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Early Surgical Abortion or Menstrual Extraction: 3 to 6 Weeks From Last Period
The Early Surgical Abortion technique we use is a very simple procedure to perform but requires advanced technical training in order to properly perform this surgery. Our Physicians are highly experienced in ultrasound and abortion. Our medical staff is very caring and strives to provide a positive and comfortable experience. Our track record for early surgical abortions is excellent with a very low complication rate. Our offices are relaxing and comfortable.
All patients fill out medical history forms that include obtaining the patient’s medical conditions and allergies. All patients go to the lab where vital signs are performed (blood pressure, heart rate, respiratory rate), lab work is done to verify pregnancy, determine blood count, and Rh type. This is followed by a counseling session which describes the risks and benefits of the surgical procedure including alternatives to having an abortion such as continuing the pregnancy or adoption.
A sonogram is performed prior to the procedure to determine the length of the pregnancy. Surgery is not performed until the pregnancy can be identified in the uterus which occurs between 3 to 4 weeks gestation and almost 2 weeks after conception or close to 1 week after implantation of the endometrium which is the lining of the uterine wall. Usually the surgery is performed under ultrasound guidance.
The menstrual extraction or early surgical procedure is performed on patients between 3 to 6 weeks gestation. It is very effective with minimal complications. It can be performed under local anesthesia; advanced IV sedation using the latest technologically advanced sedation medications which are fast acting and quickly leave the body in less than 30 minutes allowing patients to drive themselves home; Deep IV sedation or general anesthesia. The analgesics and sedatives used are given at individualized dosages depending on the patient's weight and the length of the surgical procedure. Patient's vital signs are monitored with pulse oximetry during the surgical procedure until the patient is alert, awake and responsive. Resuscitative equipment is available at all times.
In the past, "Menstrual Extraction" in certain countries was performed by lay women who taught each other the procedure. This procedure has been safely practiced for over 50 years throughout the world. It was introduced in the United States in the mid 1970’s.
Women may be given a medication (Misoprostol) orally or vaginally to prime the cervix (soften and open). This allows for easier opening of the cervix when the surgery begins. There is less cramping, less bleeding, and a lower incidence of tissue remaining inside the uterus after the surgery is complete.
Our experienced Physicians with special expertise in early surgical abortions perform the Menstrual Extraction procedure. The procedure takes place in a clean and sterile examination room. There will be supportive staff present at all times. The procedure is very similar to having a general gynecological exam and Pap smear performed. It can be completed in 3 minutes and is safe and pain-free. We use only sterilized instruments. The Physician places a speculum (the same type used for your Pap Smear) inside the vagina and then numbs the cervix (lower part of the uterus (mother’s womb) with a local anesthetic. Most women have minimal to no discomfort with this portion of the procedure. During the procedure, the cervical canal is opened with sterile dilators. There may be mild cramping associated with dilating the cervix and may last for a few seconds. A sterile cannula (thin, plastic tube) is placed through the cervix, this is attached to the aspirator and the uterine contents are removed. This part of the procedure lasts for approximately 30 seconds. Normal activities can be resumed the same day and the use of tampons and resuming sexual activity can occur the following day. Most people think that the early surgical abortion or menstrual extraction procedure is simpler than the abortion pill because there is less bleeding, less cramping, and there is no stress of having to insert a second set of tablets 48 to 96 hours after the initial office visit to worry about.
Patients who are Rh negative will receive a microgram injection at the end of the procedure to prevent future problems with pregnancies where the mother may form antibodies that cross the placenta and destroy fetal blood that could lead to intrauterine death.
Patients remain in recovery generally for 20 to 45 minutes and are then discharged to home with antibiotics, pain medication, and a form of long term birth control if appropriate and desired. Patients are asked to follow up in three weeks for a pregnancy test, to discuss birth control, and have a pelvic exam performed to make be certain of a good recovery.
Complications are very rare when performing surgical procedures at this early gestation. All surgeries carry certain risks. The complications occur in far less than 1% of the procedures. They include retained pregnancy tissue, blood clots, bleeding, cramps, laceration of the cervix, cervical tears, uterine perforation, fever, pelvic infection, and even death. No deaths have occurred at our offices. No patient has been hospitalized due to a complication of this procedure. There is no evidence in medical studies indicating that women who choose to undergo an abortion procedure have a higher incidence of breast cancer, or higher rates of mental health problems compared to women who carry an unwanted pregnancy to term and keep their child.
A patient may request an exclusive or private appointment with Dr. Pendergraft by contacting him by E-mail preferable: Drpendergraft@gmail.com or call him directly at 321-445-2545 or call the office location nearest you by clicking locations. Same day appointments can be arranged.
For further information including family planning, please visit our premiere website. www.womenscenter.com
You may contact Dr. Pendergraft for any sexual health question you may have at Drspendergraft@gmail.com
Legal Abortion By Pill Clinic
If 6 Weeks Or Less
Second Trimester Or Late Term Abortions