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Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...

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Auricular Point Acupressure Therapy: A Safe and Effective Treatment for Postsurgical Abortion Recovery
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Issues in second trimester induced abortion (medical/surgical methods).

Vivian C Y Lee1, Ernest H Y Ng, P C Ho

  • 1Department of Obstetrics & Gynaecology, Queen Mary Hospital, The University of Hong Kong, PR China. v200lee@hku.hk

Best Practice & Research. Clinical Obstetrics & Gynaecology
|March 30, 2010
PubMed
Summary
This summary is machine-generated.

Second trimester abortions are common. Dilatation and evacuation (D&E) is the preferred surgical method, while medical abortion uses mifepristone and misoprostol. Preoperative assessment guides safe method selection for informed patient choice.

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Area of Science:

  • Reproductive Health
  • Gynecology
  • Obstetrics

Background:

  • Second-trimester abortions are frequently performed globally.
  • Surgical and medical methods are available for second-trimester pregnancy termination.

Purpose of the Study:

  • To review the methods for second-trimester abortion.
  • To emphasize the importance of preoperative assessment in choosing the safest method.
  • To highlight patient-centered care and informed choice.

Main Methods:

  • Dilatation and Evacuation (D&E) as the surgical method of choice.
  • Medical abortion using mifepristone and misoprostol, detailing recommended dosages and intervals.
  • Preoperative assessment to determine the most suitable procedure.

Main Results:

  • Adequate cervical dilatation is crucial for safe D&E procedures.
  • The medical regimen involves mifepristone followed by sequential misoprostol doses.
  • Informed patient choice is paramount when both methods are feasible.

Conclusions:

  • Both D&E and medical abortion are effective for second-trimester termination.
  • Preoperative evaluation is essential for patient safety and guiding method selection.
  • Offering patients a choice between surgical and medical abortion, when appropriate, ensures informed decision-making.