During a Manual Vacuum Aspiration (MVA) the clinician uses instruments, including a silent suction device, to remove the pregnancy from the uterus. Most commonly, this procedure is performed using local anesthesia while the woman is awake, and it typically takes between five to ten minutes. Afterwards, the woman can go home. The woman is likely to experience cramping during the procedure, and there may be some bleeding on and off for several days or weeks afterwards .
You can find more information about the procedure here.
 “Clinical updates in reproductive health.” Ipas, 2020, www.ipas.org/wp-content/uploads/2020/08/ClinicalUpdatesInReproductiveHealthCURHE20-English-digital.pdf. Accessed November 2020.
*Nothing provided herein should be construed as professional medical advice and no medication / pills should be used without a prescription from a licensed / registered medical practitioner eligible to prescribe such medication in your local jurisdiction.