Which is better, medication abortion or painless abortion?

Patient's question:

What should I do if I get pregnant unexpectedly? Which option is less harmful: medication abortion or painless abortion?

Doctor's answer:

It is best to consider a conventional surgical procedure for miscarriage. Medical abortion is prone to incomplete miscarriage, which can lead to severe bleeding. Painless abortion can easily cause uterine perforation. It is best to undergo a hysteroscopic-guided curettage to remove residual tissue. There are no residual tissues post-surgery, so it does not cause severe bleeding, making it the safest method for miscarriage.
Hello! There is a difference between curettage and induced abortion, but both require dilating the uterus. Curettage is necessary when induced abortion does not completely remove the residual embryonic tissue in the uterine cavity, and it is used to clear the remaining tissue from the uterine cavity. The trauma of curettage is less than that of induced abortion.

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