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Which Abortion is Better? Medical abortion or Suction in-clinic abortion?

Abortion in Bangalore, Abortion Pills in Bangalore

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Whether you have just realized you are carrying an unplanned pregnancy or you have been advised to undergo an abortion for medical reasons, one major concern arises when you have to choose between the available methods, “Which abortion is better for me?”

Well, the abortion doctor can guide you the best according to your pregnancy length and other patient-specific factors. However, knowing the available methods can help ease your anxiety to some extent.

Abortion Methods as recommended by the World Health Organization (WHO):

The World Health Organization (WHO) recommends three safe and effective methods for abortion:

1. Medical Abortion:

This method involves taking two medications, Mifepristone and Misoprostol to induce an abortion at home. We will be discussing the method in detail ahead in the post. Medical abortion is safe and effective, with a success rate of over 90% in the first few weeks of pregnancy.

This method is suitable for women in early pregnancy who are healthy and comfortable managing the process at home or in an outpatient setting.

It offers privacy, can be self-managed under medical supervision, and avoids a surgical procedure. However, the process can take several days or weeks, with bleeding and cramping similar to a heavy period. There’s also a chance of incomplete abortion, requiring additional medical intervention.

2. Manual Vacuum Aspiration (MVA):

This is a minimally invasive surgical procedure performed by a trained healthcare professional. The cervix is dilated, and a gentle handheld vacuum device removes the pregnancy tissue from the uterus. MVA is highly effective, with a success rate exceeding 99% in the first trimester.

This method is suitable for women in early pregnancy (typically up to 12 weeks) who may prefer a quicker and more definitive procedure. It’s a safe and effective option with a high success rate and a short recovery time. However, it requires a visit to a registered abortion hospital and may not be available everywhere.

3. Dilatation and Evacuation (D&E):

This is a surgical procedure performed under local or general anesthesia. The procedure involves opening the cervix slightly and then gently removing the pregnancy tissue with instruments.

D&E is highly effective, with a success rate exceeding 99% throughout pregnancy. This method is used in later pregnancies (typically after 12 weeks) or when other methods are unsuitable.

It’s a safe and effective option for women in the later stages of pregnancy. However, it requires a visit to a healthcare facility and may involve more complex procedures compared to MVA.

The most important thing however is that the specific recommendations for a woman will depend on her circumstances, gestational age, and health status. It’s crucial to consult a healthcare professional who can discuss the available options, answer questions and provide medical guidance throughout the process.

Understanding Medical Abortion to know which abortion is better: A Safe & Early Option

Medical abortion or abortion with pills is a safe and the earliest abortion method easily accessible to most women. However, there are several factors an abortion doctor will weigh before prescribing abortion pills to any candidate. Please do not underestimate these small yet important things that only a doctor can catch up with. Also, you may not even realize these things if you were planning to procure any MTP kit Unwanted kit from the market.

So, if you were thinking of self-medication, probably you should keep reading to know what you may not know. Let’s see the eligibility for abortion pills with a brief overview of some out of many such factors.

Pregnancy Length:

This is the most obvious parameter and even you can estimate your pregnancy length with the help of your LMP. But, you cannot arrive at the exact gestation age because of several variables like ovulation date, fertilization & implantation estimates and also the pace of the developing embryo.

So, the best method for exact pregnancy length is through an ultrasound. Also, if you are in the first few, say 4 weeks to 6 weeks pregnant, the age may hardly matter because the pills may effectively work during this time. However, this is not the only criterion. There are other considerations also. So, slow down and do not hurry to buy abortion pills before knowing which abortion is better.

Pregnancy Location:

Now, this is very important. You can anticipate your pregnancy length but not your location. Sometimes, the embryo may implant itself at a faulty location like in the fallopian tube, previous C-section scar, ovary, abdominal cavity, cervix, cornua or even the bowel. Ectopic pregnancies can happen with any 2 out of every 100 pregnancies. Although they are rare, they are extremely risky and are a major cause of maternal mortality.

Whether your pregnancy is planned or unexpected, you must visit your healthcare provider as soon as you have a positive pregnancy test. It is crucial to rule out any possibility of ectopic pregnancy. Earlier you are, early can the doctor diagnose it and treat it. If left untreated, ectopic pregnancies can rupture resulting in internal bleeding and even death.

Also, it can impact a woman’s fertility and so, if you were worrying, if abortion can cause infertility, it may as a result of such a complication. However, it is possible to save your fertility with an early diagnosis and treatment.

Coming back to medical abortion, abortion pills work only to terminate intrauterine pregnancies. So, if your pregnancy is ectopic, abortion pills will not work. Additionally, if you pop in abortion tablets for an ectopic pregnancy, abortion will not happen. Instead, you can end up in an emergency if the pregnancy tissue ruptures. So, do not take pills before you know your pregnancy is intrauterine. A small ultrasound examination can tell if the pregnancy is intrauterine or ectopic besides its exact gestation length.

Medical status:

If you are undergoing a medical condition and also taking medicines for the same, you need to inform your doctor. Your doctor shall decide which abortion is better for you depending on your health condition. Your medicines or your condition may interfere with the working of the abortion pills. Can you analyze this? Better leave it for your doctor who can check for any interactions or contraindicated medicines you may be having.

Other than that, your doctor can also check if you need any dose adjustment or alteration in the mode of administration. These are a few small things that only your doctor can check and give you the best advice regarding the abortion and which abortion is better. Remember, abortion pills may be an easy method of abortion but it may not always be the right method for you. Let your doctor help you know your options.

Medical abortion: The Procedure:

Now, if you pass on the eligibility scale for abortion pills, you still can choose between the two available choices depending on your preference. And to make a wise choice, it may be better for you to know how both methods work. Let’s learn about the medical abortion process in this section. So, it happens in two stages.

Stage 1 of Medical Abortion:

Your medical abortion stage 1 begins when you take the first abortion tablet, Mifepristone. The doctor may provide you with the abortion pills in two different sets. The first one to take it is this one. You can take it in the clinic itself as it is not going to expel the tissue right away.

This first medicine will stop your body from producing the pregnancy hormone, Progesterone. Also, it may block the available progesterone from reaching the embryo for growth. In its absence, the embryo cannot sustain itself and may stop its growth. But it still is in your uterus and needs removal.

So, here comes the stage 2.

Stage 2 of Medical Abortion:

Now, after stage 1 which is completed in nearly 24 hours, stage 2 of expulsion will begin after you take the second set of abortion tablets. Usually, MTP kits like Mankind Unwanted Kit contain 4 tablets of Misoprostol which your doctor may advise you to take together. Now, again what your doctor can only decide the best for you is how many of these you may need to take (all 4 or less or more). This is called dose adjustment.

Additionally, one woman may receive directions to take it after 24 hours, one may have to take it after 36 hours or even 72 hours. The time gap can vary this large depending on patient-specific factors. Only a registered medical practitioner can guide you regarding what’s the best gap for you to keep between taking the two different abortion medicines.

Furthermore, the doctor may advise one woman to take these tablets orally. Or she may ask another woman to administer them gently in the vaginal orifice. She may also ask the patient to visit the hospital where the doctor or a supporting nurse can do this for the patient ensuring proper insertion of the pills.

After you have taken these pills, orally or vaginally, the expulsion process may begin as early as half an hour or take as long as 4-6 hours also, in some cases. This expulsion happens at home. So, after having taken these pills, the patient has to stay at home or the clinic, whichever the case may be.

What next?

Now, the embryo shall expel. The patient can experience moderate to severe abdominal cramps, slightly more intense than period cramps. So, the patient may experience pain and can take pain management if advised by the doctor. Many patients fear pain with abortion and so can opt for painless abortion, discussed ahead in the post.

The bleeding time after the Unwanted kit or any MTP kit may gradually increase after half an hour. It may last heavily until the embryo expels and can still be heavy until 6 hours. After the embryo expulsion, it decreases gradually. But, still, the abortion is not yet complete so far.

One may bleed for many days until the complete pregnancy tissue removal. In general, the bleeding should stop in 5-7 days. If it persists after day 7, you may need to have a follow-up appointment and check if the abortion was successful.

Yes, the most common complication with medical abortion is an incomplete abortion. You may expel the embryo, yet some pregnancy tissue may remain in the womb. This may cause complications like reproductive tract infection, which can also spread to other parts, causing fever and pain. It needs removal or else it may further increase the complexity of the complications.

Now, the additional medical intervention that may be required in such cases can be Dilatation & Evacuation or Dilatation & Curettage (D&C). This is where most women who opt for abortion pills owing to their affordability end up paying more. Read how an incomplete abortion increases the total cost of abortion.

Besides all these, discomfort, fatigue and pain are quite common for nearly a week. So, a patient opting for medical abortion may find it difficult to resume her routine, personal as well as professional owing to this discomfort. Let’s move to emergencies.

When to seek a doctor’s help?

Most likely, a medical abortion happens at home, i.e., without medical supervision. So, you should know when to seek a doctor’s help if a need arises. These include but are not limited to:

  • Heavy bleeding even after 7-8 hours.
  • Passing very large clots (tennis ball-sized) after embryo expulsion.
  • If a patient goes into an unconscious state due to heavy bleeding.
  • Fever, with or without chills, lasting more than 24 hours.
  • Severe pain is not manageable with pain management medication advised by the doctor.

Now, let’s head towards the suction abortion.

Understanding Suction Abortion to know which abortion is better: Fast, Painless & Effective

Suction abortion or Manual Vacuum Aspiration (MVA) is a first-trimester abortion method. It is available for up to 12 weeks with nearly 100% efficiency. It is a quick, painless and very convenient abortion method, if available at an abortion clinic near you.

Even when women are eligible for a medical abortion, they often opt for suction abortion subject to its availability. It gives them the convenience of an early recovery after a single-appointment procedure. Let’s discuss it in a bit more detail.

What makes you eligible for a suction abortion?

Pregnancy length, as discussed, up to 12 weeks is a green signal for a suction abortion. Regarding location, similar to medical abortion, it is available for normal intrauterine pregnancies. Ectopic pregnancies are treatable following a separate course of treatment depending on its exact location, size and patient’s medical condition. In addition, a ruptured ectopic pregnancy is an emergency requiring immediate medical treatment.

Since, the suction abortion procedure does not involve abortion pills, interactions, allergies and contraindications are evaluated only for post-abortion prescription medicines. So, almost all women seeking abortion in the first trimester and carrying an intrauterine pregnancy are eligible for suction abortion.

Still, there can be some patient-specific factors like any existing medical condition that may cause complications. So, the abortion doctor will first evaluate the same before putting forth suction abortion as an option for the woman.

Gentle Care suction abortion: The procedure:

After a pre-abortion consultation with the doctor and evaluation of your medical specifics, the doctor shall help you know about the procedure and what to expect. You will receive all the information in the most understandable format to learn which abortion is better so that you can give your informed consent for the procedure

Once you are ready for the procedure, a nurse shall guide you into a private examination room. She will help you lie comfortably and clean and numb the cervix region. Then, the doctor shall gently insert a very thin, soft and flexible tube using guided technique to reach within your uterine cavity. She shall gently locate the embryo and then, create suction using a hand-held aspirator.

The suction will gently detach the embryo from the uterine lining. Due to the pressure of suction, it shall pass down this tube which the doctor shall collect in a bottle for evaluation. Once the doctor ascertains that all the pregnancy tissue is now out of the womb, she shall remove the tube. The nurse will then again clean your cervix region and help you get dressed.

The whole procedure takes less than 10-15 minutes depending on your pregnancy week. After the abortion, you can rest in your private room well furnished for your comfort. Also, your companion can stay by your side providing the support and comfort you may need besides a supportive nurse by your side all the time.

Now, if you feel like revitalizing yourself with a hot beverage or something to eat, you can order it via Swiggy or Zomato. Within an hour or so, you can return home knowing that you just underwent a successful abortion. The doctor shall guide you regarding the Dos and Don’ts after abortion to aid in early recovery.

Major Differences Between Medical abortion and Suction abortion: Which abortion is better?

Abortion method:

While medical abortion involves abortion pills to induce abdominal cramps and expel the embryo, suction abortion involves the use of suction to manually remove the fetus.

Abortion in Bangalore, Abortion Pills in Bangalore, Which abortion is better
Abortion pills vs Gentle Care abortion in Bangalore

Pregnancy length:

While medical abortion is the method of choice for pregnancies less than 6 weeks, suction is an available method for up to 12 weeks.


Pain with medical abortion can vary from moderate to severe which may even require pain management. If you experience period pains at great intensity, you can expect more pain with a medical abortion.

On the other hand, suction abortion is nearly painless. The doctor performs the procedure under mild sedation and hence is very comfortable, and nearly painless. So, you can decide, which abortion is better, with pain or without pain.

Medical supervision:

While medical abortion is completed at home with no medical supervision, suction abortion is an in-clinic procedure. It is completed within the clinic under medical supervision. So, you can ascertain which abortion is better, supervised or unsupervised.

Abortion time:

Abortion pills may take days or even weeks to complete. On the other hand, suction abortion is complete in a single appointment in nearly 15-20 minutes. So, you know which abortion is better, the one that can take days and weeks or one that gets complete in a single appointment.


Abortion pills are nearly 93% efficient and that too if prescribed by a doctor. With self-administration, efficiency further decreases. In addition, efficiency decreases with an increase in pregnancy length. On the other hand, suction abortion is nearly 100% efficient.

With incomplete abortion, an additional procedure is necessary and can also give birth to more complications. As a result, the cost of abortion also increases.

Cost of abortion, abortion in Bangalore

Choosing between abortion methods: Which abortion is better for you?

When you have both choices available, it may be in your hands to decide after the doctor has helped you learn the available options. So, you can choose ‘which abortion is better’ based on your preferences and priorities.

Whether you want at-home abortion or in-clinic abortion?

Medical abortion will take place in the privacy of your home. So, if you prefer privacy at home, you can opt for medical abortion. Or in case you want an in-clinic abortion, visiting a private abortion clinic can also keep your anonymity. Visiting by a scheduled appointment can also protect your confidentiality.

Whether you want a single-appointment abortion or can visit the hospital multiple times?

With a medical abortion, you may need to show up at the hospital more than once. And in case of an incomplete abortion, the visits can further multiply. However, suction abortion is a single-appointment procedure. So, if it is difficult for you to visit the hospital on multiple occasions, you can opt for a same-day single-appointment Gentle Care suction abortion in Bangalore.

Whether you fear pain with abortion?

Medical abortion is a natural process and may accompany pain. So, if you fear pain with abortion, you can opt for suction abortion.

Abortion in Bangalore

Whether you are ready to undergo additional procedures in case of incomplete abortion?

Since medical abortion can result in an incomplete abortion, you will need to undergo an additional procedure to complete the abortion. If you are ready to take this risk, you can undergo a medical abortion.

Or if you want the confidence of a successful abortion without any hassle, you can opt for a suction abortion.

Whether you can take a week off time?

With medical abortion, the process may at least take 3 to 4 days and even more. And hence, recovery will also be slow. But with suction abortion, you can heal early and can resume your routine at the earliest. So, no need for a long personal or professional time off.

So, now, you know both the pros and cons of both abortion methods and can choose what seems best for your personal needs. If there’s any other concern bothering you regarding abortion, feel free to mention it in the comments section below. You can also reach out to our helpline number.

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