Take a VS pill to keep the pregnancy? How is a medical abortion performed? Velvet abortion - what is it? Is it possible to do a medical abortion a second time

The most gentle way to conduct an abortion is medical abortion. It is practically safe for the health and emotional state of a woman. For its implementation, drugs are used that provoke the expulsion of the fetal egg to the outside.

What is a medical abortion?

The term "farmabort" is used to denote the artificial termination of a pregnancy that has begun with the use of medications. The method completely excludes surgical intervention. During this procedure, the patient takes pills in the presence of a doctor. Under the action of the components of this drug, the death of the embryo occurs. This concludes the first stage of medical abortion.

After a certain time, the woman takes another drug. Its components provoke an increase in the contractile activity of the uterine myometrium. As a result, the rejected fetal egg is expelled outward, an abortion occurs. This procedure has a number of advantages over other methods (scraping,):

no trauma to the uterus;
quick recovery of the menstrual cycle;
low risk of complications;
does not require anesthesia.

Medical termination of pregnancy - terms

Answering the question of a woman, how long a medical abortion can be carried out, doctors call 6-7 weeks. Pharmabort can be carried out no later than 42-49 days from the moment when the first day of the last menstruation was celebrated. At the same time, the effectiveness of this procedure decreases over time, and the likelihood of complications increases.

Doctors call the optimal time for a medical abortion up to 4 weeks. The fetal egg does not have time to securely fix itself in the uterine wall, therefore it is better and faster rejected and released. In addition, the hormonal background has not yet been fully established, the restructuring of the body has not been completed, so it will be easier for him to return to the previous state, before pregnancy.

Medical termination of pregnancy - contraindications

The main indication for such termination of pregnancy is the desire of the woman herself. However, not all pregnant women and not in all cases can undergo medical abortion. In addition to the time frame indicated above, there are other contraindications to the implementation of the medabort:

allergic reactions to medications in history;
liver failure;
adrenal insufficiency;
pathological bleeding;
active inflammatory process in a woman's body;
pulmonary tuberculosis;
suspicions of;
oncological processes;
lactation process;
implementation of corticosteroid therapy;
blood coagulation disorders.

How is a medical abortion performed?

Talking about how the pharmabort goes, the doctor explains the stages of the procedure. Previously, a woman needs to undergo a small examination, which is prescribed on the day of treatment:

ultrasound of the uterus;
smear on microflora;
blood test for syphilis.

After receiving the results, the exact time is assigned when the medical abortion will be performed, the terms of which are indicated above. During a second visit, the doctor re-talks with the woman, clarifies the seriousness of her intentions, whether she has changed her mind. Then the patient is given a drug that she drinks in the presence of a doctor. Under the action of the drug, the growth of the endometrium stops, and the muscle layer begins to contract. The woman is observed for 2-3 hours, after which she leaves the clinic.

The patient is given a tablet of another drug that stimulates uterine contractions. Take it after 36-48 hours, as directed by the doctor. Under the action of the drug, the dead embryo is expelled outward. Only after this medical abortion is considered complete. A woman fixes spotting.

Medical termination of pregnancy - drugs

A woman, even if she wishes, cannot independently carry out a pharmacist - pills for its implementation are not sold in the pharmacy chain. When performing a medical abortion, drugs are used with a high content of hormones, so they are issued by a doctor in a medical institution. To carry out medical termination of pregnancy, the following groups of drugs are used:

Antigestagens- suppress the action of natural progestogens at the receptor level. The representative of this group is Mifepristone, Mifegin. For pharmaceutical use 600 mg of the drug.
Prostaglandins- increase the contractility of the uterine myometrium. More often from this group, Mirolut is used. 400 mg of the drug is prescribed. It is taken 36-48 hours after the antigestagen.

How to understand that the farmabort was successful?

Complications are possible with any medical procedure, so women are often interested in doctors about how to understand that a medical abortion has failed. In order to exclude possible violations, after 14 days a woman should visit the clinic and undergo a control ultrasound. The doctor must make sure that the fetal egg, its remnants have completely left the uterine cavity. Examine the organ itself, determining the size. In a woman, the doctor specifies the nature of the discharge, the presence and severity of the pain syndrome. Often, after a pharmaceutical abortion, the test is positive - this is due to an altered hormonal background.

Menstruation after pharmaceutical abortion

Normally, menstruation after a pharmaceutical abortion comes in 28-30 days. Taking abortive drugs practically does not affect the hormonal background of a woman, so menstruation is not disturbed. However, in some cases, there is a change in the volume of secretions: they can be scarce or excessively abundant. So, a small amount of discharge after medical termination of pregnancy may be due to:

Small opening of the cervix during the abortion process - fragments of the fetus cannot normally come out, accumulating in the uterine cavity.
Incomplete abortion - the fetal egg is not completely rejected, and the fetus continues to develop.

Within 2-3 days, bleeding is observed after pharmaceutical abortion. Normally, it lasts up to 10-14 days. The fertilized egg is separated in parts, so the discharge lasts a long time. Their volume exceeds the number of menstrual. You need to be careful about the volume, making sure that they do not go into. Signs of such a complication are:

a large amount of blood secreted from the vagina - in half an hour the sanitary pad (“maxi”) is completely saturated;
pain in the lower abdomen;
dizziness;
skin blanching;
increase in the number of heartbeats;
lowering blood pressure.

Sex after pharmacist

After the pharmacist is carried out, what cannot be done and what rules to follow - the doctor explains to the woman. At the same time, special attention is paid to intimate life. Doctors do not recommend women to have sexual intercourse until the spotting stops. Otherwise, there is a high risk of infection of the reproductive system. On average, the period of abstinence should be 2-3 weeks from the moment of abortion.

Pregnancy after pharmaceutical abortion

Properly performed pharmaceutical abortion does not affect the reproductive function. after such an abortion is possible already a month later, in the next menstrual cycle. Given this fact, doctors strongly recommend protection. Often women regret their deeds and wish to become pregnant again. In addition, there are cases when the interruption was carried out for medical reasons, so a woman wants to quickly get pregnant again.

The reproductive system needs time to recover, so you should refrain from planning a pregnancy for 6 months from the moment the medical abortion was performed. During this period, doctors recommend using. In this case, it is better to give preference to mechanical (condom), since the use of hormonal agents can affect the hormonal background.

Medical abortion, otherwise pharmaceutical or “velvet” abortion, is a method of terminating a pregnancy in its early stages with the help of special drugs that does not require surgical intervention.

Benefits of medical abortion:

Does not require surgical intervention;
It is produced in the early stages of pregnancy, when significant hormonal changes have not yet occurred;
It is the least traumatic, since the cervix and uterine mucosa are not subjected to mechanical stress, due to which they remain intact;
It does not have such severe consequences as others, significantly reduces the risk of infertility in the future.
There is no need for anesthesia, so this type of abortion is suitable for women who are contraindicated in anesthesia;
Menstrual function is restored within 28-30 days.

Description of the method

Pharmaceutical abortion is a single dose of the drug with the active ingredient mifepristone. Mifepristone blocks the action of the hormone progesterone, which stimulates the growth of the endometrium, resulting in the exfoliation of the embryo from the walls of the uterus. At the second stage, a drug is taken - an analogue of prostaglandins (the active substance is misoprostol), under the influence of which the muscles of the uterus begin to contract and the fetal egg is pushed out of its cavity. Thus, medical abortion is an induced miscarriage. According to statistics, its effectiveness is 95-98%.

Preparations:

Antiprogestogenic drugs(containing mifepristone 200 mg):

Mifegin (France);
Mifepristone (Russia);
Pencrofton (Russia);
Mytholian (China).

Prostaglandin preparations(containing misoprostol):

Misoprostol (Russia);
Mirolut (Russia);
Cytotec (UK).

These drugs are not sold in pharmacies without a prescription. The quality of the drugs used often depends on the country of manufacture (French tablets are considered the best). Medical abortion can only be performed under the supervision of a highly qualified doctor in a medical facility. Before the procedure, it is recommended to find out which drug will be used and check the license of the clinic for permission for this type of activity. Medical abortion at home is unacceptable.

Mankind from the very beginning of its development tried to control the birth rate and looked for ways to prevent unwanted pregnancy. you will find information about modern contraceptives.
Emergency contraception is recommended only when it is necessary to prevent unwanted pregnancy after unprotected intercourse or failure of other contraceptives. Describes such methods of contraception.
Today, intrauterine contraception is very popular among women. Statistics show that more than seventy percent of women successfully use contraceptives.

Medical abortion can only be done early - up to 42 days from the first day of the last menstruation (or up to 49 days after the end of the last menstruation). The most effective abortion for up to four weeks, while the fetal egg is still weakly attached to the wall of the uterus and hormonal changes in the body is negligible. In the future, the effectiveness of the procedure is greatly reduced and the risk of possible complications increases sharply.

Stages of medical abortion

Preview

A gynecologist diagnoses pregnancy and determines its exact date. It is necessary to exclude an ectopic pregnancy (in which medical abortion is unacceptable) and the presence of contraindications.

First stage

The patient takes mifepristone 600 mg (3 tablets) in the presence of a doctor and remains under his supervision for 2 hours. Then she receives recommendations and drugs for the second stage of the abortion. At the first stage, cramps in the lower abdomen may occur and spotting will appear, which is a variant of the norm. Medical abortion is best done no earlier than 2 hours after the last meal.

Second phase

36-48 hours after taking mifepristone, the patient should independently take the prostaglandin preparation issued by the doctor. It is advisable to stay at home throughout the day. The degree of pain syndrome and the abundance of bleeding depend on individual characteristics. It is important to follow all the doctor's recommendations and take only approved pain medications when necessary.

Checkups

3 days after taking mifepristone, the patient should undergo a gynecological examination and the first control ultrasound, after 7-14 days a second examination and ultrasound control. If necessary, an analysis for hCG is taken to confirm the abortion. In case of incomplete abortion, vacuum aspiration or curettage is performed.

Contraindications for medical abortion

Ectopic pregnancy;
Inflammatory gynecological diseases;
uterine fibroids;
Inflammatory diseases of the digestive tract;
Acute or chronic renal or hepatic insufficiency;
Pregnancy that occurred during the application;
Anemia and bleeding disorders;
Individual intolerance to mifepristone;
Reception of corticosteroid drugs and anticoagulants.

Restrictions:

Smoking over the age of 35;
Postoperative scars on the uterus;
Hypertension;
Lactation (it is necessary to stop breastfeeding for 14 days).

Possible complications after an abortion

Even if all instructions are followed, an unfavorable outcome of medical abortion cannot be ruled out.

Continued pregnancy or incomplete abortion;
Uterine bleeding requiring medical intervention;
Pain in the abdomen;
Nausea, vomiting;
Weakness, dizziness;
high blood pressure, migraine;
Increase in body temperature;
Allergic reactions (rare).

You should refrain from sex for two to three weeks, so as not to provoke bleeding and the development of inflammatory processes. One of the consequences of an abortion may be a change in ovulation, and as a result, a woman is at risk of becoming pregnant on the 11-12th day after the procedure. Therefore, immediately after an abortion, you need to start using contraceptives. With a successful outcome, you can plan a pregnancy after 3 months.

There are no significant delays after this procedure. In most cases, the first menstruation after an abortion begins after the number of days that is the usual cycle for a given woman, if the first day of the previous menstruation is considered the day of the abortion or the time of onset of bleeding that occurs within a day after taking the drug. The rapid recovery of the cycle is due to the absence of mechanical damage to the uterus and hormonal disruptions.

Within a few months after the abortion, deviations are allowed in the direction of increasing the duration of the menstrual cycle, the delay can be up to 10 days.

Natalia:

I am 31 years old, I have two children, I did a medical abortion for medical reasons for a period of 6 weeks. I want to say the main thing: everyone has a different body and different tolerance. Everything went well for me, I'm happy with the result. The doctor warned not to take aspirin and thermal procedures (sauna, hot bath, etc.), as this could cause severe bleeding. I strongly advise everyone to be at home at the time of taking the pills, preferably under the supervision of relatives, as there is severe dizziness almost to the point of losing consciousness.

Arina:

I am 24 years old. I'll get straight to the point. Ultrasound showed a period of 3-4 weeks. After taking the first three tablets, I felt slightly nauseous and there was a general weakness. After the remaining pills, I was pouring so much that, due to the huge loss of blood from the sofa to the toilet, I moved along the wall. At the same time, clots came out with a small chicken (!!!) egg. This went on from 5 to 9 pm. The state of the vegetable was present for five days, I constantly wanted to lie down and felt dizzy. Allocations continued for about 2 weeks. After this nightmare, I want to say - choose a vacuum between vacuum aspiration and a medical board, I also did it. So, in this case, you came to the clinic, suffered for 3 minutes and went home, you don’t have to go as a vegetable for a week, not knowing whether everything went fine or they will also send you for cleaning.

Anna:

I had a pharmaceutical abortion twice for up to 6 weeks, with Russian drugs in a private clinic. Everything was fine, no heavy bleeding, no severe pain. The doctor said that such an abortion is not always possible for nulliparous women. I wish everyone better protection, morally it's still a little hard.

Medical abortion is the safest method of terminating a pregnancy. Its essence lies in the use of special drugs that provoke a miscarriage. Due to the absence of surgical intervention, a gentle effect on the body is ensured.

Price for medical abortion

Dates

Medical abortion is only allowed up to 6 weeks of pregnancy. The use of drugs to terminate pregnancy at a later date can lead to serious consequences for a woman's health. The danger of medical abortion for more than 6 weeks is due to the fact that every week the fetal egg grows and is more firmly fixed in the uterine cavity, and in addition, blood vessels begin to form. The use of drugs later than 6 weeks can lead to incomplete removal of the fetal egg, severe bleeding, or the development of an inflammatory process.

Benefits of Medical Abortion

Medical abortion is the most acceptable way to terminate a pregnancy due to a number of advantages:

High efficiency (up to 98-99%);
There is no risk of injury to the uterus, as with surgical abortion;
Minimal impact on health;
Simplicity and ease of implementation;
There is no need for anesthesia.

Stages

Medical termination of pregnancy is carried out in two stages. After the woman passes all the tests and passes the necessary studies, the doctor sets the date when the procedure will be performed. On the appointed day, the woman takes the first pill under the supervision of a doctor, after which she remains in a medical facility for another 1-2 hours.

This precaution is necessary in case of an allergic reaction or other complications. After taking the first drug, the fetal egg is detached from the wall of the uterus, which causes its development to stop.

After 36-48 hours, the second stage of medical abortion occurs, during which the woman drinks two other pills. They must also be taken under medical supervision. After taking the pills, the woman also remains under the supervision of a doctor for 1-2 hours. After a while, the woman begins bleeding, similar to menstruation.

This is due to the action of the drug, which causes uterine contractions. Due to this, the fetal egg comes out of the uterine cavity. Bleeding lasts an average of 7-10 days, while spotting gradually decreases.

After 10-14 days, the doctor prescribes another appointment for a control ultrasound. During the study, the gynecologist evaluates the condition of the uterus, as well as the effectiveness of the interruption. If during the ultrasound scan the remains of the fetal egg are found, the woman is sent for surgical curettage.

Recovery period

The body of each woman is individual, so the recovery period is different for everyone. The time for which the body returns to normal largely depends on the woman's age, general health, and hormonal levels.

Compliance with medical recommendations and timely visits to the control ultrasound play an important role in the restoration of the body. In order for the recovery process to proceed faster, and also to reduce the risk of complications after a medical abortion, a woman should follow several rules for 2-3 weeks:

Avoid physical activity, sports training;
Carefully observe intimate hygiene;
Do not use tampons;
Exclude sexual life;
Refuse douching;
Exclude alcoholic drinks, fatty and fried foods, harmful foods;
Take vitamins or other medications prescribed by your doctor.

Very often, she prescribes contraceptives to a woman, which are taken on the day of the abortion. This helps to speed up the recovery of the body and avoid re-pregnancy. Full recovery of the body occurs when the menstrual cycle and the hormonal background of a woman return to normal.

How often can you have a medical abortion?

Repeated is possible six months after the previous one. Such terms are set based on the average time it takes the body to recover from an abortion. If a medical abortion is repeated before a full recovery from the previous one, there is a huge risk to the woman's health.

In such cases, various complications can occur, such as:

Prolonged violation of the menstrual cycle;
Hormonal disbalance;
endometriosis;
Growth of benign formations (for example, fibroids);
The appearance of oncological diseases (for example, breast cancer).

Since the body of each woman is restored according to an individual schedule, it is necessary to take this into account when carrying out a second abortion. To make sure that the recovery was successful, you should take blood tests for hormones (FSH, LH, estradiol, prolactin, progesterone), and also carefully monitor the menstrual cycle. And in order to avoid a repeated abortion procedure, it is necessary to choose an effective method of protection.

Contraindications
Medical abortion has a number of contraindications, in which its use is dangerous to the health and life of a woman:
Ectopic pregnancy (the use of abortion drugs during an ectopic pregnancy can lead to rupture of the fallopian tubes);
Pregnancy more than 6 weeks;
Acute inflammatory processes;
Myoma of large size;
lactation period;
If less than 6 months have passed since the previous abortion;
Individual intolerance to the components of the drug, which is used to terminate pregnancy;

Apply this method in the early stages of pregnancy, up to 49 days of delay from the first day of the last menstruation.

To date, the following drugs are used:

Mifegin (made in France);
Mifepristone (manufactured in Russia);
Pencrofton (made in Russia);
Mytholian (made in China).

The mechanism of action of all drugs is the same. There is a blocking of the receptors of the hormone progesterone, which is designed to support the pregnancy process in the body, and as a result, the embryonic membranes detach from the uterine wall and the ovum is expelled.

All these drugs can not be bought in pharmacies without a prescription!

Stages

Before undergoing the procedure, make sure that the doctor has all the necessary documents and permissions.

Many women wonder how painful is the procedure.

Usually the pain is slightly stronger than during normal menstruation. You will feel a cramping pulsation of the uterus. In consultation with the doctor, you can take an anesthetic.

After a medical abortion abstain from sex for 2-3 weeks: it may well cause bleeding and inflammation. In addition, one of the complications may be a change in ovulation, and a woman may well become pregnant on the 11-12th day after the procedure;

Menstruation usually starts within 1-2 months, but menstrual cycle failures are possible.

Pregnancy can be planned in 3 months if everything went well. Before planning, you need to see a doctor.

Contraindications and possible consequences

Tablets are potent drugs that have a number of contraindications:

age over 35 and under 18;
in the interval of three months before conception, hormonal contraceptives (oral contraceptives) were taken or an intrauterine device was used;
suspected ectopic pregnancy;
pregnancy was preceded by an irregular menstrual cycle;
diseases of the female genital area, (fibrous tumors, endometriosis);
hemorrhagic pathologies (anemia, hemophilia);
allergies, epilepsy, or adrenal insufficiency
long-term use of cortisone or similar drugs;
recent use of steroids or anti-inflammatory drugs;
kidney or liver failure;
inflammatory diseases of the gastrointestinal tract (colitis, gastritis);
bronchial asthma and other pulmonary diseases;
pathologies of the heart and blood vessels, as well as the presence of cardiovascular risks (high blood pressure, obesity, smoking, diabetes);
allergic reaction or hypersensitivity to mifepristone.

Quite often, after medical abortion, hormonal imbalances begin, provoking various gynecological diseases (inflammation, endometriosis, cervical erosion, fibroids). All this can subsequently lead to infertility.

Safety of velvet abortion - myth or reality?

As we can see, at first glance, this is a fairly simple operation, and most importantly, as they say, it is largely safe compared to surgical intervention. However, in reality, not everything is as simple as it seems.

Is this "security" secure?

If the procedure is not carried out on time(after 7 weeks of pregnancy), then even a fatal outcome is quite possible. Although there are dozens of proven cases of death from mifepristone in the European Union alone, in reality, experts agree, there are many more of them, and thousands of those who received irreparable damage to health. Dr. Randy O'Bannon, head of research at the National Committee for Life (USA), said it is very difficult to obtain information about the death of a patient as a result of medication. This information flows to the manufacturer, and immediately becomes inaccessible to people.

We must not forget that abortion, whether pharmacological or surgical, is the killing of the unborn child.

If you find yourself in a difficult life situation and want to have an abortion, call 8-800-200-05-07 (helpline, a call from any region is free).

Reviews:

Svetlana:

I went to a women's consultation on a paid basis. First, an ultrasound scan was performed, the gestational age was determined, then they took a swab for infections, made sure that there were no infections, and gave the go-ahead. My deadline was 3-4 weeks. She took three tablets of mefepristone. They can be chewed, not bitter. At first, I felt a little sick, but the nausea went away after I drank kefir. Before they let me go home, they explained everything to me, and they also gave me instructions and 4 tablets of Mirolut. They said to drink two in 48 hours, if two more do not work in two hours. I drank two tablets on Wednesday at 12-00 o'clock, because. nothing happened - I drank another one. After that, blood began to flow, profusely with clots. The stomach ached, as during menstruation. For two days the blood flowed profusely, and then it just smeared. On the seventh day, the doctor said to start taking Regulon to restore the menstrual cycle. Stopped on the day of taking the first tablet. On the tenth day I had an ultrasound. Everything is okay.

Varya:

I was forbidden to give birth for some reason, so I had a medical abortion. Everything went without complications for me, but with such pains that my mother does not grieve !!! I drank 3 pills of no-shpy at a time, so that it would be at least a little easier ... psychologically it was very difficult. Now she has calmed down, and the doctor said that everything went well.

Elena:

The doctor advised me to do a medical abortion, I underwent an examination, drank mifepristone tablets, and then sat for 2 hours under the supervision of a doctor. She came in 2 days, they gave me two more tablets under the tongue. An hour later, blood began to flow, discharge, my stomach hurt terribly, so I climbed onto the wall. The clots came out. And so I had my period for 19 days. I went to the doctor, they did an ultrasound, they found the remains of a fetal egg. As a result, I still got a vacuum!!!

Daria:

Good afternoon everyone! I am 27 years old, I have a son, he is 6 years old. At 22, I gave birth to my son, when he was 2 years old, I got pregnant again, but they didn’t want to keep the pregnancy, because the little one was very restless and I was just tormented. Made honey. Abortion! Everything went without problems! After 2 years I got pregnant again and did it again. Again everything went fine. Well, now time has passed and I again made an interruption with pills. And the nightmare begins! I drank the pills that the doctor prescribed, at home, it was very bad, there were copious discharges! The pads didn't help! In general, horror. In short, the girls sent me to a vacuum .. Two previous honey. abortion. were not painful, everything came out without problems! But 3 certainly horrified me! To be honest, I regret it .... Now I'm taking antibiotics ...

Natalia:

Apparently everyone has their own way. My girlfriend did it. She said, as if menstruation had gone, no pain, no complications, only nausea ...

If you need advice or support, then go to the page (https://www..html) and find out the helpline or the address of the Maternity Support Center closest to you.

The administration of the site is against abortion, and does not promote them. The article is provided for information only.

Comments

Life circumstances often do not turn out the way we want, and dictate their own conditions. Sometimes pregnancy is unwanted or contraindicated for health reasons. In such a situation, there is only one way out - abortion.

In early pregnancy, doctors often use medical abortion, which is considered the safest for a woman's health. In the article we will talk about how true this information is, and what consequences the use of abortion pills can have.

And now let's dwell on this in more detail.

Drugs used for early abortion

The first drugs for medical abortion were invented in France at the beginning of the last century, today the country remains one of the main leaders in the production of drugs for abortion. Medical abortion is always carried out under the close supervision of the attending physician; self-administration of drugs can be dangerous for a woman's health and lead to infertility. Please note that medical abortion is allowed to be done at the earliest possible date - up to 41 days from the beginning of the last menstruation. After that, other methods of abortion are used.

The main advantages of medical abortion are:

Minimal risk of infertility. Drugs, unlike curettage, do not injure the uterine mucosa, so the risk of infertility is significantly reduced.
No complications. Surgical methods of abortion are often fraught with the development of inflammatory processes, cervical injuries, and with medical abortion, the likelihood of complications is minimal.
Ambulatory mode. With the medical method, hospitalization of the patient in the hospital is not required. Taking hormonal drugs leads to the fact that the embryo dies, the uterus contracts and the fetus is brought out. The body recovers quickly after such a procedure, the very next day a woman can return to her normal lifestyle.

Medicines that are used for medical termination of pregnancy are not commercially available; you can buy them only on the prescription of a doctor. The drugs are based on antigestagens, they are also called antiprogestins - this is a group of biologically active substances that suppress the action of natural progestogens at the receptor level. necessary for and ensuring its vital activity, suppressing it with special pills, a woman stimulates the rejection and death of the embryo.

The most popular antiprogestin at the moment is mifegin or mifepristone, which is used at a dosage of 600 mg once (3 tablets), the drug lasts for three days. 36-48 hours after taking antiprogestins, prostaglandins are prescribed, for example, at a dosage of 400 mg. (2 tablets). While taking medication, a woman should be under the supervision of a doctor.

The list of drugs for medical abortion looks like this:

Mifepristone
Mifeprex
Mytholian
Pencrofton
Mifegin
Misoprostol

The active substance in all tablets is mifepristone, they differ from each other by the manufacturer, and, accordingly, by quality and efficiency.

Spontaneous miscarriage occurs within a week after taking the pills. The doctor controls the completeness of the miscarriage with the help of ultrasound. The cost of abortion drugs depends on the manufacturer, for example, the Russian drug Mifepristone is cheaper than French Mifegin or Chinese Mifepristone 72. On average, the price of these drugs ranges from 1000 to 5000 rubles. Every woman who decides to have a medical abortion should understand that the unauthorized use of drugs can cause serious side effects, so self-medication in this case is ineffective.

Carrying out scheme

Medical termination of pregnancy is not as simple a process as many might think. In fact, it is carried out in several stages and requires careful preparation.

Survey. First of all, the doctor must conduct an examination, including a gynecological examination and ultrasound, to determine the exact gestational age. Before the procedure, the doctor must make sure that the woman has no contraindications to the use of tablets. The patient is introduced to the principle of operation of drugs and the technique of abortion, she must clearly understand the features and side effects of the procedure. After that, a written agreement is signed for the manipulation.
main stage. First, a woman under the supervision of a doctor takes pills that cause rejection of the embryo and prepare the uterus for its expulsion. Within a few hours after the procedure, the woman is at the day hospital and, in the absence of side effects, is allowed to go home.
Completion. After 1.5-2 days, the next drug is taken, which starts the process of expulsion of the fetal egg. Within two hours after taking the pills, the woman is under the supervision of a doctor.

Performance definition

36-48 hours after the procedure, the doctor does a control ultrasound, makes sure that there is no stagnation of blood in the uterus. After two weeks, it is necessary to undergo a second examination by a gynecologist and again do an ultrasound scan to make sure the procedure was successful and to exclude incomplete expulsion of the fetal egg from the uterus. In this case, the woman is assigned manual scraping.

Possibility of procedure failure

Each country sets its own deadlines for legal medical abortion, but you should understand that the higher the term at which the abortion is performed, the more likely it is that you will have to do a second purge. In the US, medical abortion is allowed up to 7 weeks, in Britain there are no such clear restrictions, different rules apply, in some cases you can do up to 8 weeks, sometimes up to 9-13 and even up to 24 weeks.

In Russia, it is believed that medical abortion is best done before 6 weeks, sometimes up to 9 weeks, but most doctors do not want to take on such a responsibility. In their opinion, late medical abortion can cause serious side effects, such as bleeding or inflammation in the uterus caused by the remnants of the placenta. Therefore, at a later date, additional cleaning is mandatory. It turns out that the earlier a woman turns to a gynecologist, the higher the effectiveness of medical abortion, and the longer the period, the lower the effectiveness of the procedure and the greater the likelihood of complications.

At the first abortion, the risk of incomplete termination of pregnancy is higher. You can see this on the control ultrasound. With an increase in the gestational age, the possibility of maintaining a pregnancy increases, this can be tracked at a follow-up examination 1.5 - 2 weeks after the abortion. In general, studies show that partial removal of the ovum occurs in 3% -5% of cases, and pregnancy is maintained in no more than 1% of cases of the total number of medical abortions.

Contraindications and side effects

As with any medical procedure, complications can occur with medical abortion. They are quite rare, but every woman should know consequences of the procedure:

continuation of pregnancy. In 1%-2% of cases, abortion may not occur.
Strong.
Profuse uterine bleeding. May develop due to incomplete removal of the fetal egg.
Fever, chills, weakness.
Nausea,. In such cases, the doctor may decide to re-use the medication.
Exacerbation of chronic diseases of the genitourinary system.
Hormonal disbalance.
Inflammation of the uterus and appendages. Sometimes it occurs due to the spread of infection from the urinary tract. At the same time, the temperature rises, the stomach hurts a lot, discharge appears.
Problems with uterine repair, for example, hematometra (blood in the uterus) or subinvolution in the uterus (delayed organ recovery). There are problems with the cycle, abdominal pain.
Prolonged bleeding, which can last up to 2 weeks, is associated with hormonal imbalance. Approximately 3% -5% of women after a pill abortion have a cycle disorder, with a conventional abortion, the percentage rises to 12% -15%. The reason for this phenomenon is considered to be neuroendocrine disorders due to a violation of the ability of the endometrium to recover. In women who have given birth, the cycle is restored within 4 months, in those who have not given birth - six months.

There are certain contraindications for medical abortion, so a woman must first be examined by a gynecologist. Doctors note situations when a woman takes pills on her own, after which life-threatening complications arise. For example, it passes, just like normal, but in this case, medical abortion is contraindicated. Taking pills is fraught with rupture of the fallopian tube and death or, at best, infertility. Below highlight the main contraindications to medical abortion that you should know about:

or suspicion of it.
Renal and adrenal insufficiency.
Diseases associated with impaired blood clotting.
Inflammatory processes of the genitourinary system.
Myoma of the uterus.
Long-term use of corticosteroids.

Failure to comply with contraindications often leads to unpredictable consequences and can be fatal, therefore, before starting the procedure, undergo a full examination by a qualified gynecologist and read information about medical abortion.

Negative consequences

At such an early stage, the decision to terminate the pregnancy is made by the woman herself. As experience shows, the most common grounds for abortion are:

Before making a decision, think carefully about the consequences and about the life of the unborn baby. Pregnancy triggers certain mechanisms in a woman's body and completely changes the hormonal background. Artificial termination of pregnancy does not go unnoticed, it is a serious stress for the body, so the reverse restructuring of all processes can slow down or go away with complications that will have to be treated.

In most women, after an abortion, the cycle goes astray, menstruation is irregular and painful. Usually this is the first herald that more serious problems begin. Another common complication is uterine bleeding. If it is not stopped in time, it can be fatal. Often in women there is a malfunction, the load on the adrenal glands increases, and this disrupts the metabolism. The production decreases, the amount of the male hormone increases, which stimulates the development of infertility and affects the appearance of a woman.

The breast almost immediately reacts to the occurrence of pregnancy, therefore, after an abortion, it suffers in the first place - the appearance of tumors and neoplasms is possible. Nulliparous women after an abortion are doubly at risk of developing infertility. Studies have shown that three out of ten women who have an abortion cannot subsequently have children.

The medical consequences of the procedure can be irreversible, so later, when the desire to have children appears, not everyone will be able to get pregnant - there is always a risk of developing secondary infertility. Any medical intervention, even the most seemingly harmless, can have side effects, even death. Therefore, do not joke with your health - it is preferable to carry out competent prevention of unwanted pregnancy, so that later you do not have to resolve the issue by drastic methods.