Insertion of Intrauterine Contraceptives with Sedation
We offer insertion of Liletta intrauterine contraceptive device under sedation. We combine multiple pain reducing techniques plus light oral or i.v. sedation for patients who want the benefits of a levonorgestrel intrauterine device but who can’t tolerate the insertion without better pain control. Liletta is just like Mirena – same size and same low-dose of hormone – but is approved for 6 years of use, one year longer than Mirena. Most women will experience a decrease of more than 80% in menstrual bleeding and a similar decrease in menstrual cramping. Many women will have no menses at all in a safe manner due to the continuous release of a small dose of levonorgestrel within the uterine cavity.
FIRST TRIMESTER IN-CLINIC ABORTION
Many patients choose to end their pregnancy with a short, simple in-clinic procedure, known as a uterine aspiration. This first-trimester abortion option removes the pregnancy with light suction from a handheld device. The entire appointment typically lasts less than two hours, and the vast majority is spent in the privacy of your own patient room where your partner, family members, or friends may be with you. We use multiple methods to reduce pain, including intravenous (IV) sedation at no additional fee.
ABORTION FROM 15-26 WEEKS
If you are between 15 and 26 weeks in your pregnancy, we can provide you with abortion care regardless of your medical history, background or fetal indication.
This second-trimester abortion procedure is commonly referred to as a “dilation and evacuation” or “D&E.” This procedure typically requires two appointments to give the cervix time to dilate slowly and gently overnight. The procedure happens on the second day and takes about 15 minutes or less. Typically the anesthesia medications wear off within two hours and patients may return home or to their hotel. In some cases, usually after 24 weeks and depending on medical history, we may need to perform the procedure over 3 days, but this is not common.
ABORTION FROM 26-31 WEEKS 6 DAYS
If you are between 26 weeks and 31 weeks 6 days into your pregnancy, we can see you. You do not need a referral for these services.
This three-day abortion procedure is called an Induction and Evacuation. The first day is a pre-operative appointment which will involve a brief ultrasound and medications to help ease the process over the next two days. When you return on the second day, your provider will perform a brief pelvic exam to place Dilapan to help your cervix open slowly overnight. When you return on the third day, you will receive IV medications to make you feel very comfortable and relaxed, and to control pain. Once you are comfortable and your cervix is dilated, the physician will complete the abortion procedure, which takes about 15 minutes or less. While the procedure itself is short, the dilation process can take anywhere from one hour to several hours, which you will spend in your private room with your partner, family, or friends. After the procedure, you will return to recover in the privacy and comfort of your own patient room, where your partner, family, or friends can be with you. Typically, the anesthesia medications wear off within two hours and you may return home or to their hotel.
In some cases, depending on medical history, we may be able to perform the procedure in 2 days, but this is not common. Abortions after 26 weeks are often inaccurately referred to as “late-term abortion” which is a corruption of “late trimester abortion” or “later abortion”. “Late-term abortion” is commonly used in the media but does not refer to a specific procedure.
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