The most sparing way to carry out an abortion is a drug abortion. It is practically safe for the health and emotional state of a woman. For its implementation, drugs are used that cause the ejection of the fetal egg outward.
What is medical abortion?
The term "pharmacological" is used to designate an artificial interruption of a pregnancy that has begun with the use of medicines. The method completely excludes surgical intervention. In carrying out this procedure, the patient takes pills in the presence of the doctor. Under the action of the components of this drug, the embryo dies. This ends the first stage of medical abortion.
After a certain time a woman takes another drug. Its components provoke an increase in the contractile activity of uterine myometrium. As a result, the severed fetal egg is expelled outside, an abortion occurs. This procedure has a number of advantages with respect to other methods (scraping, mini-abortion ):
- absence of traumatization of the uterus;
- rapid recovery of the menstrual cycle;
- low risk of complications;
- does not require anesthesia.
Medication abortion - timing
Answering the question of a woman, until what period the drug abortion can be carried out, doctors call 6-7 weeks. Pharmabort can be performed no later than 42-49 days from the time when the first day of the last menstruation was celebrated. The effectiveness of this procedure decreases with time, and the probability of complications increases.
The optimal time for conducting a medabort is called a term of up to 4 weeks. The fetal egg does not have time to fix securely in the uterine wall, so it is better and faster to tear away and go out. In addition, the hormonal background is not yet fully established, the restructuring of the body is not complete, so it will be easier for him to return to the past state, before pregnancy.
Medication abortion - contraindications
The main indication for such an abortion is the desire of the woman herself. However, not all pregnant women and not in all cases can be medically aborted. In addition to the timeframes outlined above, there are other contraindications to the implementation of medaborta:
- allergic reactions to medicines in the anamnesis;
- liver failure;
- adrenal insufficiency;
- pathological bleeding;
- an active inflammatory process in the body of a woman;
- pulmonary tuberculosis;
- suspicion of ectopic pregnancy ;
- oncological processes;
- lactation process;
- implementation of corticosteroid therapy;
- violations of the blood coagulation system.
How does a drug abortion occur?
Talking about how the pharmacist is going through, the doctor explains the stages of the procedure. Pre-woman is required to undergo a small examination, which is appointed on the day of treatment:
- Ultrasound of the uterus;
- smear on the microflora;
- blood test for syphilis.
After receiving the results, the exact time is appointed when a medical abortion will be performed, the dates of which are indicated above. On a second visit, the doctor re-talks with the woman, clarifies the seriousness of her intentions, whether she has changed her mind. Then the patient is given a drug that she drinks in the presence of a doctor. Under the action of the drug, the growth of the endometrium stops, and the muscle layer begins to contract. The woman is observed for 2-3 hours, after which she leaves the clinic.
On the patient's hands, a pill of another drug is given, which stimulates uterine contractions. Take it after 36-48 hours, according to the instructions of the doctor. Under the action of the drug, the exterminated embryo is expelled outwards. Only after this medical abortion is considered complete. A woman fixes spotting.
Medication abortion - drugs
A woman, even if she wishes, can not independently carry out the pharma - the tablets for its implementation are not sold in the pharmacy network. Carrying out medical abortion, drugs are used with a high content of hormones, so they are issued by a doctor in a medical setting. To carry out drug abortion, the following groups of drugs are used:
- Antigestagens - suppress the action of natural gestagens at the receptor level. The representative of this group is Mifepriston, Mifegin. For the drug use 600 mg of the drug.
- Prostaglandins - enhance the contractility of uterine myometrium. More often from this group use Mirolyut. Assign 400 mg funds. Take 36-48 hours after the anti-gestagen.
How to understand that the pharma was successful?
Complications are possible with any medical procedure, so women are often interested in doctors about how to understand that the medabort was not successful. In order to exclude possible violations after 14 days a woman should visit the clinic and undergo a control ultrasound. The doctor must make sure that the fetal egg, its remains completely left the uterine cavity. Inspect the body itself, determining the size. At the woman the doctor specifies character of vydeleny, presence and an intensity of a painful syndrome. Often after the test, the test is positive - this is due to a changed hormonal background.
Monthly after the pharmacy
Normally, the monthly after the pharmacist comes in 28-30 days. Reception of abortifacients practically does not reflect on a hormonal background of the woman, therefore the menstruation is not broken. However, in some cases a change in the volume of secretions occurs: they may be scarce or excessively abundant. So, a small amount of discharge after a drug termination of pregnancy can be due to:
- Small opening of the cervix during the abortion - fragments of the fetus can not normally exit outside, accumulating in the uterine cavity.
- Incomplete abortion - the fetal egg has not completely disappeared, and the fetus continues to develop.
Within 2-3 days, bleeding after the pharmacist is observed. Normally it lasts up to 10-14 days. The fetal egg is separated in parts, so the discharge lasts a long time. Their volume exceeds the number of menstrual. You need to pay close attention to the volume, making sure that they do not go into the uterine bleeding . The signs of such complication are:
- a large amount of blood released from the vagina - for half an hour the hygiene pad (maxi) is saturated completely;
- pain in the lower abdomen;
- dizziness;
- blanching of the skin;
- an increase in the number of heartbeats;
- lowering of blood pressure.
Sex after a pharmacy
After the pharmacist is implemented, what can not be done and what rules to observe - the woman explains the woman. In this case, special attention is paid to the intimate life. Doctors do not recommend entering into sexual intercourse with women until the bleeding stops. Otherwise, there is a high risk of infection of the reproductive system. On average, the abstinence period should be 2-3 weeks from the moment of abortion.
Pregnancy after a pharmacy
Properly conducted pharmaceutical abortion does not affect the childbearing function. Pregnancy after such termination of pregnancy is possible after a month, in the next menstrual cycle. Given this fact, doctors are strongly advised to protect themselves. Often women regret what they have done and wish to become pregnant again. In addition, there are cases when the interruption was carried out for medical reasons, so a woman wants to quickly become pregnant again.
The reproductive system needs time to recover, so you need to refrain from planning pregnancy for 6 months from the time you underwent a medical abortion. During this period, doctors recommend using contraceptives . In this case, preference should be given to the mechanical (condom), since the use of hormonal drugs can affect the hormonal background.
Medication abortion - consequences
The interruption of pregnancy is always accompanied by a risk to the woman's health. An exception is not medical abortion, the consequences of which may be as follows:
- progressive pregnancy;
- incomplete abortion;
- violation of the hormonal background.