What to Expect from an In-Clinic Abortion

In this article, we’ll explore:

• The different types of in-clinic abortion procedures
• The possible risks and side effects
• When to seek medical help if you experience complications
• What to do before visiting an abortion clinic

Types of In-Clinic Abortion Procedures

The type of in-clinic abortion you can receive depends on how far along your pregnancy is. The abortion provider will recommend either a suction (vacuum) aspiration or a dilation and evacuation (D&E).

Suction (Vacuum) Aspiration Abortion

A suction (vacuum) aspiration abortion is typically performed up to 13 weeks of pregnancy. Here’s how it works:

• Before the procedure, small instruments or a medication is used to open (dilate) the cervix.
• Misoprostol may also be given to soften the cervix.
• During the procedure itself, a suction device is used to remove the fetus.

Dilation and Evacuation (D&E)

A dilation and evacuation (D&E) is a surgical abortion most often performed in the second trimester. This procedure is usually performed under anesthesia. It’s more complex than a suction (vacuum) aspiration abortion due to the fetus’s size.

Here’s how it works:

• Before the procedure, sponge-like sticks (laminaria) are inserted into the cervix.
• These sticks absorb moisture and gradually expand, opening the cervix.
• During the procedure itself, a suction device and tools like forceps are used to remove the fetus.

How Much Does an In-Clinic Abortion Cost?

The cost of an in-clinic abortion depends on how far along you are, the state you live in, and your insurance coverage. These prices do not include the cost of any pre-screening services (such as an ultrasound) or follow-up care.

Here are the national averages¹:

• First Trimester (up to 13 weeks of pregnancy): Prices range from $600 to $979.

• Second Trimester (13 to 24 weeks of pregnancy): Early in the second trimester, the average cost is $715. Later in the second trimester, the cost can range from $1,500-2,000.

Click the button below for more information about abortion costs in your state.

Side Effects and Risks

Common side effects of surgical abortion include cramping, spotting, and bleeding. These can last up to two weeks, depending on the procedure. One study found that second-trimester abortions can be more painful than expected.²

Potential physical risks include:

• Uterine Perforation: An instrument may accidentally puncture the uterus, possibly needing surgical repair.³

• Asherman Syndrome: Scar tissue inside the uterus from repeated procedures can impact future fertility.⁴

• Pelvic Inflammatory Disease (PID): Bacteria introduced during surgery may cause infection in the reproductive tract.⁵

Additionally, some women report experiencing mental health struggles after abortion. Examples include:⁶⁷

• Depression
• Anxiety
• Low self-esteem
• Substance abuse
• Suicidal behaviors

If you’re thinking about suicide, call the Suicide and Crisis Lifeline at 988 right away.

When to Seek Immediate Medical Care

Complications can happen after an in-clinic abortion. Go to the nearest emergency room if you experience any of the following:

• Heavy, excessive bleeding
• Persistent fever
• Severe or worsening abdominal pain not relieved by over-the-counter pain medication
• Foul-smelling vaginal discharge

What to Do Before Visiting an Abortion Clinic

Before visiting an abortion clinic, it’s crucial to receive an ultrasound to confirm pregnancy viability and gestational age. This information helps you understand your pregnancy options and make the best decision for your health.

Viability

In simplest terms, a viable pregnancy is one where the embryo/fetus has a heartbeat. During an ultrasound, technicians look for signs like a fetal heartbeat. This usually appears between 6.0-6.5 weeks from a woman’s last menstrual period.⁸

If a heartbeat cannot be detected, it may indicate that a miscarriage (spontaneous loss of a pregnancy) is occurring. Also, if there is no sign of a pregnancy inside the uterus, this could mean it is growing in another location (ectopic). Both conditions require alternative medical care. An ectopic pregnancy, in particular, is a life-threatening emergency requiring immediate attention.

Gestational Age

Gestational age refers to how far along you are in your pregnancy. Doctors measure it from the first day of your last period.

Knowing your gestational age is crucial because:

• Certain states have gestational age limits on abortion
• Abortion procedures are limited based on how far along you are
• Abortion becomes increasingly risky the further along you are

Pregnancy Decision Line can connect you with a local pregnancy center that provides free limited ultrasounds, so you can confirm your pregnancy. Call us at 866-406-9327 to get started.

Considering an In-Clinic Abortion? Call Pregnancy Decision Line First.

If you’re considering an in-clinic abortion, Pregnancy Decision Line is here to help you make an informed decision. We can connect you with a local pregnancy center that provides:

• Free Services: Pregnancy tests, ultrasounds, STD testing and treatment.
• Compassionate Support: A safe space to ask questions and explore your options without pressure.
• Personalized Guidance: They can answer your questions and help you explore each of your pregnancy options.

Ready to take the next step? Give us a call to get started.

Please be aware that Pregnancy Decision Line does not provide or refer for abortion services.