What are the differences between medication abortion and surgical abortion?

Patient's question:

Hello
My girlfriend is pregnant. We had sexual intercourse on November 15th, but neither of us wants a child. Could you please advise us on what to do? What are the differences between medication abortion and surgical abortion? How should we take care of ourselves after the procedure?
Follow-up question: Could you please provide a more detailed answer? Thank you sincerely.

Doctor's answer:

Hello: If you are pregnant for the first time, you can undergo medication abortion within 49 days. Surgical abortion is generally performed when medication abortion is unsuccessful multiple times or if the pregnancy exceeds 49 days. The specific approach depends on the pregnant woman's condition. The pregnancy duration is calculated from the first day of the last menstrual period.
Surgical abortion refers to the artificial termination of pregnancy within 24 weeks due to reasons such as family planning, illness, preventing the birth of infants with congenital deformities or genetic diseases, and terminating illegal pregnancies. It serves as a backup method after contraceptive failure. Generally, the smaller the gestational age, the simpler, safer, and less bleeding the abortion method involves.
Surgical abortion is typically performed within 12 weeks. Beyond 12 weeks, due to the larger and softer uterus and the formation of fetal bones, the surgery often results in more bleeding and an increased risk of complications.
Prescription:
1. On the day of surgical abortion, mild lower abdominal discomfort, pain, or slight vaginal bleeding may occur. If severe abdominal pain, heavy vaginal bleeding, or prolonged bleeding occurs, seek medical attention promptly.
2. Rest appropriately for 2 weeks after the procedure, increase your intake of nutritious foods, and avoid heavy physical labor.
3. Maintain vulvar hygiene. Avoid tub baths and sexual activity until vaginal bleeding stops.
4. Practice contraception to prevent pregnancy again.

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