Legal and safe termination of pregnancy in Thailand can be done in two main ways: medication and vacuum aspiration (MVA). Both methods are endorsed by the World Health Organization (WHO) and are effective.
The suitability depends on the gestational age, personal circumstances, and individual convenience.

Termination of pregnancy with medication:  Those with a gestational age of up to 12 weeks can register to receive medication for termination at home.  Those with a gestational age of more than 12 weeks must terminate in a medical facility and may require an overnight stay.

The steps are as follows:

  1. Consult a doctor or staff for an initial assessment through the online system (RSA Prompt) or at a medical facility.
  2. Receive a complete set of medication and instructions for use. The doctor will explain how to use it, how to prepare, and what to observe.
  3. Start using the medication
    • The first pill works by inhibiting hormone function, making the uterine lining unsuitable for embryo growth.
    • The second pill helps the uterus contract to expel the contents, similar to a natural miscarriage.
  4. Bleeding will occur similar to menstruation or more. There will be bleeding after the miscarriage for the first 1–2 days, more than a normal period. After that, the bleeding will gradually decrease, lasting 7–10 days.
  5. Follow-up on symptoms or schedule a repeat appointment to check the completeness of the process.

Advantages No need to stay in the hospital, suitable for those who want privacy.
Things to know You must be disciplined in following the steps and observing your symptoms.

Termination of pregnancy by vacuum aspiration is suitable for those with a gestational age of up to 12 weeks (if the doctor is experienced, up to 16 weeks) or those who want a one-time termination.

The steps are as follows:

  1. Consult a doctor at a licensed medical facility to assess gestational age, perform a physical examination, and take a health history.
  2. Prepare the body before the procedure, such as taking painkillers, fasting (in case of local anesthesia), etc.
  3. Receive treatment by vacuum aspiration (MVA). The doctor will use instruments to suction tissue from the uterine cavity, taking about 10–15 minutes, with no overnight stay required.
  4. Rest and observe symptoms for about 30 minutes, then you can go home on the same day.
  5. Schedule a follow-up appointment if there are any questions or to plan ongoing care.

Advantages Completed within the same day, with close medical supervision.
Things to know You must travel to the medical facility and may need a small recovery period.

Summary

Both medication and vacuum aspiration are safe, effective, and endorsed by medical standards. The choice of method depends on gestational age, convenience, and your comfort. The important thing is to receive care from a doctor and have complete information before making a decision.


For consultation on pregnancy termination, contact us here Line Official: @rsathai
RSA Online: https://abortion.rsathai.org
Facebook Page: https://facebook.com/rsathai.org
Website: https://rsathai.org
Online consultation service Monday – Friday from 8:00–19:00.

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