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Manual Vacuum Aspiration, MVA

Manual Vacuum Aspiration is a brief, safe procedure that uses gentle suction to empty the uterus. It is commonly offered for early miscarriage care, for incomplete miscarriage, and for other clinical indications according to local laws and medical guidance. The aim is to provide clear information, good pain control, and careful follow-up so you feel informed and supported.

Key points

  • MVA is a short procedure using a handheld suction device, usually with local anesthetic to the cervix, with or without light pain relief or sedation.
  • Suitable for early pregnancy loss and incomplete miscarriage, and for other indications when clinically appropriate and lawful.
  • Benefits include quick completion, predictable results, and a low risk of infection or retained tissue.
  • Most people go home the same day. Cramping and light to moderate bleeding are expected and usually settle over the days.
  • Future fertility is not harmed by an uncomplicated MVA.
  • If your blood group is Rhesus negative, an anti-D injection is usually offered.

Evaluation and treatment: what to expect

  • We confirm the diagnosis, review your medical history and allergies, answer questions, and obtain consent. You can pause at any time.
  • Pain control is planned before starting. A local anesthetic is placed around the cervix. Tablets or a small injection for comfort may be given. Some settings offer light sedation.
  • The cervix may be softened with medicine when helpful. A thin tube is passed through the cervix, and gentle suction is applied. The procedure is brief.
  • We check that the uterus is empty, sometimes with a bedside scan. If you are Rhesus negative, anti-D is given. You rest for a short period, then go home with clear aftercare advice.
  • Follow-up is arranged to review bleeding and pain, discuss results if tests were taken, and plan recovery and contraception if desired.

Emergency State?

In urgent situations, contact immediately for help.

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When to seek urgent care

Go to the hospital or call emergency services now if you have heavy bleeding that soaks a pad in an hour or large clots, fever 38°C or higher, severe or worsening abdominal or pelvic pain not eased by medicines, foul-smelling vaginal discharge, fainting or dizziness, or if you feel acutely unwell at any time.

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Action plan

Arrange for a trusted person to accompany you and take you home if sedation is planned. Wear comfortable clothes and have a light meal unless you are advised to fast.

Use pads rather than tampons until bleeding has settled. Avoid intercourse until you feel ready and bleeding has stopped, or as your clinician advises.

Book your appointment with the doctor to confirm the diagnosis, discuss all options, including alternatives, plan pain control and aftercare, and arrange timely follow-up.

Rest on the first day, then increase activity as you feel comfortable. Many return to usual activities within a few days.

Write down questions for your follow-up review.

Use simple pain relief as advised. Expect cramping similar to period pain for a day or two, then lighter cramping.

FAQ - Manual Vacuum Aspiration, MVA

Frequently Asked Questions

These FAQs offer general information for patients. They do not replace medical advice. For urgent concerns, contact your local emergency number or visit the nearest emergency department.