Have you decided to have an abortion? Find out about the complications that may arise afterwards. To make the recovery go faster. Menstruation after surgical abortion

[contents h2] In addition to the diagnostic procedure intended to conduct a detailed examination of the tissues of the uterus, curettage is also performed for the purpose of terminating pregnancy. Women are better known and understand the term “abortion,” which often means instrumental curettage of the uterus. If in the early stages it is possible to stop the development of an unwanted pregnancy using more gentle methods, then after 6-8 weeks surgical intervention will be required to remove the fetus and membranes from the uterine cavity.

What is uterine cavity curettage?

Curettage as a method of terminating pregnancy is the most effective existing method. The result of the manipulation is assessed by a doctor on site, in a hospital, and careful mechanical treatment of the organ minimizes the risk of leaving part of the embryo behind.

Indications for curettage and possible timing of its implementation

In addition to a woman’s personal desire to terminate a pregnancy, there are also medical indications for its termination. These include:

– serious illnesses of the pregnant woman herself, exacerbation of serious pathologies (oncology, systemic autoimmune diseases, etc.);

– some viral infections that occurred in early pregnancy;

– incompatible with life or disabling malformations of the fetus.

Time frame for performing curettage

Up to 12 weeks - according to indications or at the request of the pregnant woman.
From 12 to 18 weeks - exclusively for medical reasons. In this case, the operation can be complemented by a number of other procedures to extract the fetus.

How is curettage performed?

Before surgery, a vaginal examination is performed to accurately determine the position, size and shape of the uterus. You will also need to consult an anesthesiologist to find out contraindications to anesthesia and select its method.

Most often, the patient is given instant intravenous anesthesia directly on the operating table, having previously installed a catheter for the possible addition of a portion of the drug during manipulation. In rare cases, abortion is performed using spinal anesthesia or endotracheal anesthesia.

The sequence of actions of the doctor during curettage:

1. Treating the genitals with alcohol or iodine solution.
2. Opening the vagina using gynecological speculum, cleansing the internal genital organs with an alcohol solution.
3. Expansion of the cervical canal by introducing tubes of different diameters (Hegar dilators).
4. Insertion of a curette into the uterine cavity, detection of the fertilized egg.
5. Destruction of fetal tissue by the curette. Additionally, it may be necessary to use an abortion forcemer, which easily grasps the fetus. This tool is used especially often during late pregnancy (13 weeks or more).
6. Removal of the fetus whole or in parts.
7. Curettage of the mucous membrane of the uterus and the remaining membranes of the fertilized egg until the walls of the organ are smooth.
8. Retrieving instruments.
The success of the operation is determined by the cessation of bleeding and the appearance of bloody foam.
9. All parts of the fruit are placed in a tray to confirm its integrity and complete removal.
Operations controlled using ultrasound sensors are considered more successful and faster. An examination using ultrasound or a hysteroscope is also required after surgery to avoid complications.

How to prepare for the procedure?

In order for curettage to take place without unpleasant complications from the gastrointestinal tract, you should not eat 12 hours before the operation (especially if it is performed under general anesthesia). You should also empty your bowels and bladder immediately before the procedure, perform a cleansing enema at home, and carefully shave your pubic and perineal hair.

To perform curettage, you will need a consultation with an anesthesiologist and a number of tests and studies:

1. Gynecological examination.
2. Smear for oncocytology.
3. Smears for infectious diseases of the genital area to exclude infection of the appendages during surgery.
4. Ultrasound of the uterus to determine the gestational age and the location of the fertilized egg.
5. Tests for HIV, hepatitis B, C, syphilis.
If STI pathogens are detected in smears, a course of intensive therapy is carried out before the abortion to eliminate the disease.

What discomfort might a woman experience?

If the operation is performed under general anesthesia, pain is completely eliminated. Nowadays, private and municipal clinics do not practice operations with local anesthesia with lidocaine, which was previously the norm.

After curettage, pain often occurs, which is associated with the contraction of the uterine walls to their original size. The pain is aching or characterized by mild cramping attacks, similar to the sensations during menstruation. Only a small percentage of women need medication to relieve discomfort; for the rest, it does not exceed that during menstruation and lasts 1-5 days.

Signs of bleeding often appear, which normally ends quickly. Sometimes pain in the mammary glands develops - the result of changes in hormonal levels, which can be potentially dangerous due to the occurrence of mastopathy and fibrocystic pathologies.

Possible complications

Unfortunately, many women experience various complications after instrumental abortion. Among the primary, or early complications, the following are distinguished:

The most dangerous life-threatening consequence is uterine perforation(perforation). It can occur when curettage is performed by an unqualified doctor in the form of mechanical damage to the walls or their thinning due to the removal of an excess layer of mucosal tissue during surgery. If the contents of the uterus penetrate the peritoneum, there is a high probability of peritonitis and death. Perforation of the uterus often becomes the reason for its emergency complete removal.
Damage to the cervix abortion instruments. Threatens infertility or problems with subsequent pregnancy.
Bleeding. Instrumental abortion is especially dangerous for women with bleeding disorders. In this case, continuous bleeding can lead to anemia, fainting and even death. Excessive bleeding after curettage is a reason to sound the alarm. After numerous curettages, bleeding may intensify while still on the operating table, which is often an indication for blood transfusion and removal of the uterus.
The consequence of abortion is often genital infection due to the penetration of pathogenic bacteria onto the wound surface. An infection can be suspected by prolonged aching pain, unpleasant-smelling discharge, and also by an increase in body temperature. They can be symptoms of endometritis, salpingitis and even thrombophlebitis of the uterine vessels.
Leaving part of the fertilized egg in the uterus. A rare complication, but one that occurs in medical practice. It manifests itself as pain, putrefactive discharge, inflammation of the uterine tissue and requires an urgent repeat abortion.
Proliferation of placental remnants that have not been deleted. The pathology is typical for curettage in late pregnancy and is very serious. Treatment is only surgical.
In addition to early disturbances in the body that appear in the first weeks, there are also late complications of curettage. You can expect them even years after an abortion, since they are caused by trauma to the walls of the uterus and severe hormonal disruption in the woman’s body. These include:

• Chronic inflammatory diseases of the genital area and the problems they cause with bearing a fetus in the future.
• Adhesions in the fallopian tubes (potential risk of infertility or ectopic pregnancy due to tubal obstruction).
• Habitual miscarriage, miscarriages due to damage to uterine tissue.
• The need for a caesarean section in subsequent pregnancies, which is associated with deformation of the cervix during an abortion.
• Endocrine pathologies, mastopathy, breast tumors.
• Uterine fibroids, endometrial hyperplasia, ovarian cysts.
• Disruptions in the menstrual cycle, prolonged absence of menstruation.
• Menstruation after curettage

Bleeding of the uterus is observed until the integrity of all vessels damaged during abortion is restored. It is believed that normal vaginal bleeding lasts up to 3-10 days.

Since the day of abortion in terms of the menstrual cycle is its first day, menstruation should occur 21-32 days after the operation. If their signs are not observed even after 40-45 days, you should consult a gynecologist. Amenorrhea is one of the symptoms of damage to the deep layers of the endometrium or serious hormonal imbalances.

They often become irregular. Thus, for women who have given birth previously, the period of complete recovery of the cycle can take 3-4 months, while for nulliparous women it can take up to 6-7 months. Many people also note severe pain in menstruation, or excessive profuseness. Hormonal therapy, which is prescribed only after passing the necessary tests, can help to rehabilitate faster.

Sex after scraping

Sexual relations after an instrumental abortion are prohibited for a period of 3-4 weeks. A traumatic operation leads to severe damage to the tissue of the uterus, so the vulnerability of the genital organs to infectious particles increases. Sex immediately after an abortion is strictly excluded: this can serve as an impetus for the resumption of bleeding. Ideally, you should resume sexual activity after the onset of menstruation.

Pregnancy after curettage

Irregularity of the menstrual cycle is one of the reasons for repeated unwanted pregnancies. In this regard, careful protection after curettage is necessary. More often it comes down to barrier contraception or taking hormonal drugs. Planning offspring immediately after an abortion is a rash step: the genitals have not had time to recover, and the uterine tissue and hormonal system are still in a depressed state for a long time, so the risk of miscarriage or premature birth is very high. The optimal time for subsequent conception is six months after curettage.

Failure to conceive is a common complication of abortion, which is caused by inflammatory diseases and adhesions. Moreover, the likelihood of infertility increases with the number of operations performed. It has been established that up to half of cases of inability to have offspring are caused by abortion, so you should think carefully before deciding to have the uterus curetted.

Lifestyle after curettage

To avoid serious complications, you should follow some rules in the postoperative period:

– in winter, dress warmly, do not let your feet get cold, and do not get exposed to drafts;

– strictly monitor the hygiene of the genital organs;

– limit physical activity to avoid the risk of bleeding;

– do not swim or take a bath for at least a month;

– monitor the general condition of the body, especially the increase in body temperature (if you have a prolonged low-grade fever or develop a fever, consult a doctor immediately);

– visit the gynecologist at the time indicated by him;

– If you feel unwell or have persistent pain, also consult a doctor.

A qualified doctor will recommend measures for rehabilitation after curettage. Medical methods to prevent complications include antibiotic therapy, as well as instrumental examinations of the uterus 2 and 6 weeks after the abortion. The condition of the mammary glands should also be checked within six months.

Often, a gynecologist prescribes hormonal medications, vitamins, herbal medicine, physical therapy, and special uterine massage. A woman should eat well and properly in order to quickly restore strength after surgery. Many people who have had an abortion require increased care and attention, and even the help of a psychologist, which should not be neglected by the women themselves and their loved ones.

Medical abortion is a convenient way to terminate a pathological or unwanted pregnancy in the early stages. However, if the procedure is performed incorrectly, there is a risk that fragments of the embryo will remain in the uterine cavity, which will inevitably lead to serious complications, accompanied by bleeding and severe pain.

COST OF ABORTION IN OUR CLINIC IN ST. PETERSBURG

What is an incomplete medical abortion?

Pregnancy during pharmabortion is terminated by taking special medications.

If the outcome is favorable, the fertilized egg is completely released with menstrual flow. With an incomplete abortion, the pregnancy progresses further, or complete cleansing does not occur - not all fragments of the membranes come out of the uterine cavity. In this case, the contents of the uterus are removed urgently, since the remaining biological tissues decompose, creating favorable conditions for the development of pathogenic, dangerous microflora.

In order to identify the problem in a timely manner, you need to attend an ultrasound scan at the appointed time after the procedure and then visit a gynecologist after another 2 weeks. If there is something left in the uterus, cleaning is carried out by vacuum aspiration, less often by curettage. According to statistics, the frequency of incomplete tablet abortion at up to 9 weeks is 0.4%.

Common causes of incomplete abortion

The following factors may result from the incomplete expulsion of the embryo from the uterine cavity:

• errors in the abortion procedure;
• incorrectly selected medications - often women take only one drug, forgetting about the second;
• violations in the dosage of the drug - this happens during a home abortion;
• hormonal imbalances;
• late stage of pregnancy - therefore it is necessary to undergo an ultrasound to determine the timing, and only then take abortion pills;
• inflammation;
• food poisoning, in which some of the medicine could be vomited.

Medical abortion is performed in the early stages, up to 6 weeks, exclusively under the supervision of a gynecologist. Termination of pregnancy performed in this way later increases the risk of serious complications several times.

This is why pill abortion drugs are not commercially available. Taking pills incorrectly is a direct threat to a woman’s health and life.

Symptoms of incomplete medical abortion

Signs of an incomplete abortion may appear immediately or after a few days. A woman may feel discomfort in the lower abdomen. The pain is nagging, cramping in nature, occurs acutely, taking painkillers gives a temporary effect. Unfortunately, these symptoms are often considered the norm: women think that this is how it should be after taking the pills.

Other symptoms indicate an incomplete miscarriage:

• heavy vaginal bleeding;
• heat;
• increased pain during sexual intercourse;
• chills, weakness;
• pain radiates (gives) to the sacrum and perineum.

Against the background of prolonged bleeding, dizziness appears, the pulse quickens, and sweating increases. Fragments of placental or embryonic tissue, decomposing, lead to disruption of the microflora and the proliferation of pathogenic bacteria.

Over time, the signs become more vivid, they are joined by:

• soreness in the perineal area;
• serous discharge;
• itching, burning of the genitals;
• joint weakness;
• irritability, nervousness.

During the examination, the doctor conducts instrumental diagnostics and is based on laboratory findings. A transvaginal ultrasound of the uterus is required to detect blood clots and remains of embryonic components. Blood and urine tests confirm the developing inflammatory process.

Necessary procedures

If the diagnosis of “incomplete abortion” is confirmed, the remains of the fetus are urgently removed. Modern medicine allows you to do this in several ways.

If the problem is detected on days 5-7, drug therapy will help, consisting in taking drugs that provoke rejection of pathogenic tissues.

Vacuum aspiration is prescribed when more than two weeks have passed since the abortion. The procedure is painless, short, performed under anesthesia, and involves sucking out the remains from the uterine cavity.

Surgical curettage is performed under general or local anesthesia. The operation lasts 30 minutes, after which the woman recovers from anesthesia in the hospital room. The gynecologist prescribes hormonal testing and antibacterial therapy.

Pregnancy after incomplete abortion

Medical termination of pregnancy is the safest abortion, but it also has consequences, since it is a violent intervention in the physiological process.

Women, especially those who have had an abortion more than once, should plan the desired pregnancy only after examination, coordinating the timing with the gynecologist. The body needs time to recover (at least six months).

• threat of miscarriage;
• improper attachment of the fertilized egg;
• intrauterine growth retardation.

Childbirth is accompanied by impotence, weakness, and postpartum bleeding. During the postpartum period, infectious and septic complications often occur.

If a medical abortion goes well, it will not cause any significant health consequences.

Komova O. A., doctor of the first category

After childbirth, young mothers often, focusing on the absence of menstruation, mistakenly relying on the contraceptive effect of breastfeeding, are faced with the problem of another pregnancy. In this situation, a woman chooses an abortion, thinking that this is a fairly harmless event, and if an abortion is performed early, then there can be no danger at all. But is this really so?

Abortion is the termination of pregnancy before 22 weeks. Abortions can be spontaneous (miscarriages) or artificial (through surgical or other interventions). Depending on the period of termination of pregnancy, induced abortions are divided into early (termination of pregnancy up to 12 weeks) and late (abortion over 12 weeks). Abortions up to 12 weeks are performed at the request of the woman. At later stages, the decision on abortion based on the application of the pregnant woman is made by a commission that takes into account the available indications - medical (threat to the woman’s health, severe developmental defects and non-viability of the fetus) and social (death or disability of 1-2 groups of the husband, large families, lack of housing, status refugee, unemployment, rape, unmarriage).

Medical abortion

The most commonly used drug for medical abortion is MEFIPRIStone (MIFEGIN, RU486). This drug prevents the action of the main pregnancy hormone, progesterone, on the uterus, thereby facilitating its abortion. Typically, MEPHIPRISTONE is used against the background of small doses of drugs that increase uterine contractions and the rejection of the fertilized egg from the body - prostaglandins.

Medical abortion is performed during pregnancy up to 8 weeks and in cases of uncomplicated course does not require surgical intervention or anesthesia. Before undergoing a medical abortion, a woman undergoes an ultrasound examination. Then, after signing the informed consent, the pregnant woman takes 3 tablets of the drug in the presence of a doctor, after which she can leave the clinic. Usually, after 1-2 days, bleeding begins, similar to menstrual bleeding and indicating termination of pregnancy and rejection of the fertilized egg. After a medical abortion, it is recommended to perform a second ultrasound to make sure that there are no residual fertilized eggs in the uterine cavity, which can become infected, cause severe bleeding and other post-abortion complications.

If alarming complaints appear (severe pain, fever, chills, very heavy bleeding with severe weakness, dizziness, malaise, etc.), you should immediately consult a doctor or call an ambulance team. In such cases, surgical intervention is often required - curettage of the uterine cavity, i.e. in essence, performing a routine abortion. As with other medicinal methods, there are a number of contraindications to medical abortion:

• Ectopic pregnancy - it requires only surgical treatment.
• Chronic adrenal insufficiency and severe bronchial asthma, since MEPHIPRISTONE disrupts the action of adrenal hormones, which are also used to treat asthma.
• Infectious and inflammatory processes of the genital tract (to avoid the spread of infection).
• Hemorrhagic disorders (blood clotting disorders) - due to the possibility of severe bleeding. Termination of pregnancy in such cases should be carried out only in a clinical setting under constant medical supervision and monitoring of blood clotting indicators.

In 2% of cases, medical abortion is ineffective - the drug does not cause an abortifacient effect and the pregnancy is not terminated.

Mini-abortion (vacuum aspiration)

This method of termination of pregnancy is applicable only in the early stages (up to 5-6 weeks of pregnancy), when the diameter of the fertilized egg allows it to pass into a vacuum aspirator. A vacuum aspirator is a large syringe with a special nozzle, which is inserted into the uterine cavity to the fertilized egg. The vacuum created promotes detachment of the fertilized egg from the uterine wall. However, the likelihood of incomplete separation of embryonic tissue with this method of termination of pregnancy is very high. Therefore, after a mini-abortion (as with other types of abortion), ultrasound control with a vaginal sensor is necessary. If incomplete abortion of the ovum is detected, additional curettage is required, similar to what is performed with a conventional instrumental abortion. A mini-abortion is carried out against the background of general anesthesia: medicine is administered intravenously, the woman sleeps.

For very short periods of time, it is possible to use a tape recorder (magnetic) cap, which is placed on the cervix. The cap emits a constant magnetic field that distorts all signals entering its field. The connection between the uterus and the brain is disrupted. The pregnancy stops developing and a miscarriage occurs. The magnetic cap is put on by the gynecologist for 9 days. After this period, the doctor removes the cap and inserts tablets into the vagina to help open the cervix. After this, outside the walls of the clinic, an abortion occurs. This method is dangerous due to undetected complications. A cap inserted into the cervix contributes to impaired blood circulation in the cervix and the development of inflammatory processes in the uterus. After termination of pregnancy, ultrasound monitoring is required.

Instrumental abortion (curettage of the uterine cavity)

This is the most common method of terminating a pregnancy up to 12 weeks. Currently, instrumental abortion is performed under anesthesia: more often - using intravenous anesthesia (a drug is injected into a vein, against the background of which instant sleep occurs, “at the end of the needle”), less often - epidural anesthesia or general endotracheal anesthesia (an inhaled narcotic drug is administered through tube into the trachea).

The method of pain relief is determined by the anesthesiologist depending on the patient’s individual indications and contraindications. The cervix is ​​opened with special dilators (tubes of various diameters), then a curette (metal loop) is inserted into the uterine cavity, which is used to scrape the uterine cavity. The risk of complications of instrumental abortion is reduced if, before and after the procedure, ultrasound monitoring is carried out with a vaginal probe and examination of the uterine cavity using a hysteroscope (a special optical device). However, instrumental abortion is a surgical procedure that uses anesthesia, so it is impossible to completely eliminate the possibility of complications.

A rare, but most dangerous complication of uterine cavity curettage is perforation of the uterine wall with penetration into the abdominal cavity. Severe bleeding, peritonitis (inflammation of the peritoneum), trauma to the abdominal organs can cause death.

Early complications after an abortion include bleeding and blood coagulation disorders. Sometimes blood clots accumulate in the uterine cavity due to cervical spasm, which may require repeated curettage.

Consequences of abortion

Even if we leave aside questions about the ethics of abortion, the problem of the consequences of abortion and the harm caused to women's health during abortion is obvious and relevant.

Abortion is the most common cause of gynecological diseases. Complications occur in at least every fifth woman, and in almost half, chronic inflammatory processes in the genital area worsen. Another danger is that abortions performed “on the day of treatment” do not involve any preparation - examination is minimal, if any. At the same time, the procedure itself for terminating pregnancy using any of the listed methods contributes to the development of infectious and inflammatory complications. If during an instrumental abortion performed in a hospital, antibiotics are prescribed, then during medical termination of pregnancy, using magnetic caps, antibiotic therapy is not always carried out. When the infection spreads, inflammatory processes of the uterus and appendages, pelvic peritonitis, thrombophlebitis (inflammation) of the uterine veins or general blood poisoning - sepsis - may develop.

A long-term consequence of inflammatory diseases suffered after an abortion may be the formation of adhesions, including intrauterine (synechias), obstruction of the fallopian tubes, which is one of the causes of infertility; chronic inflammatory processes that disrupt the normal functioning of the female reproductive organs.

Traumatization of the cervix during abortion may subsequently cause its inability to “maintain” pregnancy. Thus, miscarriage, miscarriages or, due to cervical deformation, disruption of normal labor may develop.

One of the most common consequences of an abortion is menstrual irregularity (it occurs in approximately 12% of women), cycles become irregular, and bleeding between periods is possible. The cause of these conditions is, as a rule, neuroendocrine disorders; amenorrhea develops, i.e. lack of menstruation, which occurs as a result of a violation of the restorative ability of the endometrium - the inner lining of the uterus (in case of termination of pregnancy with curettage of the uterus, not only the fertilized egg is often removed, but also traumatization of the deep layers of the endometrium, as well as the muscular layer of the uterus) with subsequent inhibition of ovarian function, which leads to disruption of the menstrual cycle, as well as the development of adhesions in the area of ​​the internal os of the cervical canal due to its trauma.

In the case where a woman who has given birth had an abortion, her cycle can be restored in 3-4 months; If the woman did not give birth before the operation, restoration of all functions may take up to six months or more.

Are there safe abortions?

Why can a pregnancy interrupted even in the earliest stages be a serious blow to a woman’s health? The fact is that from the very beginning, pregnancy causes serious changes, restructuring in many organ systems of the female body, primarily in the central regulatory systems - nervous and endocrine (hormonal). A close functional connection between the maternal body and the embryo appears from the very moment of fertilization. Even before the implantation of a fertilized egg into the wall of the uterus, the development of the embryo is influenced by hormones: estrogens, progesterone, prostaglandins and other biologically active substances. They also prepare the inner layer of the uterus - the endometrium - for embryo implantation. Under the influence of hormones and biologically active substances, a gradual restructuring begins in the entire body of the expectant mother, especially pronounced in the so-called hormonally dependent organs: mammary glands, ovaries, uterus, external genitalia.

Any external intervention leading to termination of pregnancy causes a sharp hormonal disruption in the woman’s body. This explains the unsafety of abortion performed even at the shortest term. A significant discrepancy in the functioning of the central nervous and endocrine systems, caused by external interference, disrupts the normal functioning of the endocrine glands: pituitary gland, thyroid gland, ovaries, adrenal glands - and contributes to the occurrence of nervous disorders of varying severity: exacerbation of autonomic dysfunction, mental disorders, sometimes with the development of depression, neuroses, etc.

Medical abortion cannot be considered absolutely safe - there are no such methods, since any abortion disrupts the normal process of pregnancy and roughly interrupts the beginning of the hormonal changes in the woman’s body preparing to bear a child. Of course, the shorter the pregnancy, the less pronounced all the changes, but do not forget that hormonal changes begin immediately from the very beginning of pregnancy - fertilization of the egg.

Therefore, even after a medical abortion, the risk of developing diseases of hormonally dependent organs (breasts, ovaries, uterus) increases, and the likelihood of the formation of benign and malignant tumors of these organs increases. In addition, being an antihormonal drug, MEPHIPRISTONE can cause serious disruption of the endocrine system, which can subsequently cause endocrine infertility.

Among the long-term consequences of abortion are various hormonal disorders, including diseases of the thyroid gland, the pituitary gland - the central regulator of the endocrine system; gynecological pathology: endometriosis, ovarian dysfunction, chronic endometritis, salpingo-oophoritis (inflammatory process in the fallopian tubes and ovary), infertility. In subsequent pregnancies, a previously performed abortion can provoke Rh conflict - a condition in which antibodies to the red blood cells of the Rh-positive fetus are formed in the body of a Rh-negative mother.

The fact is that if during a pregnancy that ended in abortion, a certain portion of antibodies has already been developed, then these antibodies begin their detrimental effect on the fetus’s body and during a subsequent pregnancy with an Rh-positive fetus, others are added to them, that is, the antibodies accumulate. The more antibodies, the more serious the effect they can have on the fetus.

So, if pregnancy occurs soon after childbirth, remember that there is no such thing as a safe abortion. An abortion is a serious blow to a woman’s health and the price to pay for a careless attitude towards contraception and the prevention of unwanted pregnancy. Even with good subjective tolerance, abortion can cause serious long-term consequences, including tumor processes and incurable infertility. Meanwhile, a second pregnancy will bring you new happiness - a second (and maybe third) child.

Abortion is always stressful: physical, emotional and hormonal. It is difficult to say exactly when menstruation begins after an abortion. They are often absent for some time. If it lasts a couple of months, there's nothing to worry about. If the recovery process stretches over a longer period, you need to think about it and visit a specialist as soon as possible.

How does abortion affect your cycle?

For some, another negative pregnancy test is a real tragedy. But not all women are happy if the mini-test shows two stripes. Sometimes a decision is made to terminate the pregnancy. It can also be frequently interrupted for medical reasons. The body's reaction to an abortion can be unpredictable. But the fact that it always exists is a fact.

Temporary disturbances also affect reproductive function. There is a disorder in the balance of sex hormones, namely they are responsible for the onset of menstruation.

If there are no periods after medication or other interruption of the gestational period, this is a serious reason to consult a doctor.

During an abortion, the inner layer of the uterus is injured, the fertilized egg is suddenly removed and a sharp hormonal change occurs. The menstrual cycle is temporarily disrupted, hypomenorrhea develops, and there are atypical spotting or excessive bleeding.

A sharp hormonal change causes a long recovery of menstruation, sometimes this process takes up to six months.

In other cases, recovery occurs quite quickly. How long this process will take depends on many factors: the type of abortion, the quality of the operation performed, gestational age, etc.

Medical abortion in the early stages is done in several main ways - medications, vacuum and medical instruments. The latter is the classic method and is used most often. True, among other methods, curettage is the most traumatic and dangerous due to its negative consequences.

Medical abortion involves terminating a pregnancy with special hormonal drugs. During vacuum manipulation, a pump is used, with its help the endometrium and fertilized egg are removed.

Menstruation after vacuum abortion

After a mini-abortion, the cycle report begins on the day of the manipulation. This does not mean that critical days will begin this very second. There will be discharge, but it is a sign of the impact on the uterus and its healing. Characteristics of discharge after vacuum abortion:

• duration 5–10 days;
• blood inclusions of the corresponding color;
• moderate pain as during menstruation;
• a small amount of discharge, gradually fading away.

It is important that the discharge does not emit an unpleasant odor. Itching and burning should normally be absent. An increase in temperature is a bad sign; this indicates the development of an inflammatory process or infection that disrupts the recovery period. In this case, you will have to wait six months or longer for your period.

If there are no additional complications, rehabilitation goes much faster, and the female body recovers well. Your period comes after about a month. The acceptable delay is no more than 1.5 or 2 months.

To make recovery go faster, after abortion, experts advise giving up bad habits, following a diet with minimal coffee consumption, getting proper rest, not overexerting yourself with excessive physical activity, and avoiding stressful situations.

How quickly your period begins after a vacuum abortion depends on whether the woman has already given birth. If this was to be a second birth, the process may take longer.

Menstruation after surgical abortion

Reviews indicate that such abortions are painful. Curettage violates the integrity of the uterus (its walls bleed) and contributes to vascular damage, so bleeding is an invariable companion to such a serious intervention.

The day of curettage is the first day of a new cycle. This is where the report should begin.

After a surgical abortion, menstruation may occur on the 30-35th day. The duration of the cycle will gradually decrease and will soon return to normal.

At the very beginning after the operation, the woman will suffer from bleeding. Do not be alarmed if the first menstruation occurs with some deviations. It may be scanty discharge or, conversely, too abundant. All this is the cause of hormonal imbalance. You can restore hormonal levels with birth control pills, but you can only take them on the advice of a specialist, because such medication provokes the development of serious complications.

Menstruation after medical termination of pregnancy

When will I get my period after pharmaabortion? New reports are starting. Most often, bleeding appears a couple of days after taking the pill to cause a miscarriage. At first the blood flows sparingly, then it increases. You need to understand that when there is heavy bleeding, the egg is released. After a medical termination of pregnancy, your period comes late the next month.

Nuances of recovery after medical abortion:

• slight delay (considered normal up to 10 days);
• recovery within 6 months.

This situation is normal. If the deviations are too obvious, periods are very scanty or, on the contrary, heavy, there are other pathologies, there is no need to postpone a visit to the doctor. Menstruation after a medical abortion returns to normal within 28-40 days. Until then, the cycle will be delayed.

After an abortion with medications, this process must be controlled using an ultrasound machine, and if there are no deviations, the manipulation is considered successful.

After medical termination of pregnancy, how long do menstruation last? Uterine bleeding after a pregnancy has been terminated tends to last a week, sometimes longer. A bloody mass with clots is a miscarriage. When menstruation begins after a medical termination of pregnancy depends on the body and the recovery period.

To make recovery faster

Restoring the menstrual cycle after an abortion is a long process, and it must be approached with all responsibility. It is impossible to predict the occurrence of complications. They can start from any type of abortion. Therefore, every woman after the procedure should carefully monitor her well-being, listen to her body and pay attention to any unusual condition, and not expect that everything will go simply and smoothly. If you do not follow the prevention, recommendations and instructions of the gynecologist, you can provoke the development of inflammation and infection, which is fraught with much more complex and dangerous pathological processes. Without paying attention to them, you may not get pregnant again in the future.

Delay after abortion

Sometimes there are no periods for a very long time. This cannot be ignored. To avoid problems, you should definitely go to a consultation and ask your doctor why there are no periods after an abortion when the pregnancy is terminated.

Drug treatment

You cannot self-prescribe medications; only a doctor can do this, because complications are possible. Medicines are prescribed on an individual basis, taking into account all the characteristics of the body, the intervention performed, complications and other important factors. In order for the restoration of menstruation after an abortion to occur more quickly, after the manipulation the woman must take a course of medication, which includes:

1. Antibiotics. They are necessary to prevent infection. Take it for about a week.
2. Vitamin complexes with antioxidants. Helps maintain the body and help it recover.
3. Painkillers. In addition to relieving pain, they also accelerate contraction of the uterine cavity and prevent the development of bleeding.

Traditional medicine for restoring the cycle after an abortion

How to restore a cycle after an abortion? Many, trying to find the answer to this question, turn to alternative medicine and folk remedies. One thing is important - they should not become the main thing in the therapy process. But they can be used as an additional treatment to speed up recovery.

The boron uterus is most often used. A tincture is prepared from the herb. With its help, the menstrual cycle is restored. The medicine also helps relieve inflammation and improves the functioning of the genitourinary system. Many women who terminated their pregnancy and used this method noted that their periods came and recovered fairly quickly. If your period is very late, you need to visit a doctor.

Psychological factor

Recovery after an abortion (surgical, vacuum, pills that cause miscarriage) before the onset of menstruation is a long process. It goes differently for everyone. Therefore, it is difficult to say exactly when periods begin after an abortion. It is important to adhere to all recommendations and prescriptions of a specialist. Not least important is psychological rehabilitation. This does not mean that you need to immediately make an appointment with a psychotherapist. The support of relatives and close people will help greatly in restoring psychological health (so that your loved one does not walk around in a daze), because they know a woman’s character well and can guess her thoughts. Such support must be given its due, because sometimes it turns out to be the best medicine. To better understand what happens to a woman’s body during this period, relatives can read special articles and comments, stories from the lives of women who went through an abortion. This will help you choose the right words.

Medical abortion leads to hormonal imbalance and the development of inflammatory processes in the uterus. It is extremely important for women to ensure that there are no complications after such a procedure.

What could be the consequences of a medical abortion?

Abortion is a procedure designed to terminate an unwanted pregnancy. Today, the so-called pharmabort is carried out - a non-surgical method, applicable only up to 6 weeks of gestation. Despite taking a seemingly harmless pill to perform a medical abortion, the consequences and complications of the procedure can be extremely serious.

Reviews from patients, as well as the consequences after a medical abortion, are far from ambiguous. The advantages of the procedure are as follows:

Although many doctors say that it is better to perform a medical abortion, there are still consequences for such a procedure. Which? These are severe abdominal pain, vomiting, and profuse bleeding.

How is an interrupt carried out?

Such an abortion does not involve anesthesia or the use of surgical instruments. You just need to take one of the medications: Mifegin, Mifeprexin, Mifepristone. The drug is taken to achieve the following goals:

• blocking endometrial growth;
• rejection of the fertilized egg;
• strengthening the contractility of the uterus;
• active influence on the fetus.

Medical abortion is carried out only under the supervision of a doctor. On the first visit, Mifepristone is taken, on the 2nd visit, two days later, Misoprostol is taken. After taking the pill, the woman should stay in a medical facility for another 2-3 hours to avoid complications. In addition, after 2 weeks you need to appear for a medical examination to check the completeness of the abortion and take a blood test to determine the level of human chorionic gonadotropin in the blood.

It happens that Misoprostol leads to painful sensations in the lower abdomen. This is fine. And although the effectiveness of such an abortion is 95%, some women have to additionally undergo a more unpleasant operation to scrape the uterine cavity if it is not completely cleansed on its own.

• smoke;
• engage in intense sports;
• take non-steroidal anti-inflammatory drugs for 2 weeks.

Before deciding to have an abortion, women need to carefully weigh the pros and cons and think about the consequences. Much depends on following the doctor’s recommendations and the correctness of the procedure.

Contraindications to pharmaboration and complications

Medical abortion is prohibited in the following cases:

According to reviews, many women do not experience any consequences of medical abortion. Although it happens that the fetus is not completely removed, and the following symptoms appear:

• heavy bleeding in the peritoneum;
• pain and cramps;
• addition of infection;
• development of sepsis, which can lead to death;
• heart failure after taking Mifepristone.

Doctors do not make any guarantees regarding the effectiveness of expulsion of the fetus after such an abortion. There can be risks with any intervention. The duration of pregnancy, the characteristics of the female body, existing serious diseases and infectious processes play a big role.

Abortion is permissible up to 7 weeks, and in 95% of cases it is possible to terminate the pregnancy completely.

However, 2% of women undergo repeated scraping or vacuum suction. And 5% of women after pharmaabortion turn to a surgeon for an operation to remove the entire fetus.

If the pregnancy period exceeds 12 weeks, then one tablet can no longer be used. When terminating a pregnancy at this stage of gestation, 8% of women face a surgical abortion after a medical abortion due to incomplete cleansing of the uterus from fetal tissue. Despite the positive reviews, medical abortion can still be dangerous in some cases if the rules are not followed.

Early complications after medical abortion

A gentle, at first glance, and low-traumatic method of getting rid of an unwanted pregnancy can lead to complications due to the persistence of pregnancy hormones in the body even after the birth of the fetus. It is these hormones that can cause the following consequences of medical abortion:

In the future, the woman will no longer have to worry about a new pregnancy, but about eradicating the infectious inflammatory process from the body.

Late consequences of medical abortion

So, drug termination of pregnancy can lead to the following problems in the future:

• heavy bleeding similar to menstruation;
• increase in temperature;
• ovarian dysfunction;
• severe and prolonged abdominal pain, colic;
• development of inflammation in the genital organs;
• spontaneous bleeding due to fetal expulsion;
• hematoma, accumulation;
• allergies, nausea and vomiting;
• increased blood pressure due to incomplete termination of pregnancy;
• development of mastopathy;
• hormone imbalance;
• development of a hormone-dependent cyst.

Today, this method of terminating pregnancy is popular among women, but there can still be severe consequences of medical abortion.

Due to complications, the recovery period can drag on for months if the pregnancy was not completely terminated. If unpleasant symptoms appear, you should urgently consult a gynecologist. If there are no side effects, then you still need to see a doctor after 2 weeks, when your periods should have returned to normal. This time will be considered the first day of the cycle.

With the arrival of the first menstruation, severe painful bleeding may begin, which indicates the presence of fetal particles in the uterine cavity.

Repeated cleaning will be required, after which normal periods will come no earlier than in 1 month. If this does not happen, there will be a delay and you will have to see a doctor. The fact is that after pharma-abortion, a new pregnancy may occur after 2-3 weeks.

Unfortunately, doctors cannot call this method of eliminating pregnancy completely safe. The preservation of reproductive functions is guaranteed, but the appearance of serious diseases in a woman’s body is not excluded. However, the consequences of a medical abortion can seriously undermine women’s health, which is something you need to think about if you are still planning a new pregnancy in the future.