Abortion In 7 to 12 weeks

Sometimes a woman may go beyond 7 weeks and then decide to terminate the pregnancy. Abortion in 7 to 12 weeks is possible. However, In India, it is not permitted to take tablets (mifepristone and misoprostol) once you have crossed 7 weeks.

Dilatation And Suction Evacuation

Pregnancies between 7 to 12 weeks are terminated by a procedure called dilatation and suction evacuation. It is commonly referred to as D&C in India.

Dilatation and suction evacuation is a surgical procedure. It has to be done in a nursing home or a hospital that is licensed for the purpose.

Discuss Your Case With Dr. Sangeeta Agrawal

Take an appointment with Dr. Sangeeta Agrawal – Abortion Specialist: Dilatation And Suction Evacuation.

Please note, we maintain a high level of privacy in our patient’s records.

The procedure for a D&C is as follows:

Gynecological consultation with the doctor to confirm pregnancy
You will decide regarding continuation or termination.
Consent forms have to be signed for the process of termination
As it is a surgical procedure; you will need some blood tests and urine tests.
Sonography of the pelvis is usually done to confirm the location and the size of the pregnancy.
We then fix the date and time for the procedure at a hospital or nursing home (abortion center) as per your choice. It can be done on the same day of your visit for a consultation.
As it is a surgical procedure you will need to be fasting for at least 4 to 6 hours prior to the procedure.
Once you are admitted, the regular pre-op preparations will be done and then you are taken to the operation theater and given an anesthetic. We do the procedure under a general anesthetic where you are put to sleep during the procedure so that you do not experience any pain at all during the procedure.
Once under anesthesia, the dilatation and suction evacuation is done. The cervix is dilated and then suction evacuation is done to remove the products of conception. The D&C takes only about 10 to 15 minutes. Once the uterus is empty and there is no bleeding the procedure is considered complete.
You will be given a mild painkiller and some antibiotics in the theater to avoid post-procedure pain and infection.
You will be conscious when you are brought out of the theater, but you may be drowsy for a few hours.
You are then shifted from the theater and moved to your bed.
You will need to rest in the hospital for a few hours.
When you are up and awake, we will help you to eat and drink something. We also encourage you to pass urine and walk around so that you are not drowsy or giddy.
Once you are comfortable and confident that you are ok you are allowed to go home. This is usually possible on the same day.
Once you are home you can then continue all routine activities.
After the procedure, you may have mild bleeding for a few days like a period and you will see the next period in about 4 to 5 weeks.
The procedure is usually safe. Nevertheless, an occasional patient can have some problems. It is advisable to report in case you have a fever, prolonged irregular bleeding and /or foul-smelling discharge. This is extremely rare but can be easily managed.

It is prudent to now consider contraception and have a detailed discussion with the doctor. We can discuss the whole basket of choices and help you to choose a method that best suits your needs.

Please note that we do not do sex determination, sex-selective abortions and illegal abortions.

Dr. Sangeeta Agrawal is the best gynecologist in India. She performs a safe abortion at 7 to 12 weeks of your unwanted pregnancy. For appointments, contact us here.

Abortion Frequently Asked Questions

How can I use sugar to terminate a pregnancy?

Sugar cannot terminate a pregnancy. It is not wise to try such methods. Mifepristone and Misoprostol are available to terminate a pregnancy and they are effective and safe. By trying to abort with sugar one will waste precious time and delay taking tablets and thereby compromise on the success of the tablets.

Can abortion fail?

Yes, there is a small chance of the abortion tablets not working and the pregnancy may continue. This is more likely to happen at 4 weeks plus. In India, abortion tablets can be taken only up to 7 weeks, though in some countries they are provided till 9 weeks. Failure is also likely closer to 7 weeks.

Can abortion make you infertile?

Abortion with tablets does not influence fertility. Abortion tablets do not affect the ovaries and hormones. Multiple surgical terminations can affect fertility. Pregnancies that are more than 7 weeks need dilatation and suction evacuation. During this procedure, the endometrial lining is denuded. If Dilatation and curettage are done multiple times, then the lining may get damaged and can affect future fertility.

Can abortion cause PCOS?

No, not at all. PCOS (Polycystic Ovary Syndrome) is a metabolic syndrome and is affected by weight and lifestyle. Patients with PCOS have difficulty in getting pregnant and usually seek help to conceive.

Can abortion cause PTSD (Post Treatment Stress Disorder)?

Abortions can be very traumatic emotionally to the woman/couple undergoing it. It depends on the reason for which abortion is done. E.g financial constraints, social reasons, abnormal fetus, etc.

In these cases, the pregnancy may be very much wanted but circumstances have led to an abortion. The woman may then have depression and other psychological symptoms.

Can abortion cause ectopic pregnancy?

Surgical abortions, especially in unsterile conditions, can lead to infections. Infections can damage the tubes and therefore increase the risk of ectopic pregnancy. Abortions with tablets are not likely to influence the risk of ectopic pregnancy.

Can abortion cause PID (Pelvic Inflammatory Disease)?

Surgical abortions when done in unhygienic and unsterile conditions can cause infections and these can eventually lead to pelvic inflammatory disease. Women who have pre-existing vaginal infections have a risk of infections spreading to the pelvis after a surgical termination.

Can abortion cause hormonal imbalance?

Abortions do not influence the functioning of the HPO axis and the ovaries. Therefore are not likely to cause hormonal imbalance.

Can abortion pill cause infertility?

Abortion tablets do not affect fertility. The first tablet only stops the pregnancy from growing and the second one only starts a period. They do not have a long term effect on the body.

Can abortion cause Adenomyosis?

Adenomyosis is a pathology in the wall of the uterus. Abortions cannot cause Adenomyosis.

Can abortion cause thrush?

Abortions will not cause thrush but if it is pre-existing then the process of abortion may trigger an attack or make the symptoms worse.

Can abortion cause menopause?

Menopause is the complete cessation of the periods due to the complete depletion of the eggs (follicles) in the ovary.

Can abortion lead to depression?

Yes, sometimes the process of abortion can lead to depression especially when the patient may have wanted the pregnancy but is not able to continue due to personal social financial or health reasons.

Can abortion cause Endometriosis?

The process of abortion in a rare circumstance can lead to endometriosis as there can be iatrogenic implantation of the endometrium in the vagina and other ectopic sites.

Can abortion cause HPV?

Abortions will not cause HPV infections. HPV is sexually transmitted.

Can abortion cause ovarian cyst?

The process of abortion per se will not cause ovarian cyst. During pregnancy, there is a corpus luteum cyst in one of the ovaries from where the follicle came.

Can abortion cause Fibroids?

Fibroids are benign tumors and are not induced by abortions. In pregnancy, they actually may become bigger due to the increase in the blood supply to the pelvic organs.

Can abortion cause constipation?

Abortion tablets may cause a few loose motions. Pregnancy per se can cause constipation but not likely to cause diarrhea.

Can abortion cause prolapse?

Prolapse usually occurs after menopause. It is the descent of the uterus and the cervix into the vagina.
Abortions will have no influence on the prolapse.

Can abortion be detected by ultrasound?

Abortion cannot be detected on the ultrasound. In case the process has failed, then on sonography one can see retained products in the cavity, but that does not imply a patient has done abortion. It could also be interpreted as miscarriage.

Will abortion be painful?

Abortions with tablets are like a painful period but mild analgesics can be very safe and effective in alleviating the pain. The surgical abortion is under anesthesia and therefore there is no pain. In the immediate post-procedure period mild analgesics can be given to manage the cramps if any.

Will abortion affect health?

Abortions can affect mental and physical wellbeing. It can be emotionally traumatic for the woman to undergo an abortion. The tablets for abortions have mild side effects that last only for a few hours e.g. nausea, vomiting, and cramps. The surgical procedure is safe but accidents such as profuse bleeding and perforation can happen and thus affect the health of the patient.

Will abortion be covered by insurance?

Usually, Abortions will not be covered by insurance companies. Nevertheless, it is advisable to check in your policy and with your agent.

Which abortion pills are safe?

Abortion pills are safe. They must be used only for the purpose they are intended for at the correct gestation and in correct doses. They have to be used with caution in people with any liver or kidney disorders.

They should not be used in the case of ectopic pregnancy and molar pregnancy.

Which abortion method is safer?

All methods of abortion are safe. The process depends on the size of the pregnancy. Irrespective of the procedure is done keeping all the pre-requisites in mind and by a trained qualified doctor, in a government-approved center which has all the facilities to not only do the abortion but also deal with the complications if any, then the procedure is safe.

Which abortion hurts less?

Surgical abortions are painless as they are done under anesthesia.

Which abortion method is cheaper?

The cost of an abortion varies from place to place. Tablets will be cheaper.

How abortion is done at 6 weeks?

Abortion at 6 weeks can be done with tablets. Know more about the procedure of Abortion below 7 weeks.

How abortion is done at 9 weeks?

It is done by dilatation and curettage. Know more about abortion between 7 to 12 weeks.

When abortion can be done in India?

In India, abortions can be done up to 20 weeks. Know more about abortion procedure in India.

Why abortion before 12 weeks?

Abortion ideally should be done as soon as it has been decided to terminate. The procedure before 12 weeks is a simple dilatation and curettage under anesthesia. After 12 weeks the procedure is different and requires a longer hospital stay.

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