What You Need to Consider Before Having an Abortion

Deciding whether to have an abortion often involves navigating unfamiliar and uncomfortable information alongside questions about timing, health, and personal circumstances. For many people, these considerations surface before there is a clear sense of what to prioritise, making the decision feel harder than expected.

Access to reliable medical guidance can bring structure to this process. Understanding how a medical abortion works, what options may apply at different stages, and what physical and practical considerations are involved can help clarify your next steps. This knowledge supports more grounded decision-making and helps set realistic expectations, making it easier to move forward with a steadier sense of direction.

Confirming the Pregnancy and Timing

Before considering any abortion option, it is important to confirm the pregnancy and establish how far along it is. A missed period or early pregnancy symptoms may prompt testing, but a pregnancy test is usually the first step. An ultrasound may then be recommended to confirm viability and determine gestational age.

At our clinic, gestational age informs which treatments can be offered. Medical abortion is provided only in very early pregnancy, generally under seven weeks, while surgical abortion is available across a broader range of gestations and may involve different preparation depending on how far along the pregnancy is.

In Singapore, abortion care is subject to legal limits and practitioner requirements based on gestational age. Abortion beyond 24 weeks is permitted only in specific circumstances, such as to save the life of the pregnant woman or prevent grave and permanent injury. Confirming gestational age ensures that care is planned accurately and provided safely within medical and legal requirements.

Abortion Options and What They Involve

Abortion care may be provided through medication or a surgical procedure. Each approach involves a different process and experience, and the choice depends on clinical factors and how care is offered at the clinic.

Medical abortion involves taking prescribed medication that causes the pregnancy to end over time. The process usually includes cramping and bleeding and may take place over several days. Follow-up is needed to confirm that the abortion is complete.

Surgical abortion is carried out by a doctor in a clinical setting. The procedure itself is completed during the appointment, although preparation may be required beforehand. Because the abortion is completed during the procedure, the course of recovery is often more predictable.

Health, Recovery, and Aftercare Considerations

Health considerations and recovery experiences can vary depending on the type of abortion recommended, as well as individual medical factors. Understanding this variation helps set realistic expectations and supports informed decision-making.

• Health Considerations Before an Abortion

  Before proceeding, your doctor will assess your medical history, current health, and stage of pregnancy to determine the safest and most appropriate way to manage the abortion. This includes reviewing existing medical conditions, medications and any factors that may affect recovery, ensuring care is planned safely.

• What to Expect After the Abortion

  After an abortion, physical symptoms such as cramping, bleeding and tiredness are common and usually settle over time. The intensity and duration can vary depending on the method used and individual health factors. Your doctor will explain what is expected and provide guidance on when to seek medical attention.

• Follow-Up Care and Emotional Well-Being

  Follow-up care allows your doctor to confirm that recovery is progressing as expected and address any concerns. Emotional responses can vary, and support is available if you need it. Follow-up appointments also provide an opportunity to discuss contraception and future reproductive health in a supportive, confidential setting.

Making a Decision and Accessing the Right Support

Deciding whether to proceed with an abortion can involve a range of medical and personal considerations. Access to clear information and professional guidance helps support thoughtful decision-making and provides reassurance during what can be an uncertain time.

As an MOH-accredited abortion clinic, the Women’s Clinic of Singapore provides care that meets established medical standards. A consultation with Dr Jen Shek Wei offers a private and respectful setting to discuss your situation, understand the options available to you, and receive medical advice tailored to your needs. Contact our clinic to arrange a confidential consultation and access medically guided care focused on your health and well-being.