COMPARISON OF EARLY ABORTION OPTIONS
Abortion Pill / Medication Abortion |
The Abortion Procedure Aspiration (Suction or Vacuum) |
|---|---|
| 1. How far along in the pregnancy can I be? | |
| Up to 9 weeks from the first day of your last period. | Up to 12 weeks from the first day of your last period. |
| 2. What will happen? | |
| The abortion takes place at home. • In the office, you will swallow the abortion pill (mifepristone). Most women feel fine after taking mifepristone. • At home, 6-72 hours later, you use the misoprostol pills. • The abortion usually starts 1-4 hours after you take the misoprostol. You will have heavy bleeding and cramps for a couple of hours. • You return to the office about 1 week later. |
The abortion takes place in the office. • The actual abortion procedure takes 5 to 10 minutes. • The doctor will put special instruments in your vagina and uterus to remove the pregnancy. • Your provider may suggest a follow-up visit |
| 3. How painful is it? | |
| Women have mild to very strong cramps off and on during the abortion. Pain pills help. | Women have mild to very strong cramps during the abortion. Pain pills help. |
| 4. How much will I bleed? | |
| Heavy bleeding with clots is common during the abortion. After that, lighter bleeding may continue on and off for 1-2 weeks or more. | Most women have light bleeding for 1-7 days. Bleeding may continue off and on for a few weeks. |
| 5. How much does it cost? | |
| For both types of abortion, the exact cost depends on where you go. | |
| 6. Can the abortion fail? | |
| The pills work 98-99% of the time. If the pills fail, you must have an aspiration abortion. | It works 99% of the time. If it fails, you must have a repeat aspiration. |
| 7. Can I still have children afterwards? | |
| YES. Neither type of abortion lowers your chances of getting pregnant or staying pregnant in the future. | |
| 8. Is it safe? | |
| Both pills have been used safely for over 10 years. Big problems are rare. Medication abortion is at least 10 times safer than continuing a pregnancy. | Aspiration abortion has been done safely for over 25 years. Abortion in the first 12 weeks leads to very few problems, and is at least 10 times safer than continuing a pregnancy. |
| 9. What are the advantages? | |
| • You won’t have shots, anesthesia, or instruments in your body • It may seem more natural, like a miscarriage. • It can be done earlier in the pregnancy than an aspiration abortion. • Being at home instead of in an office may be more private. • You can choose to have someone with you, or you can be alone. |
•
It is over in a few minutes. • It works 99% of the time. • You see less bleeding than you would with a medication abortion. • Medical staff are with you during the abortion. • It can be done later in the pregnancy than a medication abortion. |
| 10. What are the disadvantages? | |
| • It takes 1-2 days to complete the abortion. • It is not the same for all women. • Bleeding can be very heavy and may last longer than with an aspiration abortion. • Cramps can be severe and last longer than with an aspiration abortion. • It cannot be done as late in pregnancy as an aspiration abortion. • It cannot end a tubal pregnancy. |
• A medical provider must insert instruments inside the uterus. • Anesthetics & pain medicines may cause side effects. • The woman has less control over the abortion procedure and who is with her. • The vacuum aspirator may seem noisy. • It cannot be done as early in pregnancy as a medication abortion. • It cannot end a tubal pregnancy. |
