Virginia Womens Wellness

Asleep Abortions

An Asleep Abortion is an abortion where, from your perspective, you are completely asleep during the abortion and where you will not feel any pain.  It is a form of intravenous anesthesia.  It is a form of anesthesia that we offer during abortion procedures.  Abortion procedures are generally relatively quick, lasting between 5-10 minutes in the first trimester.  During that time, you will be “knocked out” (to use the words of our patients) to the point where you will not feel anything and you will not remember anything.

If you are concerned about pain, and if you would like to have a painless abortion procedure, then you should choose to have ab Asleep Abortion. It is not medically necessary, the other option to an Asleep Abortion is an Awake Abortion. With an Awake Abortion, you will be completely awake during the abortion. Your provider will numb your cervix with local anesthesia, but that does not numb the entire uterus. So, during an Awake Abortion, you will feel some pain during the 5-10 minute procedure. And you will remember it. Completely.
Why choose an Asleep Abortion? Asleep Abortions are a great choice for women who do not want to feel pain and do not want to remember the abortion. But there is an additional fee for the anesthesia and you do need a driver to take you home.
Why not choose an Awake Abortion? Awake Abortions are completely safe and medically acceptable. They are just somewhat painful. And you may remember the actual abortion for the rest of your life. You should choose an Awake Abortion if you don’t have a driver or if you are trying to save money and you are OK with feeling pain during the abortion and OK with remembering the entire abortion. Awake abortions are also better for women who want to stay “in control” and want to watch the providers in the room while they do the abortion. We do offer Abortion Doula services to help women get through the pain of the abortion.

Call now to speak with our team about anonymous care.

Asleep Abortion Care Up to 26.6 Weeks

We provide asleep abortion care up to 26.6 weeks, later than most providers in this region. For many women, we are the closest place they can receive abortion care at their stage of pregnancy.

Everything Done in One Visit

Your care is handled completely within the clinic.
During your visit, you will receive:
There is no need to visit multiple locations or return for additional appointments in most cases.

Who This Option Is For

An Asleep Abortion procedure may a great option for:

Care for Women Traveling from Across the South

We offer Asleep Abortions for patients who travel long distances to receive care.
We help make the process as straightforward as possible:

This allows many patients to travel, receive care, and return home the same day. Many patients travel from:

For many women, we are the closest place they can receive a legal abortion care at their stage of pregnancy.

Respectful, Supportive Care

We are committed to providing care that is supportive and professional.

Experienced Medical Care

Your care is provided in a clinical setting by experienced professionals.

Private and Professional

Anonymous Abortion Option Available

For patients who want the highest level of privacy:
Call us to learn more.

What to Expect After Your Visit

After your procedure:

Schedule Your Appointment

If you are ready to move forward:
Call now or schedule your appointment online.

Frequently Asked Questions

What is an Asleep Abortion?

An Asleep Abortion is an anesthesia option that is available at Virginia Women’s Wellness. With an Asleep Abortion you will not remember the abortion and will not feel any pain during the abortion. In an Asleep Abortion you will perceive that after you are given the anesthesia that you will go to sleep and wake up in the Recovery Room. You will not remember anything about the abortion and you will not feel any pain.

No.  This is not general anesthesia.  You are actually conscious, but you will not remember anything and will not feel any pain.  To you, it will seem as if you were completely asleep and not feeling any pain during the whole abortion, because the anesthesia drugs block pain and block all memory.  But, in reality, you are not unconscious.  You are merely sedated.  The correct, proper medical name for your Asleep Abortions is “conscious sedation”.   “Asleep Abortion” is the name that we have given to the anesthesia and the procedure so that patients understand and know what to expect.  From your perspective, what patients report to us when return for their follow-up visit, is that “after you gave me the medications, I went to sleep.  The next thing I know is that I woke up in the recovery room.  I didn’t feel anything and I don’t remember anything about the abortion.”

That is the patient’s perspective.  However, from the perspective of the providers in the procedure room taking care of you, you are actually awake and talking throughout the abortion.  You may be slurring your words and saying funny things, but you are not unconscious.  And you are not in pain.  However, because the drugs we give you blocks all memory, you will not remember any of the abortion.  

We utilize conscious sedation for our “Asleep Abortions” because we feel that it gives the patients the best of both worlds.  On the one hand, they do not feel any pain or remember the abortion, but on the other hand conscious sedation is safer than general anesthesia.

Maybe.  But you are not unconscious. The difference is that someone who is asleep can be awoken, and someone who is unconscious cannot.  What will really happen in the procedure room is that you will be sedated with intravenous medications.  These medications will block all pain and all memory of the abortion.  They will also produce a “sedated” state in you.  Similar to, but different than, being very, very drunk.  Like someone who is drunk you may slur your words.  Like someone who is drunk, you are breathing on your own. Like someone who is drunk, you may doze off and go to sleep, or you may not.  You are not unconscious, but your consciousness is impaired.  Unlike someone who is drunk, you may have visual hallucinations.  Unlike someone who is drunk, you will not feel pain and you will not have any memory, at all, of the procedure.

The exact dosage and combination of drugs is up to your provider, but it is usually some combination of Midazolam, Ketamine, and/or Fentanyl.
General Anesthesia carries risks to you that conscious sedation does not. And it is unnecessary. Conscious Sedation does the job, and does it safer. With conscious sedation (“Asleep Abortions), the patients perceive that they were asleep during the entire abortion, which is what most patients want, but without the added risks of general anesthesia.
We can provide Asleep Abortions from 5 week to 26.6 weeks.
In most cases, no. Asleep Abortion Care is completed in one visit.