Just wanted to share my experience of an MVA under local anesthetic. I had this done today. Had bloods taken yesterday and was given 2 misoprisol tablets to put in using a tampon 4 hours before the appointment. Was also told to take painkillers an hour before the appointment. The tablets brought on some cramping which was painful but manageable. The actual MVA wasn't too bad and was over in a matter of minutes. The injections were painful but by the time you think ouch it is done. Then after a sandwich, cup of tea and blood pressure taken I was on the way home. Now have some period like bleeding and mild cramps but nothing to bad. I would recommend this procedure as it was quick with a quick recovery time.