The best types of early abortion available are:
- Abortion with Vacuum Aspiration
- Abortion with Manual Vacuum Aspiration (MVA)
A simple local anesthetic can be administered to numb the cervix. There are fewer risks with abortion performed with a local anesthetic than with a general anesthetic. General anesthesia temporarily depresses both the circulatory and respiratory systems of the body. It also requires monitoring equipment and your recovery will be longer after the abortion.
Curettage is unnecessary for early abortion. A curette is the instrument used in a D&C (Dilation and Currettage) procedure. While the D&C procedure has been used to perform abortion in the past, it is far less desirable than the vacuum aspiration abortion. Physicians that are not up to date or inexperienced may offer a D&C to perform your abortion.
Early abortion does not require cervical dilation greater than 7-8 millimeters. Excessive, forceful or rapid dilation increases the risk of cervical tears and increased pain for the woman. It stands to reason that the less done the better.
The MVA procedure is the same as abortion by vacuum aspiration with the advantage of using a hand held syringe instead of an aspiration machine. Women don’t have to hear the sound of the machine and there is usually less discomfort as the pregnancy is being removed. The MVA procedure also takes a few minutes to completely remove the contents of the uterus. At Women’s Health Specialists, our physicians are trained in this quieter technique. Unfortunately, many physicians in other clinics do not do this procedure because they have not been trained to use this method, making MVA a unique procedure at Women's Health Specialists.
At Women's Health Specialists, we use MVA for women in early stages of the first trimester of pregnancy. In the early first trimester of pregnancy, women can choose the MVA or "the abortion pill". MVA is a surgical aspiration (suction) method abortion, provided in a safe clinic setting. With MVA, the procedure is like a first trimester procedure described above. An injection to numb the cervix is used, and a small sterile tube is inserted into the uterus. The pregnancy is removed by creating suction with a hand held syringe, instead of the aspirator machine described above. Many women prefer this method because the suction used with MVA is less noisy than the aspiration machine.
At the time of your appointment, you can discuss these methods and find out which would be best and available to you.