Munson Health
Therapeutic Abortion: Surgical

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by Walsh B

(Abortion; Vacuum Aspiration; Dilation and Curettage; Dilation and Evacuation)


What to Expect

Prior to Procedure

Your doctor may:
  • Examine you—to determine the stage of your pregnancy by checking the size of the uterus (womb)
  • Do blood and urine tests—to confirm the pregnancy
  • Use ultrasound—to give an accurate assessment of the stage of pregnancy
  • Give you medicine—to help dilate the cervix
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
  • Aspirin or other anti-inflammatory drugs
  • Blood thinners

Description of Procedure

You may be given an antibiotic before the procedure.
The doctor may inject a numbing agent in or near the cervix. Special tools will be used to stretch the cervix opening. A tube will be inserted into the uterus. The tube will then remove the contents.
The steps for an MVA will be followed. The doctor will then use a narrow metal loop to remove the tissue lining the uterine walls.
This procedure is similar to a D&C, except that it is done during the second trimester. It will also require wider dilation of the cervix. The fetus and other products of conception are removed from the uterus with medical instruments and suction. This usually requires regional or general anesthesia.

How Long Will It Take?

About 5-20 minutes

How Much Will It Hurt?

Women report cramps similar to menstrual cramps. Talk to your doctor about medicine to help manage discomfort.
Acetaminophen (such as Tylenol) or ibuprofen (such as Advil) can reduce most of these symptoms. Do not take aspirin unless directed to by your doctor.

Post-procedure Care

After a therapeutic abortion:
  • You may have cramps and bleeding.
  • You may also have nausea and diarrhea .
  • You should not use vaginal medicines until your doctor allows it.
  • Do not have sex for at least one week.
  • Baths and showers are okay.
  • You should recover within a couple of days.
  • Make sure you return to see your doctor for follow-up.
Sudden hormone changes may intensify natural feelings of guilt, anger, sadness, and regret. Most doctors can offer or refer you to follow-up counseling, if you choose.


American Congress of Obstetricians and Gynecologists

Planned Parenthood Federation of America, Inc.



The Society of Obstetricians and Gynaecologists of Canada

Women's Health Matters



Abortion. EBSCO DynaMed website. Available at: . Updated November 9, 2012. Accessed December 17, 2012.

Abortion. Planned Parenthood website. Available at: . Accessed on December 17, 2012.

Surgical abortion. The Abortion Clinic Directory website. Available at: . Accessed December 17, 2012.

The Women’s Health Centre: therapeutic abortion. Regina Qu’Appelle Health Region website. Available at: . Access December 17, 2012.

1/11/2010 DynaMed's Systematic Literature Surveillance : Robson SC, Kelly T, Deverill M, et al. Randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation (TOPS). Health Technol Assess . 2009;13(53):1-124.


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