Understanding Abortion Procedures: A Beginner's Guide

Hugo Benalcazar

Medically reviewed by Hugo Benalcazar, Northwestern University on October 19th, 2023.

Key Takeaways

  • Medical abortion using mifepristone is 95-98% effective when performed within the first 10 weeks of pregnancy, requiring two medications taken 24-48 hours apart.

  • Surgical procedures like D&E (dilation and evacuation) are typically used after 14-16 weeks and completed within 10-20 minutes under local or general anesthesia.

  • Normal post-procedure bleeding resembles a heavy menstrual period for 1-2 weeks, but soaking more than 2 maxi pads per hour for 2+ hours requires immediate medical attention.

  • Fertility returns quickly—ovulation can occur within 2 weeks post-procedure, so contraception should begin immediately if pregnancy prevention is desired.

  • Follow-up appointments scheduled 1-4 weeks later include blood tests or ultrasounds to confirm complete procedure and monitor for rare complications like retained tissue.

If you're considering an abortion, it's important to understand the different types of procedures available and what to expect before, during, and after the process. This guide will provide you with a clear and accessible overview of the most common abortion procedures, as well as information on pain management, costs, and financial assistance.

Types of Abortion Procedures

The type of abortion procedure you undergo will depend on how far along you are in your pregnancy. The most common procedures include:

  • Medical abortion (mifepristone, also known as RU-486): A prescription pill that can be taken at home during the early part of a pregnancy.

  • Vacuum aspiration (suction abortion): A procedure typically performed in the first trimester, involving the use of a small tube attached to a suction device to clear out the contents of the uterus.

  • Dilation and evacuation (D&E): The most common type of second-trimester abortion, involving the dilation of the cervix and the use of forceps, suction, and other medical tools to remove the contents of the uterus.

  • Dilation and extraction (D&X): A procedure usually reserved for cases with serious fetal abnormalities or maternal medical complications, performed later in pregnancy.

Almost all abortion procedures are outpatient, meaning you won't have to stay overnight in the medical facility.

Before the Procedure

When you schedule your appointment, your healthcare provider will give you instructions, which may include fasting starting the night before your procedure. Upon arrival at the clinic, you'll fill out paperwork, answer questions about your medical history, and undergo a pre-abortion workup, including a physical examination, pregnancy test, blood test, and screening for sexually transmitted infections.

Your doctor will also discuss pain management options with you. For most in-clinic abortions, you'll receive local anesthesia to numb your cervix, and you may be offered oral medication or IV sedation to help you relax.

During the Procedure

The specifics of the procedure will depend on the type of abortion you're having and how far along you are in your pregnancy. In general, you'll lie on an exam table with your feet in stirrups, and your healthcare provider will use medical tools to access and clear out your uterus. The procedure can take anywhere from a few minutes to 20 minutes, depending on the method used.

After the Procedure

After the abortion, you'll rest at the clinic under supervision for about 30 minutes before being released. You'll receive a prescription for antibiotics and may experience cramping and light bleeding for a few days to a couple of weeks. Most providers will schedule a follow-up appointment within 1 to 4 weeks to ensure that you've physically recovered and are no longer pregnant.

Abortion Costs and Financial Assistance

The cost of an abortion can vary depending on factors such as how far along you are in your pregnancy, the type of procedure, and whether you receive anesthesia or sedation. Prices can range from around $300 to over $2,000. However, there are organizations that can provide financial assistance, including:

If you have Medicaid or private insurance, your abortion may be partially or fully covered, depending on the rules of your state and insurance plan.

Remember, if you experience severe pain, a high fever, or heavy bleeding after your abortion, contact your healthcare provider or the emergency contact they provided immediately.

The Bottom Line

Both medical and surgical options are highly effective and safe when performed by qualified providers, with method selection primarily based on gestational age and individual health factors. Following post-care instructions carefully and attending scheduled follow-ups ensures optimal recovery. If you have questions about symptoms, recovery expectations, or contraceptive options afterward, Doctronic can provide personalized guidance.

Related Articles

Menopause Mood Swings

Menopause brings profound hormonal shifts extending far beyond hot flashes and irregular periods. As estrogen and progesterone levels decline, many women experience [...]

Read More

Lower Back Stretches

Lower back pain affects millions of people daily, whether from sitting too long at a desk, lifting heavy objects, or dealing with chronic conditions. While what causes lower [...]

Read More

Liver Disease Symptoms

The liver stands as one of your body's most hardworking organs, performing over 500 vital functions from detoxification to protein production. Yet liver disease often [...]

Read More