Medical termination of pregnancy how quickly occurs. Medical abortion: drugs, technology, consequences

It is desirable, and sometimes the circumstances do not give the right to choose and you have to go for an interruption. If, for any reason or indication, a woman decides not to carry a pregnancy, then an abortion is best done as early as possible. Until a delay of no more than 10-14 days, doctors recommend terminating a pregnancy with medication, that is, with the help of special pills.

Medical abortion: the essence of the method

drug interruption unplanned pregnancy occurs strictly up to 15-20 days of delayed menstruation, and preferably as early as possible. The advantage of the method is the absence of surgical manipulations in the uterine cavity, which is much easier for the patient physically and mentally.

How is a medical abortion performed? After examining the woman on the chair and setting the exact doctor, based on the body weight and individual characteristics of the patient's body, gives her 2 tablets to take orally. After 24-36 hours, the woman should take 2 more tablets. The first dose of the drug affects the production of the hormone progesterone, the so-called pregnancy hormone. Against the background of taking pills, the production of progesterone stops, nutrients do not enter the uterine cavity, and the fetal egg dies inside the mother's body. The second dose of the drug causes uterine contractions, which leads to the expulsion of the fetal egg and its membranes from the body through menstrual bleeding.

Medical abortion is most suitable for young girls who have never given birth, as well as young mothers who have had a caesarean section in the recent past. Of course, abortion, even with the help of pills, always poses a threat to the woman's body, but for nulliparous patients, as well as for mothers after caesarean section can not be manipulated in the uterus surgical instruments or vacuum suction. Such actions can injure the uterine mucosa, which in nulliparous women will lead to inflammatory processes and infertility in the future, and in women after caesarean section, to possible damage to the scar and further massive internal bleeding.

Any woman who decides to have an abortion is reluctant to go to the doctor, especially young girls who are afraid of moralizing and condemnation. Having learned about the possibility of terminating a pregnancy with abortive pills, many patients go to do everything at home without going to a doctor. It is absolutely impossible to do this:

Firstly, the dose of the drug is selected by the doctor strictly individually - someone needs more medicine, someone needs much less.
Secondly, the body can react unpredictably to taking the drug, which is fraught with complications from the cardiovascular and respiratory systems.
Thirdly, not all women are suitable for medical interruption, which can cause incomplete abortion and the development of purulent inflammatory processes and peritonitis. Abortive pills are taken only under the supervision of a doctor, after about 5 hours the specialist can let the woman go home and be recommended to come for an examination after 2 days.

Medical abortion: drug choice

There are not so many drugs for medical abortion, they are all analogues of Mifepristone and have many names:

mifeprex;
Miropriston;
Mifegin.

The drugs are a progesterone antagonist, that is, they block the production of this hormone and increase the sensitivity of the uterus to prostaglandins, substances that enhance the contractile function of muscle fibers. Mifepristone must be taken in combination with prostaglandins (20-30 hours after Mifepristone tablets), since it is thanks to these substances that the fetal egg, together with the membranes, is expelled from the uterine cavity.

There are also drugs for emergency postcoital contraception, but their action is based on the prevention of pregnancy through hormonal failure. To interrupt an already ongoing pregnancy, drugs of this group are not suitable.

Pros and cons of a pharmaceutical board

Termination of pregnancy at any time does not pass without a trace for the female body, however, if we compare the pharmabort with other types of removal of the fetal egg from the uterine cavity, then a number of pros and cons of the procedure can be distinguished.

The advantages of medical abortion are:

Minimal risk of complications in the form of bleeding and damage to the uterine mucosa;
Does not develop;
Possibility of implementation for nulliparous women and young mothers after caesarean section;
Psychological aspect - pharmabort is perceived by patients more easily;
Outpatient regimen - a few hours after taking the first dose of pills, the patient can go home, while after the surgical removal of the embryo from the uterus, the woman needs to stay in the hospital for several days.

Disadvantages of medical abortion:

Incomplete removal of the fetal membranes - occurs when the dose of the drug is incorrectly calculated or the use of abortion pills at a gestational age of more than 4-5 weeks;
Continuation of pregnancy - occurs extremely rarely, only in 2% of cases;
Individual intolerance to the drug - nausea, vomiting, malfunctions of the cardiovascular system;
Hormonal failure in the body.

Pain after medical abortion

After an abortion with pills, the body needs time for the reproductive system and endocrine glands to restore their work. After taking pills with an abortive effect, the patient may experience pain of various localization:

Pain in the lower abdomen- caused by contraction of the uterus and the expulsion of the fetal egg and membranes from the body. If abdominal pain is accompanied by fever and discharge of pus from the vagina, you should immediately seek help;
Pain in the mammary glands- During pregnancy, a woman's mammary glands become highly sensitive, increase in size, engorged and hurt. After taking abortion pills, reverse changes and restructurings occur in the body, so for some time the pain in the chest will persist. As a rule, with the onset of menstruation, all unpleasant phenomena disappear;
Pain in the ovaries- abortion pills cause serious hormonal changes in the body and the organs of the reproductive system, in particular, the ovaries, are the first to react to changes. Pain in the ovarian region after taking abortion pills is due to their increase in size and increased inhibition of the production of the pregnancy hormone.

Painkillers and No-shpa during and after medical abortion

Pain in the abdomen after taking pills with an abortive effect resembles pain during menstruation. It is highly undesirable to take No-shpu or other drugs with antispasmodic and analgesic effects to reduce pain. Although these pills relieve spasm, they also negatively affect the contractility of the uterus, and this is fraught with incomplete removal of the membranes from the body. You can reduce pain in the lower abdomen after a medical abortion by lying on your stomach. In this position, clots move out of the uterus faster and more productively, which in itself reduces pain. If the pain is excessively strong and the woman cannot tolerate it, you should consult a gynecologist for advice, perhaps the dose of the medicine was incorrect.

Is it possible to get pregnant after pharmacological abortion?

Pharmacological abortion creates a situation in the body similar to spontaneous miscarriage. In the next 28-35 days, the body recovers and menstruation begins. If a woman during this period will have sex and not use contraceptives, then the onset of a new pregnancy is highly likely. In order not to risk your health and again not face a difficult choice, you should carefully protect yourself in the next 3-6 months after a medical abortion.

Is it possible to drink alcohol after a pharmaceutical abortion?

After taking pills with an abortive effect, a woman should not drink alcohol, as alcohol can adversely affect the pharmacological effect of the drug. The combination of Mifepristone tablets with alcohol is fraught with incomplete abortion and the development of inflammatory processes in the uterus.

Sex after pharmacological abortion

After taking pills with an abortive effect, a woman, as well as after any other type of abortion, should refrain from intimate relationships for the first 14 days. As soon as the discharge stops and the doctor confirms that there are no particles of membranes left in the uterus, the couple can resume sexual relations, but contraception should be used to avoid another unplanned pregnancy.

Breastfeeding after pharmacological abortion

If a woman is forced to make a pharmaceutical abortion against the background of lactation, then after taking abortive pills, the child cannot continue to breastfeed. The active ingredients of the pills can penetrate through breast milk into the child's body, and since studies on the safety of the drug for children have not been conducted, medical termination of pregnancy and continued feeding of the child incompatible.

The news of the upcoming pregnancy does not delight all ladies. There are many reasons for this, from unplanned conception to poor health. To get rid of an unwanted pregnancy, today there are several ways. The safest drug is considered. This method excludes serious surgical intervention. It is better tolerated both physically and psychologically. In our article, we will talk about how medical abortion occurs. You will also be provided with information about possible contraindications and consequences of pharmacological abortion.

Description of the procedure

Medical or pharmacological abortion is a procedure aimed at terminating an unwanted pregnancy without major surgical intervention. It is carried out with the help of certain drugs. Their action is based on blocking the production of progesterone. This hormone is produced in the body of a woman and is responsible for maintaining pregnancy. After taking the pill, a spontaneous miscarriage occurs.

Medical abortion, drugs for this procedure and its implementation - all these issues have been discussed by doctors for a long time. However, it was only at the end of the last century that real opportunity perform pharmacological abortion effectively and relatively safely for a woman's health. Experts from France have developed the drug Mifepristone, which belongs to the group of antiprogestins. In the early 1980s, large-scale studies of this drug as an abortion drug were launched in Geneva. A few years later, in France, they began to put it into practice.

Numerous medical studies show that women prefer pharmacological abortion for a number of reasons. First, there is a fear of surgery. Secondly, this method allows you to hide an unwanted pregnancy from relatives and friends.

Advantages of pharmacological abortion over surgical

Medical termination of pregnancy, the timing of which is described below, has a number of significant advantages. We have already mentioned some of them earlier. For what other positive points worth paying attention?

No need to take painkillers.
Fast recovery period.
The probability of damage to the uterine cavity, the development of adhesive processes or other gynecological complications is excluded.
Medical abortion resembles heavy periods, so psychologically a woman perceives it as a natural process.
There is no need to go to the hospital.
The risk of infection with viral diseases (AIDS or hepatitis) is excluded.

To find out all the nuances of how medical abortion occurs, it is better to consult a gynecologist. The specialist will answer your questions and give useful recommendations.

Permissible terms

Pharmacological abortion can be carried out up to the 6th week of pregnancy, counting from the first day of the last menstruation. The effectiveness of the procedure increases markedly when used in the early stages. Otherwise, other interruption techniques (eg, vacuum aspiration or surgery) may be required.

What drugs are used?

Medicines for the procedure are selected by the doctor. At the same time, he must take into account the individual characteristics of the female body. The drugs used today can be divided into two conditional groups. The first includes "Postinor" and "Escapel". They are used for emergency contraception.

"Postinor" is available in the form of tablets. Its active ingredient is levonorgestrel. Once in the body, it causes certain changes in the endometrium, preventing the process of egg implantation. On the other hand, levonorgestrel suppresses ovulation. According to the instructions, "Postinor" must be drunk immediately after unprotected sexual contact has taken place. First you need to take one pill, and after 12 hours - the second. During the first few hours, its effectiveness is 95%. Within a day, this figure drops to 58%.

"Escapel" has a similar effect, but contains a large dose of levonorgestrel. Therefore, taking the medication is limited to one tablet. This difference between the two means and limited. They have the same effect on the ovulation and fertilization processes.

The second group of drugs includes "Mifepristone" and "Pencrofton". Their use is justified in case of pregnancy, the period of which does not exceed 6 weeks. They are used after implantation of a fertilized egg. Therefore, before prescribing these drugs, it is necessary to conduct a number of clinical studies.

The active ingredient is mifepristone. Its penetration into the body blocks the activity of progesterone, significantly increasing the contractility of the myometrium. As a result of these processes, the cervix begins to expand, expelling the fetal egg. Below we will consider how medical abortion occurs using the last group of medicines. "Mifepristone" and "Pencrofton" are used for this procedure most often.

Possible contraindications

There are a number of circumstances in which medical abortion should not be performed. Reviews of gynecologists warn that it is better to refuse the procedure in the following cases:

gynecological diseases of an inflammatory nature;
uterine fibroids;
long-term treatment with glucocorticoids;
blood clotting disorder;
lactation period;
ectopic first pregnancy.

Medical abortion is not recommended for women over 35 years of age. The drugs used can cause a sharp change hormonal background.

Preparation for the procedure

Pharmacological abortion is a serious procedure that must be carried out under the supervision of a doctor. After the appearance of signs of an unwanted pregnancy, you should contact a gynecologist for a preliminary examination. The doctor performs an ultrasound to determine the approximate date of conception. After that, the woman must give written consent to medical termination of pregnancy.

Preparations for the procedure are selected by the gynecologist. Before an abortion, a pregnant woman must also pass several tests, including a swab for flora. If cardiovascular disease is suspected, a cardiogram may be required. After that, the doctor sets the date of the abortion. Before this, it is better to give up heavy food, alcohol and smoking 24 hours in advance.

Stages of pharmacological abortion

After receiving the results of the analyzes, you can proceed directly to the procedure itself. How is a medical abortion performed?

In the absence of obvious contraindications, the doctor gives the woman a drink of the drug. As a rule, these are 3 pills of 200 mg each. The next visit to the gynecologist is recommended after 36 hours. At this stage, the fetus is expelled from the uterus. For this purpose, a woman is given prostaglandins, they must be instructed about the possible consequences. Sometimes she is asked to stay in the clinic for a day to monitor changes in her condition. A woman can be allowed to go home, provided that she adheres to the recommendations of a specialist, and if there are any unpleasant sensations, she will immediately contact him.

The first control ultrasound is performed 3 days after taking the drugs. If the remains of the fetus are visualized in the uterine cavity, the doctor decides how to proceed. The second control ultrasound is scheduled in 2 weeks. If necessary, the gynecologist gives direction to the analysis of the level of hCG.

Recovery period

Recovery after the procedure lasts about a month. At this time, you need to pay special attention to health and well-being. Fever, pain in the lower abdomen, spotting after medical termination of pregnancy - all these symptoms should be the reason for a visit to the doctor.

After a pharmacological abortion, a woman's body undergoes serious changes. The hormonal background is restored, the reproductive sphere is rebuilt, immunity decreases, and the risk of developing inflammation increases. Therefore, it is necessary to take care of yourself, give the body time to normalize the work of the main systems.

Within 14 days after the abortion, you should refuse to visit the bathhouse, have sexual intercourse, play sports and use tampons. If you follow these tips, you can hope for a successful recovery of the body.

Bleeding after an abortion - normal or pathological?

Negative consequences of medical termination of pregnancy are extremely rare, but they are still possible. One of them is bleeding.

The appearance of blood clots after taking the first pill is considered normal. For 5 days, the discharge is usually copious. After this period, they become more scarce, and then completely stop. For some women, spotting continues until the first menstrual period.

Their nature depends solely on the individual characteristics of the organism. At first they may be scarlet in color, then dark and brownish in the end. It is necessary to control bleeding after medical termination of pregnancy, to monitor their volume. It is considered pathological to use more than two pads per hour.

In the presence of severe bleeding or with its abrupt cessation, you should immediately contact a gynecologist. If this is not possible, it is necessary to call a team of medical workers.

Complications of medical abortion

Pharmacological abortion is considered a relatively safe procedure, but it is not without its drawbacks. After taking medications, side effects may occur, including:

Pain discomfort. In this case, everything depends on the characteristics of the organism, the threshold of its sensitivity. Before the procedure, the doctor should talk about possible pain. To eliminate them, antispasmodics and analgesics are usually prescribed. It is not recommended to take medications on your own, you need to consult a doctor.
Nausea and vomiting. Pregnancy itself can be accompanied by such symptoms. Sometimes nausea and vomiting are caused by prostaglandins prescribed by a gynecologist. These side effects are rare, but they go away on their own.
Temperature increase. The consequences of medical termination of pregnancy of this nature are caused by taking medications. As a rule, the temperature rises to 38 degrees and lasts no more than 4 hours. If an unpleasant symptom does not disappear, most likely it is a consequence of the inflammatory process. You should tell your doctor about the change in well-being, who will already prescribe the appropriate therapy.
Diarrhea. It's short term side effect which does not require specific treatment.
Hematometer. This disorder is characterized by the accumulation of blood clots in the uterine cavity. Its development is preceded by a spasm of the neck of the reproductive organ. You can fix the violation using medicines.

These pathologies rarely accompany medical abortion. Reviews of women who have undergone this procedure confirm this statement. Pharmacological abortion leaves practically no noticeable consequences if it is done by a qualified specialist and in the absence of contraindications.

Service cost

Where is medical abortion performed? This question worries many women. Almost everyone provides this service. medical institutions. It is recommended to seek her help in the hospital where your attending gynecologist works.

The final cost of the procedure may vary depending on the drugs used, the prestige of the clinic and the qualifications of the specialist. A certain role in this matter belongs to the woman's stay in the hospital after the gynecologist performs a medical abortion. The price of the service in this case can be from 7 to 11 thousand rubles.

Preparation includes a smear on the flora and intravaginal ultrasound to determine the gestational age and the location of the fetal egg. It also clarifies whether a woman has chronic diseases that may become contraindications for drug interruption. Before the procedure, do not eat anything salty and fatty, smoked, after a medical abortion, you can not take a bath and go to the pool until everything is over. You can not eat 3 hours before the interruption and less than 2 hours after.

Effectiveness of medical abortion

Medical termination of pregnancy is manifested as more painful than usual, monthly. Interruption efficiency - 95%. The advantage of medical abortion is that it does not require general anesthesia. You just get a pill and drink it in front of a doctor. After 72 hours, you go back to the clinic, where you are given a pill to contract the uterus. A day later, heavy bleeding begins.

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Terms of medical termination of pregnancy

Terms of medical termination of pregnancy: 5-6 weeks. Medical abortion is done after a complete gynecological examination. Side effects: nausea, headache. Contraindicated in heart disease with severe heart failure, tuberculosis, hypertension and myoma, obesity and diabetes.

How is a medical abortion performed?

Medical termination of pregnancy begins with a preliminary conversation between a woman and a doctor. She is informed about possible contraindications and complications and the very essence of the method. Next, they take blood tests for HIV, hepatitis, Rh factor and a swab for flora and do an ultrasound scan to clarify the time. The woman signs the consent.

As for pain, it all depends on the period: the longer the gestational age, the more intense the pain.

After a medical abortion, a woman is selected for contraception. Conception can occur immediately, so you need to start protecting yourself immediately.

Stages

In any case, a woman goes through the following stages of medical abortion:

A woman calls the clinic and makes an appointment with the doctor, indicating that she wishes to have an abortion with a drug. Food is not accepted for 3 hours.
At the reception, the doctor does an ultrasound.
You are warned about possible complications of the procedure and contraindications to it, conduct an introductory conversation.
Together with the gynecologist, you choose one of the drugs produced in France or Russia.
Tests may also be ordered if you did not do them shortly before the interruption. Results are ready in 1 day.
The drug is taken with a doctor.
Within 72 hours, pain and discharge similar to menstruation appear.
After the onset of pain and bleeding, prostaglandins are taken. Within 5 days, the fetal egg comes out entirely.
The next stage is the control ultrasound.

Remember that the vagina is a home for bacteria. That's why smears are done before medical abortion. When the cervix opens, bacteria can enter the uterus. Unfortunately, sometimes there is a toxic shock with a fatal outcome, but this is stubbornly silent.

Choose a clinic whose doctors have been performing the medical abortion procedure for a long time. This will help keep complications to a minimum.

Medical abortion pills

Tablets for medical termination of pregnancy: Mifepristone, Mifegin, Mifeprex, Mifolian, RU-486. The active substance of all these drugs is mifepristone. This is a complex molecule that has a complex effect on the female body, tuned to maintain pregnancy. If you had an irregular menstrual cycle before taking the pills, the problem may worsen.

Medical abortion is carried out with drugs that include Mifepristone: Mifegin, Mifeprex, Mifolian, RU-486. Specialists always carefully prepare a woman to take these drugs. The doctor discusses with the patient the anamnesis, all the diseases that she had or has.

Mifepristone

Mifepristone blocks hormone receptors that support pregnancy.

Medical termination of pregnancy with mifepristone is better tolerated than surgery. Before the procedure, you confirm that you are aware that in the future, you may need a surgical abortion due to incomplete removal of the ovum. After taking mifepristone, on the 2nd day you come to the clinic again and take another drug that expels the embryo within 1 hour. Bleeding continues for 10 days, after which you come for a follow-up ultrasound. In rare cases, after taking the drug, diarrhea, dizziness and nausea are possible.

Mifepristone has the following contraindications:

Pregnancy while using an intrauterine device.
Scar after caesarean section.
Leiomyoma.
Insufficiency of the kidneys, liver.
Violation of blood clotting.
Anemia.
Asthma.
Diseases of the female genital area.

After taking, severe pain in the lower abdomen, dizziness and vomiting may be observed. The temperature may rise greatly. Do not take any painkillers and antipyretics - they can stop the abortion. You can take analgin or no-shpu in last resort. Better call the doctor who performed the abortion. You will be given emergency telephone numbers where you can get advice. If for some reason you cannot contact this doctor, with severe pain, constant vomiting and fever, call an ambulance.

Mifegin

Medical termination of pregnancy with mifegin is an alternative to curettage. An unsuccessful result, incomplete extraction of a fertilized egg is possible in 5% of cases.

Mifegin is a progesterone antagonist. The mucous membrane of the uterus under its influence begins to be rejected. Abortion with pills is a serious intervention in the body, it cannot be called completely harmless.

The first visit to the doctor includes an examination on the armchair, consultation of the patient, signing the appropriate paper - consent to the abortion, ultrasound to confirm the period and the first pill. The next visit is due in 72 hours. During this visit, the fetus is expelled from the uterus by taking a prostaglandin. In the clinic you need to be under observation for 1.5 hours. If the pain is very severe, you may be given a no-shpu. Short-term diarrhea is possible.

After 12-16 days, you need to do an ultrasound. If for some reason the pregnancy persists, a normal abortion is performed.

In the intervals between visits, you can not visit the sauna and drink alcohol.

Pencrofton

Medical termination of pregnancy with pencrofton is an alternative to surgical abortion. Advantages of medical abortion with the Russian drug Pencrofton:

Early termination of pregnancy on the second day after conception (for example, if you have been a victim of violence).
No risk of contracting hepatitis, as happens with abortion, if the instruments are poorly sterilized.
Lower cost.
Curettage can cause uterine scarring or perforation, life-threatening bleeding. This is not the case with pencrofton.
Fertility is restored immediately.
No anesthesia needed.
You don't have to go to the hospital.
Reduced risk of depression after an abortion.

The drug was developed in 1990. It expels the embryo from the uterus, opening the cervix. Termination of pregnancy with pencrofton is possible up to 7 weeks. It can only be used in clinics. The patient is given 3 tablets once and is sent home. Then, after 72 hours, she is given a drug that expels the fetus, which has stopped developing during this time. After 16 days, ultrasound is performed and curettage if necessary (rarely).

When taking pancrofton, a minimum of side effects is observed, as a rule, it is only nausea and a feeling of weakness, a slight increase in body temperature within 4 hours.

Misoprostol

Medical termination of pregnancy with misoprostol in Kiev can be done in many specialized clinics. Misoprostol is the latest generation of abortion pills. As a result of the work of the uterine muscles under its action, the fetal egg is pushed out.

The method eliminates psychogenic trauma and is best suited for young nulliparous girls.

Abortion after 1-15 days occurs in 65-85% of cases. The introduction of a prostaglandin analogue after 1-3 days increases this figure to 88-98%. The same results were obtained using Pencrofton. Thus, the optimal scheme for the procedure of medical abortion for today is 600 mg of mifepristone with the introduction of prostaglandins 36-72 hours later.

Duphaston

Duphaston after medical termination of pregnancy is prescribed in the post-abortion period. On the 16th day, after the ultrasound, Dufaston is prescribed 10 mg twice a day for 10 days. Duphaston is an active progestogen. It is used in a number of gynecological diseases. When it is taken, there are no unwanted hormonal disorders. Duphaston does not affect liver cells and blood pressure.

Together with Duphaston, the gynecologist may prescribe you multivitamins or special vitamin complexes used in stressful situations. Abortion, whether surgical or medical, is stressful for a woman. As a result, not only nervous system but also the heart. Sometimes post-abortion psychosis develops. The first reaction is always relief. But then a woman often feels remorse, her self-esteem decreases, on this day every year she can cry. It helps to understand what happened. You can mourn your child. The support of loved ones is very important, but, unfortunately, the husband cannot always understand why the wife suddenly became cold with him. The process of finally getting rid of guilt is a long one. Medical termination of pregnancy is usually more easily tolerated by women, does not affect the state of mind so much.

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Consequences of medical abortion

The consequences of medical abortion are reduced mainly to nausea, diarrhea and delayed menstruation up to 12 weeks, headache, chills, endometritis. Extremely rare side effects such as Quincke's edema, uterine rupture and toxic shock. Toxic shock can lead to death.

Pregnancy is not interrupted in 3% of cases. Then you have to do scraping. As a result, inflammatory diseases can worsen, adhesions and infertility develop - not immediately, it happens, a woman becomes pregnant and gives birth, but the inflammation worsens several times and leads to infertility.

During pregnancy, the nervous system is rebuilt. The body is set up to carry a pregnancy. Medical termination of pregnancy artificially stops this process. Therefore, neuroses are so frequent, the so-called. post-abortion syndrome. Rarely, thyroid diseases are associated with medical abortion, explaining everything by the Chernobyl accident. But in vain. Thyroid takes part in the regulation of hormones that support pregnancy, albeit not as clearly as the ovaries and pituitary gland. It is clear that they go for an abortion out of desperation, a sudden collapse of plans. But if you think about it, there are no safe abortions. Most of us have carious teeth, tonsillitis or rhinitis. These are infectious foci. After an abortion made by any method, a woman's the immune system. Harmful bacteria from the vagina can enter the uterus. The risk of infection is especially high from the vagina, because it is located closest, but theoretically, the infection can enter the uterus through the bloodstream from any focus in the body, even a carious tooth.

Of course, the listed consequences most often occur during surgical abortion. But even with medical abortion, the cervix opens when the fetal egg is expelled. Through these gates, infection easily penetrates.

To minimize the consequences, medical abortion should end with a rest for your body. You can’t play sports for a month, no sexual intercourse, take a shower and don’t swim in open water, don’t go to the sauna, swimming pool, don’t take a bath earlier than 3 weeks after a medical abortion.

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Harm

The harm of medical abortion is due to the blocking of progesterone receptors. There is no injury to the uterus, so complications are much less common than with traditional abortion. A frequent complication is incomplete expulsion of the fetus (about 10%). Prolonged uterine bleeding is possible. Cases of toxic shock after taking "pregnancy pills" are known.

Complications

It is rare, but still possible, to face serious complications after medical termination of pregnancy. First of all, this is the lack of effect of the drug or incomplete abortion. Menstruation may also become irregular or very heavy. Allergy is possible. If any warning signs appear, you should immediately seek advice from the clinic where the abortion was performed.

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Allocations

Discharge after medical termination of pregnancy is usually brownish, bloody and often disturbing even if heavy bleeding has already ended. To remove all suspicions, be sure to visit a gynecologist and do an ultrasound on the 14-16th day after the abortion. If a month and a half after a drug abortion, the discharge does not stop, this indicates that there has been a failure in the hormonal system. To correct this condition, the doctor may prescribe oral contraceptives(mini-drank or combined).

You should also pay attention to the yellow discharge. This may be a sign of purulent inflammation, which has developed due to the fact that you carried a dead child in you for some time. Yellow discharge after medical abortion may be a sign of E. coli.

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Bleeding

Medical termination of pregnancy is considered the safest method, but this does not mean that it is harmless. Sometimes it happens that after an abortion, heavy bleeding develops. It can lead to life-threatening blood loss. In this case, you need to lie down and call ambulance without hiding the fact that you had a medical abortion. Normal is considered a small, no more than menstrual, bleeding until the onset of menstruation after a medical abortion. If you have to change more than one night pad in an hour, seek medical attention.

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pain

Pain after medical termination of pregnancy in each woman is of varying intensity. They are caused by contraction of the uterine muscles. How severe the pain will be depends on the pain threshold and gestational age. Pain medications for unbearable pain should be prescribed by a doctor because many of these drugs can suppress abortion. Pain after a medical abortion lasts for two days. Pain that is slightly more intense than normal menstrual pain is considered normal. Several menstrual cycles can also be painful. A gynecologist may prescribe you a course of physiotherapy or gynecological massage if the pain and bleeding are very intense and prolonged. To avoid the development of an infection in the uterus, a control ultrasound on day 16 must be done, even if you do not have any complaints. Abdominal pain, fever, green and curdled discharge are all signs of an infection. Medical termination of pregnancy, done in accordance with all the rules, in three visits, rarely leads to such consequences. 98% of cases of complications during medical abortion are associated with ignoring medical recommendations.

Temperature

The temperature after medical termination of pregnancy usually rises no higher than 37.5ºС and lasts no more than 4 hours. Temperature up to 37.2C can last about 10 days. It is associated with increased levels of progesterone. Delaying the treatment of a possible infectious process in the uterus leads to infertility. Blood clots and fever, too much bleeding should be the reason for an ultrasound examination of the pelvic organs earlier than the period prescribed by the doctor (usually 14-16 days after the interruption). If fever and malaise appear after the abortion, call the doctor home.

Nausea

Nausea after medical termination of pregnancy is not observed in all women and not for long. If you vomit within an hour after taking the drug, unfortunately, the pills will not work. You will be referred for a vacuum abortion.

If a woman is very worried about pain in the lower abdomen, she may be prescribed no-shpu. Aspirin should not be taken. For nausea, you can take Cerucal. It has an antiemetic effect by blocking receptors. The maximum concentration of the drug is reached after 30 minutes. The half-life is 5 hours. Adult dose - 10 mg 3 times a day. Side effects are possible: headache, fatigue, fear, tachycardia, pruritus. Contraindications: individual sensitivity, intestinal obstruction, epilepsy.

Recovery after medical abortion

Recovery after medical termination of pregnancy should include a number of activities. Abortion is a serious injury, no matter how it is carried out. After a medical abortion, pay special attention to yourself for 2-3 months. Don't lift weights. Ask your family members to help you clean up. The gynecologist can prescribe you procedures, gynecological massage. Be sure to visit the physiotherapy room if the doctor has advised you to do so. After an abortion, vegetative-vascular dystonia and nervous disorders can progress. Avoid stress and colds - medical abortion weakens the body's defenses. Of the water procedures, only showers are allowed for the first month and a half. Prevent constipation. Change your underwear regularly. For the first month, exclude significant power loads, sports. You can have sex after the first period after an abortion. Mifepristone is incompatible with alcohol intake. We also recommend a mammogram.

Sex

Medical termination of pregnancy, since 1999, was done by every second woman. Alas, these are statistics. A small number of women do not have abortions in their lifetime. Bloody discharge after that lasts another two weeks. At this time, of course, you need to abstain from sex. The risk of inflammation increases if this recommendation is not followed. The same goes for intimacy during menstruation.

Pregnancy

It is advisable to plan pregnancy after medical termination of pregnancy no earlier than 3 months later. An earlier pregnancy has a higher risk of complications. Medical termination of pregnancy in 95% does not affect the further possibility of conception, you can become pregnant in the next cycle, so take care of contraception. After a medical abortion, immunity is often impaired, so if you do not restore the body, you can pick up some kind of infection during pregnancy. Menstruation after medical termination of pregnancy Menstruation after medical termination of pregnancy is normally restored immediately. A delay of up to 20 days is considered normal. But in 70% of women they come on time. With severe cramping pains during menstruation after a medical abortion, you need to consult a doctor - this happens if the embryo is not all out.

In Kiev, you can contact the URO-PRO medical center. Medical termination of pregnancy is done at a period of 5-6 weeks. Another visit will be needed in 2 days. During these days, bleeding begins. After 16 days, a control ultrasound is done.

You can also make a pharmacist by contacting the Kiev clinic "Demetra" (Poznyaki district). It also performs colposcopy of the cervix and preventive examinations of women at affordable prices, treatment of STDs, menopause, menstrual disorders. Remember that with a latent course of diseases there are no pronounced symptoms, such as bleeding and pain in the lower abdomen. Regular check-ups help to avoid serious illnesses, incl. oncological. Cancer never develops on healthy tissue.

The center performs 300 types of tests. Here you can comfortably undergo rehabilitation after a medical abortion, get psychological help if necessary.

The Atlanta Medical Center is also located on the left bank of the Dnieper in Kiev. Here you can undergo a medical termination of pregnancy in the early stages (6-7 weeks). Also, the center treats sexual infections, gynecological and venereal diseases, conducts gynecological and general massage.

In the clinic "Clinic Doroslikh" on Lepse Boulevard in Kiev, you can make a medical termination of pregnancy by affordable price 1200 UAH (ultrasound included). Here you will find understanding. Gynecologists of the center know that a woman of any age is not 100% immune from unwanted pregnancy, even if she takes contraceptive measures. A medical abortion performed by an experienced gynecologist will not affect your health in any way. The procedure will take place according to all the rules prescribed in the protocol of the pharmacist. The medical abortion clinic uses the long-established, reliable and effective drug Mifepristone. It is well tolerated by women. After graduation spotting You will definitely have to go through the control ultrasound again.

Worked well too medical Center"Vemar" on the street. N. Bazhana (Kiev). This is where medical abortion is performed. early term- up to 42 days from the 1st day of menstruation. The normal size of the uterus, the absence of an embryo on ultrasound and discomfort during the follow-up examination indicate a successful medical abortion. The doctors of the clinic do their best to minimize side effects. Gynecologists of the center also treat colpitis, vaginitis and inflammation of the uterine appendages, polyps and endometriosis. The urologist of the center provides assistance in the treatment of kidney diseases and Bladder, as well as inflammatory diseases of the prostate and sexual disorders in men.

As you can see, the choice of medical clinics that provide medical abortion is wide. The method of medical abortion is called by WHO as the most gentle for women's health.

Having an abortion is a very difficult decision in the life of every woman. Nowadays there is a huge variety, but none of them guarantees one hundred percent reliability. Therefore, sooner or later, the representative of the weaker sex is faced with the fact of an unwanted pregnancy. If she is married, she can afford to give birth to a baby, if not, then she must weigh everything well many times.

And often the result of these thoughts is an abortion. He is ordeal for women, because in their hearts each of them wants to be a mother. Such interference worries them because possible consequences complications or risk of further infertility.

How long does a medical abortion take?

Therefore, many representatives of the weaker sex choose medical abortion. It has a not too traumatic effect on the body and allows you to quickly recover. It is very important to determine the time frame in which this procedure can be carried out. It is carried out before the expiration of the forty-second day of the absence of menstruation, or, in other words, until the sixth week of the current pregnancy.

The most optimal period is the fourth week, since the embryo has not yet had time to tightly enter the thickness of the uterine tissue. After the onset of the forty-third day, medical abortion is not performed.

Therefore, a woman has enough time to carefully consider her decision, once again consult with her husband or her partner, who is the father of the unborn child. It is possible that a sad decision can be avoided.

In the event that an abortion is required, it is better to spend this time looking for a suitable clinic that can perform an abortion efficiently and safely. Before this, you need to undergo a complete examination of the body and a detailed consultation with a specialist who will prescribe the drugs necessary for this type of organism.

It is strictly forbidden to carry out this procedure on your own in order to avoid the development of severe complications.

Benefits of medical abortion

Medical abortion has many advantages. These include:

exclusion of damage to the female genital organs during surgery;
low risk of complications;
unnecessary anesthesia;
no threat of introducing HIV or hepatitis viruses;
short recovery period;
exclusion of a strong psychotraumatic situation;
little effect on subsequent reproductive functions of a woman;
the possibility of an early pregnancy.

All these circumstances make medical abortion very attractive for the fairer sex. They do not experience panic fear of surgery, and the rehabilitation period does not imply increased complexity.

Procedure steps

Medical abortion is carried out according to a strictly planned scheme. It includes:

survey;
the effect on the body of the prescribed drug;
support for its action by additional pharmacological substance;
detailed examination by a gynecologist.

First stage includes: ultrasound to determine the timing of pregnancy and exclude its ectopic course, laboratory tests for HIV and hepatitis, smear microscopy for microflora and the detection of the Rh factor. After receiving the results, the specialist conducts a detailed conversation with the patient. He tells her about the course of the procedure, and also informs her about possible side effects and complications. In addition, the doctor identifies contraindications for medical abortion. Then he invites the woman to think for another three days before giving a final answer.

Second phase consists of taking the main drug, the purpose of which is to terminate an unwanted pregnancy. The patient is given a certain dose of the drug and she remains in the hospital for two hours under the supervision of medical personnel. If the condition is stable, then she is allowed to return home.

Third stage begins about 12-48 hours later, when a woman begins to uterine bleeding. It proceeds according to the type of menstruation with similar symptoms. On this day, before breakfast, the lady should drink medicines on an empty stomach, which are based on prostaglandins, which contribute to a significant contractile activity of the uterus. It is at this point that the rejection of the embryo occurs. From the time the discharge begins, it is better for the patient to be under the supervision of a doctor in order to avoid any complications.

Fourth stage, final, consists in the implementation of ultrasound scanning. It is performed approximately two weeks after the abortion. The doctor checks his condition of the woman and makes sure that there is no fertilized egg.

Used drugs

To carry out the abortion procedure, special medicines are used. These include:

Antigestagenic substances, which are based on mifepristone (Mifegin, Mifepristone, Mifolian, Pencrofton);
Medications containing prostaglandin, synthesized on the basis of misoprostol (Misoprostol, Mirolut, Cytotec).

They differ in the strength of their impact and the duration of the effect created. Despite the fact that they do not require a prescription, abortion can only be done under the constant supervision of a specialist. He will tell you everything about the features of the drug used, as well as select the necessary drug.

After using the first type of drugs, bleeding begins almost immediately. Usually it is similar in intensity to that which occurs during menstruation. Sometimes it is weak and ends quickly, while in other women the discharge is plentiful and can last for about a week.

This process is accompanied by uterine spasms caused by the use of drugs of the second type. They are used forty-eight hours after the onset of the first. At this time, some pain may be felt, which is paroxysmal in nature.

Contraindications

Despite the fact that medical abortion is a gentle method, it has a number of contraindications.

diseases of the female genital area;
ectopic pregnancy;
fibroids;
adhesive process;
hematological diseases;
bleeding tendency;
pathologies of the digestive system;
renal dysfunction;
liver diseases;
hypertension;
allergic reactions;
individual intolerance to the drugs used for the procedure;
severe iron deficiency anemia;
conception with an implanted IUD.

These contraindications should be taken very seriously, since such a procedure is not a means of fire contraception, but a serious interference in the activity of the body. It creates a great burden on the endocrine system and on the genital area. Can only bear it healthy person.

Complications

The early ones include negative reactions that manifest themselves over a period of ten days to a month after the procedure. Most often, they are severe bleeding, allergies, inflammatory processes in the female genital organs, infections, damage to the cervix, the formation of a blood clot or embolus. They are adjoined by the situation when, despite all the manipulations performed, it was still not possible to get rid of the embryo.

Late complications make themselves felt about a month after medical abortion. It can be:

diseases of the female genital area;
severe cicatricial changes in the uterus;
polyposis;
adhesions in the pelvis;
endometriosis;
significant failure menstrual cycle;
miscarriages;
difficulties with conception;
with a negative Rh factor, an increase in the possibility of developing an Rh conflict during the next pregnancy;
infertility;
serious metabolic pathologies.

They are caused by a violation of the hormonal background, the reaction of the uterus and ovaries to the strongest drug exposure, significant and prolonged bleeding. Such changes occur due to the fact that the body could not cope with a very large number of administered drugs and multiple dysfunctions arose.

Due to strong contractions and a sharp separation of the endometrium, damage to the uterine mucosa is possible, which can lead to the development of various diseases in the future.

How much does the procedure cost

Medical abortion is a very expensive procedure. Therefore, only those who have a decent amount of money at hand, which they can immediately allocate for it, are able to carry it out.

Mifegin (3800-5000 rubles) and Mifepristone (2000-4000 rubles) are very expensive drugs that can be purchased only in special clinics that set quite high prices for them. The cheapest of this group of medicines is the Chinese analogue of Mifolian, but it will cost at least 1100-2500 rubles. Staying in a day hospital, as well as passing all the necessary laboratory and instrumental studies, becomes very costly.

In general, the cost of the procedure consists of:

conversations with a specialist;
gynecological examination (500 rubles);
two ultrasounds (550-800 rubles for each);
laboratory research (600 rubles);
purchases of pharmacological agents;
abortion (about 14,500 rubles).

All this is going to a pretty decent amount, which not every family can afford, and even more so, a woman living without a permanent partner.

What's next?

After a medical abortion, the body begins to gradually recover. The greatest concern for many of the fairer sex is the full resumption of the menstrual cycle.

When do periods come? If the procedure was carried out successfully, then menstruation will begin at the time necessary for the passage of all its phases, that is, approximately twenty-one days after the end of bleeding. You should not be alarmed when you see a discharge of a single color. They are caused by changes in the hormonal background and temporary thinning of the uterine mucosa.

A woman should carefully monitor the features that have begun. She needs to monitor the color of the blood, the presence of large clots in it, its smell, as well as the intensity and duration of menstruation. Any change in their usual course should be the reason for an urgent appeal to a gynecologist.

When can you have sex? It is impossible to enter into intimate contact with a partner immediately after an abortion. After rejection of the inner lining of the uterus, the organ is an open wound, and if the endometrium is separated too sharply, the vessels and the submucosal layer can be damaged. Therefore, bleeding can drag on for two to three weeks. At such a time and for ten days after the end of the discharge, it is better to refrain from sexual encounters so as not to infect the infection.

For a full recovery after medical abortion, you must follow a number of rules:

you can not lift weights;
nervous tension should be avoided;
daily need to measure body temperature;
after the resumption of sexual activity, it is worth using the calendar method, measuring basal body temperature or interrupted sexual intercourse in order to avoid a strong load on the recovering female body;
for any pain sensations of various localization, you should immediately consult a doctor;
in the presence of uncharacteristic discharge in the middle of the cycle, you should immediately visit a gynecologist;
accidents should be avoided sexual relations to avoid contracting STDs;
overfilling of the bladder should be avoided;
it is desirable to fight constipation;
at least once a day it is necessary to change underwear;
it is better to use natural, free, non-constraining tissues;
twice a day you need to take a shower with careful hygiene of the genitals;
during bleeding, it is undesirable to use tampons;
pads should be taken of medium filling and changed every two to four hours to avoid infection and allow blood to freely leave the uterine space;
swimming in open water, as well as taking a bath is strictly prohibited;
dress strictly according to the weather to avoid overheating or hypothermia.

If you follow all the rules of the rehabilitation period, then the restoration of the activity of the uterus and ovaries will occur quickly enough, and infection can be avoided. To do this, if the slightest dysfunction occurs, you should immediately contact a gynecologist.

Thus, it should be concluded that medical abortion is by far the most modern and most gentle method of getting rid of an unwanted pregnancy. It does not require surgical intervention. Therefore, women do not consider the amount paid for its implementation to be too high.

Its huge advantage is a quick recovery after the procedure and the virtual absence of the development of complications, subject to all necessary rules.

Taking medications is not a big deal, and the patient's condition after that is constantly monitored by a doctor. He controls the entire course of medical abortion, and then monitors the condition of the woman after it. The drugs used are quite powerful, but their effect does not have an irreversible effect on the body. After their complete removal from the bloodstream, the uterus and ovaries gradually begin to function normally.

The reliability of removing a fertilized egg with this method is at least ninety-eight percent.

Clinic service not available

Absolutely safe ways to terminate an untimely pregnancy do not exist in nature, however, it is possible to minimize the risk of complications by conducting medical abortion.

The apparent simplicity of this procedure, the absence of the need for surgery and anesthesia makes many women believe that medical abortion can be performed on their own, without resorting to medical help. However, is this true?

Medical abortion at home - is it possible?

The answer to this question is no. Medical abortion is by no means a 100% guarantee of the absence of complications; if they appear, only a doctor will be able to provide competent assistance to the patient.

What complications are possible

Although medical abortion is indeed the least dangerous means termination of pregnancy, the danger still exists.

Cases of severe bleeding as a result of medical abortion are rare, but still possible;
Approximately 3% of women are at risk of incomplete termination of pregnancy to the end. In such situations, gynecologists use the vacuum aspiration method;
In some cases, the expulsion of the fetus is carried out within a week (this period may be longer), several visits to the doctor will be required;
Drugs can produce a side effect, which manifests itself in the form of diarrhea, abdominal pain, nausea.

Are there any contraindications

Yes, there are a number of contraindications to medical abortion, which is an additional argument in favor of entrusting this procedure to a gynecologist. Only a doctor can exclude the presence of contraindications or identify them:

pathology of the adrenal glands;
ectopic pregnancy;
taking corticosteroids;
severe asthma;
allergic reactions to the elements contained in the preparation;
cardiovascular diseases;
porphyria;
kidney failure;
mechanical means of contraception.

How to prepare for a medical abortion

Before medical termination of pregnancy, the patient must undergo a thorough examination. To do this, you need to go to the reception of a gynecologist. The survey includes:

seat inspection;
determination of the blood group;
Ultrasound of the small pelvis;
Rh factor;
blood test for hCG;
a smear for flora (taken from the cervical canal);
tests for hepatitis C, B, RW and HIV.

After medical abortion

Within two hours after this procedure, the patient should remain under the supervision of the medical staff. 10 days after taking the pills, it is necessary to undergo a gynecological ultrasound examination after termination of pregnancy. It is also necessary to conduct a complete gynecological examination 10 days after the termination of pregnancy. This will make sure that the fetus has left the uterus completely. Of course, in the presence of bleeding and other signs of complications, a gynecologist should be contacted immediately.