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An abortion is a medical procedure performed to end a pregnancy. An abortion does not require surgery or anaesthesia. You may go directly to a hospital that provides abortion services to get proper treatment.

Abortion is safer if done in the first trimester of pregnancy. This is done to reduce the risk of bleeding and certain complications.

Purposes of Abortion 

Abortion may be performed under certain conditions, such as a miscarriage, a fetal growth that threatens the mother’s life, or rape-related pregnancy — which is recommended for all women with a pregnancy of gestational age of less than 40 days.

Having an abortion is a huge decision to make, You should know the consequences, whether physical or psychological.

If you are considering having an abortion, make sure you understand the procedures, the requirements, the side effects, the law of abortion and other factors.

Cost Estimation for Abortion

The cost for abortion procedure may vary –  depending on the doctor, the recommended inpatient care, and the selected hospital. 

For more details regarding the cost estimation for abortion, contact Smarter Health.


There are several things you should prepare before having an abortion. This aims to prepare you physically and mentally. If you are planning to have a medical abortion, see your doctor immediately to discuss the requirements. Your doctor may:

  • Perform blood and urine tests
  • Evaluate your medical history and overall health
  • Confirm your pregnancy with a physical exam 
  • Explain how the procedure works, the side effects, and possible risks and complications
  • Perform an ultrasound exam to date the pregnancy and confirm it is an ectopic pregnancy and not a tumor that developed in the uterus (molar pregnancy)

Having a medical abortion is a serious decision. If possible, discuss the decision with your partner, family, or close friends.

You may also ask your doctor for more detailed answers to any questions you have. This can help you to consider the impact that having the procedure may have on your future.

Keep in mind that abortion is a crime, especially if it is done illegally. However, it is not illegal if you are having an abortion procedure for a miscarriage.

During Abortion

Medical abortion can be performed by using the following medicines:

Mifepristone and Misoprostol

Mifepristone is a common type of medication used for medical abortion by blocking the progesterone hormone in your body. This hormone functions to maintain pregnancy and the growth of the embryo in the uterus.

Meanwhile, misoprostol is a type of medication to prevent stomach ulcers and reduce the risk of serious ulcer complications such as bleeding.

These two types of medications are common for medical abortion. You still have to visit your doctor about a week later after taking these medicines to ensure the abortion is complete. 

Misoprostol Vaginal and Buccal

This type of medical abortion uses the same medications as the previous method, but with a slight difference. The slowly dissolving misoprostol tablet is placed in your vagina (vaginal), in your mouth between your teeth and cheek (buccal), or under your tongue (sublingual).

The use of vaginal, buccal, or sublingual approach is believed to reduce the side effects that may occur after the abortion procedure and may be more effective.


The next type of medicine for medical abortion is methotrexate. This is medication to treat cancer as it is able to suppress the growth of abnormal cells, such as skin cells, cancer cells, and bone marrow cells.

The use of methotrexate must be under your doctor’s supervision as it could endanger your life if done wrong. In abortion cases, methotrexate is given as a shot. 

Vaginal Misoprostol

This treatment for abortion procedure may be successful if it is used before the nine weeks of the pregnancy. However, this is usually the last option as it is considered less effective when compared to other types of treatment for medical abortion.

It should be noted that the medicines you take during the procedure have side effects, such as vaginal bleeding and stomach cramps. In addition, the medications used in a medical abortion may also cause:

  • Nausea
  • Vomiting
  • Fever
  • Chills
  • Diarrhea
  • Headache

Your doctor may give you medication to manage pain during and after the abortion. You will also be given antibiotics – although infections after medical abortion do not occur very often. The side effects such as pain and bleeding may depend on your gestational age.

You may not be able to carry out your daily routine after the procedure as it will take several days for you to recover. It is recommended that you have bed-rest and wear absorbent sanitary pads. If complications occur, contact your doctor or emergency services immediately. 


Watch out for signs and symptoms that may require medical attention after a medical abortion, such as: 

  • Fever lasting more than 24 hours
  • Severe abdominal or back pain
  • Foul-smelling vaginal discharge
  • Heavy bleeding. You should wear two or more pads an hour for two hours, until you receive treatment

After the abortion is complete, you still need to do further tests with your doctor to make sure you are healing properly and to evaluate your uterine size, bleeding, and any signs of infection. To reduce the risk of infection, it is strongly recommended not to have sex or use tampons for two weeks after the abortion.

Your doctor will also ask if you still feel pregnant, how much bleeding you had, and how long you have been bleeding. Your doctor may perform an ultrasound exam to make sure the abortion is complete

Feeling a range of emotions, such as sadness, guilt, and loss after having a medical abortion – is normal. It might help if you talk to a counsellor to find the best solution.

Risks of Abortion

There are several risks that may potentially arise after having a medical abortion, including:

  • Infection.
  • Digestive system discomfort
  • Heavy and prolonged bleeding.
  • Lasting fever after the abortion.
  • Unwanted pregnancy if the abortion procedure is unsuccessful.
  • Incomplete abortion, this occurs when there are still indications of pregnancy. Usually, your doctor will do an ultrasound exam to confirm it. You may need surgical abortion if you have incomplete abortion 

You must be certain before making the decision to have a medical abortion. If you decide to continue your pregnancy after taking the abortion medications, your pregnancy may be at risk of serious complications.

Medical abortion has not been shown to affect future pregnancies unless you develop complications.

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