Manual Vaccum Aspiration (MVA) is an abortion procedure. Abortion can be medical abortion or surgical abortion. A doctor decides which abortion is best for you depending on which week of pregnancy you are in and the risks involved.
In medical abortion, abortion pills are given to you. You do not have to stay in the hospital for any invasive procedure for abortion. Medical abortion is usually recommended when your pregnancy is under 7 weeks. However, there are countries in which medical abortion is given, even under 11 weeks of pregnancy.
In surgical abortion, there will be invasive procedures. Manual Vaccum Aspiration is one such surgical abortion procedure.
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MVA is for whom?
Usually MVA is given when you are between 6 to 12 weeks of pregnancy.
What exactly is MVA?
Simply put, a syringe that has high suction power is used for abortion in MVA. A thin tube is attached to this syringe and the tube is inserted into the uterus through the vagina. The suction from the syringe pulls out the pregnancy tissue from the uterus.
Will there be pain during MVA?
No, you will not feel any pain during MVA. Before the procedure, a local anesthetic will be used. A local anesthetic is an injection that will cause you to not feel any sensation in the injected part of your body. Remember the visit to the dentists wherein they give you an injection before pulling out your teeth and you feel numb in the injected area? Here too, something like that happens. The injection will be given to your cervix ( the lower end of your uterus which opens into the vagina) and you will be numb in that area. That said, some doctors can also give you painkillers either as tablets to be taken orally or as an infusion through the vain, before giving you the local anesthetic.
[Medical abortion or surgical abortion completely depends on your pregnancy stage and the risks involved. Often doctors ask you to have an ultrasound scanning done to assess your pregnancy. If you are unsure about any of these and want guidance, you can reach out to us. Click on the Whatsapp chat button and talk to us now: ]
Will you be awake during the MVA?
Yes, you will be awake during the MVA. Local anesthetics do not cause you to be unconscious and be in a sleep mode. General anesthetics, however, does this. But for MVA, general anesthetics are not used. A few doctors, sometimes use sedation medicines, if you are too anxious about MVA. In that case, you will be very rested and sleepy during MVA.
How long does the MVA take?
The whole procedure just takes about 15 to 20 minutes. It is merely a minor surgical procedure.
How is MVA done?
You will be seated on the surgeon’s table like how you sit during a pelvic examination. That is, you will be lying down on your back with your legs spread wide open. Your legs will be resting and supported on stirrups.
Then the doctor or nurse will insert a speculum into your vagina. A speculum is like a metal tong, but a medical one. It is used to open up the vagina such that the doctor can get a larger view of the insides of the vagina. You need not worry about pain during this step. Usually, there is no pain. You will only feel a stretchy sensation.
After this step, the doctor or nurse will clean your vagina and cervix with an antiseptic solution. Following which they will inject the local anesthetic into your cervix. Don’t get scared at the thought of getting an injection in your cervix. It only hurts like how a mosquito would bite you.
Once the local anesthetic starts to work and they are sure that you are numb in the area, they will hold your uterus in place by grasping the cervix with an instrument.
Next step is dilation (further opening). Here an instrument is used to dilate your cervical canal. The cervical canal connects the uterus to the vagina through the cervix. Why dilation is important is because a dilated cervical canal minimizes any injury to the cervix during MVA.
Then a thin tube connected at one end to the MVA syringe is used. The free end of the tube is guided into the uterus through the vagina and cervical canal. When the syringe applies suction, the pregnancy tissues inside the uterus get sucked into the tube. During this step, the uterus starts to contract. There can be cramps that will start to decline once the tube is out of the uterus after the procedure.
All the tissues that came out of the uterus are examined to ensure that the abortion is complete. What this means is no trace or part of any pregnancy tissue should remain in the uterus. If it does, then that means abortion is yet to be completed.
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