Which is less harmful, surgical abortion or medical abortion?

Nov 13, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Manual vacuum aspiration and medical abortion are two different methods of terminating a pregnancy. Manual vacuum aspiration is a surgical method of ending a pregnancy and is considered an invasive procedure. It has a high success rate, and incomplete abortion is rare. Medical abortion is a method of terminating a pregnancy through oral medication. It is relatively less painful and is considered safe, simple, and highly effective.

Medical abortion and surgical abortion are two different methods of terminating a pregnancy, each with its own characteristics and risks. It is generally not possible to generalize which method causes less harm. A detailed analysis is as follows:

Surgical abortion terminates pregnancy through a surgical procedure and is considered an invasive operation. It has a high success rate, and incomplete abortion is rare. However, risks such as heavy bleeding, uterine perforation, and infection may occur during the procedure. Postoperative complications may include abortion-related syndrome, presenting symptoms such as nausea, vomiting, dizziness, and chest tightness. Multiple abortions may increase the risk of habitual miscarriage.

Medical abortion is a method of terminating pregnancy by oral medication. It is relatively less painful and considered safe, simple, and effective. However, its success rate may be slightly lower compared to surgical abortion. Some women may experience incomplete abortion, requiring a follow-up surgical evacuation of the uterus. Additionally, the medication may stimulate the body's temperature-regulating center, causing fever. As the drugs induce uterine contractions, small blood vessels may rupture, leading to vaginal bleeding. Side effects after medical abortion may include abdominal pain, menstrual disorders, allergic reactions, and intrauterine adhesions. Poor hygiene increases the risk of infections such as pelvic inflammatory disease and peritonitis.

When choosing a method of abortion, it is important to communicate fully with a doctor and make a comprehensive decision based on individual health status, gestational age, pain tolerance, and other relevant factors.

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