An ectopic pregnancy is a pregnancy that occurs outside the uterus, usually within the fallopian tube. It is a life-threatening condition to the mother and the fetus cannot survive this condition. The developing cells must be removed to save the mother’s life. It is an emergency condition which we can diagnose, advise treatment options and provide service referrals.
If there is a rupture, surgery is done to stop blood loss. This surgery will confirm an ectopic pregnancy, remove the abnormal pregnancy and repair any tissue damage.
Most forms of ectopic pregnancy that occur outside the fallopian tubes are not preventable. However, a tubal pregnancy (the most common type of ectopic pregnancy) may be prevented in some cases by avoiding conditions that might scar the fallopian tubes.
One-third of women who have had one ectopic pregnancy or an ectopic pregnancy surgery are still able to conceive and have a normal pregnancy in the future.
Eastside Gynecology specializes in early abortion methods. We offer aspiration as one abortion procedure, otherwise known as Manual Vacuum Aspiration (MVA), which is done between 5-7 weeks of pregnancy. It is one of the least invasive procedures that we offer. The MVA is done with a mini handheld vacuum, which produces gentle suction. The procedure takes about 5 minutes with no electronic machinery used, and no scraping is involved.
You have the option to elect either local anesthesia in an exam room, or general anesthesia in the operating room. If you choose general anesthesia, you will be put to sleep for the length of the abortion procedure and your escort will not be permitted within the operating room. Minimal follow up or recovery time is necessary and you will be able leave the office able to resume normal activities.
Private and Discrete Procedures
First Trimester Abortion Methods
Surgical abortion methods are available within the first trimester up until 12 weeks of gestation. The surgery generally takes between five and ten minutes. You are then taken to the recovery room where you will be observed by our nursing staff for another thirty to sixty minutes before being released.
Second Trimester Abortion Procedure
From 13 to 24 weeks of gestation, the second trimester abortion procedure is typically performed in one day.
A woman between 15 and 22 weeks will require a two-day procedure for safety reasons.
For women between 23 and 24 weeks, a two or possibly a three-day procedure is required for safety reasons. Please contact our office for more information.
Choices For Anesthesia During Surgery
General Anesthesia/Conscious Sedation
The patient remains asleep during the entire abortion procedure. The patient may feel some discomfort upon awakening, similar to menstrual cramps.
Medication is administered to numb the cervix. During the procedure, the patient will feel some discomfort resembling menstrual cramps.
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Non-Surgical Abortion Methods
We provide a friendly, comfortable environment for women who have elected to have a non-surgical abortion. We are proud to provide the highest-quality medical care to our patients, and continually receive referrals to our clinic from other medical professionals across the tri-state area.
Same day appointments Tuesday through Saturday, and walk-ins are welcome. We speak English, Spanish, and Russian.
We offer various non-surgical, medical abortion methods. Please read below for more information. If you have any questions or would like to discuss your individual options, please call us at 212.308-4988 or contact us by filling out a confidential message form.
During the first eight weeks of gestation our physicians can provide two safe and simple first trimester abortion options:
The Abortion Pill
The Abortion Pill, also known by its trade name Mifiprex (Mifepristone) and also commonly referred to as RU-486, is prescribed as a non-surgical abortion method up to 49 days after the beginning of the latest menstruation (as recommended by the manufacturer). There is approximately a 97% success rate.
Our physicians will review your medical history and an ultrasound will confirm that it is early enough to perform this procedure. You will be informed of any risks or benefits during your visit, and any questions you have will be addressed at this time.
The dose of Mifiprex/Mifepristone is administered in the office, and taken orally. You will be given instructions on how to take the second medication (Misoprostol) to take home with you.
What To Expect After a Medical Abortion:
Patients often experience abdominal pain, and cramping, for one to two hours and vaginal bleeding or spotting for approximately 9 to 16 days. Other less-common side effects include dizziness/nausea, vomiting, diarrhea, and fatigue.
The Morning-After Pill (Emergency Contraception)
Emergency contraception (EC), also known as the Morning-After Pill, is intended for use after unprotected sexual intercourse or when you believe your primary method of birth control has failed and unwanted pregnancy may result. EC contains higher doses of the same hormones as regular birth control pills (estrogen and progestin), and must be taken within 72 hours. It is usually taken in two doses, 12 hours apart. This prevents ovulation, which, in turn can prevent pregnancy. Because EC is preventative, it is not considered a method of abortion or non-surgical abortion.
Emergency Contraception is not intended for use as the primary means for birth control, and only as a back up or in case of “emergency”, as indicated by the name.