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Surgery Overview. There are two methods of vacuum aspiration (also called suction aspiration):. Manual vacuum. This procedure can be used around 5 to 12 Although vacuum aspiration uses gentle suction to remove the pregnancy, yes, there is usually pain experienced in the form of cramps. The most common pain You may have manual or machine vacuum aspiration. With manual vacuum, the doctor uses a After the procedure, you may have bleeding and spotting. There are two methods of vacuum aspiration (also called suction aspiration): Manual vacuum. This procedure can be used around 5 to 12 weeks after the last Local anaesthetic is applied to the cervix (neck of the womb) to numb feelings of pain and discomfort. You will be awake during the procedure. Why have an MVA?Manual Vacuum Aspiration (MVA) · because the procedure is done so early, there is a one to two percent chance it will be incomplete and need to be repeated · side Surgery Overview · Manual vacuum. This procedure can be used around 5 to 12 weeks after the last menstrual period (early first trimester). It involves the use of Prior to procedure in clinic: • You may eat a light meal up to 2 hours prior to appointment. • You should fill all prescriptions the doctor gave you/called