Some clinics allow it. Many clinics will have a special counselor in the room, whose job it is to give you support. The doctor will give you a pelvic exam to be sure that you aren't too far along in your pregnancy for this type of abortion. What happens next depends on what type of anesthesia you use. Most feel at least some cramping, similar to menstrual cramps, but probably more intense.
Some women find the procedure to be very painful if no anesthetic is used.
You will wake up when the abortion is over. If you don't have general anesthesia, there are several other possible choices. The shot itself may feel like a slight pinch, but it generally isn't very painful. Because the anesthetic doesn't numb the entire uterus, you will probably still experience some cramping. Dilation usually takes about two minutes.