Patient's question:
I would like to ask, for early pregnancy, should I choose an induced abortion or medication abortion? It's my first time. Is 0.8 cm big?Doctor's answer:
You are pregnant for the first time, and it has been clearly diagnosed as an intrauterine early pregnancy. Based on the size of your gestational sac, you can still undergo medication abortion.Advantages and disadvantages of medication abortion:
Advantages: Avoids the pain of surgical abortion and reduces the risk of certain complications, achieving the goal of stopping pregnancy if pregnant and inducing menstruation if not.
Disadvantages: Some women may experience prolonged vaginal bleeding after medication abortion, and a few may have incomplete abortion, requiring surgical uterine aspiration.
Therefore, whether to choose medication abortion or surgical abortion for early pregnancy is not necessarily better for medication abortion. Currently, hysteroscopic embryo extraction can replace traditional surgical abortion, medication abortion, and forceps dilation and curettage (for pregnancies beyond the surgical abortion limit). It is particularly suitable for early pregnancy, women who have never given birth, and patients with recurrent abortion (RSA).
For women who have never given birth, it avoids endometrial damage caused by "blind scraping" during surgical abortion. For those with repeated spontaneous abortion or fetal demise, it allows for the identification or exclusion of intrauterine causes of fetal demise during embryo removal, paving the way for further treatment of habitual abortion.