Which is less harmful, medication abortion or surgical abortion?

Patient's question:

Detailed medical condition and consultation purpose: Menstrual cycle of 46 days, tested positive for pregnancy, considering an abortion. Unsure whether medication abortion or surgical abortion is safer and causes less harm to the body. Minimal impact on work, aiming to return to work as soon as possible. Additionally, what is the cost of surgical abortion?

Doctor's answer:

1. Pay attention to the amount of bleeding: The bleeding should not be more than your usual menstrual flow. If vaginal bleeding is excessive or lasts too long, it may mean that the gestational sac tissue was not completely removed, or there could be issues such as poor uterine contraction or coagulation disorders. In such cases, you should go to the hospital for a follow-up check. If the discharge from the vagina has a noticeable odor or contains yellow or greenish, it may indicate an infection, and you should seek medical attention promptly.
2. Menstrual period: Starting from the day of the surgery, your normal menstrual period will return approximately 28–32 days later. After your normal menstrual period resumes, you should still have another follow-up check to ensure that your uterus has returned to its normal state.
3. Sexual activity: You should avoid sexual activity until your menstrual period resumes. You will need the understanding and cooperation of your partner during this time.
4. Daily life: Additionally, you should not take a bath during this period to avoid infections of the reproductive tract. When washing your hair or taking a shower, use warm water to avoid catching a cold. Rest well, and maintain a light diet, avoiding spicy foods. Pay attention to strengthening your nutrition. If you experience excessive bleeding, you can eat some blood-boosting foods. Wishing you good health.

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