Version française
Clinique médicale Fémina
Homepage Gynecology Our premises Contact us

INFORMATION TO CHOOSE THE TYPE OF ABORTION YOU WANT

COMPARATIVE TABLE


Surgical abortion Medical abortion
WHEN CAN YOU HAVE AN ABORTION AT OUR CLINIC?
+

Up to 12 weeks of pregnancy

+

An soon as a gestational sac is visible in the uterus on ultrasound (approximately 5 weeks after the first day of your last menstrual period)

+

Up to 9 weeks of pregnancy (63 days since the first day of your last menstual period)

+

As soon as you have a positive pregnancy test but preferably when a gestational sac is visible in the uterus on ultrasound

+

Method contraindicated if you stay more than two hours away from the clinic or hospital

FEES
+

Free with your valid RAMQ card, $ 700 without a card

+

Free with your valid RAMQ card

+

Wihtout valid RAMQ card: fees are subject to change wihtout notice, call the clinic for more information

HOW DOES IT WORK?
+

Under conscious sedation, the doctor, assisted by the nurse, gently aspirates the contents of your uterus and ensures by a light curettage that the uterus is empty

+

A 1st drug (mifepristone) is taken at the clinic to stop pregnancy and a second medication (misoprostol) is taken at home between 24 and 48 hours later to induce uterine contractions that will expel the pregnancy

+

This time frame of 24 to 48 hours is not flexible, it must be respected

HOW MANY APPOINTMENTS ARE NECESSARY?
+

One visit of approximately 3 hours including registration, counseling, procedure (10 minutes) and rest period at the clinic (mandatory minimum of 60 minutes)

+

Minimum 2 visits; the 2nd, 7 to 14 days after the 1st one and sometimes (rarely) a 3rd visit

DURATION OF THE PROCEDURE
+

Usually less than 10 minutes

+

95% of abortions are declared complete at the control visit 1 to 2 weeks later

PAIN
+

Minimal in the majority of cases, thanks to conscious sedation

+

Light to very strong especially when expelling the pregnancy

+

Painkillers are prescribed for home use

BLEEDING
+

Light or absent early and sometimes more abundant between the 3rd and 5th day

+

After 1 week, bleeding should be very mild, but may last up to 3 weeks

+

Some women do not bleed at all (rare)

+

Can be very abundant after taking misoprostol (you have to accept that, this procedure is like a miscarriage)

+

Light bleeding may persist until the first menstrual period

RISK ON FUTURE FERTILITY
+

Almost zero, less than 1 in 1000, fertility returns immediately after the procedure

+

No risk, fertility returns immediately

CONTRACEPTION
+

The installation of an IUD can be done during the procedure

+

You need to start your contraception (pill, patch or ring) on the 3rd day after misoprostol

+

An IUD can be installed as soon as the abortion is considered complete

RISK OF FAILURE
+

It is extremely rare for a pregnancy to continue after the procedure

+

1 to 2% of cases will require curettage for tissue retention (this is not a failure but a normal risk associated with the procedure)

+

About 1% of pregnancies will continue and require curettage

+

About 4% of cases will require a second dose of misoprostol or you can decide for curettage to complete the abortion

POSSIBLE COMPLICATIONS
+

1 to 2% of placental retention requiring a second curettage

+

Very rare: hemorrhage, infection, laceration of the cervix, uterine perforation, anesthetic reaction

+

About 5% hemorrhage or incomplete abortion requiring curettage

+

Very rare: allergy to drugs

+

Exceptional: severe and dangerous infection

SIDE EFFECTS
+

Requires the use of anesthetic drugs (conscious sedation) that have some short-term side effects, for example: nausea, dizziness, vomiting (rare), amnesia (may be considered a benefit by some women)

+

Mifepristone: little or no side effects

+

Misoprostol: severe abdominal cramps, frequent diarrhea.
Rarely : nausea, vomiting, headache, dizziness, fever and chills

EMOTIONAL ASPECT
+

Possible anxiety related to the procedure but well controlled by conscious sedation and the presence of an attentive and empathetic staff

+

Anxiety related to the expectation that abortion will occur and be complete

+

Anxiety at the idea of visualizing pregnancy products

CONDIFENTIALITY
+

A file is created at the clinic and is only accessible by our staff and the Régie de l'assurance-maladie du Québec

+

A file is created at the clinic and is only accessible by our staff and the Régie de l'assurance-maladie du Québec

DO I HAVE TO BE ACCOMPANIED?
+

Yes, for the return home

+

Forbidden to drive a motor vehicle for 24 hours

+

It is strongly recommended that a person be present with you at home to provide support when needed during the expulsion of the pregnancy

Information
Home | Comparative Table: Surgical vs Medical Abortion | Surgical abortion | Medical abortion | Gynecology | Our premises | Contact us