Exploring Abortion Options: Safety and Side Effects for Women - Obstetrics and Gynecology

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Do not want to become pregnant?


I do not want to be pregnant, but I am pregnant.
I would like to ask: Are surgery and taking RU-486 the only options for abortion? Are there any other better methods? What are the side effects of the aforementioned methods? Please respond, thank you.
Considering my age (almost 22), which method is less harmful to my body?

xiong, 20~29 year old female. Ask Date: 2001/08/21

Dr. Wei Fumao reply Obstetrics and Gynecology


If you want to take RU486, it should be done within seven weeks.
The benefits of RU486 include being non-surgical and not requiring anesthesia; however, sometimes it may not expel completely, leading to bleeding.
Therefore, you should not be far from a medical facility for three days after taking it (please consult a nearby obstetrician-gynecologist regarding this).
If the pregnancy has progressed too far, RU486 cannot be used, and surgical methods will be necessary.

Reply Date: 2001/08/21

More Info


When it comes to exploring abortion options, it's essential to understand the available methods, their safety, and potential side effects. The two most common methods of abortion are surgical abortion and medication abortion (often referred to as the abortion pill, with RU-486 being a well-known brand).
1. Surgical Abortion:
Surgical abortion typically involves a procedure called suction aspiration or dilation and curettage (D&C). This method is usually performed in a clinic or hospital setting and can be done under local anesthesia, sedation, or general anesthesia, depending on the gestational age and the woman's preference.

Safety and Side Effects:
- Safety: Surgical abortions are generally safe when performed by qualified healthcare providers. Complications are rare but can include infection, heavy bleeding, or injury to the uterus or surrounding organs.

- Side Effects: Common side effects may include cramping, nausea, and light bleeding. Most women recover quickly and can return to their normal activities within a few days.

2. Medication Abortion (RU-486):
Medication abortion involves taking two different medications: mifepristone (RU-486) followed by misoprostol. This method can be done up to 10 weeks into the pregnancy and allows women to manage the process in the comfort of their own homes.

Safety and Side Effects:
- Safety: Medication abortion is also considered safe and effective. The risk of serious complications is low, but it is crucial to follow up with a healthcare provider to ensure the abortion is complete.

- Side Effects: Side effects can include cramping, heavy bleeding, nausea, vomiting, diarrhea, and fatigue. Some women may experience emotional reactions, which can vary widely.

Other Options:
While surgical and medication abortions are the most common methods, there are no other medically approved methods for terminating a pregnancy. Some women may consider natural or alternative methods, but these are not recommended due to safety concerns and lack of efficacy.

Considerations Based on Age:
At 21, you are legally able to make decisions regarding your reproductive health. Both surgical and medication abortions are safe for women in your age group. However, the choice between the two methods may depend on personal preferences, gestational age, and medical history. It’s crucial to consult with a healthcare provider who can provide personalized advice based on your specific situation.

Emotional and Psychological Aspects:
Regardless of the method chosen, it’s essential to consider the emotional and psychological aspects of abortion. Many women experience a range of emotions following the procedure, including relief, sadness, or guilt. Support from friends, family, or counseling services can be beneficial during this time.

Conclusion:
In summary, both surgical and medication abortions are safe and effective options for terminating a pregnancy. Each method has its own set of side effects and considerations. It is vital to consult with a healthcare provider to discuss your options, understand the procedures, and receive the necessary support throughout the process. Remember, you are not alone, and there are resources available to help you navigate this decision.

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