There have been numerous studies and articles written in medical literature regarding medical abortion in the first nine weeks of pregnancy. Prior to medical abortion, the most common method of performing a termination of pregnancy required undergoing a Suction D&C (Dilatation and Currettage).

The manner in which a Suction Currettage is carried out for patients 12 weeks or less, is to position the patient as if she is to undergo a routine Pap Smear or Pelvic Exam. As long as they have someone to drive them home, patients who do not want to remember or feel any discomfort while undergoing the surgical procedure, can be given Intravenous (IV) Sedation in doses that will generally last the length of time required to carry out the abortion procedure process.

A vaginal speculum is then placed inside the cleansed vagina and the cervix (lower part of womb) is anesthetized (numbed). The cervical os is then dilated (opened) with serial dilators until it is adequately dilated enough to allow for the appropriately sized sterile currette to be placed inside the uterus. A manual vaccum or suction tubing is attached to the end of the currette and the gestational (pregnancy) tissue is gently removed from within the intauterine cavity. The patient is then sent to recovery where she can rest comfortably while her vital signs (blood pressure, heart rate, respirations, temperature) and vaginal bleeding will be monitored. Most patients are ready to be discharged (sent home) within 15 to 30 minutes after the procedure has been performed.

Most women do not want to undergo surgery, they want the abortion process to be more private, to be able to have a support person with them, and want the abortion procedure performed as early as three to four weeks in pregnancy without having to wait additional weeks. This resulted in the advancements of early surgical abortions (3 to 6 weeks) which are now carried out routinely.

Prior to a decade ago, most Physicians would not perform abortions that early for fear of retained tissue, uterine perforation, and cervical tears. For almost 30 years, the medical abortion procedure has become very popular. The RU 486 Pill (Mifeprex) was developed and popularized in France in the late 1970′s and early 80′s. Over 50% of French women who are less than 9 weeks pregnant use RU 486 along with a second pill (misoprostol) to undergo the abortion process. RU 486 is a anti-progesterone which is the primary female hormone needed to maintain pregnancy by preventing the uterus from contracting and expelling (push out) its content before time (full term pregnancy and labor).

Giving RU 486 increases uterine tonus (pressure), necrosis (loss of blood flow) to the gestational (pregnancy) tissue, and causes the cervix to soften. Misoprostol is a prostaglandin which causes uterine contractions. By taking it 48 hours later, it causes the uterus to expel its contents, thus completing the abortion process. This abortion method is effective 92 to 98% of the time between 3 to 9 weeks gestation. If less than 6 weeks, there is close to a 100%  success rate with this method.

There are several different methods being used to carry out the abortion process using the Abortion Pill  method. Various studies have suggested giving misoprostol the same day, 24 hours, and 48 hours later. Overall, the studies show that there is less chance of failure with giving the misoprostol 48 hours after giving the RU 486 pill except in the subset of patients less than 6 weeks pregnant. There are studies that show giving the RU 486 in combination with misoprostol taken immediately, or giving misoprostol alone results in nearly a 100% success rate of terminating pregnancies less than 6 weeks. In conclusion; patients less than 6 weeks gestation, can undergo an Abortion Pill procedure by taking misoprostol alone on their first visit with near a 100% success rate. With the Abortion By Pill method, patients no longer have to endure surgical abortion procedures with prolonged recovery times; waiting until they several weeks pregnant;  and can choose this more private, early option.

The Abortion Pill (Mifeprex, RU 486) was discovered and became popular in France in the late 1970′s and early 1980′s for termination of pregnancies between 3 and 7 weeks gestation.  More than 50% of women in France and other parts of Europe choose the Abortion Pill method to terminate their pregnancy over the traditional surgical Suction Curettage.  The reason that women choose the abortion pill more frequently is because women feel it is more private to have the abortion process take place in their own surroundings where they can be with their support person.  It also avoids uncomfortable surgery and sedation and allows women  a different choice. 

When the FDA approved RU 486 in the U.S. in 2000, it was initially thought that there would be a dramatic increase in the number of medical abortions performed.  This did not turn out to be the case for multiple reasons. These included the following:

1) High failure rate:
The original studies of abortion procedures . with RU 486 were done with patients between 4 to 7 weeks (28 to 49 days).  A lot of facilities in Europe still do not go past 7 weeks in performing abortions using RU 486.  This is because the success rate drops from 95 to 99% success  between 4 to 7 weeks, to 88 to 94% success rate between 4 to 9 weeks.  This does not seem like a significant difference but it is when it comes to thousands of people using this method to terminate.  Especially if the patient is greater than 7 weeks gestation.  There is close to a 100% success rate with the surgical abortion procedure. Very rarely retained tissue, heavy vaginal bleeding, or uterine infection occurs which requires a repeat Suction Curettage procedure. 

2) May take a long time to complete the procedure:
Patients are told that it could take two weeks or longer for the procedure to be completed.  Patients and Physicians alike can become impatient with the length of time it can take for the uterus to become empty after taking the RU486 followed 48 hours later with taking misoprostol which causes the uterus to contract and the fetus is expelled (pushed out of the uterus).  There are well known Physicians and clinics that perform abortions that have stopped offering the abortion pill for this reason. It takes too long, and requires too many weekly or bi-weekly trips for the patient to the office in order to make sure that all of the tissue has passed.

3) Excessive or prolonged bleeding. 
For most patients, the bleeding after starting the RU486 and inserting the misoprostol vaginally or taking it by mouth 48 hours after taking the RU486 normally lasts from 5 days to 2 weeks.  Over 90 percent of patients have stopped bleeding by 20 days but there is still a small percentage of patients that continue bleeding at 30 days (2 to 3 percent).  There is even a small percentage of patients (1%) that continue bleeding until their first menstrual cycle begins after the abortion which occurs generally 4 to 6 weeks after first taking the RU486 pill to start the abortion process.  Normally with the Suction Curettage, patients less than 6 weeks only bleed for 1 to 3 days.  For patients more than 6 weeks, but less than 9, the bleeding usually last 3 to 6 days. 

With more women becoming educated about their bodies, and becoming more aware of the various medicalabortion procedures , there has been an  increase in the request and demand for the medical abortion procedure to be performed.  The failure rate is essentially the same, the incidence of retained tissue is less for patients less than 6 weeks.  For women who choose the medical abortion procedure over the surgical procedure for 6 weeks or less, there is still excessive bleeding that is associated with the medical abortion procedure.  Women who choose the medical abortion procedure are able to accept this as a small inconvenience rather than having to undergo surgery.

Abortion is defined as the termination of a human pregnancy from within the intrauterine (womb) cavity with the intent not to produce a live birth. The way abortions are carried out in the first  trimester of pregnancy is either 1) medical abortion where RU486 or methotrexate are given the first day a patient visits the medical office or clinic.   Misoprostol (cytotec) is given on the same day or up to 48 hours after the initial visit which causes the uterus to contract and expel its content.  2)  Suction Dilation and Curettage or a Vacuum Aspiration surgical procedure.  The Surgical Abortion procedure will be the focus of this article. 

The patient presents to the medical office and fills out several forms that pertain to having the abortion procedure.  She is taken to the lab where a small amount of blood is taken along with a urine sample to confirm blood type, hematocrit (checking for anemia), a positive pregnancy test,  urinary tract infections, or other problems that can be detected with a urinalysis test.  A counselor goes over the benefits and risks of the surgical procedure..  Birth control is offered for patients who are not on birth control.   It is discussed and confirmed that the patient is making the decision on her own to terminate her pregnancy and that she is not being forced.  IV sedation is discussed.  Deep Sedation can be also given for patients who do not want to remember or feel any discomfort during the surgical procedure.  All consent forms are signed. 

The patient is taken to a exam room where she sees the Physician and a discussion about the procedure takes place prior to the examination. If the patient is not 100%percent certain that abortion is the right thing for her, then the patient should be sent home to consider other options.   Once the Physician is comfortable with the patients decision to stay and have the procedure performed, an ultrasound (sonogram) is performed.  An ultrasound is a machine that produces a image of internal organs.  In this case, it is able to visualize the pregnancy in the uterus and measurements are made to determine the weeks of pregnancy. 

Once the ultrasound confirms the pregnancy  between 3 and 12 weeks gestation, the patient is placed on the table as if she is going to have a Pap Smear performed.  IV or Deep sedation is given to the patient if she chose to receive it.  A pelvic exam is performed which consists of examining the uterus, fallopian tubes, and ovaries for abnormalities or masses (abnormal growths).  A speculum is placed inside the vagina which is used to hold the vaginal walls apart.  The cervix (lower portion of uterus) is anesthetized with a anesthetic agent followed by dilating (opening) the cervix with serial dilators.   Laminaria (sterile seaweed) may be  placed inside the cervix  which absorb fluid from the cervix which swell up causing the cervix to open and become softer.  Misoprostol (cytotec) taken by mouth, sublingually (placed under the tongue) bucccally (placed between the cheek and teeth) or inserted vaginally is used to cause the cervix to open by causing the uterus to contract, and also causes changes take

place in the cervix which allows it to soften.  Laminaria and misoprostol have been studied extensively and found both made it easier for the dilators to open the cervix. Reduction of cervical tears, uterine perforation (hole made in uterus), retained (uterus not emptied) pregnancy tissue, uterine infection, and bleeding is noted. 

A sterile suction curette (a small tube) is placed inside the uterus and the pregnancy tissue is removed manually with a hand-held vacuum aspirator, or a suction machine. The procedure normally  takes 3 to 5 minutes.  She is  escorted to the recovery room and observed from 20 to 30 minutes on average.  The patient is discharged with a instruction sheet and a 24 hour number to call for questions or problems.  She to return for a two or three week check-up, or follow-up with her personal Physician.

Prior to a decade ago, it was rare for medical personnel to perform abortions on patients 6 weeks or less. Reasons for this are the increased chance of retained (left behind) tissue because the pregnancy sac was so small it was easier to miss. This can lead to uterine infection, and heavy vaginal bleeding. There are times when the entire pregnancy is missed when there is the attempt to perform surgical procedures on patients that are less than 6 weeks from their last period. Other complications that occur are a higher risk for cervical (lower womb) tears, difficult dilation (opening) of the cervix, and uterine perforation (a hole or tear) which can lead to infection, bleeding, hysterectomy (surgical removal of the uterus, or even death of the patient.

There has been a great demand from women to have their abortion procedures carried out earlier for several reasons. Some of them are: 1) reduction in pregnancy symptoms which include nausea, vomiting, breast tenderness, swelling, weight gain or loss, dizziness, headaches and fatigue. These symptoms can lead to a significant loss of school, work, and other activities that a women are required to do on a daily basis. 2) moral and ethical reasons where the less developed the pregnancy, the less guilt there is regarding the abortion procedure and 3) there is a faster recovery time and one can generally resume their normal activities the same day and may engage in sexual intercourse 24 hours after the procedure is performed if less than 6 weeks pregnant. 4) bleeding only lasts for 2 to 3 days. 5) one may take a bath after 24 hours instead of waiting for at least 2 weeks when over 6 weeks pregnant.

With the advancement of medical equipment, medications, instruments and training, performing early surgical abortions are performed throughout the U.S. and the world by specially trained Physicians in this area. Performing sonograms (ultrasound) and visualizing the small gestational sac (pregnancy) inside the uterus is crucial. A pregnancy cannot be seen until 3 to 4 weeks within the uterus. One then needs to determine whether the cervix needs to be primed (soft and easy to dilate) by either giving medication that causes contractions of the uterus, or by inserting a piece of sterile seaweed inside the cervix that causes it to dilate. This helps reduce the chance of cervical tears, uterine rupture, or retained pregnancy tissue while performing the procedure. Performing an ultrasound while simultaneously carrying out the termination procedure can help reduce the chance of retained tissue or uterine rupture.

The surgical procedure at less than 6 weeks consists of placing a speculum (used for Pap Smear) inside the vagina and then numbing the cervix using lidocaine followed by dilating (opening) the cervix and placing a small sterile catheter (smaller than a straw) inside the uterus and removing the pregnancy. There is cramping involved that lasts from 10 to 15 minutes. Bleeding usually lasts from 3 to 4 days. For most patients, IV sedation is not required but it is available if the patient requests.

In conclusion; with medical advances, early surgical abortion procedures are in high demand, and can now be carried out around the time of the patient’s first missed period (4 weeks) efficiently, with minimal complications, and the majority of patients return back to their routine activities the same day. Abortion Clinic, Florida Abortion Clinic, Tampa Abortion Clinic

Medical abortions have become popular in the U.S. Since 2001 with the FDA approval of RU486 for pregnancy between 3 and 7 weeks. Prior to 2001, medical abortions were commonly carried out with methotrexate. Methtrexate was FDA approved in the late 1950′s for treatment of certain cancers. Since then, it has been used to treat psoriasis and rheumatoid arthritis.

Methotrexate is known to cause miscarriages and severe fetal abnormalities in the first trimester of pregnancy (up to 12 weeks gestation). Patients diagnosed as being pregnant delay treatment for their particular disease until after delivery, or elect to undergo a termination of pregnancy especially if in the first trimester of pregnancy.

In the mid-80′s, there was extensive documented research found in medical literaturethat discussed the treatment of tubal ectopic pregnancy (pregnancy outside of uterus). Methotrexate targets and destroys certain parts of the pregnancy tissue (trophoblasts) required for fetal growth. Without the trophoblastic tissue, pregnancy tissue reduces in size and disappears which prevents the need for surgery.

It has been observed in patients less than 6 weeks gestation that it takes 25 to 30 days after receiving methotrexate, for the uterus to begin to contract and expel the pregnancy tissue. In order to reduce the length it took to complete this abortion process, cytotec (misoprostol) was added. Cytotec is a prostaglandin known to cause uterine contractions. Changes also occur locally in the cervix (lower part of mother’s womb) allowing the cervix to dilate (open) and become soft which causes the pregnancy tissue to be  expelled from the uterus. This process can take on average between 1 and 14 days to complete. In some patients it can take longer. On average, there is a 5 to 12% failure rate using the combination of methotrexate and cytotec to carry out this abortion procedure on patients between 3 and 9 weeks pregnant. Patients less than 6 weeks gestation have a  97 to 99% success rate. In essence, the earlier in gestation the medical abortion procedure is performed, the higher the success rate.

Abortions using methotrexate and cytotec are associated with very few complications. Given the small dosage of methotrexate used, there are minimal side effects. These inculde the possibility of diarrhea, cystitis (bladder irritation) a skin rash with excessive sun exposure. Hair loss and low blood cell counts have not been observed in our clinical practice. Other advantages of methotrexate is that it is not expensive to use, and can be given by injection or by mouth. For those patients who are not able to hold liquids or food down due to nausea and vomiting, giving methotrexate intramuscularly is an excellent choice.

Complications associated with the abortion procedure in general are retained (tissue remains behind in uterus) or failure of the procedure, continued or excessive bleeding, all of which require a surgical abortion procedure to be performed. In rare cases, blood transfusions have been required, and there have been reports of sporadic deaths due to a rare type of infection. There is no conclusion that these deaths are directly caused by the abortion procedure.

In conclusion, medical abortion with methotrexate and cytotec has been used for many years to terminate pregnancies up to 9 weeks gestation. Though it is not as effective as RU486 after 6 weeks gestation for terminating pregnancy, it has been found to be as effective in patients less than 6 weeks.. For patients who are allergic to the RU486 pill, unable to swallow pills, who are experiencing nausea and vomiting, or have other contraindications including adrenal insufficiency, the use of methotrexate is a viable alternative.

Recently more and more singles all over the world decide to refer to the services of online dating since it is believed to be reliable and at the same time effective. In case you are interested in becoming successful while using the services of online dating then you are advised to pay special attention to the following information.

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In case you do not have a faith that within some time you are going to meet a true a love then there is no reason to start any relationships. In that case you are recommended to forget all previous unpleasant experience. It is important to do a lot of efforts and avoid any bad thoughts while you are in the process. It is necessary to make the notes of what has been created and make sure that the vision is kept alive. This will help to be aware of the own achievements.

There is no doubt that true love can happen to anyone at any time. However, it is very important to have faith and courage even though the process of finding perfect match can take some time. Still, the person that you are looking for is waiting for you and that is why you have to be confident that sooner or later you will be able to meet the date that meets all of your requirements.

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Since online dating got the trust of a lot of users then there is no doubt that you should refer to the services of online dating site and try all of the available options. Online dating site is also the best way of finding a girlfriend for the shy guy. Since you will contact the women at first online then there is no doubt that in that case there is no reason to be afraid of being rejected. Online dating helps to build the confidence and try all of the available services.

Online dating proved to have a lot of advantages that attract the attention of a lot of members all over the world. The first one is the possibility to learn at your own pace. What is more, since you are not meeting face-to-face then there is no need to feel shy. Nowadays there are a lot of online dating sites and a lot of them are completely free of charge. As soon as you join online dating sites and see the advantages you start to learn and build your own confidence. Besides, in case you are afraid to be embarrassed then you can easily avoid that as soon as you register on the online dating site.

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I would have given anything for an easy cure for genital warts when I was diagnosed. It was bad enough dealing with the doctor’s probing questions about my sex life. It felt like he was judging me, even though the strain of the Human Papillomavirus, which causes genital warts is extremely common, even for people who practice safe sex. It was embarrassing to be questioned like that, it was expensive to even see a doctor in the first place, and the treatments themselves were not even effective at getting rid of the genital warts.

I just assumed that going to a doctor was the best thing to do when I started noticing the warts. That’s the way most people are raised to act: you get sick, you go to a doctor. But in many situations that can be as awkward and uncomfortable as the condition that leads to a doctors visit in the first place.

After I came home from seeing my physician, I consulted the internet. He had told me there could be flare-ups of the disease and I wanted to be ready if that happened. There had to be some other way. Looking at the long list of alternatives offered by big medical corporations made my head spin. It was like they designed so many options solely to keep people from knowing which was right for them. But at last, I found it.

Natural options for treating genital warts exist alongside these other confusing “official” remedies, and let me just say that they work. The doctor was right about one thing, the warts came back (no thanks to his expensive medicine), but when they did, instead of calling for another appointment, I spent about three dollars at the grocery store and treated them myself at home.

If anybody out there suffers from warts on their genitals, they know what I went through. It was awful, painful, and embarrassing. I felt that I couldn’t reach out to anybody, and that it would have been foolish to take my health into my own hands. On both counts I was wrong. With a little bit of research, I discovered that a cure for genital warts was closer than I had thought, with far less pain and stress involved.

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