Menstruation after medical termination of pregnancy. Instrumental abortion and menstruation. Abortion Methods

Pregnancy is not always a joyful event for a woman. When the life situation does not allow to bear and give birth to a child in a certain period, the expectant mother decides to have an abortion.

At an early stage of unwanted gestation, the gynecologist may recommend a pharmaceutical abortion to the patient - a medical method of terminating a pregnancy. It is considered safe for women's health and the reproductive system in particular.

But after a pharmaceutical abortion, a woman should know when menstruation begins and continue to be carefully protected until she is completely ready for motherhood.

The essence of pharmabort

Tablet termination of pregnancy is carried out in a clinic under the supervision of a gynecologist. For this purpose, tablets containing mefipristone or misoprostol are used. They act on the uterus and provoke an abortion effect.

Medical termination of pregnancy is provided by drugs such as:

• mifepristone.
• Mytholian.
• Mifegin.
• Misoprostol.
• Pencrofton.
• Mirolut.

The abortive remedy works effectively at short gestations, which do not exceed 6 weeks. The drug reduces the level of progesterone, as a result of which the fetal egg is rejected and leaves the uterine cavity along with bloody discharge.

To conduct a tablet abortion, the doctor simultaneously uses two drugs - Mifepristone and Misoprostol. Medicines stimulate the contractile function of the reproductive organ. The rapid contraction of the muscle fibers of the uterus forces the fetal egg to leave its place of localization.

Pharmabort has many advantages:

1. High quality of the manipulation - 92 - 99%.
2. No need for preliminary preparation and anesthesia.
3. The speed of the procedure - all the action comes down to taking pills.
4. Atraumatic for the endometrium and cervix.
5. Preservation of reproductive functions.
6. Normal tolerability of the procedure in psychological terms.

However, the pharmabort also has disadvantages.

First of all, doctors say that sometimes the embryo is not rejected. If the drug does not work properly, the fetal egg remains completely or partially in the uterus. It will be possible to remove it only with the help of a traditional abortion.

Other disadvantages of medical abortion:

• Uterine bleeding (55% of cases).
• Nausea.
• Severe pain in the abdomen.
• Temperature increase.
• Dizziness.
• Weakness.
• Increase in blood pressure.
• Hormonal disorders.
• Infectious diseases of the genital organs.

The body can react to medical abortion with allergic reactions. Eliminate the side effect of antihistamines.

How do menstruation go after a pharmacist

After the completion of the pharmacist, a new countdown of the menstrual cycle begins. When do you get your first period after a medical abortion?

In most cases, bleeding appears after 1 to 2 days. Initially, it is scarce, but gradually intensifies. An unnecessary egg leaves the body at the time of heavy bleeding. In the next month, there may be a delay in menstruation.

In general, menstruation after medical termination of pregnancy has its own characteristics, which at other times can be perceived as a deviation.

For example, after a pharmaceutical abortion, a delay of up to 10 days is considered the norm. The cycle is restored slowly, over 6 months. The duration of the cycle after drug intervention in gestation increases. But this is not a deviation. Intensive bleeding, as well as too poor discharge for a long time, already require a visit to the doctor.

Normally, the next menstruation after the use of abortive drugs should begin after 28 to 40 days. After the procedure, the gynecologist controls its quality by conducting an ultrasound scan. If during the examination the device did not show the remains of the fetal egg, then the rejection of the embryo was successful and there will be no complications.

When asked how long menstruation lasts after medical termination of pregnancy, doctors give the following answer - blood from the uterus will be released within 1 week. Sometimes it takes longer for the body to completely reject the embryo. For example, 10 or 11 days. A miscarriage looks like a bloody mass with clots.

Heavy bleeding after a pill abortion is associated with hormonal disorders or with the development of endometriosis.

Why menstruation is strong, the doctor will be able to establish after a thorough examination of the patient. But often pharmabort does not lead to significant cycle failures. Delays of menstruation up to 10 days should not be a cause for concern. A woman cannot know exactly when her period will start after a medical abortion. She just needs to wait for the bleeding and track the stability of its occurrence in another cycle.

Several factors influence the rate of cycle recovery:

1. Age.
2. General health.
3. Physician qualification.
4. The quality of abortion drugs.
5. The period at which gestation was interrupted.

In young women with a short gestational age, the restoration of the reproductive system after a pharmaceutical abortion takes 1 to 2 months.

Possible Complications

Whether there will be a delay after a medical termination of pregnancy, whether menstruation will be painful or not, how long the bleeding will continue - all these questions are covered by the doctor.

Also, the specialist will talk about the complications that may occur after an abortion. One of the complications can be severe bleeding. If the patient loses more than 150 ml of blood for all days, she is prescribed hemostatic drugs. Bleeding cannot be ignored, because it causes weakness, anemia, and pressure drops.

Among the serious complications of pharmaceutical abortion is incomplete cleaning of the uterus. The remains of the embryo and amniotic membranes accumulate inside the organ due to incorrect dosage of the drug. If you skip this moment and do not engage in treatment, the main reproductive organ will suffer from severe inflammation. As a result, infertility will develop. Incomplete abortion without medical assistance is dangerous with a fatal outcome.

Vomiting, cramping abdominal pain, and high body temperature indicate poor quality of pharmacological abortion. If the pills did not affect the integrity of the embryo, anyway, now it will have to be disposed of by scraping the uterine cavity. It is impossible to leave the child, since abortive manipulations will affect his development in the future, and the baby will be born handicapped or dead.

In the first six months after medical abortion, it is important to strengthen contraceptive measures. Frequent episodes of abortion at a young age are dangerous for oncological changes in the genital organs.

Contraindications

Medical termination of pregnancy is carried out at the request of a woman or in the case when there is a medical ban on childbirth in the near future, and the fertilization of the egg has happened. In such a situation, it is better to terminate a short-term pregnancy with a medical abortion, and not with a conventional curettage.

You can’t remove it with pills, they get rid of it only during a surgical operation.

Before medical termination of pregnancy, it is necessary to do an ultrasound and determine the location of the fetal egg. If it is fixed in the ovary, fallopian tube or peritoneum, the doctor will forbid doing a pharmaceutical abortion.

Other contraindications for medical abortion:

• Allergy to the components of the abortion drug.
• Long-term use of glucocorticosteroids.
• Renal and liver failure.
• Inflammatory diseases of the reproductive system.
• Severe gynecological pathologies.
• Myoma and malignant changes in the uterus.
• The period of treatment with anticoagulants.
• Disorders in the blood coagulation system.

If a woman smokes and is over the age of 35, the doctor may refuse to perform a pill abortion.

P.S. Remember that medical abortion shocks the body. Many organs and systems undergo changes, and the woman herself reacts to this event with increased fatigue and psychological disorders.

If the patient's state of health cannot be called excellent, after a pharmaceutical abortion she may have infectious and inflammatory diseases of the internal genitalia or long delays in menstruation.

For a long time, women have had a general idea about the use of the drug method to stimulate abortion. How many people use it in practice? In France 25 years ago, a drug called mifepristone was developed. It blocks the action of progesterone, which is the main pregnancy hormone, and causes fetal death.

The drug is taken in combination with drugs prostaglandins that reduce the uterus. There is a feeling similar to how menstruation goes. Subsequently, a woman has a medical abortion, excluding surgery. After the method spread throughout the world, enjoying popularity.

Note! Before proceeding with the termination of pregnancy, a woman needs to pay a visit to the gynecologist: take a smear, tests and do an ultrasound. A detailed examination will help determine the gestational age. It should not be more than 6 weeks.

Before making a decision, study all the pros and cons

The presence of inflammation of the uterus or ovaries, ectopic pregnancy should also be established. At the same time, the gastrointestinal tract is also checked so that there is no inflammation. If there are problems, doctors do not recommend terminating the pregnancy due to potential complications.

The procedure is carried out under the supervision of a doctor who calculates the dose of the medication. Incomplete abortion is the result of an incorrect dosage of the drug. In the presence of a doctor, a woman drinks pills and is under his supervision for about 2 hours.

To date, the following drugs are used:

1. mifepristone.
2. Pencrofton.
3. Mifeprex.
4. Mytholian.
5. Postinor.
6. Mefigin.

Then the woman goes home is not required to be in the hospital. At home, it is recommended to take extra pills. They affect the fertilized egg in such a way that a miscarriage occurs. He comes out bleeding.

Most drugs are available in tablet form.

Each case is individual, so it is impossible to say exactly how long the menstruation lasts after medical termination of pregnancy, and what pain a woman will experience.

Doctors' advice about

The process of the onset of menstruation after an abortion with medication

After taking a special drug during the day, the following happens:

The menstrual cycle begins;

Characteristic discharges appear.

Brown bleeding is normal, turning into full menstruation. A period with abundant blood discharge means that the fertilized egg and amniotic parts come out, gradually turning into spotting ones.

If there are deviations, you should contact your doctor

The deviation is a discharge with an unpleasant odor, similar to rot, and a yellow color. They talk about the presence of bacteria that multiply in the genitals. Namely: Proteus, Staphylococcus aureus, Streptococcus, Escherichia coli. All of them lead to a violation of the microflora and can cause infectious diseases such as trichomoniasis, chlamydia, HIV.

The duration of the discharge or how long the menstruation goes after medical termination of pregnancy

The norm is considered a period of approximately 7 days. Severe bleeding lasts about 2 days, then the abundance decreases. If the abdominal pain does not stop and the spotting exceeds the period allotted for an abortion, then you should go to a medical facility for an examination, because this is a deviation.

How soon does the cycle return?

Since the use of this method does not damage the uterine membrane and occurs in the early stages, the restoration of menstruation in the woman's usual cycle is carried out immediately, or over the next few months.

Is there a delay

The body of a woman, as a result of such events, is in a state of shock. Imbalance occurs in renal, hormonal, immune, hepatic function. There are problems with the regulation of blood pressure.

In the post-abortion period, sleep disturbances appear, fatigue increases psychological disorders occur. The consequence of stress is delay. Its allowable duration is 10 days from the usual cycle. In case of a long delay, it is advisable to repeat the ultrasound.

Ultrasound is the most common and affordable method for diagnosing diseases.

It is important to know! Medical abortion does not fully guarantee a successful termination of pregnancy. If there is a delay, which is accompanied by nausea, vomiting, dizziness, and there are pains in the lower abdomen, all this indicates the possible preservation of pregnancy.

Some of the reasons that affect a woman's recovery from a medical abortion:

• doctor's professionalism;
• woman's age;
• health status (presence of exacerbations of chronic diseases);
• gestational age;
• hormonal disorders.

Stick to your doctor's advice. This contributes to the onset of recovery as soon as possible. Proper nutrition is important, which will fill the body with protein, trace elements and vitamins, fiber.
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The following mandatory activities are also important:

• exclude alcohol intake;
• adhere to the rules of personal hygiene;
• wash several times, wipe dry;
• change pads every 3 hours, do not use tampons;
• do not swim in open water, pools and do not take a bath;
• after medical termination of pregnancy, it is worth giving up sex, for that period, how long the first menstruation will go;
• avoid hypothermia, as well as any physical exertion, as they can lead to bleeding and inflammation.

Why take a pregnancy test

To obtain a more accurate result, it is recommended to use several tests from different manufacturers. There are times when pregnancy remains. These may be the consequences of insufficient qualifications of the doctor, or may indicate that the examination was incomplete.

It is recommended to do several tests at once

Also, sometimes particles of the fetal egg remain in the uterine cavity. These tissues contribute to the production of chorionic gonadotropin, just this hormone that informs about pregnancy. The presence of the hormone HCG in the blood increases the acceptance of hormonal medications, in which it is included.

In addition kidney disease may affect outcome or diets that change the composition of the urine. And all this subsequently points to a positive outcome. If there is a similar result, you need to consult a doctor and conduct a complete examination.

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Advantages and disadvantages of this method of abortion

Many women and doctors consider the medical method of terminating a pregnancy one of the safest and comfortable, and therefore optimal. Weighing the disadvantages and advantages of this method, the advantage goes towards the latter. There is no need for hospitalization. The process does not use instruments and anesthesia, so there is no trauma to the endometrium and cervix.

Medical abortion is performed under the supervision of a doctor without surgery

The efficiency is quite high, it is 98.6%. Rare cases lead to infertility, they are rather exceptions. A big plus after medical termination of pregnancy is psychological tolerance, there is a feeling as if menstruation is just coming.

It is best suited for women and young girls who have not given birth, and how many of them want to have children later. The body recovers quickly after this type of abortion.

The disadvantages include the use of the method only at the initial stage.

An imbalance may begin, as medical abortion is associated with the influence of hormonal drugs. A miscarriage can cause severe pain and bleeding.

Possible Complications

Complications are rare. In the hope of reducing their risk, it is advisable to follow all the doctor's recommendations. With medical abortion, the most important factor is the length of time, up to 6 weeks. It is during this period that most cases of miscarriages occur, since the fetus has not formed and the egg is not well attached to the uterus.

One of the most common complications is an incomplete abortion or continuation of the pregnancy in order to make sure they do an ultrasound. In both cases, cleaning of the uterus is required. Incomplete abortion can cause the multiplication of pathogens, forming good conditions for the development of infections.

To learn more about this topic, we suggest watching a lecture by a professor of gynecology.

If there is damage to the mucosa, purulent inflammation, endometritis, salpingitis may develop. Even if the pregnancy remains and develops, the original plan will have to be continued, since the likelihood of a violation in the development of the embryo is very high. Individual intolerance to drugs can also be a complication..

To identify it, a woman needs to do special tests. Some experience vomiting and nausea. Others suffer from excruciating pain in the abdomen, usually after taking a prostaglandin and lasting for several hours. Then it becomes less intense.

During this period, you should not take medicines, such as: Diclofenac, Citramon, Brufen, Aspirin, Voltaren, Indomethacin, Celebrex.

They reduce the effectiveness of the drug method. There are rare cases when an allergic reaction appears on the components of the drug. When menstruation comes after a medical termination of pregnancy, this is a normal process for the release of the fetal egg. But it does matter how long it takes.

Modern medicine allows you to choose drugs for each case

Too much long and intense menstruation - a reason to turn to a gynecologist. Because this fact can have serious consequences, such as blood transfusion. Infertility and hormonal failure are very rare, and in addition, they are difficult to treat and control.

When deciding to have an abortion, consider the advice of your doctor. Do not self-medicate, it will not lead to anything good. Keep track of how and how much menstruation goes after medical termination of pregnancy. If there are any deviations, contact a specialist.

We hope this material was useful to you. Take care of your health and remember that complications can be avoided by seeking help in a timely manner.

In a woman's life, circumstances can develop in such a way that she finds herself on the path of a difficult choice, and the resulting pregnancy is not long-awaited. If there are good reasons why it is not possible to bear and raise a child, she is forced to decide on an abortion.

Pharmabort is one of the methods for terminating an unwanted pregnancy

Medical termination of pregnancy, or pharmacist, has several important advantages, but quite often after this the question arises of when menstruation occurs after an abortion. Let's try to understand such a difficult topic.

A little more

Medical abortion is an artificial method of terminating a pregnancy with the help of a certain group of drugs. It is better to use it for a period of no more than six or seven weeks. When the menstrual cycle has twenty-eight days, this will correspond to a delay from the forty-second to the forty-ninth day. It would be logical to assume that the shorter the delay, the more successful the outcome of the procedure.

Medical interruption at the request of a woman can be carried out in those countries where this procedure is not prohibited by law. There are no special indications for it, except for those cases when there are medical reasons for the prohibition of pregnancy, but conception has occurred. In this situation, if the fact of conception is detected early, medical abortion will be an alternative to surgical interruption, if there are no contraindications to this.

The most important contraindication is pregnancy outside the uterine cavity, in the presence of which not a single pill can have the desired effect. The embryo from the cavity of the fallopian tube can be removed exclusively by surgical intervention. That is why, before prescribing a pharmacist, it is imperative to undergo an ultrasound procedure to determine the location of the fetal egg.

Other contraindications include:

• allergy to the main active ingredient in the drug used;
• long-term therapy with glucocorticosteroids;
• fibroids and malignant neoplasms of the uterus;
• disorders in the blood coagulation system and treatment with anticoagulants
• inflammatory processes of the genital organs;
• severe pathologies in the gynecological field;
• liver and kidney failure.

It is always necessary to take into account the age and state of health of a woman who is determined to terminate a pregnancy in this way. There is a risk of complications and consequences in women over thirty-five who smoke, so this bad habit must be reported.

How much time will pass for the process of restoring the physical and psychological forces of the body after the abortion procedure with the help of medications will directly depend not only on hormonal disorders.

It is necessary to take into account the term of conception in weeks and the professionalism of doctors. The quality of the drugs used and the success of previous births, if any, are also important.

The body undergoes a significant shock after a medical abortion procedure. There comes an imbalance in the immune, hepatic, renal, hormonal systems, the volume of blood changes. A woman is prone to psychological disorders, her sleep is disturbed and fatigue increases. As a result of all this, the development of infectious and inflammatory diseases is possible, as well as the failure of the menstrual cycle and the delay in the onset of menstruation.

Renal failure is a direct contraindication to pharmabort

Critical days after the abortion procedure

After the medical abortion procedure, a copious amount of bloody discharge is characteristic during the first week and spotting throughout the second. Bloody or clear discharge of some women may be noted until the next menstruation. Periods after an abortion can rarely become more painful than they were before, but are often more abundant.

Approximately ten percent of women note that when menstruation comes, the pain is much more intense, so they are forced to take painkillers.

In case of pain, which is cramping in nature, and accompanied by an increase in body temperature, it is necessary to come or go to the hospital urgently, because these symptoms are characteristic of an incomplete abortion.

The beginning of the menstrual cycle after the abortion procedure by means of pharmacological preparations is considered the day of the onset of spotting, exactly one day from the time of taking the pills.

Menstruation should be expected after an interval that a woman considers a normal menstrual cycle for herself. You can consider a delay of ten days. How many days this will amount to, individually for each woman.

For example: the cycle had a range of twenty-eight to thirty days. After artificial termination of pregnancy with the help of pharmaceuticals, the first menstruation will begin in the interval from the twenty-eighth day to the fortieth.

After an abortion, it is necessary to note the day when the first menstruation came in order to monitor the cycle. Statistics show that every tenth woman after an abortion with pills does not have two months of menstruation.

After several menstrual cycles, the onset of menstruation stabilizes, and their duration is from three to seven days. Doctors explain this speed of recovery by the fact that there are no complex hormonal changes at the very beginning of conception in the body, so it is easier for him to recover from a medical abortion.

Until the menstrual cycle stabilizes and comes at the usual time, menstruation after medical abortion tends to be delayed. If more than two of the expected cycles pass, and menstruation has not begun, an appointment with a gynecologist is required. He will conduct an examination procedure, write a referral for an ultrasound scan and issue a prescription for drugs to restore the cycle if necessary.

The first day of menstruation after an abortion should be marked

Need to know about it

Situations are different and the reasons for terminating a pregnancy can be serious, but one should never forget the fact that the consequences of this procedure can be not only unpleasant, but also dangerous. If there are no side effects, then even in this case, no one guarantees that the impact of powerful hormonal drugs did not have a traumatic effect.

Pharmaceutical preparations produce a complete blockage of progesterone. This can directly lead to a malfunction in the hormonal system. The simplest consequences will express themselves in a short space of time. It will be stomach problems and nausea. Possible reaction from the skin, as well as severe fatigue

The most serious consequences include:

• pregnancy persisted (the drug had no effect);
• incomplete abortion;
• cramping abdominal pain;
• uterine bleeding;
• high body temperature.

In the event that medical termination of pregnancy has not had its effect, some women have a strong desire to endure the baby. Almost always, gynecologists strongly recommend not to do this, because there is a high probability of malformations in the fetus. That is why before making such an important decision as a pharmacist, you need to think carefully and take your time.

In connection with all of the above, the effectiveness of medical abortion is evaluated by doctors using an ultrasound procedure, which should exclude the presence of a fetal egg or its particles in the uterine cavity. To avoid such situations, you should use means of protection against possible conception.

Nausea and stomach problems are common side effects of pharmabort.

Need to remember

The restoration of the menstrual cycle directly depends on the disturbance in the hormone system after the pharmaceutical abortion. Immediately after the onset of conception, the body begins the process of active restructuring. After the abortion, he has to do this work again. In the absence of specific consequences, doctors consider the delay in the first menstruation to be a variant of the norm.

After the moment in time when menstruation occurs after an abortion, failures in the course of the menstrual cycle may occur within six months. Some women may experience an increase in its duration, which they may mistake for a delay. Not the last role in the fact that menstruation comes late is played by the stress that a woman endures.

The course of the menstrual cycle must be closely monitored. In case of a delay in menstruation for more than three weeks, doctors strongly recommend that you go to the hospital for an examination. I would like to note that it is not recommended to check with the help of tests known to everyone whether the pregnancy is really terminated, because the hormone responsible for false positive results will remain in the blood for a long time.

In the case of a medical abortion procedure, it is worth remembering that the reproductive function after it can be restored in a week and a half.

For this reason, a few days after this procedure, you need to protect yourself. Hormone-based preparations are taken on the day after the onset of menstruation or as directed by a doctor.

No need to miss appointments with a specialist, avoid consultations and be shy to ask questions of interest. Only an attentive attitude to one's own health, observing how many days have passed before the onset of the first spotting and how menstruation proceeds after medical interruption will reduce the possible risks of diseases in the gynecological area and the risk of infertility.

Any intervention that will be directed to the coordinated work of the female body, with a high degree of probability, can lead to negative consequences. This rule fully applies to the procedure of medical termination of pregnancy. The abortion procedure will forever remain not only a physical, but also a moral test in the life of every woman.

Abortion- this is an arbitrary interruption of the life support of a fertilized egg implanted on the wall of the uterus, for up to 22 weeks. Such termination of pregnancy with the help of pharmacological products is carried out in a hospital under the supervision of a gynecologist.

Preparations

Medical abortion is provoked by drugs such as:

• Mifepristone
• Mifegin
• Misoprostol
• Pencrofton
• Mirolut

These drugs are effective in short periods of pregnancy, no more than 6 weeks. Medicines lower the degree of the presence of progesterone, as a result of which the fetal egg is rejected and leaves the uterus with blood.

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In order to carry out a pharmaceutical abortion, the gynecologist uses two means - mifepristone and misoprostol. These medicines provide contractile activity of the uterus. Frequent contraction of the smooth muscles of the uterus causes the fetal egg to leave its place of placement.

Pros and cons of medical abortion

The advantages of medical termination of pregnancy are quite enough, but there are also significant disadvantages.

Pros:

• The effectiveness of the manipulation is 92-99%.
• Does not require prior preparation and anesthesia.
• The speed of manipulation is just taking pills.
• No trauma to the endometrium and uterine cervix.
• Remains reproductive capacity.
• Normal perception in the psychological aspect.

Minuses:

• When the pills don't work properly, some or all of the embryo may remain in the uterus. In order to remove it, you will have to resort to instrumental abortion.
• Uterine blood loss (55% of cases).
• Nauseous feeling.
• Intense pain in the abdomen.
• Fever.
• fatigue.
• Jumps in blood pressure.
• Hormonal disruptions.
• Infectious lesions of the genitals.

How is it done and for how long?

1. The method of terminating a pregnancy with pharmacological preparations is carried out without surgical procedures, exclusively in the early stages (up to 6 weeks), the limit is up to the 49th day from the starting day of the last menstruation. The risk and effectiveness directly depend on the timing - the sooner the better.
2. Pharmabort should be carried out exclusively according to the decision of the doctor. Currently, many domestic and foreign medicines are used, which should be used strictly according to the prescription of the gynecologist.
3. In order to be harmless to women, to prevent complications, they are not supplied in pharmacies and are available exclusively in specialized clinics.
4. T tablets must be taken at the doctor's appointment. As a rule, the whole process takes 1-2 hours. If there are no side effects, then after a few days the patient is invited again in order to drink another pill.

Stories from our readers!
“The gynecologist advised me to take natural remedies. We opted for one drug - which helped to cope with hot flashes. It’s such a nightmare that sometimes you don’t even want to leave the house for work, but you have to ... As soon as I started taking it, it became much easier, you even feel that some kind of internal energy appeared. And I even wanted to have sexual relations with my husband again, otherwise everything was without much desire. "

Complications after medical abortion and their causes

For what reason and for how long critical days do not come, what can be the intensity of pain, how long menstruation lasts after a medical abortion - these and other questions worry women who have decided on this manipulation. The leading gynecologist should inform about possible complications.

Bleeding

Perhaps, as with other methods of abortion, but at times less likely.

1. When it goes beyond the norm (more than 150 g for all days), a woman is prescribed special means.
2. Feeling unwell can be a symptom of excessive blood loss.
3. Abundant spotting can cause anemia (low hemoglobin), pressure interruptions and poor health. Medicines will help to eliminate such manifestations to the patient.

Likely no effect

And, as a consequence, the continued growth and development of the embryo. The danger of congenital malformations in the unborn child exists, despite the fact that the officially negative effect of the tablets used on the developing fetus has not been proven. In such a situation, the woman is offered to terminate the pregnancy by another method.

Partial abortion

A very serious complication, provoked by the remains of the embryo, amniotic membranes inside the uterine cavity. As usual, this happens as a result of an erroneously calculated dose of the active ingredient.

If not treated in a timely manner, this condition threatens with the appearance of inflammation in the uterus, inability to bear children and, in general, is life-threatening for the patient.

Inability to bear children is one of the main consequences of re-abortion.

What determines the onset of menstruation?

Despite some specific norms, the restoration of the menstrual cycle in each patient proceeds individually. It is determined by factors such as age, the general condition of the woman, the presence of gynecological diseases and hormonal imbalance, the number of previous pregnancies and the characteristics of their course, the term of the abortion.

The qualification of a specialist is an important factor influencing the prospect of development of events.

Having plans to terminate the pregnancy, the patient must contact a specialized clinic and a professional gynecologist. An experienced doctor will definitely consult on all points, explain what is the duration of menstruation after a medical abortion.

My personal history

With premenstrual pain and unpleasant discharge, it's over!

Our reader Egorova M.A. shared experience:

It is scary when women do not know the true cause of their illnesses, because problems with the menstrual cycle can be harbingers of serious gynecological diseases!

The norm is a cycle lasting 21-35 days (usually 28 days), accompanied by menstruation lasting 3-7 days with moderate blood loss without clots. Alas, the state of gynecological health of our women is simply catastrophic, every second woman has some kind of problem.

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Abortion Methods

At the current time, there are three ways to terminate a pregnancy, which are practiced depending on the term:

With vacuum suction of the fetal egg, the risk of incomplete release of the embryo is higher than with pharmacological abortion. In addition, failures of the menstrual cycle with a mini-abortion are more significant.

The leading method regarding the risks of harming a woman's health is curettage (instrumental abortion), since it is the most traumatic. With surgical interruption, the integrity of the uterus is likely to be violated by instruments.

Features of menstruation after medical abortion

Any termination of pregnancy, as a medical event, inevitably entails the risk of complications. Some negative consequences and complications after termination may be specific to a particular method of termination of pregnancy.

For example pFor medical abortion:

• slight pain in the abdomen,
• nauseous feeling,
• gagging,
• migraine,
• dizziness,
• chills,
• contraction of the smooth muscles of the uterus.

In 1-2.5% of cases with pharmacological abortion, the pregnancy does not stop, up to 7.5% of episodes a partial abortion occurs, while curettage is additionally performed.

First period after honeybort

1. Menstruation after drug termination of pregnancy is often long and profuse, and may last up to 10 days. This is due to the fact that the rejection of the endometrium during the suspension of pregnancy occurs in stages, as with curettage. When the bleeding is strong, it is mandatory to clean the uterus.
2. Full-fledged ones occur approximately after 28-35 days. And since abortion provides a strong hormonal disorder in the body, menstruation is very insignificant, due to the inhibition of the work of the appendages.

How to determine the date of the first monthly cycle?

1. The day when detachment from the surface of the uterus of the embryo occurs, is the first day of menstruation after an abortion. - the norm.
2. A longer delay may indicate a new implantation of the ovum to the walls of the uterus or about diseases of the reproductive sphere.
3. Strong and large periods after a honeybort due to hormonal imbalance in the body. Menstruation after a medical abortion is normalized when the hormonal background is balanced.

Blood after medical abortion

Termination of pregnancy with drugs is performed in the early stages, when the inner layer has not yet had time to grow well, and the embryo is firmly attached to the wall of the uterus. Minor bleeding after a medical abortion may be normal.

But sometimes it happens that such periods after medical termination of pregnancy are due to:

• a large hormonal change, due to which the menstrual cycle is normalized only after a few months;
• physical obstruction to the passage of blood through the cervix (an impenetrably closed cervix, collection of coagulated blood over the vaginal outlet).

The latter factor can lead to a significant threat to the life of the patient and the ability to bear the fetus in the future. Surgery may be required to eliminate this complication. In addition, there is a possibility that the pregnancy remained.

Causes of slight discharge after a mini-abortion

With mini-abortion of pregnancy, the main reasons are:

• pregnancy has not been stopped;
• fairly early;
• obstruction to the removal of menstrual blood.

Any of the above causes can be diagnosed during a woman's gynecological examination.

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Signs of poor discharge after a honeybort

Scanty menstruation after an abortion manifests itself in such a way that the volume of secretions is quite small, and only traces of it appear on the pad.

For all the time of menstruation, no more than 50 ml of blood can be released.

Spotting bleeding lasts from one to two days, but can last for a month, leaving a few drops a day.

The blood can be bright red, fresh, but often it is brown.

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Scanty bleeding may be associated with a deterioration in general well-being:

• spoils the mood,
• There is irritability
• Bloating or pulling pain in the lower abdomen.
• Possible pain aching in the mammary glands.

Menstruation after vacuum abortion

Vacuum termination of pregnancy (mini-abortion) is performed by gynecological vacuum suction:

Such a mini-abortion is carried out for a period of 5 to 8 weeks after fixing the fetal egg.

It is at this time that vacuum abortion makes it possible to safely get rid of the embryo without consequences. It does not provoke significant damage to the woman's organs and is not aggravated by large changes in the hormonal picture.

Monthly can come as follows:

The speed of recovery of childbearing function in this situation depends on:

• the quality of the operation performed;
• the period of implantation of the fetal egg to the walls of the uterus;
• individual capabilities of a woman;
• reproductive organs.

In a woman who already has children, the menstrual cycle returns to normal after 3 to 4 months. If the first pregnancy stops, the reparative effect can last 7 to 9 months.

During the recovery period of the cycle, there is a high risk of re-pregnancy. In order to nullify the possibility of a new attachment of the fetal egg to the uterine wall, gynecologists advise using oral remedies. They contribute to the rapid normalization of the ovaries.

When there are contraindications to the use of hormonal agents, another reliable method should be used to prevent pregnancy. Secondary abortion is more risky for women's health than the first one.

Menstruation after instrumental abortion

After an abortion, menstruation does not stop for some time. They are very similar to regular periods.

This is due to the fact that the endometrium, which grows every month and separates if pregnancy does not occur, has separated and leaves the uterus in a physiological way. The veins and capillaries are damaged from the abortion and continue to bleed.

Small periods may be the result of excessively careful removal of the endometrium of the uterus during mechanical extraction of the embryo.

In addition, a significant re-formation takes place in the woman's body, which ensures the bearing of the fetus. After an abortion, the female body undergoes hormonal disruption. One of the signs of such a transformation is spotting.

With insufficient qualification of a specialist, a physical violation of the integrity of the walls of the uterus may occur. Blood, in such a situation, can penetrate into the abdominal cavity or soak the uterine walls. The uterine cervix, expanded mechanically, can close tightly, and the blood can no longer go outside, accumulating inside the cavity. The threat of such a complication is that the blood is an excellent breeding ground for all kinds of microorganisms, and for this reason, purulent inflammation is likely to occur.

If there is no period after an abortion?

In some patients, after an abortion, prolonged delays in menstruation may appear, which can be 35-40 days.

In such circumstances, it is best for them to contact their leading gynecologist without delay.

In particular, if at the same time fever is manifested, there are sharp pains in the lower abdomen and a feeling of nausea, which turns into vomiting.

Such signs may signal that the termination of pregnancy was performed poorly, and the embryo was not completely removed. Often, such a threat is possible during critical periods of gestation (10-12 weeks).

However, with a prolonged absence of menstruation, a woman should make sure that she does not have a second pregnancy. Gynecologists allow women to have a sexual life after 10-15 days after the abortion. Only a gynecologist can accurately diagnose pregnancy during a visual examination.

The indications of a simple rapid test should be treated with caution, for the simple reason that after an abortion, the level of gonadotropin is not able to drop quickly. A high presence of this hormone will show a positive test result. To increase the reliability of the result, it is required to carry out such a test every 2-3 days, while it is better to use tests from different manufacturers. In addition, there are fears that the pregnancy could not be terminated.

Prevention of complications after an abortion

In order to recover as soon as possible after any type of operation, you must follow some rules.

These include:

In conclusion, it should be noted that the symptoms of pregnancy will not disappear instantly after the patient has interrupted it by any of the possible methods.

Swelling and soreness of the mammary glands, mood changes, the occurrence of toxicosis, an increased presence of human chorionic gonadotropin (hCG) - over time, all these manifestations disappear.

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The reasons for termination of pregnancy can be different. One woman is not yet ready for motherhood, another has a career in the first place, and the third simply does not allow her health to give birth at the moment. But, having decided on an abortion, they hope that everything will go smoothly, and it will be possible to give birth later. But problems arise - menstruation after an abortion does not come. The woman decided to give birth, but it is not possible to get pregnant. After what time everything should work out, it depends on the period at which the abortion was made, and on the way in which it was performed. In addition, each organism has its own characteristics.

• restructuring of the hormonal background;
• changes in the structure of the endometrium of the uterus in connection with the intake of a fetal egg;
• physical changes in the condition of the ovaries and mammary glands.

In addition, during the operation, there is a possibility of accidental injury to various organs of the reproductive system, infection.

The consequences of such an intervention can be the most unexpected. Often there are extensive inflammatory processes. Subsequently, diseases and hormonal disorders lead to pathologies such as ovarian dysfunction, cervical erosion, endometrial hyperplasia, benign and malignant tumors of the uterus and mammary glands. The result can be infertility or miscarriage of subsequent pregnancies.

It is important to know what menstruation is like after an abortion, if the interruption went without complications, which you need to pay special attention to at this time. If there are deviations from the norm, it is necessary to be examined and treated.

Video: Consequences of abortion

What determines the onset of menstruation

After an abortion, the onset, nature and volume of menstruation depends primarily on the method of abortion, the quality of the operation, as well as the state of the woman's immune system, the nature of the menstrual cycle before the manipulation. The general state of reproductive health and the presence of endocrine diseases that cause hormonal imbalance in the body are important.

When establishing the reasons for the delay in menstruation after an abortion, the doctor also takes into account whether the woman gave birth or not, whether she had abortions before, what her lifestyle is, the state of the nervous system, and her age.

Abortion Methods

There are 3 methods of abortion in the early stages:

• medication;
• vacuum;
• surgical (instrumental).

The least traumatic is the method of terminating a pregnancy using special preparations for oral administration. The most dangerous is the surgical removal of the fetal egg. When choosing a method, the gestational age is taken into account.

Features of menstruation with various methods

After an abortion performed in any way, discharge first appears, which may contain remnants of the fetal egg. As time passes, they brighten, become more and more scarce. Menstruation is a regular discharge of blood after the restoration of the reproductive system.

medical abortion

After taking special preparations, the fetal egg detaches and is brought out. Two types of drugs are taken:

1. Stopping the production of progesterone, which inhibits the synthesis of estrogen, thereby maintaining the pregnancy.
2. Causing contraction of the uterus to bring the embryo out.

It is considered normal if, at the same time, a woman has discharge with small impurities of blood for 10 days. Menstruation after an abortion usually comes at the right time, the onset coincides with the expected. Sometimes they may be absent for 1-2 months, and then the cycle and the nature of menstruation are restored.

Officially, medical abortion can be done no later than 42 days after the last menstruation. At later dates, the likelihood of incomplete removal of the egg increases, after which surgical cleaning will be required. Usually it is done for a period of 3-4 weeks (the best option) and no later than 7 weeks.

Video: Features of medical abortion

vacuum abortion

Termination of pregnancy using a device that creates reduced pressure inside the uterus is the so-called mini-abortion. The fertilized egg is pulled out of the uterus under vacuum through a special catheter. Such cleaning is carried out for a period of 5-6 weeks. If you do it earlier, then too small an egg may not enter the catheter, and for long periods there is a great danger of its incomplete removal. The procedure usually takes 15 minutes and is performed under local anesthesia.

For 10-15 days after cleansing, a woman may experience slight spotting due to damage to small vessels in the uterus. Normal periods after an abortion come in about 30-35 days, a delay of up to 3 months is possible. The duration and intensity of secretions varies up or down. Often, menstruation becomes painful.

instrumental abortion

With this method of abortion, the uterus is scraped, both the embryo itself and the adjacent epithelium and even the underlying tissues are removed. A bleeding wound remains at the site of the embryo's stay, the healing of which occurs within several months. Full recovery of the menstrual cycle may be delayed for six months.

Most often, menstruation after a surgical abortion occurs after 28-35 days. Within 2 weeks after curettage (especially in the first 2-3 days), abundant dark red discharge of a heterogeneous structure with the remains of the embryo is observed. Until the body is fully restored, the volume of menstruation fluctuates, menstrual pain occurs.

After 12 weeks, an abortion is not done, since there is a great danger that the embryo will not be removed, but only damaged. This is fraught with the birth of a child with physical deformities. Long-term abortions increase a woman's risk of life-threatening uterine bleeding.

Causes of delayed menstruation after miscarriage

There are several reasons why menstruation does not occur after 3 months or longer after an abortion. These include:

1. Violation of the natural hormonal balance. The longer the period at which the pregnancy is terminated, the more likely the delay in menstruation. In some cases, menstruation resumes only after hormone treatment.
2. Severe stress, depression. This increases the content of prolactin in the blood, which reduces the level of estrogens that regulate the onset of menstruation.
3. Damage to the epithelium of the uterus during curettage. If a large part of the endometrium is removed, infertility is possible, despite the fact that the ovaries are functioning normally. The endometrium is the basis of menstrual flow, as well as the place of attachment of the embryo during pregnancy.

The onset of the next pregnancy cannot be ruled out, since ovulation after an abortion in many women comes on time.

Prevention of complications after an abortion

In order to avoid bleeding after an abortion by any method, a woman is recommended to avoid physical exertion, coffee, chocolate, spicy foods, alcohol, and sauna visits for 2 weeks. All these factors, as well as smoking, contribute to increased blood circulation.

Warning: Ovulation may occur earlier than expected. A woman should take this into account and protect herself so that the next pregnancy occurs no earlier than six months later.

Within 2-3 months it is recommended to take birth control pills prescribed by a doctor. Contraception is needed not so much to prevent conception, but to restore the normal hormonal levels and the physical state of the body after the stress associated with pregnancy and its interruption.

It is necessary to refrain from sexual activity in the first 10-15 days after the abortion, so that bleeding does not occur, and also to avoid infection of the uterus. 2 weeks after the abortion, visit a doctor to make sure there are no pathologies. After 3 months, you need to undergo a preventive examination.

A doctor should be consulted immediately if menstruation is accompanied by profuse discharge with a rotten smell. The appearance of blood clots or impurities of pus in them should be especially alarming (while the color of the discharge is yellow or green). A symptom of inflammation is an increase in body temperature.

A dangerous condition is the stagnation of blood in the uterus (hematometra) due to impaired outflow due to spasmodic contraction of the cervix. At the same time, the woman notices that after 2-3 days the bleeding stops completely, and pain appears in the abdomen, the temperature may rise, as an inflammatory process occurs. Urgent surgical intervention is required.

During the examination after an abortion, an ultrasound is done, which allows you to see how well the operation went, whether there are any remnants of the fetal egg or blood clots in the uterus. In addition, the ultrasound will show if there are areas of inflammation or neoplasms in the uterus that can cause a violation of the nature and cyclicity of menstruation.

Video: Ways to terminate pregnancy, preliminary examination, possible complications