types of abortion

The decision of ending your pregnancy is not easy. Good information and support can help you choose the best. It is essential to know the different options available to you with regards to both; the procedures and the place you can get them done from.

You may choose to terminate your pregnancy with a surgical procedure or a medication regimen. Both the methods are safe. But your choice should be based on the stage of your pregnancy and the contraindications specified.

Non-invasive methods

Medical abortion is the only non-invasive method available. It is referred to as medical termination of pregnancy (MTP) and has a success rate of about 98%. The medication for it comprises of two pills, Mifepristone and Misoprostol. You can buy it as the MTP kit online or at a dispensary with a prescription. The two drugs compete with the female hormones to prevent the sustenance of pregnancy.

The inner lining of the uterus thickens to support the fetus post conception. This is facilitated by the hormone, Progesterone. Mifepristone, the primary drug disrupts the functioning of this hormone. The thickened endometrial lining is thus ruptured. Mifepristone also works as an anti-glucocorticoid. Glucocorticoids are substances that nourish the fetus as it grows in the uterus. Hence, the product of conception fails to remain viable

Although the fetus is rendered unviable by a single drug, it needs to be flushed out of the uterus. To assist this expulsion is the function of Misoprostol. This drug is a synthetic prostaglandin. Natural prostaglandins are released from the action of the primary drug too. But Misoprostol works synergistically with them to enhance uterine contractions and ripen the cervix. This brings ease in the discharge of the contents through the vaginal opening.

Although this method isn’t completely predictable, it keeps you from the use of anesthesia and physical harms that can be caused by a surgery. It also takes a week on an average to bring about complete abortion.

Invasive methods

Vacuum aspiration

Vacuum aspiration is also referred to as a suction aspiration and is a minor surgical procedure. It involves the use of an apparatus to hold the uterus in place. A dilator aids dilation of the cervix. Misoprostol might be administered with the numbing medicine before the procedure to help ripen the cervix better. A dilated cervix reduces the chances of an injury to it.  The aspiration procedure may be a manual one in some geographic areas. It is usually performed using a machine. The manual process employs a syringe while the other uses a tubing called cannula. Mild vacuum is applied to rid the uterus of pregnancy contents.

If pregnancy has developed to a stage where vacuum aspiration is not able to remove the tissue completely from the uterus, a curettage procedure might be required

Dilation and curettage

Cervical preparation by dilation is done before the surgery. A general anesthesia is administered for sedation during the procedure. The surgery is performed using narrow forceps to remove the pregnancy. Intravenous medications are used to prevent infections from the sharps that are employed.

In later stages, where the embryonic stage has progressed to the fetal stage, an evacuation process might be required instead of a surgery. The surgeon uses an instrument to suction out the fetus and delivers it completely.

Why should I choose

Medical termination

  • You are less than 10 weeks (70 days) pregnant
  • The pregnancy is intrauterine
  • You are not allergic to the components (active and inactive) of the drugs
  • You must not be suffering from conditions of the heart, lungs, or liver. You should not have a chronic adrenal failure
  • You must be above 18 years of age
  • It involves no sedatives or sharps
  • You have privacy concerns

A surgery

  • You are over 10 but less than 21 weeks into gestation
  • You require medical guidance or support throughout the procedure
  • You have to breastfeed during the abortion process
  • It requires fewer visits to the clinic
  • It causes lesser cramping and bleeding.


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