Recovery after medical termination of pregnancy. Medical abortion: benefits and consequences

Artificial termination of pregnancy has an extremely negative impact on the health of patients, and recovery after an abortion sometimes takes several months. The duration of recovery depends on the duration of the interruption and the abortive method. It is clear that after non-invasive pharmaceutical abortion the body recovers faster than after curettage, which requires long-term rehabilitation.

It will take a lot of time to fully normalize physical and mental health

Since the duration of recovery depends on the type of abortion.

Medical termination is indicated when the gestational age is a maximum of 7 weeks. The patient is taking high-dose hormonal drugs that suppress embryonic development. The fertilized egg is rejected and comes out with bleeding. A week after the interruption, the woman undergoes a control test ultrasound examination to eliminate the possibility of an incomplete abortion.
Surgical curettage is performed at 7-12 weeks. Such an interruption seriously undermines women Health and negatively affects the patient’s reproduction. A woman may feel the consequences of such an abortion for several months.
A mini-abortion is performed by vacuum aspiration up to 6 weeks. This procedure lasts about 5 minutes, the fetus is literally sucked out of the uterine body, thanks to negative pressure. With such an abortion, recovery lasts much less than with curettage.

The longest recovery is after an abortion performed surgically. Moreover, curettage curettage is fraught with the development of complications.

Treatment after interruption

Immediately after the interruption, the patient remains in the hospital; the stay can last several hours or days, depending on the type of interruption and the presence of postoperative complications. The patient is prescribed a one-week course of antibiotic therapy to prevent septic complications. To improve contraction of the uterine body, it may be necessary hormonal treatment involving the administration of oxytocin.

To improve blood flow and clear the uterine cavity of blood clots, moderate physical activity. In some cases, physical therapy is performed. Vitamins are usually not prescribed, however, after treatment with antibiotics, dysbiosis may develop, leading to a drop in the level of B vitamins. In such a situation, it is recommended to take vitamin preparations or vitamin B complex.

If pain persists, see a doctor immediately

If a control ultrasound shows the absence of fetal remains in the uterus, the abdomen is painless and soft, and the bloody smear is insignificant, then the woman is sent home. For about one to two weeks after an abortion, the patient may experience hyperthermia up to 38 degrees, which is quite normal. But if hyperthermic conditions bother you for more than this period, then you need to urgently consult a specialist, because this symptom indicates pathology.

After discharge, the patient needs to undergo a smear from the vagina and cervix for vaginosis and infections, as well as undergo an ultrasound examination to assess the condition of the endometrium and the uterine body as a whole. If it is found in smears increased content leukocytes or bacteria, then bacterial culture of mucus from the genital tract is carried out. If necessary, antibacterial or antimicrobial therapy is prescribed.

Restoration of the female body

In order for rehabilitation after an abortion to occur without any complications, the patient must observe sexual rest for at least a month. If a girl ignores this prohibition, then the likelihood of developing various kinds of complications increases, especially after curettage. Sexual intercourse soon after an abortion is dangerous due to bleeding or rejection of the uterine mucous layer, which occurs against the background of infectious pathogens entering the injured uterus.

Physical recovery after an abortion occurs in about a couple of weeks, during which the girl is prohibited from any training. It’s just that the abdominal muscle tissue needs rest during recovery.
Also, patients are prohibited from lifting heavy objects to avoid the penetration of infectious or bacterial pathogens, you need to avoid taking a bath or swimming in open water or a pool during recovery.
How smoothly it happens physical recovery, the likelihood of post-abortion complications will depend.
Abortion is always a stressful factor for a woman, so recovery after termination of pregnancy can be accelerated with the help of a properly formulated diet rich in microelements or vitamins, protein foods and fiber.
Periodically you need to check your blood pressure and temperature; if abnormal changes are detected, you need to go to the doctor.

Uterus

The most damaged structure that requires rehabilitation after an abortion is the uterus. The longer the gestational age, the greater the damage to the uterine body, especially during surgical curettage. After the fetus is removed, the uterine body gradually contracts and takes on its full, generally accepted size after a few days. But it forms on the wall traumatic injury, which needs time to heal and fully build up the endometrial layer.

Normally, the uterine body recovers in about a month, and by the beginning of the next menstruation it acquires its normal parameters and healthy epithelium. After about one and a half to two weeks, the woman is examined by a gynecologist. If there are copious discharge, similar to meat slop, with a nauseating odor and a dark red tint, and the uterus is painful and enlarged, then an inflammatory lesion is diagnosed.

Endometritis usually occurs against the background of violations of the abortion technique, if fetal tissue remains inside, infection occurs during the abortion process or after it, as well as the formation of hematometra, in which blood accumulates in the uterine cavity. Therefore, a control ultrasound is performed, which confirms the cleanliness of the uterus and the absence of abnormalities.

Menstrual cycle

Many girls are interested in how to recover faster after an abortion. But some processes require certain deadlines. For example, restoration of the uterus takes about a month, and about the same amount is spent on restoring the cycle. After interruption, ovarian-menstrual regulation is disrupted, and the production of the required amount of luteinizing and follicle-stimulating hormone stops.

It is difficult to say when menstruation will begin after an interruption, because it depends on many factors. various reasons such as the patient’s age and gestational age, abortion technique and presence chronic pathologies, as well as currents postoperative rehabilitation. Typically, menstruation resumes about a month after surgery, however, after surgical interruption, the recovery period of the cycle may become longer, and the nature of menstrual flow in the first few months may also change.

If enough for a long time If your periods are scanty, you need to go to a gynecologist for an examination.
There can be several reasons for scanty periods. One of them is associated with functional disruptions in the hormonal activity of the ovaries, hypothalamus or pituitary gland.
Often such complications arise after pharmaceutical abortion.
Also, scanty periods can occur with severe trauma to the endometrial layer.
Excessively heavy periods after an abortion for a long time are considered a dangerous symptom.
This occurs with endometrial hyperplasia or adenomyosis.

Ovulation in the first few cycles (2-3), as a rule, is also absent, although sometimes ovulatory processes are restored already in the first cycle.

Is contraception necessary?

It is advisable to keep a calendar to mark the beginning of menstruation

How to restore the body after an abortion? As already mentioned, in order for the recovery to go smoothly and without dangerous complications, strict sexual rest for a month is necessary. When sexual intercourse becomes possible, patients need mandatory contraception, because conception can occur already in the first cycle after interruption. The onset of pregnancy soon after termination is extremely undesirable; it is better to wait at least six months before conceiving, because there is a high probability of developing pregnancy pathologies. Oral contraceptives are used as an effective contraceptive method. birth control pills, mitigating hormonal complications and preventing neuroendocrine disorders.

It is recommended to take low-dose contraceptives, i.e. low content hormones. Estrogen simply increases blood clotting, and in the first few cycles the patient already experiences hypercoagulation. Usually girls are prescribed Mercilon, Rigevidon or Regulon, etc. They start taking pills on the day of the abortion, which will be counted as the first day of the new monthly cycle.

What affects the speed of recovery?

In fact, an abortion is the same operation as many other interventions, so you will have to recover from it according to a certain scheme, following medical recommendations. The gynecologist must monitor the patient’s condition during the rehabilitation period in order to promptly prevent the development of dangerous consequences or complications. These include expressed painful sensations in the abdominal area, abundant and long bloody issues or delays in menstruation, etc. If such problems arise, it is recommended to contact a doctor, who will prescribe the necessary therapy.

Overall, recovery from an interruption can be influenced by a variety of factors. Firstly, the patient's condition. If she suffers from any chronic or hereditary pathologies, they will interfere with a quick recovery. Secondly, the abortion technique. Usually, rehabilitation occurs most quickly with a mini-abortion, but after surgical curettage or pharma-abortion, complications are possible.

Thirdly, gestational age. How earlier conception was interrupted, the safer and more unnoticeably for the body it will pass. Also important is the qualifications of the specialist performing the operation, restorative physiotherapeutic procedures, drug therapy And psychological readiness women to take this step. The speed of recovery also depends on the patient’s age than younger girl, the faster her recovery will occur after abortion procedures. But at the same time, young people may subsequently have problems with pregnancy, even infertility.

Abdominal pain after abortion

In general, painful sensations in the abdominal area after interruption are considered acceptable norm. Worries pain syndrome about a week or so. If the pain syndrome literally constrains, the woman cannot tolerate such pain, then she needs to consult a gynecologist. Painful complications can be caused by a variety of conditions.

If you are bothered by sharp, cramp-like pain, this is due to the presence of residual embryo-placental particles in the uterine cavity or the formation of hematometra.
Constant, aching painful sensations with hyperthermia indicate the beginning inflammatory process caused by an infection that was previously latent.
In the first few days, an increase in thermodynamic parameters is quite normal, but when the temperature exceeds 37.5 degrees for more than two or three days, urgent medical intervention is necessary.

To prevent the development of inflammatory complications after abortion, girls are prescribed antibiotics and anti-inflammatory drugs for 5-7 days. This is especially important preventive treatment for patients who have bad smears or blood tests, urine tests, etc.

The recovery period is very important; the preservation of her health depends on how accurately the patient follows gynecological instructions. reproductive functions and fertility. It is important for girls to protect themselves from hypothermia and drafts, colds, and dress warmly, especially in cold or damp weather. Hygiene procedures must be carried out daily. You can’t take a bath yet, because dangerous bleeding may occur, but you need to take a shower, carefully washing your genitals with warm water.

Since bleeding occurs after an interruption, the pad must be changed every 3 hours to avoid infection due to blood stagnating in the pad. But tampons cannot be used after an abortion, because the blood absorbed into them serves as a favorable environment for reproduction pathogenic microorganisms, which provoke uterine inflammatory complications and other pathologies.

The recovery of the body after the abortion procedure directly depends on the method chosen by the doctors. In addition, the experience of the specialist who conducted the event is important. For example, after medication interruption the body quickly returns to its normal operating mode. But surgical intervention often requires more serious rehabilitation measures.

The procedure excludes sexual activity for 3 weeks. It is recommended to abstain from sex until the end of your first menstruation.

Sexual intimacy is especially dangerous after surgery, as it can cause complications, for example, bleeding, rejection of the uterine lining. In this case, sexual intercourse will contribute to the penetration of infection into the body.

Recovery time physical health after an abortion lasts at least 2 weeks. Sports activities are prohibited during this time. This measure is necessary to ensure that the muscles in the abdominal area are at rest. Accordingly, you should not lift heavy objects. Successful physical recovery after this procedure reduces the risk of complications.

You can postpone training for a longer period if you are not confident in your abilities. In addition, a specialist will give recommendations on this matter during a routine examination.

To prevent bacteria or infection from entering the body, for some time they refrain from taking baths, swimming in pools and open bodies of water.

No less important during the rehabilitation period is proper nutrition. Similar procedures are severe stress for the body, so you need to saturate it with vitamins and microelements, as well as proteins and fiber.

Body temperature, blood pressure, and pulse are also regularly checked. It is necessary to constantly monitor general condition women. Any deviation from the norm may be a harbinger developing complication. Therefore, when alarming symptoms you need to see a doctor.

Strict adherence to personal hygiene eliminates the development of bacteria in the microflora of the genital organs. It is recommended to wash yourself several times a day. You should always wipe your skin dry. You may also need panty liners, which should be changed every 3 hours. You should not resort to using tampons.

Recovery after an abortion is often accompanied by the use of antibiotics. During this time, refrain from drinking alcohol. You should not use it for another week after finishing the medication course.

Rehabilitation period

After the procedure, the woman must follow a number of mandatory instructions:

Visit a gynecologist. 7-10 days after the procedure, undergo an ultrasound examination of the pelvis. This is done in order to identify the remains of fetal parts/exclude their presence. If complications occur, such as bleeding, ultrasound is performed earlier;
Visit to a mammologist. A specialist in this profile should also refer the patient for an ultrasound scan. IN in this case should have their breasts checked;
Consultation with an endocrinologist. The doctor will help the woman restore normal hormonal background, establish the menstrual cycle, give recommendations on physical rehabilitation;
Visit to a psychologist. Often a visit to to this specialist required to be applied to women who had to terminate their pregnancy due to forced measures. Often such patients do not cope well with what happened. Against this background, they experience depression, stress, nervous breakdowns. A qualified psychologist will give advice and help the woman recover on an emotional level.

Complications

Most often after an abortion procedure, incomplete release of the amniotic egg occurs. This situation requires intervention in the form of “cleaning”, which, in turn, increases the risk of damage to the lining of the uterus and its cervix.

As a result, bleeding may begin. If such a complication occurs, you must immediately contact the nearest medical facility.

The process of termination of pregnancy, after which fetal parts remain in the uterine cavity, leads to the proliferation of pathogenic organisms. In such a situation, the most favorable environment for the development of infection is created. If there is a wound to the mucous membrane, then in the absence necessary measures endometritis, salpingitis or purulent inflammation develops.

Such activities increase the risk of developing malignant tumors not only in the cervix and uterine cavity, but also in the ovaries, as well as the mammary glands.

Symptoms that require prompt medical attention and rehabilitation measures:

Heavy bleeding with blood clots;
High temperature that is not relieved by antibiotics;
Discharge that has a strong and unpleasant odor;
Severe pain in the abdominal area;
Signs of pregnancy - nausea, fainting, dizziness.

Restoration of the uterus and the body as a whole after an abortion must be accompanied by adequate rehabilitation measures. A woman should devote more time to herself and her health. After two weeks, you can begin to regain strength through minor physical training.

Restoring regular periods after an abortion

This procedure can be performed using different methods. The choice of one of these is based on the presence of contraindications and the duration of pregnancy. For example, the so-called mini-abortion (vacuum) is performed on early stages.

Full surgical intervention is carried out at later stages. It is possible to terminate a pregnancy with the help of special medications. Each of these interventions assumes its own period of restoration of menstruation and the body as a whole.

Normally, the cycle lasts 21-35 days. It is regulated by hormones produced by the ovaries, adrenal glands and pituitary gland. Returning to normal life directly depends on the onset of menstruation. The type of abortion intervention affects the restoration of the cycle. Surgical and medical interventions differ significantly in recovery time.

Types of medical abortions

The drug method is used when the period is no more than 7 weeks. Surgery is performed between 7 and 13 weeks of pregnancy. The latter is divided into two types: vacuum and curettage. The vacuum method is safer. It is worth noting that medication is also gentle.

But it should immediately be noted that self-administration similar drugs is fraught with complications, after which it is necessary to use vacuum aspiration. Curettage is used up to 5 months. Last method Termination of pregnancy differs not only in the complexity of its implementation, but also in the number of possible complications.

When does the menstrual cycle resume after an abortion?

Mostly menstruation starts no later than 5 weeks later. Abortion is usually considered the first day of the cycle. If there is no menstruation, there is an infection or pregnancy. The gynecologist finds out the reason for the delay using an ultrasound.

The cycle after surgery may become shorter or longer, or shift. Recovery after a medical abortion also takes about a month. Usually, after two to three months, the cycle is completely restored, since pharmacological intervention is a gentle method and is carried out at an early stage.

After a mini-abortion, menstruation begins a month later, but may be painful and more abundant than usual. Infection is indicated by discharge from unpleasant smell or unusual color.

Artificial termination of pregnancy is a great stress for female body. Ideally, women should take care of their health and not end up in a situation where they need to have an abortion. But life is not perfect. A woman may want to interrupt unwanted pregnancy according to the most various reasons. And that's her right.

Abortion has a negative impact not only on the physical, but also on mental condition women. Therefore, it is very important that before the procedure she learns about what can be done in the postoperative period and what should be avoided.

Types of termination of pregnancy

Before we talk about what not to do after an abortion, you need to learn about the types of this procedure.

Doctors today practice 3 types of abortion:

Drug.
Vacuum.
Instrumental.

This method of artificial termination is considered the most gentle, since it is not associated with surgical impact on the woman’s body. Its essence lies in taking certain drugs that block the production of progesterone in a woman. Without it important hormone the fertilized egg cannot develop. The lack of progesterone causes the cervix to dilate and the embryo to be released.

The medication method has the following features:

This method can only be used if the time frame is less than 7 weeks.
This method has some side effects.
This method involves the use of drugs such as mifepristone, mifegin and mifiprex. Their use always causes a hormonal imbalance in a woman’s body, which must be compensated for by taking other medications.

Vacuum abortion

People also know it as a mini-abortion. This intervention is more gentle in comparison with instrumental abortion, since there are much fewer consequences after it.

Interrupt with vacuum apparatus performed without dilating the cervix. To remove the embryo, a special probe connected to a vacuum pump is used. It is inserted into the uterine cavity and the fertilized egg is literally sucked out.

This type of abortion has the following features:

It can only be performed if pregnancy does not exceed 8 weeks.
After such an abortion, the patient’s rehabilitation time is much shorter than with a surgical one.

Instrumental interruption

This is the oldest type of abortion. Doctors consider it outdated, but at the same time it is the most common in our country.

This type is carried out using special tools. They dilate the cervix and scrape out the organ cavity. The curettage procedure is painful, so it is performed under anesthesia. Before the operation, the woman is warned about this.

This type has the following features:

During the procedure, all actions of the gynecologist are monitored using an ultrasound machine.
The procedure can be performed during pregnancy up to 12 weeks.
During a surgical abortion, it often occurs mechanical damage organ walls, infection and rupture of the muscle tissue of the cervix.

Which type is the safest? According to the overwhelming majority of doctors, women tolerate pharmaboration most easily. This kind of abortion became widely used in 1990. It has the following advantages:

It is possible to get rid of the fertilized egg before the embryo is formed. That is, the pregnancy is terminated at the earliest stages.
This type of abortion takes place without damaging the endometrium of the uterus, which increases the likelihood of another pregnancy.

The greatest danger comes from instrumental abortion, since curettage often causes various negative consequences.

What should you not do after an abortion?

Regardless of the type of abortion After the procedure, the woman must adhere to the following rules:

Alcohol after medication interruption

Is it possible to drink alcohol after an abortion?, if he was medicated? Many women ask this question. The answer is obvious: alcohol is prohibited for a certain time, since it can cause quite unpleasant consequences.

Mifepristone is most often used for pharmaabortion surgery. This drug greatly disrupts the mechanism of pregnancy, causing it to be terminated. In this case, the medicine affects not only the uterus and fertilized egg, but also the entire woman’s body, causing a general systemic failure. It is for this reason that Mifepristone and alcohol are incompatible. The risk of development is too great various problems with health. In addition, alcoholic drinks can neutralize the effects of the drug, which can cause an incomplete abortion.

Even if an interruption is considered gentle, this does not mean that it is completely safe for the woman’s body. Such a procedure still remains a gross intervention in the body, which is not without consequences. Therefore, after any abortion, a woman needs time and energy to recover. Drinking alcohol reduces the immune system and takes away the necessary strength.

Alcohol causes not only physiological, but also psychological harm.

Physiological

Alcohol entering the human body causes vasodilation. This causes more blood to flow to the uterus, which can increase uterine bleeding which always happens after using Mifepristone . This can lead to massive blood loss and life threatening.

Alcohol can also reduce the effect of the drug. As a result, there is a risk of incomplete termination of pregnancy. In this condition, surgery cannot be avoided. If curettage of the uterus is not carried out in time, then a source of infection may appear in the cavity of the organ. Even if it can be dealt with, with a high degree of probability the woman will no longer be able to have children.

Very often after an abortion for preventive purposes women start taking antibiotics. As is known, this group of drugs is incompatible with alcohol, as it can cause problems with the liver and kidneys.

Psychological

No woman experiences joy after such stress. But everyone is familiar with the feeling of loss, regret and sadness. For many women, alcohol becomes a way to temporarily get rid of negative emotions. And here lies the main danger. The fact is that alcoholic drinks can hardly improve your mood. They only make things worse negative emotions, which become increasingly stronger during the hangover period. As a result, starting with small doses of alcohol, the woman gradually increases them. How the result arises alcohol addiction, which is extremely difficult for women to cope with.

Doctors strongly advise women not to resort to alcohol to cope with emotional problems. It's better to go to a psychologist or psychiatrist. The latter may prescribe antidepressants.

A worthy replacement medicines can be decoctions of motherwort or valerian. They are able to calm a woman down.

When can you drink alcohol after a medical abortion?

Considering that the main effect of Mifepristone occurs in the first 3 days, but at the same time it affects the body for at least 2 weeks, we can talk about an acceptable return to drinking alcohol after three weeks after the intervention by medication. But even in this case, you need to remember that alcohol can be a factor that provokes the development of any complications.

Possible consequences of drinking alcohol after a medical abortion

Every woman decides for herself whether or not to drink alcohol after an abortion. Outsiders cannot influence such a decision. However, they should try to convey to her information about the possible consequences of a wrong decision. Doctors call the main consequences of drinking alcohol:

Conclusion

After an artificial termination of pregnancy, a woman must limit herself in many ways in order to maintain her health and also have the opportunity to become a happy mother in the future. And first of all, one should give up alcohol. Not a single woman has yet managed to drown out the feeling of guilt and become healthier with the help of alcoholic beverages. It's hardly worth experimenting on yourself.

Attention, TODAY only!

Medical abortion is the termination of pregnancy with the help of drugs, without gynecological intervention. It is carried out at the request of the woman, for a fee, according to the accepted scheme and only in clinics licensed to carry out this procedure. There are quite a lot of these in Russia now.

When is the procedure possible?

Until when medical abortion do, described in official medical documents- this is 6 weeks, in Russia. Moreover, the period is calculated from the first day of the last menstruation.

Specifically, no more than 4 weeks should pass from the day of conception (usually ovulation). This is 2 weeks of missed period. But the sooner the procedure is performed, the greater the chances of success.

How to find out early that pregnancy has occurred? You can take a blood test for hCG 1-5 days before the start of your missed period. Or do home test, but always with high sensitivity. There are test strips that show the correct result even 5 days before the start of a missed period. Moreover, their cost is low, about 50 rubles.

However, be prepared for the fact that before your menstrual delay begins, even if your hCG level confirms that you are pregnant, no one will perform an abortion on you. Neither medicinal nor surgical. It is necessary for an ultrasound to confirm the presence of a fertilized egg in the uterus. And before the delay begins, he is not yet visible there.

How to terminate a pregnancy using pills and its disadvantages

A woman needs to find a clinic where this procedure and make an appointment with a gynecologist. After confirmation intrauterine pregnancy and the appropriate time for the procedure, he will tell you how a medical abortion works in the early stages and issue an information consent, which the patient must sign.

Next, she will be given a drug that she must take in the presence of a doctor. It is advisable to stay in the clinic for a couple of hours after this, but in practice women are usually quickly sent home, since the medicine is well tolerated and rarely produces side effects. These medical abortion pills are called Mifepristone. After taking them, a very small number of women immediately experience a miscarriage. For the majority, the state of health does not change. But spotting, bloody discharge from the vagina may appear.

After 36-48 hours, the woman should take another drug - Misoprostol. Again, according to standards, this should happen in a clinic, under the supervision of a doctor. And after taking this medicine, after 20-30 minutes strong cramping pain, bleeding. At this time, the woman must be in the clinic. If she vomits, that's one of the side effects Misoprostol - may be required additional dose drug. Usually within the next 2-3 hours the fertilized egg comes out. True, you may not notice it, since there will be a lot of clots. As soon as the pain subsides a little, the woman is allowed to go home.

After 7-10 days, it is necessary to do an ultrasound to make sure that there are no complications during termination of pregnancy in the early stages, and they consist primarily of incomplete miscarriage. If particles of the fertilized egg remain or it continues to develop, vacuum aspiration is suggested. Even if the woman has already decided to leave the child. The fact is that due to the use of Misoprostol and the severe spasms that it causes, the child develops numerous developmental defects, such as defects of the skull, foot (horsefoot), etc. And that’s not all possible consequences medical abortion. A common complication severe and prolonged bleeding occurs. By the way, this complication after vacuum aspiration it is observed much less frequently. The woman is forced to take hemostatic drugs. This all limits her ability to work.

Medical abortion also has contraindications:

ectopic pregnancy;
allergic reaction;
long-term use of glucocorticoids;
adrenal, hepatic and renal failure and some others. For example, a doctor may refuse this service if a woman has a large myomatous intramuscular node, since active contractions of the uterus that occur after taking Misoprostol can lead to tumor necrosis.

Cycle restoration, sex life, contraception and new pregnancy

Discharge after a medical abortion lasts about 10-14 days, longer than during normal menstruation, or even after a surgical termination of pregnancy. At the same time, it is possible to determine whether the uterus is completely cleared of membranes only by ultrasound results. If yes, the menstrual cycle will return quickly. Thus, menstruation after a medical abortion in the early stages usually begins within 28-35 days. However, ovulation may already be in the middle of this cycle, so it is very important to immediately start using reliable contraception. Many people are also interested in when they can have sex after a medical abortion, and after how many days. Doctors recommend only after the discharge has completely stopped, that is, after 10-14 days. But we will focus on the issue of contraception.

Modern doctors recommend for women living with one regular sexual partner an intrauterine system (IUD) or oral contraceptives ( hormonal pills). In this case, the spiral can be installed directly on the days of bleeding after an abortion. The main thing is that by that time there are no membranes left in the uterus. That is, you need to do an ultrasound, and if everything is fine, you can talk to your doctor about which intrauterine system you need would be better suited, buy and install it. Intrauterine systems are installed in last days menstruation when cervical canal slightly open to make the procedure easier and more painless.

Oral contraceptives can be started in the first 5 days after a miscarriage. Strictly according to the instructions. Then contraceptive effect will be good and will come quickly (how quickly depends on the day of the cycle on which you started taking the drug). Besides, hormonal contraceptives will help restore hormonal levels. Doctors often prescribe them to be taken after an abortion for at least three months, and even before planning a pregnancy, if there are no contraindications to the pills.

Is it possible to terminate a pregnancy in this way on your own without seeing a doctor?

Many women are not entirely satisfied with this option of abortion. Expensive... And again, you need to go to the doctors. Therefore, they try to independently purchase drugs that, in their opinion, should “help.” Since the drugs necessary for medical abortion are not available on the market, they buy what is available. And this is Oxytocin. It is sometimes used for incomplete abortion or to intensify labor contractions. But in early pregnancy, this drug alone will not help. It will only lead to very painful contractions of the uterus, possibly bleeding. But it is very unlikely that a miscarriage will occur, especially a complete one. And the remains of membranes in the uterus are a direct threat of blood poisoning.

For this reason, to avoid severe complications, you should not induce a miscarriage yourself at any time.

Many women after a medical abortion (MA) are concerned about how to avoid complications and maintain their health.

Despite the apparent safety of the medical abortion procedure. Just like any other hormonal intervention in a woman’s reproductive health, abortion has a number of consequences.

Medical abortion is performed without surgical intervention in the uterine cavity in the early stages of pregnancy (up to 6 weeks). It is carried out using drugs that block the action of progesterone, which promotes normal development pregnancy.

Thus, termination of pregnancy occurs in the form of menstrual-like bleeding, accompanied by moderate pain in the lower abdomen.

The effectiveness of the method is about 95% with no complications inherent in surgical abortion.

What complications can occur after a medical abortion?

After this medical manipulation a number of complications are possible. Let's list them:

ongoing pregnancy;
heavy uterine bleeding;
pronounced cramping sensations in the lower abdomen;
dyspeptic disorders in the form of nausea, vomiting and diarrhea;
allergic reactions such as urticaria;
migraine;
general malaise, hot flashes, chills;
increase in body temperature.

We will look in more detail at what signs may indicate the presence of complications and what to do if this happens, and we will also try to answer the most frequently asked questions of women.

The probability of developing pregnancy can occur in 1-2.5% of cases. will tell about its presence positive test after a medical abortion, which is recommended to be carried out no earlier than a week after the procedure.

Performing the test earlier may provide positive result due to the fact that the level of hCG (human human chorionic gonadotropin) after an abortion decreases gradually.

If the test shows pregnancy 7-10 days after the abortion, contact your gynecologist immediately.

Why does heavy bleeding occur?

It is possible that the pregnancy is terminated, but the fertilized egg does not come out or is not completely expelled from the uterine cavity. Clinically, this condition is accompanied by bleeding. Or the cause is the accumulation of blood clots in the uterine cavity. In both cases, it is indicated to carry out ultrasound examination, which will show the nature of the problem.

To stop bleeding, drug therapy is prescribed: Dicynone, aminocaproic acid. And from the methods traditional medicine A tincture of water pepper is suitable.

When is cleaning necessary after a medical abortion?

Cleaning will be required if the ultrasound revealed remnants of the fertilized egg or blood clots. A doctor will help clarify this problem during a routine examination 10–14 days after MA. And of course, the patient will note prolonged bleeding.

Do I need to take antibiotics after MA?

After a medical abortion there is no need for antibacterial drugs, because the procedure is not related to surgical intervention into the uterine cavity.

But conditions may arise for which antibiotics are indicated. In particular, this indication may be elevated temperature after a medical abortion.

If you have a temperature above 38°C that lasts longer than four hours, consult a doctor immediately, even if you want to stay in your usual home environment.

Restoration of the menstrual cycle after MA

The onset of menstruation usually occurs 30–32 days after the procedure, but a delay of up to 10 days is possible, which is associated with hormonal imbalance in organism. In this case, you need to do a test and continue taking the medications prescribed by your doctor.

What medications are prescribed in the post-abortion period?

Most often prescribed:

"Duphaston" normalizes the neuroendocrine function of the ovaries and uterus, replenishes progesterone deficiency.
Antispasmodics (“No-shpa”, “Drotaverine”) reduce painful sensations caused by contractions of the uterus.
Means for regulating the motility of the digestive tract (Motilium, Motinol, Metoclopramide) for treatment side effects in the form of nausea and vomiting.
Antidiarrheals (“Loperamide”, “Imodium”), if the post-abortion period is accompanied by stool disorder.
Antihistamines (“Claritin”, “Cetrin”) for allergic manifestations and urticaria.
Sedatives (Diazepam, valerian extract) to reduce the manifestations of neuropsychic stress caused by the nature of the procedure.
Multivitamin complexes containing antioxidants ("Multi-Tabs", "Vitrum"), general strengthening (royal jelly "Apilak") to maintain immunity and restore the body's defenses.
Hemostatics for heavy bleeding.

What medications are prohibited after a medical abortion?

You should not take painkillers (Aspirin, Ibuprofen, Diclofenac), as they increase bleeding.

When can you breastfeed?

After a medical abortion, concentrations of drugs harmful to the baby remain in breast milk for another week. Therefore, during the period of removal of medications after the procedure, which is about 6–7 days, it is recommended to suspend breastfeeding.

For quantity and quality breast milk the medications administered do not have an effect, and you will be able to successfully resume breastfeeding after the recommended period.

Recovery period

The recovery period after a medical abortion lasts about a month and includes several rehabilitation methods. These include taking medications prescribed by a doctor after an abortion and following the following recommendations:

Complete nutrition. To prevent anemia caused by bleeding, you need to eat beef and beef liver which are a source of iron. Alcohol is prohibited for 2 weeks. Drinking alcohol leads to increased bleeding and weakened immunity.
Work and rest schedule. Eliminate heavy physical labor, hiking Gym and solarium.
Sexual activity is recommended no earlier than after a month.

Is it possible to swim in the sea after MA?

Swimming in the sea or pool is prohibited for 2 weeks. From hygiene procedures Showering is recommended.