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Options of medical or surgical abortions - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User :   hello my wife has just missed her period. she is afraid that she may be pregnant. we do not want to have a child now so we want to terminate the pregnancy .what are the test to know whether she is pregnant or not . ans what are our options to terminate the pregnancy. that may be 2 week old .
Doctor :   Hi
User :   HELLO
Doctor :   please let me read your post
User :   OK
Doctor :   Is her periods regular?
Doctor :   Did you do urine pregnancy test now?
User :   YES
Doctor :   ok
Doctor :   do an urine preg test to confirm
User :   ok
Doctor :   or else it could even be postponed periods
Doctor :   so there are two types of abortion
Doctor :   one is medical
Doctor :   one is surgical
Doctor :   Medical Abortion (brand name Mifeprex) is a form of early abortion caused by the combination of two medications, mifepristone and misoprostol that is an option for women who are 8 weeks pregnant or less.
Doctor :   there are two pills to be taken
Doctor :   one is taken after 24-72 hours of the first pill
Doctor :   When used in combination,the tabletsare 95-97% effective within two weeks
Doctor :   they should only be taken under a gynaec supervision
User :   ok
Doctor :   since it can cause SEVERE BLEEDING
Doctor :   SOMETIMES
User :   how can we know that
User :   the pregnancy is terminated
User :   after the pills are taken
Doctor :   most will be terminated with in 2 weeks
Doctor :   of taking tablets
Doctor :   but to confirm
Doctor :   A follow-up exam is scheduled for two weeks later to make sure the process is complete.
Doctor :   If you have not yet miscarried, we will perform a aspiration abortion
Doctor :   A very small percentage (5%) of women do not pass the pregnancy tissue and need a suction procedure to complete the process.
Doctor :   Most of the side effects when using this early abortion option are caused by the second medication,
Doctor :   Side-effects may include heavy bleeding, headache, nausea, vomiting, diarrhea, and heavy cramping.
Doctor :   Vaginal bleeding with medical abortion could be extremely heavy
Doctor :   In rare situations it could require a aspiration abortion and very rarely, a blood transfusion.
Doctor :   If pregnancy is continued after taking these medications, there is a high risk of fetal deformities.
User :   what about surgical option can it be performed in this early stage?
Doctor :   hope you understood
User :   or only pills are the options
Doctor :   not needed
Doctor :   evertime
Doctor :   everytime
Doctor :   since it depends on response to pills
Doctor :   first offcourse you need pillonly
Doctor :   Home pregnancy tests available at a drug store can indicate pregnancy early after conception
User :   after how many days she can be normal in her periods after this medication
Doctor :   Most abortions are performed in an outpatient office setting (doctor's office, ambulatory clinic) under local anesthesia with or without sedation.
Doctor :   mostly after 1-2 periods
Doctor :   some n will be fine in next period itself
Doctor :   it varies among person to person
Doctor :   Medical abortions can provide some measure of safety in that they eliminate the risk of injury to a woman's cervix or uterus from surgical instruments.
Doctor :   A rare and serious infection by the bacteria Clostridium sordellii is related to medical abortions.
Doctor :   you will be given antibiotics to prevent infections
Doctor :   after abortion
Doctor :   when chances of infections are high
Doctor :   due to wound inside uterus
Doctor :   history of anemia ,bleeding disorder etc are to be checked before abortion
User :   will these pills affect the future conception when we want it or things will be normal
Doctor :   If you have active medical problems, you may need to be stabilized before an abortion or have the procedure performed
Doctor :   there are no known long term risks associated with using
Doctor :   medical abortion
Doctor :   therefore, women may pursue another pregnancy whenever they feel the time is right after having a Medical Abortion.
Doctor :   did you understand?
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