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Surgical abortion, also known as suction aspiration abortion, can be performed in a one-day procedure
if less than 14 weeks have passed since the first day of your last menstrual period. The
procedure is done in the doctor's office with local anesthesia and oral pain-relieving medications.
Surgical abortion procedures can differ depending on length of pregnancy and personal circumstances.
What to expect during your visitThough surgical abortions only take several minutes to complete,
patients should expect a stay of 3-5 hours to allow time for paperwork, lab work, ultrasound,
and a counseling session (before your abortion), and a post surgical recovery period (after
your abortion). Those opting for twilight or general anesthesia should have a ride home.
Depending upon a woman's needs and/or medical history, other pre or post procedure medications
may be administered. During your surgical abortionYou will first
lay on an exam table like you would for a regular gynecological exam. Most patients
will then receive IV sedation/twilight anesthesia (or general anesthesia where available) at
this time. Patients opting for twilight anesthesia are mildly awake, but should feel no more
than slight (if any) discomfort, and usually have little to no memory of the procedure
afterwards. Where available, patients opting for general anesthesia will be totally asleep
for their abortion. Just as with a pap smear, the doctor will use a speculum to hold the
vaginal walls open, and then begin the procedure by using a series of dilation instruments
to open the cervix. The pregnancy tissue and contents in the uterus are then removed with
a gentle vacuum aspirator. The entire process takes about 5-8 minutes.
After your abortionWhen your surgery is complete, you'll rest in the recovery room for 30 or
more minutes before leaving. The recovery room nurse and staff will offer medications
to help with

possible cramping, monitor your heart rate & blood pressure, and provide a
snack and drink. In addition, you'll receive your aftercare instructions and medications,
including birth control (if you've opted to begin taking it). Post-procedure counseling
is available if you decide you'd like it. Women may experience bleeding or spotting
and cramping for up to a week following the procedure. Most women feel ready to return
to work and other daily activities within the next few days. Make sure to take your
antibiotics as directed and please do not douche, take a bath or swim for at least a
week. Do not have sexual intercourse or insert a tampon for at least 2 weeks after the procedure.
Benefits to choosing surgical abortionMost women who choose surgical over medical abortions
do so because of timing and effectiveness. Because the anticipation of an abortion can
be difficult, many women choose surgical abortions because they are safe, effective, and do not
require additional steps at home for completion. With the exception of a required follow-up
visit 2-3 weeks later, surgical abortion patients leave our office confidently knowing that
they are "done", and feel ready to return to work or other daily activities within a
few days.
What complications may occur? If you experience any of the following symptoms:
Fever over 100 degrees or chills, excessive bleeding (soaking one pad per hour for 3 straight
hours) or bad cramping unrelieved by Ibuprofen or Tylenol, or prolonged abdominal pain, please
call Professional Gynecological Services to talk to a doctor or a nurse.We highly recommend
that you return to our office in 2-3 weeks for a quick follow-up visit.

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