There are two main options for people seeking an abortion. Which is best for you depends on your needs and preferences.
Aspiration Versus Medication Abortion
Reasons to choose an aspiration (suction) abortion
- May require fewer office visits.
- Takes a short amount of time (5 to 10 minutes).
- 与药物治疗相比,不完全结果的风险更低吗.
- People don’t typically experience heavy bleeding at home.
Reasons to choose a medication abortion
- Can be used in the earliest weeks of pregnancy.
- Requires no in-person procedures or anesthesia.
- May offer more privacy.
- May provide a greater sense of control.
- May feel more natural than aspiration.
Sometimes it can be completed without a clinic visit. (UCSF需要一个可以远程完成的初步评估, 同时还要亲自到诊所签署表格并领取药物.)
Medication abortion can be received through the mail. Four service providers in California are 嘿,简, 挑选, FPA Women's Health, Women’s Health Specialists. 非营利组织 C计划 has a search tool to help you find other abortion pill services.
Comparing methods for first-trimester abortion
Aspiration (suction) abortion | Medication abortion | |
---|---|---|
这是什么?? | A doctor uses a vacuum to empty your uterus. | 多种药物联合使用会终止妊娠,并导致子宫内膜脱落. |
它是如何工作的?? | In the clinic, a doctor places a speculum in your vagina. 然后十大赌博平台排行榜麻醉你的子宫颈(子宫的外端),并逐渐扩大你的子宫颈,将一根管子插入你的子宫. 然后将电动机器或手持注射器连接到管子上进行抽吸, which empties your uterus. | You first swallow a medication that halts the pregnancy. One to three days later, 你服用另一种药物(要么溶解在你的脸颊里,要么插入你的阴道里),这会导致你的子宫收缩. You will experience cramping and bleeding. |
How effective is it? | Aspiration abortions are successful 98% of the time. 大约2%的人需要重复手术或额外的干预. 如果手术是在你怀孕之前进行的,超声波可以看到, you may need a blood test to confirm success. |
Medication abortions are successful 95 to 97% of the time. 约3%至5%的患者由于妊娠需要额外的抽吸手术, prolonged or excessive bleeding, 或偏好. There are several ways to confirm the abortion was successful, including your symptoms, a home pregnancy test, blood tests or a repeat ultrasound. |
How far along in my pregnancy can I be? | 这个范围从你知道自己怀孕的时候(通常是四周左右)到最后一次月经周期的第一天起的14周. | 这个范围从你知道自己怀孕后(通常是四周左右)到你最后一次月经的第一天起的10或11周. |
How many clinic visits are required? | 通常只需要进行一次健康教育、体检和手术本身. You may return to the clinic if you need follow-up care. | Zero to two visits. 初步评估可以在诊所亲自完成,也可以通过视频远程完成. |
How long is each appointment? | 如果你怀孕4到10周,预约大约需要3个小时. 晚期流产通常需要更长时间或多次就诊. | The first evaluation and discussion last about an hour. |
疼吗?? | 大多数人在短时间手术期间或之后都会有抽筋的经历. | Most people experience strong cramps for one to four hours. Some also experience nausea or other side effects. |
What kind of pain control will I receive? | 在诊所里,十大赌博平台排行榜会在你的子宫颈和子宫上使用麻醉药物(局部麻醉剂). 我们建议每个人都可以安全地服用布洛芬(Advil)和对乙酰氨基酚(Tylenol). 大多数人还服用口服药物,如劳拉西泮(劳拉西泮),以缓解焦虑. If the procedure is done in an operating room (OR), 病人可以静脉注射镇静剂,这样他们就可以在手术过程中睡觉. | 大多数人对非处方止痛药很满意, such as ibuprofen (Advil) or acetaminophen (Tylenol). 如果需要,我们可以开少量的麻醉药片(羟考酮). |
How much will I bleed? | 术后两到三周,你在家可能会有轻微出血. | 你可能会在服用第二粒药后的几个小时内大量出血. For the next two to three weeks, 你的血流量也可能与月经期间的平均水平相似. |
May I bring a support person with me? | 是的. 一个朋友, 伴侣或家庭成员可以在健康教育和手术过程中陪伴您. 如果手术在手术室进行,你的支持人员只能在手术前和你在一起. | 是的. 一个朋友、伴侣或家庭成员可以在你访问期间陪同你. 在你服用第二种药物的那天,你应该有人陪在你身边. |
Do I need to have somebody with me? | If you opt to take anxiety medication or a narcotic, or if your procedure is in the OR, you need to have someone take you home. | While you’re taking the medications, 我们建议你随身带人,并能使用电话, in case you have any questions or an emergency. |
Comparing risks and side effects
Early abortion is much safer than continuing a pregnancy. 你的十大赌博平台排行榜会在预约时向你解释潜在的风险和副作用. 您将能够表达您的担忧,并在同意手术或接受药物治疗之前提出问题.
Aspiration (suction) abortion | Medication abortion | |
---|---|---|
Is there a risk of injury? | 当医疗器械和吸引器被放置在你的阴道和子宫, 宫颈损伤或子宫穿孔的风险很低. This could require further care or surgery. | 除非你需要一个额外的程序,药物流产没有受伤的风险. |
Is there a risk of infection? | There is a small chance of infection after aspiration abortion. 十大赌博平台排行榜会给你开抗生素,将感染风险从低降低到极低. | The chance of infection after medication abortion is very low. 我们通常不建议使用预防性抗生素. |
What should I do if I have pain during the procedure? | 让我们知道. 我们的一名工作人员将在整个过程中与您在一起,并将在恢复期间监督您. 十大赌博平台排行榜 and other staff members will manage your side effects, 比如疼痛, cramping or bleeding, 当它们发生时. | 由于你将在家里服药,你将主要负责你自己的护理. 我们会给你书面说明如何处理疼痛和其他副作用, as well as phone numbers to call if you have questions. |
Will I be able to have children in the future? | 没有证据表明人工流产会影响一个人将来生育孩子的能力. | 没有证据表明药物流产会影响一个人将来生孩子的能力. |
有关堕胎安全的更多信息,请参阅 加州大学旧金山分校推进生殖健康新标准(ANSIRH)计划 or this book by the National Academies of Sciences, Engineering and Medicine.
加州大学旧金山分校健康 medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.