Which is better, artificial abortion or medication abortion?

Patient's question:

I had my last menstrual period on October 23rd, and I am 21 years old. Today, I had an ultrasound at the hospital, and it showed I am 37 weeks pregnant.
The uterus is anteriorly positioned, with a size of approximately 4.6x3.8x3.6 cm. Anechoic gestational sac measuring 1.1x0.7 cm was observed in the uterine cavity, but no fetal pole or primitive cardiac was detected.
The bilateral ovaries have normal morphology and echogenicity.

Doctor's answer:

Hello, induced abortion is suitable for intrauterine pregnancy patients with a gestational age of 6-10 weeks. The best time for the procedure is around 45 days of pregnancy. At this stage, the gestational sac is small, there is less bleeding during the surgery, and it will not lead to missed aspiration.
Medication abortion is suitable for intrauterine pregnancy patients with a gestational age of up to 49 days. The fewer the days of pregnancy, the better the abortion outcome. You are currently 37 days pregnant, so medication abortion is recommended. Induced abortion is more likely to result in missed aspiration.
The best time for induced abortion is 6-8 weeks of pregnancy. It is recommended that you go to the hospital for an ultrasound examination to confirm intrauterine pregnancy. You can then choose medication abortion or induced abortion. Wishing you good health!

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