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Comparison of surgical and medical abortion |
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On the table below you can see a summary of the differences between medical an surgical abortion, which helps you to compare the methods and to make your personal decision.
| Method |
Surgical abortion |
Medical abortion |
| Done by: |
An experienced doctor (the doctor carries the responsibility) |
The patient, who takes the tablet independentely (more responsibilty for the patient, also more confrontation) |
| Duration |
A couple of minutes |
Several days: 1st day: Mifegyne 3rd day: Prostaglandin Expulsion usually happens without bein noticed (additional surgery is needed in 2% of the cases) |
| Additional medication |
Local or general anaesthesia |
Possibly painkillers |
| bleeding |
weak |
Usually a bit stronger and longer lasting than menstruation |
| complications |
very rare: injury of the uterus, infections, incidents during anaesthesia |
Very rare |
| Side effects |
Possibly nausea after surgery |
Cramplike pain, nausea, rarely: vomiting, diarrhea |
| Effects on fertility |
possible but extremely rare in case of complications |
none observed |
| when can it be done |
From the 6th until the 14th week of pregnancy |
approved for early abortion as soon as a positve pregnancy test until the 63rd day (9th week), but effective throughout pregnancy |
| Advantages |
Procedure is very fast and complications are very rare |
Can be performed very early, no anaesthesia needed, the patient does not hand over the control over her body |
| Disadvantages |
Only possible from the 6th week of pregnancy onwards, the patient surrenders the control over her body, anaesthesia may be needed |
the patient needs some time, the treatment takes a couple of days , stronger bleeding, possibly pain |
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