After a medical abortion, various complications can occur, so you should regularly visit a gynecologist and undergo diagnostic examinations.

Discharge and bleeding after medical abortion

After a medical abortion, the woman's body is in a weakened state, immunity decreases, and the risk of infectious diseases increases. In order to prevent the development of complications, it is necessary to monitor the discharge after medical abortion.

The first discharge usually appears 3-4 days after the operation. If the discharge after a medical abortion is yellow or green with an unpleasant odor, then it may be due to a sexual infection.

Brown discharge after medical abortion, which is not accompanied by itching and burning, can last 5-10 days. The color of these secretions is due to the small amount of blood that is secreted from the uterus. Brown discharge with a pungent odor and pulling pain in the lower abdomen can be a sign of endometriosis, which should be treated immediately to avoid pathologies and miscarriage in the next pregnancy.

Minor bleeding after a medical abortion is considered normal after surgery, as long as it does not cause pain and is not heavy. Heavy bleeding may indicate serious complications, endometriosis and the formation of polyps.

Bleeding after a medical abortion can last up to 30 days, which is the norm necessary to restore the functioning of the reproductive system and normalize the hormonal background of a woman.

Discharge after medical abortion, which is yellow in color, may be caused by an accumulation of bacteria (staphylococci, streptococci, E. coli, etc.). Yellow vaginal discharge is often a symptom of sexually transmitted diseases. When the first symptoms occur, you should immediately take a smear for infections of the genital organs.

Medical abortion is the safest method of terminating a pregnancy according to World Health Organization standards. But after medical abortion, as well as after surgery, there are certain consequences. They arise due to the action of the drug Mifepristone, which is aimed at removing the response of the uterus to progesterone and rejection of the fetal egg. The uterus is intensively reduced, and the fetus comes out of it with the endometrium. After 2-3 days, you can accurately determine whether the abortion has occurred or not. Taking prostaglandins allows you to complete the abortion.

Minor discharge and pain after a medical abortion is a normal reaction of the body. If severe bleeding, headache and dizziness occur, severe weakness and nausea appear, then it is necessary to take a horizontal position and immediately call a doctor.

Recovery of the body after medical abortion

After a medical abortion, a long-term recovery of the body and the elimination of the negative consequences of this intervention are necessary. If the period of termination of pregnancy is short, then the body recovers faster, and serious rehabilitation is not required.

Within 3-4 weeks after a medical abortion, you must follow the basic rules:

• exclude sexual activity for 30 days to avoid bleeding, mucosal rejection and infection;
• exclude physical activity, sports training and warm-ups so that the muscles are at rest;
• observe personal hygiene;
• adhere to proper nutrition without harmful products, additives and preservatives;
• exclude the use of alcoholic beverages.

After a medical abortion, the main recovery is aimed at the hormonal and immune systems, so a course of hormonal drugs, vitamins and restoratives is required.

Video from YouTube on the topic of the article:

Consider the optimal timing for fertilization after medical termination of pregnancy, when you can get pregnant with maximum benefit for yourself and the health of the unborn baby.

Features of the interrupt process

Pregnancy is a beautiful mystery of nature that brings the joy of motherhood into a woman's life when she is expected. But in life sometimes unpleasant events happen, or diseases, such as rubella, tuberculosis, cancer, and others, when this process has to be interrupted with the help of an abortion.

Then the least traumatic for a woman's health is the drug effect on the uterus, which causes rejection of the fetus and leads to an artificially induced spontaneous miscarriage. However, any abortion involves the risk of preserving childbearing function in the future, so the possibility of becoming pregnant after medical termination of pregnancy worries many.

In order to understand this issue, let's take a closer look at this procedure and its effect on a woman's body. It is carried out at 5-7 weeks, but not more than 8, that is, up to 49 days, after an ultrasound scan to exclude the possibility of an ectopic pregnancy and only in a hospital under medical supervision. Since bleeding is a very common complication, if it cannot be stopped with medication, a surgical method (curettage) is used.

Drug for medical termination of pregnancy

Doctors use the drug Mifepristone or its analogues. It is available in tablets and is taken strictly according to the doctor's prescription and under his control. This remedy inhibits the production of progesterone, which is why the fetal egg, without receiving its support, is rejected from the endometrium. After taking these pills, bleeding begins after 1-3 days and the pregnancy is terminated.

Be sure to show ultrasound on the 8-15th day to confirm the miscarriage.. In some cases, when the effect of the drug did not bring the desired result, a vacuum removal of the fetal egg is done.

These pills have side effects:

• bleeding is possible;
• exacerbation of inflammatory diseases of the female genital area;
• headache;
• lower abdominal pain;
• nausea.

Smoking women over 35 should not take pills. Also called contraindications:

• hypersensitivity to the drug;
• severe kidney and liver diseases;
• cardiac arrhythmia and hypertension;
• ectopic pregnancy.

Is it possible to get pregnant after medical abortion

After the manipulation, women are concerned about the question of whether it is possible to get pregnant immediately after medical abortion, what consequences are relevant for them and how long the recovery period takes.

Experts say that this method differs from the surgical sparing effect on the uterine mucosa. Therefore, the next ovulation can occur immediately, since the ovary, perceiving this intervention as a new cycle, begins to grow the next follicle and conception can occur already in the first cycle.

Recovery period

However, any impact on the reproductive system causes injury to the entire body. It will take a certain period of time to bring the full function of the genital organs back to normal. According to the study, a woman's reproductive system returns to a healthy state within 6 months after such a stressful situation. That is how many doctors recommend to refrain from conception, using contraceptives during this time period.

Then you need to visit your gynecologist, undergo a preliminary examination. If necessary, do an ultrasound. Be sure to donate blood for hormones to make sure that their balance is restored and not disturbed.

An analysis for urogenital infections will also not be superfluous, since after an abortion a favorable environment is created for the growth and development of microbes that cause them and have a bad effect on the developing embryo.

Is it possible to get pregnant after medical termination of pregnancy before 6 months without worrying about the consequences, it is difficult to answer. Each organism is individual, therefore, the normalization of the hormonal background occurs in everyone in its own way. For some, hormones take on their natural value already in the first cycle. For others, it takes months before their equilibrium is established. It all depends on the ability of the female genital organs to recover, having survived this artificial introduction into their usual working rhythm.

A lot happens in life, and sometimes you have to get rid of an unwanted pregnancy. For a woman's body, this is the strongest stress that cannot pass without a trace. Most often, the abortion procedure violates the hormonal background, which leads to a menstrual cycle failure. This is primarily manifested by the fact that there are no periods after an abortion. What are the reasons for this state, what to do, we will consider further.

Varieties of abortion

There will definitely be consequences for the body after an abortion, but the severity also depends on its type. Abortion happens:

After each type of abortion, the recovery of the body occurs at a different speed, therefore, when menstruation begins after an abortion, it will also depend on this.

Recovery after an abortion

Many factors influence how soon a woman's body returns to its previous course:

When do periods start after an abortion?

Serious consequences are possible with any abortion, if menstruation did not come on time, then we can assume that the first consequences are already evident. But the question arises of how many days after the abortion, menstruation should come.

If the termination of pregnancy was carried out on time, that is, up to 12 weeks, then it takes 4-5 weeks to recover. During this period, the absence of menstruation is considered the norm. Abortion for medical reasons for up to 22 weeks requires a longer recovery, so when asked how long after an abortion menstruation begins, the doctor will answer that menstruation may be absent for up to 2 months.

If the periods are absent for longer than the agreed time, then it is worth visiting a doctor and finding out the reason.

No period after miscarriage

The absence of menstruation after an abortion can be caused by a number of reasons:

If there is no menstruation after an abortion, then you should urgently visit a doctor to find out the cause and take the necessary measures.

Duration of menstruation after abortion

After a gross intervention in the hormonal background of the body, not only the time of the onset of menstruation can change, but also its duration. When asked about what menstruation after an abortion, gynecologists often answer that they are practically the same as before. The duration is usually 3-5 days, but some reasons may affect the time frame, among them are:

• Too long recovery of hormonal levels.
• Abortion with complications, for example, the remains of particles of the fetus in the uterus.
• Damage to the endometrium of the uterus during curettage.

Each woman's body is individual, so what is considered the norm for one, for another will already be a deviation.

Menstruation after medical abortion

Termination of pregnancy by this method is carried out in the presence of a doctor. Medicines provoke bleeding, along with which the exfoliated fertilized egg is released.

If everything went without complications, then menstruation comes according to the established schedule, the day of the abortion is considered the first day of the cycle. Some women noted a slight delay, but most often this occurred when they had an irregular cycle before the procedure.

If menstruation does not come after 40 days, then there is a reason to visit a doctor. Moreover, you should not postpone the visit if menstruation has come, but is too plentiful, or the following symptoms are observed:

• Heat.
• Vertigo with nausea.
• Cramping pain in the lower abdomen.

Although medical abortion is considered the most gentle for the body, it is impossible to predict everything.

The onset of menstruation after a vacuum abortion

You can terminate an unwanted pregnancy in this way up to a period of 7 weeks, better, of course, up to 5, so that there are fewer complications and the procedure goes well.

Menstruation will return to normal after interruption in 30-45 days, in intensity they should not differ from normal menstruation. There may be a delay, but not more than 2 weeks. If more time has passed, and there is no discharge, then you should not look for an answer to the question of how many periods come after an abortion, but it is better to rush to the doctor.

Many gynecologists note the unpredictability of this method of abortion in terms of the timing of the arrival of menstruation. In young girls who have not yet given birth, her absence can be observed for several months, for those who have given birth, the rehabilitation period is sometimes delayed by 3-4 months.

Instrumental abortion and menstruation

Most often, getting rid of unwanted pregnancy is carried out in this way. A woman is so addicted to problems and work that she forgets when she last had her period, and when she remembers and visits a doctor, it is too late to do a vacuum interruption or medication.

You can get rid of pregnancy before the period of 22 weeks. After surgery, bleeding can occur up to 5 days, since in this case the uterine mucosa is severely injured. After a surgical termination of pregnancy, menstruation should normally come in 30-45 days.

If this does not happen, then the reason may lie in the following:

• A woman has such a feature of the cycle.
• The age of the patient.
• A hormonal imbalance has occurred.
• There are complications.
• History of gynecological problems.

Menstrual flow should not have an unpleasant odor, be accompanied by pain, otherwise it indicates the presence of an infection.

Symptoms of a hormonal failure

Most often, if there is no menstruation after an abortion, then this is evidence of a hormonal failure. It is important to consult a doctor for effective treatment. If the symptoms are skipped, then the development of fibroids, breast or ovarian cysts, or other gynecological pathologies is not excluded.

The term of the abortion plays one of the important roles, the longer it is, the more serious the complications can be. You can recognize the presence of a malfunction in the hormonal system by the following signs:

If the listed symptoms are present, then it is not necessary to delay the visit to the doctor. In the absence of the necessary treatment, the condition will only worsen.

What to do in the absence of menstruation after an abortion

Most doctors are inclined to believe that a violation of the cycle after an abortion is the norm, the body has experienced severe stress, it needs to recover. In addition, each woman recovers at her own pace. Of great concern to gynecologists are diseases of the reproductive system that have developed after an abortion, for example, fibroids or polycystic disease.

With a prolonged absence of menstruation, it is necessary to visit a doctor who, after an examination, will prescribe effective therapy. It implies:

• Examination on a gynecological chair.
• Blood test for hormones.
• Pap smear to rule out infection.

A timely appeal to the doctor will quickly eliminate the consequences of an abortion.

Complications after an abortion

The fact that abortion is stressful for the body is clear, but abortion can also provoke more serious consequences:

It has already been noted that the longer the period for which the abortion was carried out, the more serious the complications can be.

After an abortion in any way, the body needs time to recover. A woman should help him with this. Follow all the recommendations of the gynecologist and carefully monitor your condition.

If you adhere to the following tips, then the recovery will be faster and without complications:

• A new pregnancy after an abortion is undesirable for six months.
• After an abortion, you should not visit a bath, sauna or take a bath for a month.
• Do not have sexual intercourse for two weeks after the termination of pregnancy.
• Do not lift weights, do not get involved in excessive physical exertion.
• Rest more, keep the nervous system calm.

Abortion never goes unnoticed for women's health. This insidious operation can have an impact many years after the event. Women, take care of yourself, treat yourself with great attention and love, do not expose yourself to such trials. With such a variety of contraceptives, it is now quite simple to do this, and then you will not have to look for an answer to the question of when menstruation comes after an abortion.

Often, many of us believe that medical termination of pregnancy is the safest way to avoid subsequent problems. After all, it would seem that he took a pill for himself and the issue was resolved. And no troubles and, certainly, no pregnancy. And no one ever thinks what kind of pill it is, what it consists of, and how exactly it makes life easier for us.

In fact, a medical abortion entails many consequences and, often, they are much sadder than an abortion made by an instrumental method.

The essence of medical interruption

Medical termination of pregnancy - This is a method of expelling the fetal egg from the uterine cavity with the help of pharmacological preparations. They are usually based on mifeprestone, a synthetic antigestogenic steroid that blocks the action of progesterone (the female hormone responsible for pregnancy) and increases the contractility of the uterine myometrium. Consider how the onset of pregnancy occurs.

On the 14-15th day of the menstrual cycle, a mature follicle ejects an egg into the cavity of the fallopian tube, after which the spermatozoon penetrates into it and fertilization occurs. At the same time, the level of the hormone progesterone begins to rise, which entails an increase and restructuring of the uterine endometrium for the attachment of a fertilized egg and, in the future, for the germination of the placental membrane. And also, it blocks the effect of oxytocin on the uterine myometrium, which prevents it from contracting and attaching the egg.

Thus, we see that mifepreston acts on the main points of the onset of pregnancy - attachment of the egg to the endometrium and preventing its expulsion from the uterine cavity.

There is another emergency drug - postinor. The main active ingredient, levonorgestral, prevents the implantation of a fertilized egg and increases the viscosity of cervical mucus, which inhibits the advancement of spermatozoa.

It would seem that everything is logical, the drugs work as they should, the effect has been achieved. But not everything is as smooth as it seems at first glance. After an abortion, there is a huge hormonal imbalance, which in turn leads to a change in the menstrual cycle.

Issues arising after an abortion

Many questions arise:

How many days will the menstruation last? How often should they go? After how many days should the menstrual cycle resume? How often can this drug be taken? How long after an abortion is sexual intercourse possible? Will I be able to get pregnant after this?

These questions are mostly asked by women. After hormonal changes, there is a violation of the menstrual cycle. Menstruation may not appear at all for a long time, or, on the contrary, occur at a time that is not characteristic of them. Bloody discharge takes on a very diverse character - they become very abundant and last for a long time (more than 2 weeks), or, on the contrary, spotting, short-term.

It happens that the discharge takes on a different color, not characteristic of blood, or an unpleasant odor. Of course, this should alert you, because normal periods go 3-7 days with moderately heavy bleeding and with a break of 28-32 days. In such cases, it is urgent to consult a gynecologist in order to avoid sad consequences. Indeed, there are cases, no matter how sad it may sound, that even with a single medical abortion, women remain infertile.

People taking these drugs have a feeling of discomfort in the lower abdomen, sometimes severe pulling pain that radiates to the pubis and perineum, general weakness, malaise, severe headache, dizziness, nausea, profuse vomiting, hyperthermia, chills. These symptoms may continue for several days.

Of course, you can object, say that everything was fine with you, that your periods went on time without visual changes, that after the pill there were no side effects, I drank and forgot. Yes, I agree, an adverse reaction to the drug occurs in 1-2% of women who take it. It depends on the individual characteristics of the organism. But, in any case, a hormonal imbalance after an abortion occurred, and its recovery takes a long time. Sometimes, the numbers reach 12-15 months. And even after such a long period, the probability of remaining barren is high.

Before using these drugs, carefully read the instructions on the package, all indications and contraindications, complications and expiration dates.

The ideal option is to conduct a medical abortion under the guidance of an experienced obstetrician-gynecologist. After the procedure, carefully monitor your periods and after a while visit the doctor again in order to protect yourself and preserve your reproductive function. Be vigilant and take care of your health.

After a woman has decided on an artificial termination of pregnancy and even went through an abortion procedure, she is primarily concerned with the question: “When will menstruation begin?” The first menstruation after removal of the fetal egg largely depends on the method of termination of pregnancy and the individual characteristics of the woman's body. Menstruation after medical abortion also begins at different times, and there are no clearly defined boundaries and norms. Therefore, with any suspicion of a failed abortion, the patient should consult a doctor. In addition, the gynecologist will advise the best method of contraception.

What is medical abortion

Medical termination of pregnancy is the non-surgical removal of the fetal egg from the uterine cavity with the help of special medications. Their main active ingredient is the substance Mifepristone, which belongs to hormonal agents and is called antiprogestin. The action of mifepristone is based on changes in the hormonal background of the body, in particular on the suppression of progesterone activity. , which is responsible for the prolongation of pregnancy.

During pregnancy, a powerful hormonal restructuring of the body occurs. Artificial termination of pregnancy, especially through pharmacological effects, causes a change in hormonal levels. In this regard, the timing of the onset of the first menstruation is difficult to determine. As a rule (in about 60% of cases), the first menstruation begins after the usual period of time corresponding to a woman's cycle. In this case, it is necessary to consider the first day of the menstrual cycle the first day when bleeding began after taking mifepristone. After that, the duration of the menstrual cycle should be added to the start date of the abortion, which will be the date of the start of menstruation.

In some cases, there may be deviations in the duration of the menstrual cycle, up to ten days.

In exceptional and very rare cases, the first menstruation begins two months after the medical abortion. This is due both to the individual characteristics of the organism, and to possible hormonal disorders.

The nature of menstruation after pharmacological abortion practically does not change. Sometimes it is possible to lengthen menstruation, increase the volume of blood loss (become more abundant) and the appearance or intensification of pain.

Factors affecting the rate of recovery of menstruation

As noted above, the restoration of the menstrual cycle and the body as a whole after medical abortion depends on many factors. These include:

• woman's age;
• general health (presence of chronic diseases);
• the presence of gynecological diseases;
• hormonal disorders (pathology of the thyroid gland, adrenal glands, etc.);
• timing of termination of pregnancy (a slight delay in menstruation is optimal, when there is no reliable connection between the embryo and the uterine mucosa);
• the presence of physiological, without complications of childbirth before abortion;
• professional qualities of a doctor;
• the quality of drugs used for pharmacological abortion.

Delayed menstruation

The effectiveness of medical abortion reaches 98%. If the patient notes a long (more than ten days) delay in menstruation in addition, there are signs of toxicosis (nausea, vomiting), you need to take a pregnancy test, visit a doctor and do an ultrasound. In case of unconfirmed pregnancy, you should seek advice from a gynecologist-endocrinologist.

I never thought that I would find myself in a situation where I had to choose between pregnancy and my own health. Since childhood, I have been suffering from bronchial asthma, against the background of conception, asthma attacks have become more frequent, and the doctor suggested terminating the pregnancy for a still short period with the help of pills. I only know that this method is the least traumatic, but I have not found any other accurate information, for example, when menstruation begins after a medical abortion or how a woman feels.

What is a medical abortion?

Medical or pharmacological abortion is a relatively safe option for terminating a pregnancy for a short period - up to 5-6 weeks on average, or, to be precise, up to the forty-second day, starting from the first day of the last menstruation. It is optimal to conduct a medical abortion for up to 4 weeks, when the fetal egg has not yet properly attached to the wall of the uterus.

The procedure for pharmacological termination of pregnancy consists in a single dose of a special drug mifepristone (in the presence of a doctor and after the necessary examination). This blocks the production of the pregnancy hormone progesterone and increases the sensitivity of the uterus to oxytocin, which contributes to its contraction. After 1.5-2 days, the woman takes another drug - misoprostol in order to expel the fetal egg from the uterine cavity. After that, the doctor prescribes a control ultrasound to make sure the procedure is effective. There are frequent cases of unsuccessful medical abortion when the fetal egg does not leave the uterus on its own and you have to resort to vacuum aspiration or curettage.

When does menstruation normally begin after a medical abortion?

The day when, after taking the medicines, spotting begins, is considered the beginning of the countdown of a new menstrual cycle. As a rule, this occurs 24-48 hours after the appointment of the second drug for pharmacological abortion.

If the procedure was uneventful, then menstruation after medical abortion will begin after 21-30 days, depending on the usual duration of the menstrual cycle.

It should be taken into account the fact that termination of pregnancy, regardless of the method, is a serious stress and can negatively affect the hormonal background of a woman, which will lead to violations of the reproductive system.

When do periods start after a medical abortion, if something went wrong?

Often, after an abortion using pills, a woman complains of spotting, which does not last the prescribed 6-7 days, but until the onset of the next menstruation. In this case, the development of inflammation of the uterus - endometritis should be excluded if additional surgical intervention was performed, for example, curettage. It is likely that the cause of prolonged bleeding is a failure of the menstrual cycle, which usually recovers within 3-4 months.

When do periods begin after a medical abortion, and what to do if they are absent?

A month has passed since the interruption, and there is still no menstruation - this situation occurs quite often, and naturally, it worries the woman. Small changes in the menstrual cycle are allowed, because if menstruation began 10 days earlier or later, it is too early to sound the alarm. However, reasons for concern can be both hormonal disorders against the background of interruption, and re-pregnancy, if unprotected intercourse has taken place. Sometimes it also happens that the pregnancy persists while taking abortion pills, as a result of which the woman does not have menstrual flow on time. Regardless of the reason for the delay, the first step should be to visit the gynecologist and the ultrasound room to clarify the diagnosis.

One of the most gentle abortion methods is medical. Menstruation after medical termination of pregnancy usually occurs on time or with a slight delay.

According to statistics, approximately 20% of women use abortion as a method of contraception. For a healthy female body, the most acceptable is the use of medical abortion to terminate an unwanted and unplanned pregnancy. This method is relatively safe for health, and its negative impact on the body as a whole and the female reproductive system, in particular, is minimal. Complications that occur in very rare cases are fairly easy to treat. When agreeing to the procedure of medical termination of pregnancy, it must be remembered that the shorter the gestational age, the less likely it is that complications in the body will appear after the procedure.

1 The essence of medical abortion

The main contraindications to the use of medical abortion are:

• ectopic pregnancy;
• period of breastfeeding;
• in the presence of a pregnancy that has a period of more than 7 weeks;
• kidney or heart failure;
• the patient has porphyria - a hereditary disease, which is characterized by a pathological disorder in the liver;
• the presence of diseases of the inflammatory nature of the gastrointestinal tract and reproductive system;
• uterine fibroids;
• pronounced anemia.

If a woman smokes or has hypertension, as well as in the presence of surgical scars on the body of the uterus, the decision on whether to use medical abortion is made by the attending physician.

When conducting a medical abortion, various drugs are used that have a similar effect on the woman's body. These drugs are:

• mifegin;
• pencrofton;
• mifeprex;
• mytholian.

All these medications are based on the hormonal substance mifepristone.

• The action of the drug is based on blocking the receptors of the hormone progesterone, which is responsible for maintaining the state of pregnancy.

2 Advantages and complications when using a pharmabort

Medical abortion is performed in the early stages of gestation and is the safest for a woman's health. The safety of this method of abortion lies in the fact that when using it, there is minimal trauma to the cervix and the reproductive female system as a whole. This allows in the future to plan pregnancy and bearing the desired child without any problems.

After medical termination of pregnancy, there is no need to leave a woman in a hospital. Before the procedure, the woman undergoes the required examinations on an outpatient basis. First, you need to undergo an ultrasound and do urine and blood tests. Anesthesia is not used for medical abortion.

Despite the fact that this technique has clear advantages, pharmaceutical abortion, like any other abortion, is a test for the female reproductive system and the body as a whole. The consequences of the procedure may be the appearance of a short weakness of the body, headache, dizziness, vomiting and chills. In the process of intervention in the female body, failures occur in the work of many organs. The ovaries are especially strongly affected; after the termination of pregnancy, malfunctions in their functioning are observed. are not restored immediately.

3 Restoration of the menstrual cycle

The next menstruation after the use of medical abortion occurs in accordance with the established cycle of a woman. Most often, menstruation occurs after 28-35 days. After a medical abortion, an ultrasound of the uterine cavity is performed, if as a result of the examination no remains of the fetal egg are found in the uterine cavity, then the likelihood of complications is minimized.

Some patients after a pharmaceutical abortion complain in the first months of the appearance of heavy and painful menstruation. To relieve pain, strong analgesics are used in certain cases.

The occurrence of heavy bleeding is provoked by disruptions in the hormonal background or endometriosis. The cause of heavy bleeding during the period is established by the gynecologist during the examination of the woman. Most patients do not have significant cycle failures after the pharmacist. Sometimes there are delays of up to 10 days. If there is a delay of up to 10 days, there is no cause for concern. Most often, stabilization of menstruation occurs already from the second cycle.

Speed ​​is determined by a whole range of factors, among them the main ones are:

• woman's age;
• her state of health;
• term of termination of pregnancy;
• the quality of the medicines used;
• the level of competence of the medical specialist.

At a young age, with a short gestational age and the appropriate quality of drugs, the restoration of the female body occurs already in the first 1-2 months after the interruption.

4 Retention and bleeding after termination of pregnancy

A prolonged delay in the appearance of menstruation after an abortion may be a reason to consult a doctor. If there is a delay in visiting a doctor, you should not hesitate, especially in cases where there is a rise in body temperature or a woman feels cramping pains in the lower abdomen. In certain cases, the delay is accompanied by the appearance of toxicosis. These signs most often appear with an unfavorable termination of pregnancy, when a part of the fetal egg remains in the uterine cavity. When contacting a doctor, the latter prescribes an ultrasound scan, which is performed to determine the causes of the appearance of unpleasant consequences of intervention in the body. The absence of menstruation for 40 days is a reason to visit a gynecologist.

The first day of the new cycle after the pharmacist is the day when the fetal egg detaches in the uterine cavity. During this period, the woman has bleeding, which is due to the release of the egg from the cavity of the organ. Abundant dischargeappearing on the first day is gradually replaced by spotting. In most cases, a woman after a pharmacist has bleeding for 7-10 days. During this period, detachment of the internal mucosa of the uterus occurs. Detachment is not carried out all at once over the entire inner surface of the organ, but gradually, which determines the duration of bleeding. After an abortion, a woman is recommended to stay in bed for 1-2 days. Bleeding during this period is not considered a complication and a violation in the work of the woman's body. Fears during this period should cause meager discharge, which indicates a closed state of the cervix. The closed neck significantly complicates the expulsion of the fetal egg from the cavity of the organ.

A complication is prolonged and profuse bleeding, this condition requires a doctor to seek medical help.

And some secrets...

Have you ever experienced problems with menstrual cycle? Judging by the fact that you are reading this article, the victory was not on your side. And of course, you know firsthand what it is:

• copious or scanty discharge with clots
• chest and lower back pain
• pain during sex
• bad smell
• discomfort when urinating

Now answer the question: does it suit you? Can problems be tolerated? And how much money have you already "leaked" for ineffective treatment? That's right - it's time to end this! Do you agree? That is why we decided to publish an interview with the chief gynecologist of Russia, Leyla Adamova, in which she revealed the simple secret of normalizing the menstrual cycle. Read article…

Medical abortion leads to a failure of the hormonal background, 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 are the consequences of a medical abortion?

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

Patient reviews, as well as the consequences after 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 pain in the abdomen, vomiting, profuse bleeding.

How an interrupt is done

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

• blocking the growth of the endometrium;
• rejection of the fetal egg;
• strengthening the contractility of the uterus;
• active effect on the fetus.

Medical abortion is performed only under medical supervision. At the first visit, Mifepristone is drunk, on the 2nd, two days later, Misoprostol. After taking the pill for another 2-3 hours, the woman should be in a medical facility in order to avoid complications. In addition, after 2 weeks, you need to come for a medical examination to check the completeness of the abortion, take a blood test to determine the level of chorionic gonadotropin in the blood.

It happens that misoprostol leads to pain 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 curettage the uterine cavity in case of incomplete self-cleansing.

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

Before deciding on an abortion, women need to weigh all the pros and cons well, think about the consequences. Much depends on compliance with the recommendations of the doctor, the correctness of the procedure.

Pharmabort contraindications and complications

Medical abortion is prohibited in such cases:

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

• profuse bleeding in the peritoneum;
• pain and spasms;
• joining the infection;
• the development of sepsis, which can lead to death;
• heart failure after taking mifepristone.

Doctors do not give any guarantees regarding the effectiveness of the expulsion of the fetus after such an abortion. There are risks with any intervention. An important role is played by the duration of pregnancy, the characteristics of the female body, existing serious diseases and infectious processes.

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 curettage of fetal particles or vacuum suction. And 5% of women after a pharmaceutical abortion turn to a surgeon for an operation to extract the fetus entirely.

If the gestational age exceeds 12 weeks, then one tablet can no longer be dispensed with. When terminating a pregnancy at this gestational age, 8% of women are faced with a surgical abortion after medical abortion due to incomplete cleansing of the uterus from fetal tissues. Despite the positive reviews, nevertheless, medical abortion in some cases, if the rules are not followed, can be dangerous.

Early complications after medical abortion

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

In the future, the woman will have to worry not about a new pregnancy, but about the eradication of an infectious inflammatory process from the body.

Late effects of medical abortion

So, medication for getting rid of pregnancy can lead to such problems in the future:

• heavy bleeding similar to menstruation;
• rise in temperature;
• ovarian dysfunction;
• severe and prolonged pain in the abdomen, colic;
• the development of inflammation in the genital organs;
• spontaneous bleeding due to the release of the fetus;
• hematoma, accumulation of blood clots in the uterus;
• allergies, nausea and vomiting;
• rise in pressure due to the production of incomplete abortion;
• the development of mastopathy;
• imbalance of hormones;
• development of a hormone-dependent cyst.

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

Against the background of complications, the recovery period can drag on for months if the pregnancy was not completely terminated. If you experience unpleasant symptoms, you should urgently contact a gynecologist. If there are no side effects, then all the same, after 2 weeks you need to come to the doctor's office, when your periods should already return to normal. This time will be considered the first day of the cycle.

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

Re-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, you will have to see a doctor. The fact is that after a pharmaceutical abortion, a new pregnancy is possible after 2-3 weeks.

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

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A wide variety of circumstances can push a woman to decide on an artificial termination of pregnancy: from the banal unwillingness to become a mother specifically during this life period to medical indications, the non-observance of which poses a threat to the fetus and the woman herself.

If abortion is unavoidable, the most gentle method recommended by specialists more often than others is medical abortion. The modern pharmacological industry offers a fairly large range of drugs that can provoke a spontaneous miscarriage in a woman.

Along with this, even a relatively sparing medical abortion is associated with some risks, primarily reducing the likelihood of a successful pregnancy in the future. That is why many conscious women who do not renounce motherhood are interested in what is the probability of pregnancy after a pharmacological abortion and when can one count on a successful re-conception. You are invited to read the information on this subject below.

The mechanism of medical abortion is extremely simple:

• a woman consults with a specialist;
• the patient is recommended the most suitable remedy for her case;
• a woman takes the prescribed pills, under the influence of which her body rejects the fetal egg, i.e. miscarriage occurs.

In general, the recommendations for patients who have undergone a pharmacological abortion are similar to the advice that experts give to women after a surgical termination of pregnancy: see a doctor regularly, lead a healthy lifestyle and avoid stress.

When can a second pregnancy occur?

It is important to understand that the previously mentioned 6-month break is the period after which the woman's body is restored, and the chances of successful fertilization increase. However, conception can occur even earlier than the marked date.

The female body regards abortion not only as a great stress and a powerful blow to vitality, but also as the beginning of a new cycle. Therefore, if the uterus has time to develop the required layer of the endometrium, and the timing of the onset of ovulation has remained normal, a recent abortion will not interfere with re-fertilization.

Along with this, the body of each person is individual, so the reaction of a particular woman to an abortion may differ from the development of events characteristic of most other patients. Someone manages to get pregnant immediately after the resumption of the cycle, while others have problems with conception, lasting for several years or more. According to average statistics, about 10% of patients have to deal with problems of conception after artificial termination of pregnancy, especially if the abortion was the first and at a young age.

In general, instructions for further planning of pregnancy will be given by the gynecologist. That is why the task of a woman is reduced to finding a good, “her own” specialist, whose recommendations can be trusted.

In addition to medical advice, you must be able to hear your own body. To increase the likelihood of maintaining normal reproductive function, a woman who has had an abortion should follow a number of important recommendations, details of which are given in the following table.

Table. Advice for women who have had an abortion

Situation	Recommendations
It's been a few days since the abortion.	After the specified time, a woman must definitely consult a doctor in order to check the condition of the uterus. If necessary, the doctor prescribes medications that reduce the likelihood of inflammation and scarring.
Several years have passed since the abortion.	If a woman decides to become a mother a few years after the artificial termination of pregnancy, it is necessary to consult a doctor before the planned conception. If such a need is identified, the specialist will prescribe a treatment that facilitates the process of conception. If no positive results have been obtained after 6 months of trying to get pregnant, you need to re-consult a doctor. In general, experts recommend that women who have undergone an artificial termination of pregnancy regularly attend consultations, take the necessary tests and undergo treatment if recommended by a doctor.

The probability of successful conception and healthy development of pregnancy can decrease under the influence of various factors, among which the following provisions are the most common and significant:

• long-term use of oral contraceptives, especially budget and low-quality x;
• disruption of the menstrual cycle;
• uncharacteristic discharge and bleeding from the vagina of an unknown nature;
• diseases and other pathologies of the uterus caused by an abortion;
• painful and uncomfortable sensations in the back and abdomen, which are of an unknown nature;
• constant stress and nervous experiences;
• lack of adequate rest.

At the same time, nervous experiences are one of the main obstacles to a normal conception and a healthy pregnancy. After an abortion, many women are in a negative psycho-emotional mood, feeling guilty and remorseful. Conditions for re-conception, however, are not the most favorable.

If a woman is determined to become a mother, she, first of all, needs to try to stop blaming herself and get rid of thoughts about wanting to get pregnant as soon as possible. The main task during this period is to stay in a good mood and follow medical recommendations.

What to do if the re-pregnancy occurred before the recommended time?

It is important to understand that even a relatively safe pharmacological termination of pregnancy is stressful for the body, and after such a procedure, it needs a certain amount of time to recover. It is for this reason, as noted earlier, that at least six months must pass between abortion and repeated attempts to become pregnant.

The doctor will help determine the exact period, based on the results of relevant examinations and observations.

As a rule, a repeated pregnancy after an interruption that occurred earlier than the period recommended by specialists is associated with great risks - the body's reserves simply do not have time to recover to carry the fetus for 9 months, which is fraught with the development of various pathologies and related problems.

If the pregnancy happened before the mentioned six-month break, the woman needs to approach the upcoming period with full responsibility:

• timely register in the antenatal clinic;
• inform the doctor about a recent medical abortion - the specialist will select and prescribe the optimal restorative therapy;
• follow medical advice.

Following the above recommendations, the expectant mother will significantly increase her chances of successful conception and trouble-free childbearing for all 9 months. If certain life circumstances prompted you to decide on a pharmacological abortion, do not despair: following the advice of a doctor, you will definitely give birth to a healthy baby. You just need to wait a bit and be patient.

Be healthy!

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