Which is less harmful, medical abortion or surgical abortion? What is the best method?

For women who do not have a birth plan, if they accidentally get pregnant, they will face the problem of terminating the pregnancy. At present, the methods of terminating early pregnancy in China are nothing more than medical abortion and artificial abortion. So, which one is less harmful, medical abortion or artificial abortion?

This question needs to be considered in combination with the age, fertility status and pregnancy time of female friends. Generally speaking, for young women who have not given birth or have not had an abortion, if the pregnancy is within 49 days, I think medical abortion is suitable, which is relatively less harmful to women than surgical abortion.

Medical abortion is mainly the process of using mifepristone combined with misoprostol tablets to induce uterine contractions and expel embryonic tissue. For early pregnancy, the earlier the abortion is, the higher the complete rate of medical abortion and the smaller the chance of uterine curettage. Some female friends think that medical abortion is more harmful than surgical abortion, mainly because they may face double damage; that is, medical abortion is incomplete and requires uterine curettage again, but in fact, even if the uterus is curettaged after medical abortion, it is a minor operation; the damage to the uterus and basal endometrium is very small. After all, after the effect of the drug, the damage of uterine curettage is not as great as direct surgical abortion; medical abortion may affect the menstrual regularity of the past two or three months and cause irregular menstruation.

On the contrary, if you have an abortion directly, you may need to scrape the uterus repeatedly in order to do a clean curettage in one go, which may cause certain damage to the uterus; if the pregnancy is more than 49 days, it is not suitable for medical abortion in the outpatient clinic, and you can choose artificial abortion; currently, painless visual abortion can be performed, and curettage is more accurate and causes relatively less damage to the uterus; some pregnancies of more than 2 months need to be induced with drugs while in hospital, and most also require uterine curettage.

To sum up, both medical abortion and surgical abortion have effects on the body, but for early pregnancy, the harm of medical abortion is relatively small; the best way is to take strict and reliable contraceptive measures if you have no intention of having a child.