Which is more damaging to the body, medication abortion or surgical abortion?

Patient's question:

Detailed medical condition and consultation purpose: Hello, I had an abortion in September, and now I've discovered I'm pregnant again. I want to consider medication abortion. Could you please tell me which is more harmful to the body, medication abortion or surgical abortion? Would doing this consecutively lead to infertility in the future?

Doctor's answer:

The painless abortion surgery is good. I recommend you have a superconducting visual painless abortion. It is performed under superconducting instruments, allowing direct visualization of the gestational sac's position for accurate removal, with less bleeding and faster recovery. It does not require bed rest, will not damage your endometrium or cervix, and will not affect your future fertility.
Medication abortion involves taking medication to induce uterine contractions, expelling the gestational sac from the body. In some cases, the medication may not completely expel the gestational sac, or it may not expel at all, leading to medication abortion failure. If the medication abortion fails, a D&C (dilation and curettage) surgery is required. Medication abortion can be painful, with prolonged postoperative bleeding, increasing the risk of infection and anemia.
After an abortion, it is important to rest in bed for the first three days, eat vegetables and fruits rich in vitamins, and avoid sexual activity for the first two months. Avoid spicy and irritating foods, and maintain good hygiene in the perineal area.

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