Patient's question:
I went to the hospital. The doctor said I had two children via C-section, and the lower part is smaller. They recommended I have medication-induced abortion followed by uterine aspiration. Is what the doctor said right? Did she lie to me? I don't understand, she said C-section can make the lower part smaller, and it will be very painful during the abortion.Doctor's answer:
The procedures for induced abortion and D&C are basically the same, except that induced abortion involves suctioning out the gestational sac and endometrium, while D&C is equivalent to suctioning out residual tissue or the gestational sac. However, for women who have had two cesarean sections, the cervix has not been dilated before, making induced abortion a potentially stressful and painful experience. Fortunately, there is now painless induced abortion. With medication abortion, the gestational sac may be expelled naturally, and by the time D&C is performed, the cervix will have dilated to a certain extent, eliminating the need for further dilation. Of course, if the medication is expelled and the gestational sac remains intact, and the uterus recovers within a relatively short period of time, and there are no abnormalities detected on ultrasound, D&C may not be necessary.