Early Pregnancy: Week Calculation and Abortion Options

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Yesterday, I discovered I was unintentionally pregnant during a pregnancy test at the hospital.
The embryo measures approximately 2.6 centimeters, and the doctor estimated that I am about seven weeks along.
However, this seems inconsistent with my own calculations, so I would like to ask the doctor to confirm the estimated weeks of pregnancy.
Additionally, if I am considering an abortion, would it be more suitable to take medication or undergo a surgical procedure? I am quite afraid of surgery, but I would still like to hear your advice.
Thank you!

Huang, 20~29 year old female. Ask Date: 2003/03/11

Dr. Zhan Deqin reply Obstetrics and Gynecology

The seven weeks referred to by the physician is calculated from the first day of the last menstrual period, not from the actual day of conception, so there may be discrepancies with the date you calculated.
As for whether to take medication or undergo surgery, both options have their pros and cons, making it difficult to determine which is better.
The advantages of medication include: no need to go to the operating room and no risk of anesthesia.
The disadvantages are: it is not 100% effective, with a current success rate of about 94%, and a small number of individuals may experience incomplete miscarriage, leading to persistent heavy bleeding.
In terms of surgery: the success rate is higher, and the bleeding time is shorter.
However, the disadvantages include the risk of anesthesia and potential surgical complications, with the greatest danger being uterine perforation, which could injure the intestines.

Reply Date: 2003/03/11

More Info

Understanding early pregnancy can indeed be confusing, especially when it comes to calculating gestational weeks and considering options for termination. Let's break down your questions regarding pregnancy week calculation and the options available for abortion.

Calculating Pregnancy Weeks
Pregnancy is typically calculated from the first day of your last menstrual period (LMP), not from the date of conception. This method is standard practice because it provides a consistent reference point. In your case, if your doctor estimates that the embryo is about 2.6 cm in size, which corresponds to approximately seven weeks of gestation, this aligns with the typical growth patterns observed in early pregnancy.
To clarify, the size of the embryo can be used to estimate gestational age through ultrasound measurements, which are often more accurate than calculations based solely on LMP, especially if your menstrual cycle is irregular. However, if you have a regular cycle, the LMP method is generally reliable. If there’s a discrepancy between your calculations and the doctor’s estimate, it may be worth discussing further with your healthcare provider to understand the reasons behind the difference.

Abortion Options: Medication vs. Surgical
When it comes to the options for terminating a pregnancy, there are generally two main methods: medication (also known as medical abortion) and surgical abortion. The choice between these options often depends on how far along you are in your pregnancy, your personal health, and your comfort level with each method.

1. Medical Abortion: This method involves taking medication to induce a miscarriage. It is typically available up to 10 weeks into the pregnancy. The process usually involves taking two different medications: the first (mifepristone) is taken at a healthcare provider's office, and the second (misoprostol) is taken at home a day or two later. Many women prefer this method because it allows for a more private experience and can be done in the comfort of home. However, it can involve significant cramping and bleeding, and it’s important to have follow-up care to ensure the abortion is complete.

2. Surgical Abortion: This method involves a procedure to remove the contents of the uterus. There are different types of surgical abortions, including aspiration (suction) and dilation and curettage (D&C). Surgical abortions can be performed up to 24 weeks into the pregnancy, depending on local laws and regulations. While some women may feel apprehensive about surgery, it is generally a safe procedure with a low risk of complications when performed by a qualified healthcare provider.

Considerations and Recommendations
Given your apprehension about surgical procedures, a medical abortion might be a more suitable option for you, provided you are within the appropriate gestational age. However, it’s crucial to have a thorough discussion with your healthcare provider about your options, including the potential risks and benefits of each method, and to ensure that you have access to follow-up care.

Additionally, if you are considering a medical abortion, it’s important to have a support system in place, as the experience can be emotionally and physically taxing. Make sure to discuss any concerns you have about the process with your doctor, who can provide you with detailed information and support.

In conclusion, understanding your pregnancy week calculation and the options available for termination is essential. Make sure to consult with a healthcare provider who can guide you through this process, ensuring that you make an informed decision that aligns with your health needs and personal circumstances.

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