What to do after an abortion to avoid negative consequences? What are the consequences of medical abortion

The preservation of the reproductive health of a woman provides for the gentle conduct of all gynecological procedures. This also applies to abortion. It is known that the earlier the procedure is carried out, the less dangerous the complications. It is optimal to completely abandon this manipulation, but this is not always possible. Therefore, it is recommended to perform an abortion with the help of medications with a short gestational age.

What is a medical method?

The replacement of a surgical instrument and a vacuum aspirator with hormonal preparations made it possible to develop a method for pharmacological abortion. This is a non-invasive procedure for getting rid of early pregnancy, which proceeds according to the spontaneous type.

Its benefits are related to the following factors:

efficiency 98-99%;
no possibility of injury to the uterus or cervix during surgical procedures;
low risk of ascending infection;
there is no danger of getting HIV, hepatitis;
there are no risks caused by anesthesia;
can be used in primigravida, the impact on women's health is minimal;
low level of stress, does not create a traumatic situation.

The procedure does not require a long stay in a hospital. After the patient has taken drugs that cause medical abortion, bleeding can be expected at home. But self-administration of medicines without a doctor is impossible.

Which is better, vacuum abortion or medical?

This is decided individually. But the complications and degree of intervention in the body with vacuum aspiration are much higher.

How is the time for an abortion determined?

The terms for medical abortion are determined by the protocol of the Ministry of Health of the Russian Federation dated 10/14/21015. They recorded that it is possible to carry out a violation of gestation up to 63 days, or the 9th week. But in world practice there are differences in how long this manipulation can be done. In developed countries, the term is 49 days, or 7 weeks of pregnancy.

Why is such a period defined for pharmacological interruption?

At the 5th week of pregnancy, the embryo begins to acquire human features, the rudiments of many organs, the umbilical cord, appear. At week 6, the placenta begins to form, the internal organs continue to develop. At week 8, the embryo is already quite human in appearance, it passes into the fetal stage. After this period, the formation of placental vessels occurs, so medical abortion can cause heavy bleeding.

In Russia, the following drugs for medical abortion are registered and used:

mifepristone 200 mg.
Misoprostol 200 mcg.

Pharmacological abortion can be used if the gestational age corresponds to the permitted protocol. The main condition for the successful completion of the procedure is the day of pregnancy and the presence of an embryo inside the uterus according to the results of ultrasound. After a caesarean section, the drug method is preferable to.

Preparation for the procedure

At the first visit to the gynecologist, you need to conduct a general examination, a bimanual examination on the chair and in the mirrors, swabs are taken from the vagina. It also measures blood pressure, pulse, and respiratory rate. Next, the woman is sent for an ultrasound scan to determine the exact day of gestation, the condition of the uterus, the fetal egg.

Referrals for blood, urine, glucose, ECG tests are given. A coagulogram is prescribed if there was a history of problems with the blood coagulation system. Additional examination methods may be needed, the need for which is determined by the doctor.

Execution Method

When visiting the obstetrician-gynecologist again, the patient signs a consent to perform an artificial abortion using pharmacological preparations. How medical abortion works is determined by the clinical protocol.

With a gestation period of up to 63 days, 200 mg of Mifepristone is used, which a woman drinks with a doctor. Within 1-2 hours, a doctor's supervision is necessary, after which you can go home.

If the period is 49 days, on the next visit after 24-48 hours, take 200 micrograms of misoprostol. During pregnancy 50-63 days, 800 mcg of the drug is used. This medication should be placed under the tongue, behind the cheek, or deep in the vagina. With the last method of administration, it is necessary to lie down for 30 minutes. The patient should be observed for 3-4 hours. During this period, most begin to bleed. If this does not happen, the Misoprostol 400 mcg tablet is repeated to achieve the result.

Signs of abortion are identical to spontaneous miscarriage. A woman feels a cramping pain in her stomach, menstrual-like discharge appears.

How long does the bleeding last?

In most women, it is expressed and lasts 7-9 days. Blood discharge after the procedure is rarely observed until the next menstruation. If the manipulation is carried out for a period of 3-4 weeks, then bleeding is not much different from menstruation. With an increase in the period, the release of blood increases, sometimes the use of hemostatic therapy may be required.

After 14 days, you need to come for a follow-up examination. This is necessary to confirm the completed interruption. If there was an unsuccessful medical abortion, then aspiration from the uterus is prescribed.

Contraindications

The above medications have serious side effects. Despite the high degree of safety, there are certain contraindications to medical abortion:

gestational age exceeds 63 days;
diagnosed;
large fibroids that change the internal cavity of the uterus;
infectious diseases of the genital organs in the acute period;
anemia with hemoglobin less than 100 g/l;
porphyria - a disease associated with a violation of the metabolism of the constituent hemoglobin pigment;
bleeding disorders, as well as taking anticoagulants;
individual intolerance to one of the drugs;
insufficiency of the adrenal cortex or long-term use of glucocorticoids;
diseases of the liver and kidneys, which are accompanied by acute or chronic insufficiency;
severe diseases of other organs;
extreme exhaustion;
smoking at the age of a woman over 35;
arterial hypertension;
bronchial asthma;
glaucoma;
diabetes mellitus and other diseases of the endocrine system;
hormonally active tumors;
lactation period;
pregnancy with or after taking oral contraceptives.

On the recommendation of WHO, interruption with the use of mifepristone is possible up to 22 weeks, but the severity of bleeding increases in parallel with the term. In this case, for the duration of the procedure, the patient is hospitalized in a hospital, where there is a deployed operating room and it is possible to provide emergency surgical care.

Fibromyoma threatens to develop bleeding, but if the size of the largest node is up to 4 cm and they do not change the uterine cavity, then you can resort to the pharmacological method.

Anemia is also a relative contraindication. The consequences of medical abortion can be manifested in a decrease in the concentration of hemoglobin: bleeding after taking medication exceeds the volume and duration of the menstrual period.

Violations of hemostasis are important for the volume and duration of blood loss. If, shortly before the manipulation, a woman was treated with anticoagulants, then an increase in blood clotting time will lead to more profuse bleeding. Smoking women over 35 years of age are at risk of earning thrombosis and diseases of the cardiovascular system. Therefore, in order to exclude complications, a consultation with a therapist is carried out.

The use of oral contraceptives for a long time before the onset of pregnancy also affects the hemostasis system. But this contraindication is relative. If the results of the coagulogram do not reveal pathological abnormalities, then this method of interruption can be used.

If the pregnancy occurred against the background of the installed IUD, then it is removed before the procedure. Further tactics do not differ from the standards.

Infection of the genital organs is a pathology that requires appropriate therapy, which should not be delayed. Medical abortion does not promote ascending infection, and acute infection can be treated concurrently.

Mifepristone and misoprostol pass into breast milk. If there is a need to interrupt breastfeeding, then you need to express milk up to 5 days after taking misoprostol. The child at this time is transferred to artificial feeding.

Bronchial asthma, high blood pressure and glaucoma are diseases that respond to prostaglandins. Therefore, in these pathologies, the use of misoprostol is contraindicated.

In addition, the contraindications for each drug should be taken into account. For the most part, they are the same as above. You can only supplement the careful use of misoprostol in patients with epilepsy, atherosclerosis of cerebral vessels, coronary heart disease.

Possible Complications

Despite the small number of complications, it is possible to determine the dangers of medical abortion. In 85% of cases, adverse reactions in the form of abdominal pain and bleeding are moderate, no special treatment is required.

In other cases, manipulation can lead to the following complications:

severe pain syndrome;
profuse bleeding;
temperature;
incomplete abortion;
progressive pregnancy.

Pain in the lower abdomen is observed during the expulsion of the products of abortion. Its intensity can be different, but the individual tolerance threshold also matters. To reduce the pain syndrome, Analgin, Drotaverin are used. The World Health Organization (WHO) recommends Ibuprofen for pain relief. If the chest hurts after an abortion, this may be due to a high level, which increases with the progression of pregnancy. This symptom goes away on its own.

Bleeding is considered significant if two pads have to be changed in an hour, and this condition is observed for at least 2 hours. In this case, vacuum aspiration of the contents of the uterus is indicated in order to stop it. In severe cases, surgical cleaning is performed.

In 2-5% of cases, the abortion is incomplete. Then it is also necessary to perform vacuum aspiration or curettage of the uterine cavity. Less than 1% of cases end with progression of pregnancy. If a woman insists on an abortion, then invasive methods are used. Those who have changed their mind should be informed about the possible teratogenic effect of drugs on the fetus. But there is not enough data to confirm this fact.

Taking drugs can cause a slight increase in temperature, but it lasts no more than 2 hours. If the fever lasts 4 or more hours or occurs a day after taking misoprostol, this indicates the development of an infectious process. A woman with these symptoms should see a doctor.

Infectious complications are not typical for pharmacological abortion. But there is a group of people who have an increased risk of infectious complications:

, established by smear;
patients with a sexually transmitted infection up to 12 months ago, but there is no laboratory confirmation of its cure;
patients diagnosed;
women with many sexual partners or low socioeconomic status.

Other complications in the form of dyspeptic symptoms may be a sign of pregnancy itself. Allergic reactions require treatment with antihistamines.

Recovery period

After taking Mifepristone and Misoprostol, there is no failure of the menstrual cycle. But it is difficult to predict when and how long menstruation after a medical abortion begins. The duration of the procedure matters, after an earlier interruption, the recovery of the cycle is faster.

The first menstruation can begin in 30-50 days. But the abortion does not affect the onset, therefore, in the first cycle, a new fertilization is possible. To avoid this, immediately after the procedure, the doctor prescribes combined oral contraceptives. It can be such means as Yarina, Regulon, Rigevidon, Novinet, Lindnet, Jess. The selection of the drug occurs individually.

Protects against unwanted pregnancy in 99% of cases. A positive effect is the regulation and restoration of the menstrual cycle. The minimum period for such contraception is 3 months, but you need to wait for the body to fully recover in order to decide when you can become pregnant. Usually this period is not less than 6 months.

If pregnancy occurs earlier, then this threatens with such complications as:

threat of interruption;
ectopic pregnancy;
anemia in women.

The advice of doctors on how to restore the body after a medical abortion is as follows:

start taking oral contraceptives early;
avoid overheating and hypothermia in the first month after the procedure;
do not visit the sauna, swimming pool, do not swim in open water;
do not take a hot bath, take a shower instead;
monitor your health, in the season of colds, avoid crowds of people so as not to get infected;
nutrition should be balanced, with sufficient protein and vitamins;
completely give up alcohol, eliminate smoking;
at first, physical activity should be limited. Those who are heavily involved in sports or fitness should temporarily refuse to visit the gym;
limit stressful situations and emotional overstrain.

Sex life after medical abortion is possible after the end of the first menstruation. The uterus after an artificial miscarriage is an extensive wound surface with a nutrient medium for microorganisms. Sexual contact is always a risk of infection. In addition, active frictions can cause discomfort or lead to the resumption of bleeding.

Physiotherapy has a positive effect on the recovery process. The choice of a specific method of exposure must be agreed with the attending physician, because. this method of treatment also has contraindications.

If the restoration of the menstrual cycle did not occur within 2 months, you should consult a doctor for an examination and search for the causes of hormonal failure. Unpleasant sensations in the mammary glands, which began to prepare for lactation, may also be disturbing. Therefore, in some cases, a consultation with a mammologist is recommended.

Despite the many positive aspects, honeyboring is not an ideal method. Any intervention in the internal environment can lead to unpleasant consequences. To avoid them, it is necessary to approach the issues and family planning correctly, and not solve the problem after it appears.

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Questions and answers on: temperature after medical abortion

2013-03-03 15:08:07

Olga asks:

What does light brown mucus after medical abortion mean? After the abortion, 10 days later, the ultrasound passed. Small remnants were found there, oxytatsyn and antibiotics were prescribed. The bleeding resumed with the same force, Chechez 10 days after taking the drugs, brown mucous discharge appeared. After the abortion, I also began to take Regulon. There is no temperature and no pain, but I am very worried about spotting

2016-10-09 14:01:55

Rosalia asks:

I want to have a medical abortion. 39 days have passed since the last menstruation. Tomorrow I have to go to the doctor for pills. But after the flu, I had a complication in the form of otitis media (that's for sure) and sinusitis (that's my suspicion). it hurts, but the sinusitis has not yet passed, I started taking antibiotics and rinsing my nose, spraying sprays about four days ago. But after the start of treatment, it became much easier. The question is, is it worth going for an abortion tomorrow or undergoing treatment for a couple of days. Will I have time for medication, what are the terms.

Responsible Bosyak Yulia Vasilievna:

Hello Rosalia! Otitis and sinusitis is not a contraindication to medical abortion. It is rational to take pills no later than the 49th day from the last menstruation, but I do not advise delaying the time. It is clear that taking drugs for medical abortion leads to a significant hormonal imbalance, which can indirectly affect the function of the thyroid gland.

2015-01-20 19:45:50

Anna asks:

Hello. I had a medical abortion on January 2. After taking Miralut, blood immediately came out with clots and then it was just bloody discharge. On January 14, I went for an ultrasound scan, they said the fetus came out and the mucus remained and the temperature was 37.5, they said to pierce the noshpu and oxytocin for two days and drink the antibiotic Ciprolet. and on January 19, they did an ultrasound and they said everything worked out. And today, on January 20, in the morning, the blood went very profusely. Tell me what it could be?

Responsible Wild Nadezhda Ivanovna:

Anna, good afternoon! Perhaps menstruation, possibly a violation of the MC. After a medical abortion, this is possible, to clarify the problem - an examination is needed.

2014-07-19 15:31:25

Inessa asks:

Tell me please! I had a caesarean after giving birth and got pregnant 5 months later. I had a medical abortion, for the first three days there was a lot of blood, for about 5 days it still smeared a little bit and for almost a week everything was clean, and on the 15th day it started bleeding again. I went for an ultrasound and a consultation with a gynecologist. Ultrasound showed: Endom. in the form of a thin ... strip, the cavity is expanded to 8.8 mm, the content is heterogeneous. No free fluid in the pelvis was detected. Conclusion: The hematometer is insignificant. The doctor prescribed: Oxytacin 5 units (1 ml), No-shpa 2 ml, Water pepper extract (7 days), metronidazole. There were no changes after oxytacin. A few blood films came out on their own. On the second day I drank water pepper extract 3r. 30 cap. And all the discharge immediately stopped. A few days later he bled a little and again everything stopped. There is a week left before the month. In the lower abdomen, a slight discomfort is felt in the form of heaviness and slightly ache, the stomach is not swollen. Should I wait for my period or do I need to see a doctor immediately? Temperature 37-37.2. And the state of being pregnant in the morning left nausea and fever inside!

Responsible Sitenok Alena Ivanovna:

Hello! Water pepper extract and oxytocin you should not use separately, but together, moreover, not one day, but at least five. Continue treatment in this way for 5 days, if there is no improvement, contact your gynecologist. Also, immediately consult a gynecologist with an increase in temperature and the appearance of more abundant discharge!

2014-06-16 22:20:14

Anna asks:

Hello! I am 25 full years old, weight 67 kg. I have a delay of 16 days. 7 months ago there was an unsuccessful medical abortion, after which a vacuum aspiration was performed. After that, menstruation went regularly and, like clockwork, after 21 days lasted 2-3 days, of medium profusion. On the eve of the last menstruation, I decided to go to the doctor, get checked + worried about the thrush. The doctor examined, said that everything was fine, prescribed Fluconazole 1tb, and they said to do an ultrasound after menstruation. On the same evening I drank Fluconazole and it started ... At night, vomiting, loose stools, fever (all side effects from this drug), the temperature of 37.5 lasted 2 days. After this state, menstruation was delayed for 4 days: at first it was profusely for 2 days, 1-smeared, then another 1 day abundantly. And now 36 days have passed since then, and there are no periods ((Tell me what to do? maybe you can still wait or already run to the doctor ??? Thank you in advance !!!

2014-01-17 21:21:01

Victoria asks:

Good evening! Tell me, is it possible to have an abortion (vacuum) with general anesthesia for colds (ARVI) accompanied by fever? What are the consequences? after medical treatment, there were clots in the uterus.

2014-01-11 13:06:13

Irina asks:

Hello. I am 32 years old, in 2011 and November 20013, two pregnancies died. She was examined for TORCH infection, thyroid gland - all tests are in order. Both miscarriages were removed by medical abortion. To date, based on the results of two ultrasounds, the following diagnoses have been established: endometriosis, MCOD, PCOS, bicornuate uterus, varicose veins of the PMT, infantilism of the uterus of the 1st stage, adhesions in the appendages, hr. adnexitis. ridge metritis. also during the entire period after the medical abortion (2 months), spotting does not stop. (there are no remains of the fetal egg in the uterus, it has decreased, the temperature is normal). The doctor prescribed hemostatic drugs for a period of 5 days, then insists on diagnostic curettage, including oncocytology. Question: where to start eliminating hormonal problems and restoring hormonal balance? And is it worth agreeing to scraping?

Responsible Korchinskaya Ivanna Ivanovna:

The fact is that bleeding for 2 months. - this is absolutely not normal. In this case, cleaning or hysteroscopy (which is preferable) is necessary.
During hysteroscopy, foci of endometriosis can be cauterized.
Regarding miscarriage, I will tell you the following. First of all, it is advisable for you and your husband to take karyotypes to exclude genetic pathology. If there are no genetic disorders and infection, then an immunological factor can be suspected.
The geneticist will tell you how to be examined further. You take these actions if the level of sex hormones is normal. With PCOS, abnormal levels of hormones are possible, which can also lead to pregnancy failure.
Have you been prescribed any pregnancy support medications? Did you donate blood for progesterone during pregnancy?

2013-08-09 10:43:01

Daria asks:

Hello! Yesterday I had a medical abortion. Reasons - a year and 2 months. ago there was a cesarean, a threat of miscarriage (the ultrasound said a very soft uterus, surgical abortion can cause uterine perforation., term 3-4 weeks, fetal egg 12 mm.)
6.08.- at 18.00 I drank 3 tablets. Mefiprex in the presence of a doctor in the medical center. For almost two days everything was calm, on August 8 at 11.00 pinkish discharge began, I called the doctor, she said at 15.00 under the tongue 3 tab. misoprostol, after two hours another 2. I did everything, after the first pills, blood discharge with clots began, but not plentiful (the stomach pulled like during menstruation). the temperature rose to 38, I called the doctor, she said to drink baralgin and wait. The temperature fell smoothly after two hours. a little blood came out with clots. And today, all day long, it comes out a little, the stomach pulls just a little bit. From today, the doctor prescribed unidox solyutab 1 t. 3 times. Something like this. On the control ultrasound only on the 19th. I’m afraid that suddenly something is wrong, why is there little discharge? (The doctor said that I just had a short time) I thought about the ultrasound today, but she said no. What What should I do? Why did my temperature rise yesterday? And is it normal that I was prescribed antibiotics? Thanks in advance!

2013-05-26 14:22:29

Ksenia asks:

Hello! Please help me... I am 22 years old, I had 2 caesareans in July 2011 and in March 2013. Now I'm probably pregnant again (I didn't do the test, but I feel on my own - slight nausea, temperature 37, pulls the right ovary a little, it became hard to breathe and a feeling of a hot body ... all these symptoms were in the first 2 pregnancies). until May 22. On May 26, all the symptoms of pregnancy began + discomfort in the nipples (I don’t breastfeed). All this time there were PPAs periodically, but on May 18, on the 15th day of the cycle, there was a PPA (there was an uncomfortable position and it didn’t work out right away), so a reason why I started to worry ... I have a daughter 1.10 and a son 2 months old ... I sit with them myself (my husband and all grandmothers work) I won’t pull a third baby ((((I don’t want to have an abortion ... but I have no way out. Please tell me (if my B is confirmed ... but I already feel that I am pregnant a!) Is it possible to have a medical abortion 3 months after a cesarean? And is there a chance to bear a child after becoming pregnant 2 months after a cesarean? There are 2 scars on the uterus, one of them is very fresh. Help me, please ... tell me what to do !((((I'm on the verge of a nervous breakdown, I've never had an abortion...but I have no other choice(((((((((((((((((((((((( (((((((((((((((((((Thanks!

The consequences of medical abortion are less dangerous than surgical ones, but in the absence of qualified assistance, they can lead to infertility and even death. It is not difficult to take pills, however, despite the external simplicity of the procedure, it causes serious changes in the body: a large dose of hormones affects the reproductive system, disrupts the natural processes of preparing for bearing a fetus.

Vomit

This complication develops in about 44% of women with oral misoprostol, and in 31% with intravaginal misoprostol. Studies also confirm that the frequency of vomiting is affected by the interval between taking a hormonal drug (Mifepristone) and a prostaglandin (Misoprostol). The likelihood of this symptom is lower if the gap is 7-8 hours than with a daily break.

Nausea

This symptom is more common than other gastrointestinal disorders in medical abortion. It has not been fully established what exactly it is caused by: exposure to drugs or termination of pregnancy.

However, there is a trend that nausea is more pronounced with a high dose of misoprostol (a prostaglandin), its rapid intake and a gestational age of 6-7 weeks. If vomiting occurs, it is necessary to inform the doctor about it. You may need to take the pills again.

Allergy

Allergic reactions as a consequence of medical abortion can develop to the components of any of the drugs taken. Most often it is a rash or hives. Severe manifestations, such as Quincke's edema, respiratory disorders, are extremely rare. To avoid this complication, after taking the medication, you should stay in a medical facility (clinic) for at least a few hours.

Diarrhea

Stool disorders develop in about 36% of women with oral misoprostol and in 18% with intravaginal misoprostol. The symptom may be of varying severity. The effectiveness of taking antidiarrheal drugs in such cases has not been proven. The diarrhea usually stops on its own after a few hours.

Severe abdominal pain

This symptom is caused by spasm of the muscles of the uterus, which is part of the mechanism of action of the hormonal drug. It is observed in 96% of women and is considered the norm. The severity of pain can vary from mild to unbearable. The symptom begins to increase rapidly 30-50 minutes after taking misoprostol and most often disappears after the completion of the abortion. There is a tendency that the shorter the gestational age, the easier the pain.

To eliminate it, nonsteroidal anti-inflammatory drugs (Ibuprofen, Naproxen) are used, in severe cases - narcotic painkillers (Codeine, Oxycodone).

convulsions

Appear approximately 1.5-3 hours after taking misoprostol. Most often localized in the groin area. Subside after the completion of the abortion. A warm heating pad can be used to reduce pain.

All of the above complications do not require special treatment and most often go away on their own after the abortion is completed. With their strong severity, symptomatic agents are used.

Medium-term consequences and complications

Medium-term effects occur within a few weeks of medical abortion.

Bleeding

This symptom appears in the early period, some time after taking the pills. If bleeding in volume corresponds to menstrual bleeding (no more than 1-2 pads per hour), lasts 7-14 days and gradually decreases, then there is no cause for concern - this is not a complication, but a normal process.

In some cases, women note discharge for up to 30 days, but they are spotting, not accompanied by pain or other symptoms. If the bleeding is profuse (2-3 or more pads per hour), prolonged and / or accompanied by pain, then you should immediately inform the doctor about this. This complication is rare and develops against the background of an incomplete abortion or infection.

The longer the pregnancy, the higher the risk of pathological bleeding. In 0.4% of cases, blood transfusion is performed, in 2.6% - suction curettage. Without timely medical assistance, a lethal outcome is not ruled out.

Continuing pregnancy or incomplete abortion

In 1-4% of cases, the fetal egg is not expelled from the uterus or does not come out completely. This can happen for several reasons: the dose of the drug is incorrectly calculated, the timing of the procedure is too late, there are hormonal disorders or inflammatory processes in the woman's body.

Such consequences of the consequences after medical termination of pregnancy are accompanied by prolonged and non-decreasing bleeding, pulling or cramping pains in the lower abdomen, fever, and fever. You can’t cope with them on your own, hemostatic drugs will not help.

Requires an ultrasound and follow-up. If this is not done, then in the event of an incomplete abortion, the remains of the fetal egg will lead to the spread of infection, general blood poisoning and death. If the pregnancy continues to develop, then the risk of having a child with serious malformations is high.

Pain in the lower abdomen

Normally, spasms in the uterus gradually disappear after the completion of the abortion. If the pain continues, then this may be a sign of infection, incomplete termination of pregnancy. Such a symptom requires examination by a gynecologist and ultrasound.

Headaches and dizziness

These consequences of medical abortion develop in 20% of women. As a rule, the cause is a large loss of blood. Weakness, lowering of arterial pressure, pre-fainting state are also observed.

If dizziness is accompanied by bleeding, then medical attention is needed. In another case, you can take an analgesic, rest more often, change the position of the body gradually.

Long-term effects and complications

Long-term effects of medical termination of pregnancy are rare, but the most difficult to treat. They appear after several months and even years.

Menstrual irregularities

If menstruation started on time (counting from the date of abortion) or delayed by 7-10 days, this is a sign that the reproductive and endocrine systems have recovered. About 10-15% of women note that in the first few cycles, menstruation is more painful and plentiful, but soon becomes the same as before.

A complication will be indicated by a delay of more than 40 days or heavy periods, accompanied by cramping intense pain, fever, deterioration in general well-being.

In the first case, either a second pregnancy is possible (this happens as early as 2 weeks after an abortion), or a violation in the work of the ovaries. It is necessary to consult a doctor, he will establish the cause and prescribe the necessary procedures. Oral contraceptives are often used to restore hormonal levels.

If the periods are very plentiful, with severe pain and a rise in temperature, then it is possible that particles of the fetal egg have remained in the uterus and / or an infection has developed.

After a doctor's examination and ultrasound, curettage is performed and antibiotics are prescribed.

Infectious and inflammatory diseases

They develop after medical abortion as an exacerbation of chronic forms or due to the remaining particles of the fetal egg. If a woman had latent, sluggish infectious and inflammatory processes before the abortion (salpingitis, gonorrhea, etc.), then after the interruption procedure they may begin to progress.

This is manifested by pain in the lower abdomen, discharge with an unpleasant odor and a greenish color, purulent impurities, fever. After laboratory diagnosis, the doctor prescribes antibiotics, most often in a hospital setting.

Infertility

The causes of this severe consequences are hormonal disorders or inflammatory diseases of the uterus and appendages.

In the first case, the balance of male and female sex hormones is disturbed, as a result of which the process of fertilization of the egg and its attachment to the uterine wall is hampered.

Inflammatory processes can lead to the formation of adhesions, narrowing of the lumen of the fallopian tubes. This prevents the transfer of the egg to the uterus.

Changes in emotional state, character

Sometimes hormonal failure and the abortion procedure itself are reflected in the characteristics of the woman's psyche. She may become overly irritable, aggressive, or whiny, depressed, lethargic.

At first, such reactions are observed only in difficult situations, for example, during or after a quarrel. But soon they become total, arise without external causes.

To fix the problem, you need to see a doctor: a psychiatrist or psychotherapist, consult a psychologist.

Medical abortion and its consequences are still being studied. Studies confirm that the earlier the abortion procedure was performed, the lower the risk of complications.

The most common among them are bleeding, pain in the lower abdomen, infection. The consequences are associated with hormonal disorders and the risk of incomplete release of the fetal egg. There may be failures of the menstrual cycle, the development of inflammation, infertility.

Useful video about medical abortion

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Termination of pregnancy can be perceived by the body in different ways. In some cases, everything goes more or less successfully, and health is quickly restored. However, some women can bring their body back to normal for years. Their health was seriously damaged. The factors influencing the consequences after an abortion include both the duration of a woman's pregnancy and the method of abortion, based on when can a pregnancy be terminated and the qualifications of the physician performing the operation. But the main factor will always be the woman's health and how quickly her body will start the rehabilitation process.

The article "" provides a list of diseases and circumstances in which abortion is highly undesirable. In those cases, a woman needs to think carefully about whether it is worth putting her body at serious risk. If a pregnant woman is determined to terminate an unwanted or unsuccessful pregnancy, she should be aware of the possible consequences after an abortion. General (also given in the article "") and private, such as fever after an abortion, pain in the lower abdomen after an abortion, nausea after an abortion, pain in the chest after an abortion, and others. This article will talk about which consequences after an abortion are normal and which are a symptom of complications.

General consequences after an abortion

Depending on the method of termination of pregnancy, the severity of the consequences after an abortion also differ. So what aftereffects after an abortion can be present during and after the operation?

A special place in the discussion of this issue should be given to the surgical method of abortion. This method is used when the fetus is already sufficiently attached to the wall of the uterus. In this case, serious instruments are used and the operation can be very traumatic. Therefore, the consequences after a surgical abortion can be extremely dangerous:

Damage to the wall of the uterus. The instruments touch the mucous membrane, they can even pierce the wall, which has every chance of ending with amputation of the uterus.
Damage to blood vessels. The consequences after an abortion are the same as with a wound to the uterus. Observed heavy bleeding.
drug intolerance. Physicians are required to check this item before any kind of anesthesia. Otherwise, malfunctions of important organs may occur.
Infection. Possibly during and after surgery.

Medical abortion is considered the most benign abortion surgery, but it still carries some relatively minimal risk.

Here are the consequences after an abortion you can expect:

Post-abortion nausea caused by abortion drugs. Side effect.
Ineffective abortion. Termination of pregnancy did not occur. Surgery is required.
Pain in the lower abdomen after an abortion. Consequence of heavy bleeding.
Profuse bleeding caused by damage to the walls of the uterus or insufficient rejection of the fetus.
Infections due to bleeding.

And, of course, it is worth saying about what a woman can expect. They are similar to the classical surgical method and medication. Here are the complications of anesthesia, and an ineffective abortion, requiring additional curettage and damage to internal organs (minimal), and bleeding, and pain in the lower abdomen after an abortion.

First abortion. Effects

Under the first abortion (consequences) refers to the termination of pregnancy in a nulliparous woman. Very often in Russia, young girls who “accidentally” become pregnant decide to have an abortion. But such a decision carries with it the gravest consequences. 75 women out of 100 who have a terrible diagnosis of "infertility" had an abortion during their first pregnancy. Girls should understand how dangerous the first abortion is, the consequences of which are not worth the freedom from motherhood.

The first thing to mention is the method of terminating the first pregnancy if it is absolutely necessary. It is very important to choose the most gentle method. Medical abortion. It is carried out up to 7 weeks after the end of the last menstruation. A girl who notices the absence of menstrual bleeding should determine the reason for this absence as soon as possible. And to make sudden, but objective conclusions. The consequences will be minimal. And what are the consequences after an abortion mini (vacuum aspiration)? It is also a gentle method used in the first trimester of pregnancy. With “successful” in the early stages, the girl will be able to quickly, the menstrual cycle, and think about contraceptive methods so that she will never have an abortion again.

Surgical curettage is very dangerous at the first abortion. The cervix of a nulliparous girl is very narrow and dense. Its artificial or instrumental expansion may result in the cervix losing its tone and not being able to bear a fetus in the future. Abortion is stressful for a woman's reproductive system, especially the first abortion.

The consequences of the first aborted pregnancy in a nulliparous woman are also a hormonal imbalance that leads to obesity, skin problems, irregular and painful menstruation, severe pain in the lower abdomen after an abortion during menstruation, and more.

If the stomach hurts after an abortion

Pain in the abdomen after an abortion is a fairly common thing. However, you should know which pains are justified and expected, and which are symptoms of complications and possible diseases. If the stomach hurts after a medical abortion, then most likely this is a natural process of movement of the fetus and amniotic parts in clots along the genital tract. It's quite a painful process. Therefore, if the stomach pulls after an abortion, do not worry once again. It can be spasms and artificial contractions in the uterus, which provoke a miscarriage of the fetus. You should be worried if your stomach still hurts after an abortion after a big time.

Pain after a surgical abortion is rare. Basically, this is the feeling when the stomach pulls after an abortion. Aching pain indicates a contraction of the uterus to its original size. Such pain is normal and expected. When the stomach hurts after a surgical abortion weeks later, there is reason to think about a number of unpleasant moments. During the operation, there is a high probability of introducing vaginal infections into the uterus. This will entail not only abdominal pain, but also a high temperature after an abortion. All this is a consequence of a disease such as endometritis (inflammation of the uterine mucosa).

Pain in the lower abdomen after an abortion can be caused by too early onset of sexual activity after an abortion, contraindicated physical activity, trauma to the uterine wall and cervix, and remnants of the fetal parts. So if your stomach still hurts after a week after a surgical abortion, watch out for other symptoms and go to the hospital immediately.

Breast pain after abortion

Many women complain about their breasts after an abortion. The condition of the mammary glands after an abortion can be very difficult. This is due to the fact that from the very beginning of the gestation period, the mammary glands prepare for the future feeding of the baby, increase in size, and fill up. The breast after an abortion can recover very quickly, but only in cases where the restructuring is not so serious.

What to do if the chest hurts after an abortion? Firstly, it is necessary to start visiting a mammologist after the operation.. This specialist will determine the condition of the mammary glands and quickly find out why the chest hurts after an abortion. First, it could be a sign of an ongoing pregnancy. This symptom is also accompanied by nausea after an abortion. Also, chest pains after an abortion portend mastopathy - stagnation of milk in the mammary glands. The most terrible consequence is the formation of tumor nodes. The risk of breast cancer increases with each interrupted pregnancy. That is why timely and systematic consultation of a mammologist is especially urgent after an abortion.

As a result, if the chest hurts immediately after an abortion, then this is most likely a normal process of restoring it to its previous form. If the pain continues, contact a specialist immediately. Prevented will help to avoid serious complications.

After an abortion, the temperature is 37 and above

What consequences after an abortion speak especially brightly about malfunctions in the body? These include the temperature after an abortion. The temperature of 37 and above, which lasts up to 3 days after the operation, is a well-founded phenomenon. Any abortion is associated with some inflammation. Only this inflammation should ideally be normalized by the body. If this does not happen, the temperature after the abortion keeps on. Inflammatory reactions, introduced infections - these are the reasons why the body temperature is kept elevated.

Abortion is associated with trauma to the walls of the uterus. As a result, cells appear that are aimed at tissue repair. This is fraught with inflammatory processes, which increase the temperature after an abortion. And what are the consequences after an abortion (temperature) is a symptom of severe complications. After an abortion, the temperature is 37 and above one month after the operation. This is a sign of a flowering infection. Accompanied by fever after an abortion is also yellow discharge, itching, pain in the lower abdomen. You should also be tested for sexually transmitted infections. They are also accompanied by fever after an abortion.

Why is there a temperature after an abortion? This question is asked by women. Abortion is an artificial termination of pregnancy, in which drugs or surgery are used.

There are those who vote "for" abortion, but there are also those who express their protest against any kind of abortion. Moreover, each supporter has a large number of arguments, which, in their opinion, are more than weighty. However, despite all these arguments, abortions very often bring consequences that may be irreparable.

The meaning of medical abortion is only in the case when the pregnancy is no more than 6 weeks. After a woman has taken medication for an abortion, she is under the doctor's control for some time. This abortion can bring such complications as uterine bleeding. This is due to the fact that there may still be a remnant of the fetus in the uterus itself. There are cases when this option of abortion does not work, and the pregnancy develops further.

A medical abortion is a means by which a pregnancy is terminated using general anesthesia. The fetus is scraped out of the uterus itself with the help of instruments that the doctor needs to insert through the cervix. This abortion is considered the most dangerous because of the possibility of injury. After it, there are negative consequences, since the uterus can be injured, and this in some cases leads to infertility.

In rare cases, such an operation leads to the death of a woman.

After an abortion, various types of failures in women's health are often observed. Such disorders are both physiological and mental in nature. In some situations, the temperature after a medical abortion rises to 37.5 degrees and above. Immunity falls, it becomes possible to develop dysbacteriosis, and there are also disruptions in the hormonal background of a woman.

During a surgical operation, there are cases of the appearance of a sexual infection, it is possible to inflict injuries with surgical devices. Some injuries lead to serious consequences, even death, such as rupture of the uterus or cervix.

When a woman has a mental disorder, this is a serious problem. She may become depressed and aggressive, she will be tormented by feelings of guilt and remorse, which may subsequently affect future children. It can also affect future attempts to get pregnant, as depression can lead to miscarriages or premature births.

As statistics show, a certain number of women are prone to suicide some time after the termination of pregnancy.

What to do if the temperature rises after an abortion?

Some women have a fever after an abortion.

This can happen both immediately and after a certain number of days. The temperature rises to 37.5º and beyond. After an abortion, the temperature is elevated immediately, but not high. In some cases, it reaches 40º.

There are several reasons if the temperature rises after an abortion:

Inflammation began in the uterus.
Particles of the fetus or egg remained in the uterus. This happens in cases where there is a poorly performed work of a doctor. However, this picture is also observed after an operation performed with the help of medicines, since the egg has broken and not completely left, and the remaining parts of both the fetus and the eggs rot inside the uterus, which provokes an increase in temperature. In such a situation, a woman urgently needs to be hospitalized and cleaned.
Colds. In this case, antibiotics are prescribed to bring down the temperature.

Behavior after an abortion

Abortion never goes unnoticed. In order to avoid any complications after it, a woman must follow some rules:

health monitoring in the first month after artificial termination of pregnancy by medical or surgical means;
hypothermia is prohibited so that the body temperature does not rise above 37º;
maintaining personal hygiene;
2 weeks after such a procedure, avoid overloading;
1 month after such a procedure, it is best to take a shower, baths are not recommended;
swimming in any water bodies or pool is strictly prohibited;
you can not douche;
keep body temperature under control;
periodically visit a gynecologist to avoid the development of infection or inflammation.

In women who have had many operations to get rid of pregnancy, one of the consequences of the moral side is the loss of the value of the concept of motherhood.

According to official data, over the past year the number of abortions performed exceeded the number of children born. Polls show that women who decide to keep a child do not regret it a bit.

Every woman should seriously weigh all the arguments before having a medical or surgical abortion. This procedure brings women both physical and moral torment, because abortion is the murder of a tiny man who could be born and live with his parents.