Prolonged bleeding after medication. When do periods start after medical abortion?

Termination of pregnancy is always stressful for both the woman and her body. If the gestational age is up to 6 weeks, then they resort to abortion in a medical way. The shorter the gestation period, the faster and more efficient the procedure.

Abortion is carried out in outpatient settings under the supervision of a gynecologist. Direct indications are: HIV infection, venereal diseases, oncology, severe genetic heredity.

Features of medical abortion

Before an abortion, the doctor prescribes an examination to confirm uterine pregnancy and identify contraindications for its interruption. The procedure is carried out in 2 stages:

• At the 1st stage, the gynecologist gives medications, the action of which is aimed at reducing the production of progesterone, at destroying the connection between the fetal egg and the uterine wall, at the death of the embryo.

Preparations and dosage are selected individually for each woman. most effective for this stage are mifepristone tablets.

• Stage 2 - after 48 hours: prostaglandins are prescribed: "Misoprostol", "Dinoprost". They help increase uterine contractility. The embryo is excreted with blood secretions.

The drugs are taken in the presence of a gynecologist. In the pharmacy they are released only by prescription. If the ultrasound was installed ectopic pregnancy, large uterine fibroids, then medical abortion is not performed.

The first 2 hours after taking the medication requires constant medical supervision. During this period, drugs begin to act. woman feels drawing pains, as with menstruation, dizziness, blood discharge appears. After stabilizing her condition, she is allowed to leave the clinic. Otherwise, if complications are detected, hospital treatment is required.

2 days after the abortion, an ultrasound of the uterine cavity is prescribed to confirm the effectiveness of the procedure. If about fertilized egg did not come out completely, then an abortion is performed by a vacuum method or surgically.

Blood discharge, similar to menstruation, after medical interruption pregnancy, go 16-20 days. The duration of the period depends on how quickly the body responds to the action of the medication.

The gynecologist should be informed about the use of non-steroidal anti-inflammatory drugs: they are used as painkillers.

Non-steroidal anti-inflammatory drugs are incompatible with the action of medications for abortion. The possibility of an abortion appears only after the complete elimination of NSAIDs, after 12 days.

Blood discharge in the first days after an abortion with medications

Blood discharge in the form of clots appears 2 hours after taking the first pills aimed at terminating the pregnancy. They are brown.

After a woman has drunk a drug of the prostaglandin group, the discharge becomes plentiful: it resembles menstruation. At first they have a dark red color, and later brighten to a scarlet and whitish hue. This indicates that the abortion process was successful.

If the color of blood discharge has impurities yellow color this indicates the presence of an infection. The disease occurs against the background of changes in the microflora in the vagina.

If you are interested in the question of how long menstruation lasts after medical termination of pregnancy, be sure to pay attention to the color of the discharge and the presence of impurities in them. So, yellow impurities indicate infection.

When terminating a pregnancy, this is especially dangerous: blood sepsis develops, and the risk of infertility increases. If by this time the amniotic egg and endometrium have not yet left the uterine cavity, then they do emergency abortion surgically or by vacuum.

Menstruation after medical termination of pregnancy is the norm, but as practice shows, they do not always go. If none blood clots does not appear, this indicates a spasm of the cervix. The muscles are compressed, do not allow the embryo out of the cavity. There is no abortion. Pathology leads to an inflammatory process and further abnormal development of the embryo.

How long does bleeding last after a medical abortion?

Brown clots are released for 2 days, before the prostaglandins have been taken. At the 2nd stage of abortion, there is an intense contraction of the uterus, which is accompanied by blood discharge. The process ends in 14 days.

In some cases, spotting continues until the onset of the first menstruation. The gynecologist prescribes therapy that reduces the process of uterine contraction.

Only pads are used as hygiene products. Cotton swabs will not allow the embryo to come out. The secretions on the pad must be carefully monitored so as not to miss the release of the amniotic egg: it looks like a clot of 4-6 mm. After 10 days, bleeding ends.

When do periods start after medical abortion?

Menstruation after medical termination of pregnancy will come at a natural time. Every woman has her own monthly cycle A: As far as we know, it is 28-30 days.

If the cycle is irregular, then wait 35 days. Otherwise, therapy is prescribed for recovery reproductive function organism, normalization of the blood supply to the uterus: hormonal preparations are prescribed.

Before the onset of the first menstruation, it is forbidden to take hormonal contraceptives. Refrain from sexual intercourse.

After menstruation, a selection is made contraceptives with a gynecologist. Previously taken medications are less effective after medical abortion

The abundance of blood discharge and the duration of menstruation depends on the restoration of blood vessels supplying the uterus and on the microflora of the cavity.

Normally, menstruation continues in the usual mode for a woman, 5-7 days. At first, the discharges differ in intensity. In the subsequent period, they become normal.

How long do periods last after medical abortion
after taking 1 group of drugs	2 days weak discharge
2 group of drugs	14 days profuse bleeding
on28-35 day	1 day of menstruation - 7 days

7-10 days after the first day of menstruation, the discharge stops. Longer periods indicate the pathology of the processes taking place inside the uterus. The gynecologist prescribes a blood test, an extraordinary ultrasound, takes a smear to detect inflammatory processes.

Bleeding after medical abortion: causes

During an abortion caused by medications, bleeding in the form of heavy periods contributes to the removal of the embryo from the uterine cavity. The condition is defined as normal if the pad of 5 drops is filled every 3 hours in the first days.

"Monthly" after medical termination of pregnancy come with painful manifestations in the lower abdomen, in the lumbar region. The discharge continues for as many days as menstruation took place before the onset of pregnancy.

If the pad fills up within an hour, abdominal pain is accompanied by fever, nausea, dizziness, then this is a reason to call an ambulance and urgent hospitalization.

In case of dizziness, nausea, pain in the lower abdomen and profuse bleeding, consult a doctor immediately

Bleeding developed inside uterine bleeding. This happens for several reasons:

• unsuccessful termination of pregnancy; parts of the amniotic egg remained in the uterus;
• associated infection; lack of hygiene;
• physical activity during the abortion;
• blood clotting disorder;
• non-compliance with the recommendations of the gynecologist: reception hormonal drugs, physical activity, sexual intimacy;
• lack of information about abortion: the use of painkillers, how long the "menstruation" after medical termination of pregnancy, and what is their intensity;
• stress, psychological instability.

With reduced immunity, low pain threshold"Monthly" pass with severe pain. Independent use of painkillers, without consulting a gynecologist, is one of the main causes of intrauterine bleeding.

Delay after medical abortion: causes

Termination of pregnancy affects stability hormonal background women. Abortive drugs suppress the production of estrogen, which affects the functioning of the ovaries and the whole endocrine system. Natural menstrual cycle fails: a delay of 10 days is acceptable.

After an artificial miscarriage, a woman experiences stress. depressive state causes an increase in prolactin levels. The hormone delays the process of ovulation, which directly affects the timing of the onset of menstruation.

One of the reasons for the delay in menstruation after an abortion is the pregnancy that has arisen. Gynecologists warn that the opinion about the absence of ovulation in 1 month after the removal of the embryo is erroneous. In women with good immunity it starts as early as 2 weeks after the procedure.

Consequences of medical abortion

Medical abortion is more preferable for a woman than surgery. The consequences of the procedure are related to the tolerability of drugs and their effectiveness. In the first hours after taking the tablets, in some cases, there are allergic manifestations on the skin, dizziness, nausea. At stage 2 of abortion, there is a risk of developing intrauterine bleeding.

Before an abortion, the gynecologist must warn about severe consequences, which are defined as distant and do not appear immediately:

• Placental polyp: part of the embryo remained in the uterine cavity; bleeding develops.
• Hematometra: blood clots accumulate in the cavity; the disease develops with spasm of the cervix.
• Hormonal instability.
• Depressive state.

Surgical intervention may be needed for complications after medical abortion

Severe complications require surgical intervention and inpatient treatment.

How to Restore a Cycle After a Medical Abortion

With artificial termination of pregnancy, ovarian function is impaired. This is due to a decrease in estrogen and progestogen levels. During the rehabilitation period after an abortion, the gynecologist prescribes combined contraceptives such as "Regulon", "Mikroginon". The drugs help to restore the hormonal background and the monthly cycle.

In order for the development of the fetus to take place without complications, it is necessary to determine how many periods go after medical abortion.

Only after 6 menstrual cycles, which appear regularly, do they begin to plan a pregnancy.

If a woman decides to terminate a pregnancy, then her desire should be thoughtful and justified. Medically induced abortion is considered the most benign way to get rid of the embryo, but it also has severe complications. Gynecologists urge women to plan pregnancy in advance, so as not to decide on an abortion later.

To find out how long your period lasts after a medical abortion, watch this video:

How is it performed medical abortion and what are its advantages:

Abortion is called an operation to artificially terminate a pregnancy in a relatively early term- up to 16-18 weeks. For up to 12 weeks, it can be carried out at the request of the woman, then only medical indications, for example, if the pregnancy has ceased to develop.

Surgery is performed different methods: surgical, medical, using vacuum aspiration. No matter how the fetal egg is removed, bleeding always occurs after an abortion. In intensity it resembles normal menstruation, and gradually disappears. However, such bleeding cannot be called menstruation - this is not a rejection of the endometrium, but the body's reaction to aggressive intervention.

instrumental abortion

During the operation, the fetal egg is removed by scraping the walls of the uterus blindly. In this case, the entire endometrium is scraped off, and the penetrating blood vessels.

A dilator is inserted into the cervix, it is artificially stretched. Then a special curette spoon is inserted, with which all actions are carried out. The procedure is extremely painful, currently it is done only under anesthesia. More recently, women had to endure this severe pain"live". Despite the prevalence of the operation and the apparent simplicity, for women it is one of the most dangerous.

During surgery, the uterus is injured, there is a high risk of developing inflammatory process and infection with pathogenic flora.

No matter how well the procedure is carried out, bleeding after it is inevitable. It lasts from 10 days to 4 weeks, and depends on what period of pregnancy the operation was performed. Optimally, it is considered to carry out surgical intervention for a period of 6 to 8 weeks.

If the fetal egg is not completely removed or the uterine wall is injured, profuse uterine bleeding begins - doctors can define it as "breakthrough". If it is caused by a violation of the technology of the operation, the curettage is repeated. Stop bleeding caused by perforation of the uterine wall is possible only during surgery. Very often, the uterus has to be completely removed.

Vacuum aspiration

Vacuum aspiration is also called a mini-abortion. A dilator is also inserted into the cervix, but
the fetal egg is separated from the wall by creating a vacuum - the walls of the uterus are almost not damaged. Blood discharge can begin on the 2nd day after the abortion.

The method is considered safe, currently the operation is performed on an outpatient basis, under local anesthesia. Its minus is a relatively high probability that the fetal egg may remain in the uterine cavity.

Bleeding after a vacuum abortion is more like menstruation last days and lasts no more than 2 weeks. Sometimes spotting lasts a month, but the woman does not experience any soreness. It all depends on the individual reaction of the body.

Prolonged bleeding or heavy spotting after vacuum interruption pregnancy is diagnosed as a complication. They occur if the blood clotting function is impaired or the fetal egg is not completely removed.

medical abortion

Termination of pregnancy is carried out without surgical intervention, with the help of special pills.

Usually drugs are drunk according to the following scheme:

• the first dose stops the development of the embryo;
• the second - provokes its detachment.

Some doctors consider it expedient after exfoliation of the embryo to prescribe medications of the third type - reducing ones.

The first dose can be drunk at home, while using the second type of drug, it is advisable to be under the supervision of a doctor.

The embryo comes out with bloody discharge, which at first is very abundant - it looks like a lump of a pink hue. Do not think that this method is the most "humane".

A hormonal shock is carried out throughout the body - at the basis of all drugs that promote the expulsion of the embryo, high dose hormones.

Normally, bleeding stops a month after medical abortion, but the cycle of menstruation can be restored for about six months. If after 2-3 days the bleeding has increased, it is necessary to return to the hospital - this indicates the development of complications.

Norm or pathology

Bleeding should begin after any abortion - when the embryo is detached, the blood vessels that permeate the endometrium burst. If blood is not visible, this is not a reason to rejoice, which means that a complication develops, which is called a hematometer.

A spasm has occurred in the cervix, and blood accumulates in its cavity, creating a favorable environment for the development of the inflammatory process, which occurs due to congestion or increased activity pathogenic microorganisms introduced during the operation. When the blood left for the first 2 hours, and then the bleeding stopped and is absent for more than 2 days, this is also a reason to see a doctor.

Usually women want to know how long the bleeding lasts after an abortion. Say exactly how much
it is impossible - it depends on the individual reaction of the body and the gestational age. If the intensity of bleeding gradually decreases, the color changes from bright red to dark, and then pink or brown, we can assume that there were no complications.

Clots are acceptable only after medical abortion. Fibrin and clots in the discharge after termination of pregnancy by other methods indicate the development of complications.

You should also contact a gynecologist if there is pus in the bloody discharge, the temperature has risen, and there are pains in the lower abdomen. Sometimes women are interested in how to stop bleeding after an abortion at home? It is very dangerous to do this. Severe bleeding almost always indicates complications. In this case, treatment should be in a hospital setting.

After the abortion

To prevent complications after an abortion, you should be attentive to your own health:

1. Don't get cold.
2. Not to drink medical preparations blood thinners, and refrain from drinking alcohol.
3. It is advisable to follow all the doctor's prescriptions - currently, after vacuum aspiration or surgical termination of pregnancy, doctors consider it appropriate to prescribe antibacterial or anti-inflammatory drugs - the course of treatment is about 3 days.
4. Sexual rest is required for 4 weeks.

Even if after 4 weeks menstruation has not come, you should still be protected. Pregnancy can occur even before the first menstrual cycle, and since the body has not yet recovered from hormonal failure, most often it ends in spontaneous abortion. In the future, this can lead to habitual miscarriage.

After any termination of pregnancy (mini-abortion, medical abortion, surgical abortion), uterine bleeding should be expected. Often there is little or no bleeding for the first 24 to 36 hours, after which the bleeding may increase (to the intensity of menstruation) and continue intermittently for up to 6 weeks.

How much bleeding after an abortion?

If post-abortion bleeding 2 weeks does not go away, then you should think about visiting a gynecologist. Bleeding more intense than menstrual bleeding and with a duration of more than 3-4 weeks requires an appropriate examination. At the beginning profuse bleeding after surgical abortion may be due to residual fetal tissue or trauma to the cervix, vagina, or uterus with instruments or chemicals.

Some anesthetic drugs can cause uterine bleeding due to their effect on normal uterine contractions. Continued bleeding may indicate residual tissue.

Uterine bleeding after a mini-abortion may be the result of a violation of the blood coagulation system. Disseminated intravascular coagulation (DIC) is rare, but may be facilitated by administration of hyperosmolar solutions or curettage in the second trimester of pregnancy, missed miscarriage, or severe infection.

Common Duration Standards bleeding after medical abortion No, they are individual for each woman. Of no small importance in the duration of bleeding is the period at which the pregnancy is terminated. The shorter the period of delayed menstruation, the easier the medical abortion and the shorter the spotting. This is due to the fact that with a short gestational age, the fetal egg has not yet firmly established itself in the uterine cavity, and a serious hormonal restructuring has not yet occurred in the body.

Usually, bloody issues start within 2 hours of taking medicinal product. Bleeding may occur after 36-48 hours. Normal bleeding is mild, painless and slightly painful and resembles menstruation. "Menstrual-like" bleeding lasts no more than two days, after which the spotting decreases and resembles a "daub". Spotting usually lasts no more than ten to fifteen days, but a longer duration is possible, up to the next menstruation. The cessation of bleeding after medical abortion in the first days after taking mifepristone indicates spasm cervical canal and development of hematometra (accumulation of blood in the uterine cavity).

How to stop bleeding after an abortion?

It is impossible to stop bleeding after an abortion on your own. If uterine bleeding is more intense than menstrual bleeding and lasts more than 3-4 weeks, you should consult a gynecologist.

Common self-medication mistakes.

Postponing a visit to the doctor folk remedies. If parts of the fetal tissue remain in the uterus, then purulent inflammation will occur when the visit is delayed.

Today, medical abortion is the safest of all. existing species abortion. What explains this? The reason lies in the mechanism of abortion by taking pills. Their goal is to induce something like a standard menstruation, which will push the already fertilized egg out of the uterine area. However, you should still be prepared for the fact that such a simple and relatively safe method can provoke certain complications. In addition, it must be taken into account that abortion, even medication, is a strong restructuring of the body. Therefore, there is a violation of all internal systems, which has some consequences.

Millions of women have already experienced the effects of medical abortion. Abortion is usually successful without any serious complications. After the procedure, some women experienced some problems, such as incomplete removal of the fetus, infectious diseases, Very heavy bleeding after medical termination of pregnancy. According to reviews on this species abortion, of which there are a lot on the network, they then had to treat these consequences. Medical termination of pregnancy in isolated cases that are known today ended in the death of patients. This happened due to very heavy bleeding in abdominal cavity, due to heart failure, which was caused by mifepristone and so on.

For this reason, when asked if medical abortion is dangerous, every conscientious doctor will answer that there is a risk. And a lot will depend on individual tolerance. You do not need to believe the promises of one hundred percent safety and effectiveness of the drug technique. Whether there will be consequences such as severe bleeding after medical abortion or not will depend primarily on the duration of pregnancy, as well as on the characteristics of the woman's body.

The following list will demonstrate how the timing has an effect on the absence of consequences after the procedure:

• up to seven weeks, 98 percent of patients terminate the pregnancy medically successfully. The remaining 2 percent face the need for vacuum suction or scraping;
• at 7-12 weeks of pregnancy, 5 percent of women resorted to surgical care for complete expulsion from the uterus of the fetus;
• but for a period of more than 12 weeks, only 92 percent of women were able to get by with one pill. 8 percent terminated the pregnancy surgically.

Considering the above figures, it becomes obvious that among a hundred patients who decide on a medical abortion, complications occur in several women, who will later need medical intervention. It depends on many factors, so talking about total danger medical method early today.

After termination of pregnancy for some time in female body There are also pregnancy hormones. In a duet with guilt from what you have done, hormones often cause depression. Depression is usually manifested by irritability, fatigue, guilt, appetite disorders and may cause insomnia. This is quite normal, but if depression lasts more than two weeks after an abortion, you should consult a specialist. sex life during the first week after medical termination of pregnancy - taboo. This period may be a little longer as prescribed by the doctor. Such a restriction is necessary to prevent possible blood loss after medical termination of pregnancy inside the female genital organs. In the future, it will be necessary to use protection, not only because of the likelihood of pregnancy, but also to avoid getting inside all kinds of bacteria, dangerous for mucous membranes internal organs women.

Enough high efficiency drugs that terminate pregnancy do not relieve them of certain complications, which include:

1. The pregnancy has not ended. At the same time, the health of the fetus woman, one way or another, suffered.
2. Bleeding after medical termination of pregnancy.
3. Inflammation of the patient's genitals.
4. contractions.
5. Failure of the menstrual cycle.
6. Elevated temperature.
7. Ovarian dysfunction.

To avoid complications after medical termination of pregnancy, it is necessary to carry out an abortion only as prescribed by a highly qualified specialist. In no case should medical abortion be performed at home, since this approach only increases the likelihood of serious complications.

Pain after medical termination of pregnancy

Pain in the abdomen, which are similar to contractions, patients feel after taking a prostaglandin. This drug accelerates medical termination of pregnancy. Pain is caused by muscle contraction that pushes the fetus out of the vagina. In most cases, the pain is tolerable. At unbearable pain, a doctor may prescribe a number of drugs that have an analgesic effect. Pain similar to normal menstruation. The pain ends within a day after taking the drug. If pain continues, see a doctor. Probably needs restoration vacuum abortion or scraping.

Bleeding after medical abortion

There is no need to rush to attribute prolonged bleeding to complications after medical abortion. Since it is with the help of bleeding that the expulsion of the fetus occurs. At the same time, the number of blood clots and blood secreted from the patient is individual. So do not attribute heavy or rather scanty bleeding to complications. However, when too much happens big bleeding it makes sense to see a doctor. After all, blood loss can have enough serious consequences, which can be solved only by blood transfusion. Very meager blood loss may indicate that the cervix has closed, and therefore the fetus cannot normally get out. Ideally, heavy bleeding lasts 2 days, followed by meager discharge blood. In any case, it is better to consult with your doctor.

Restoration of menstruation

Menstruation after the procedure will begin in best case one menstrual cycle after taking the pills. It must be understood that medical abortion is considered the first day of menstruation. And therefore, it is necessary to consider a new monthly cycle from the moment it is carried out. Menstruation after medical termination of pregnancy is restored in its own way for each woman. This mechanism cannot be predicted or somehow influenced. Monthly after taking the pills can be very plentiful. This often means that parts of the fetus are left in the uterus. In such a situation, it is necessary to clean the uterus. Normal natural periods usually appear after one calendar month. If this does not happen, you should consult a doctor. Perhaps a woman new pregnancy. The onset of pregnancy is possible in a couple of weeks, however, for normal gestation and good health unborn child, the period of recovery after medical termination of pregnancy of the woman's fertility should be at least six months.

A woman without fail needs recovery after the procedure. Must be avoided physical activity, probably it will be necessary to pass or take place a course of a physiotherapy.