Patient's question:
My wife used to have a cesarean section, and there are scars on the uterine wall. Now she is pregnant but doesn't want to be. She wants to know how to have an abortion with a scarred uterus.Doctor's answer:
This requires checking the position of the gestational sac. If it is relatively far from the scar, an abortion without anesthesia can be performed, or medication abortion can be chosen. If it is close to the scar, medication abortion should be considered, such as taking mifepristone tablets, in addition to misoprostol tablets. If it naturally descends, that is best. If it does not descend, medication can be taken to soften it, stimulate contractions, and lower the gestational sac, followed by a procedure to remove it through a uterine aspiration.