Medical abortion

Every year about 17,000 abortions are performed in Denmark. Abortions can be medical or surgical. What’s important is that the method chosen is the most effective; that is, the most complete and uncomplicated method, and the one implying the least physical side-effects for the woman.  Any woman who is a Danish citizen has the right to have an abortion performed in Denmark, and it can be performed without referral from a family doctor.

The treatment is free of charge if you are a Danish citizen.

Pre-examination

Before the procedure, you’ll have an examination. You’ll have an ultrasound scan to determine the length of the pregnancy. Also, we need to make sure that the pregnancy is located in the uterus. After that you and the specialist will have a talk to find out whether a medical or surgical abortion is the best solution for you. It’s recommended that a medical abortion is performed before week 8.

The main advantage of a medical abortion is that the risk of infection is low compared to a surgical abortion. You don’t have to have an anaesthetic, you take an active part in the process, and you can start the treatment immediately. It’s not necessary to know your blood group before a medical abortion as you don’t need an anti-D injection if you’re rhesus negative.

The pregnancy is terminated by means of two types of medicine. The first type inhibits the pregnancy-sustaining hormone, and the second type makes the uterus contract and empty itself.

The process

At the clinic, we’ll give you the medicine and you’ll take two tablets (Mifegyne) before you leave. Two days later, you’ll insert four suppositories (Cytotec) as far into the vagina as you can. These pills make the uterus contract and cause the bleeding.  

It’s important that you have an adult to stay with you on this day.

Checkup

Before you leave the clinic, you need to make an appointment for a checkup 14 days after the procedure.

Good to know

Bleeding: The bleeding will begin a few hours after you’ve inserted the Cytotec suppositories into your vagina. Often the bleeding will be a little stronger than an ordinary period, and there might be some lumps mixed with the blood (acceptable bleeding is up to double the amount of an ordinary period). About one week after, you’ll have a period-like bleeding. Then the bleeding will gradually lessen, but you can expect to bleed for 2 weeks after the procedure.

Pain: You’ll have labour-like pains, and it’s a good idea to take some painkillers (paracetamol or ibuprofen) along with the Cytotec suppositories. The first couple of days after the abortion, you may have period-like pains.

Hygiene: To avoid infection, you shouldn’t use tampons until the bleeding has stopped. Take showers only, and don’t go swimming for 4 weeks after the operation. 

Birth-control and sex: You shouldn’t have sex as long as you’re bleeding. During the time up to your next period, you can get pregnant. Therefore, it’s important that you use birth control. You can begin taking birth-control pills on the day you take the Cytotec suppositories. If you’ve chosen to have an IUS, make an appointment to see your doctor.

Side-effects and complications

In very few cases complications occur. If you experience strong pain, a fever, ill-smelling vaginal discharge or prolonged heavy bleeding, you must contact the clinic at +45 8612 6121 or +45 2320 4221.