Lower back pain after medical termination of pregnancy. Abortion: pain after the procedure and its causes

Preserving a woman’s reproductive health involves gentle performance of all gynecological manipulations. This also applies to termination of pregnancy. It is known that the earlier the procedure is performed, the less dangerous the complications. It is optimal to completely abandon this manipulation, but this is not always possible. Therefore, it is recommended to perform an abortion with the help of a short gestation period. medications.

What is a medication method?

Replacing surgical instruments and vacuum aspirators with hormonal drugs made it possible to develop a method of pharmacological abortion. This non-invasive pregnancy loss procedure early stages, which occurs spontaneously.

Its advantages are associated with the following factors:

• efficiency 98-99%;
• no possibility of injury to the uterus or cervix during surgical procedures;
• low risk of ascending infection;
• there is no danger of getting HIV, hepatitis;
• there are no risks caused by anesthesia;
• can be used in primigravidas, influence on women Health minimal;
• low level stress, does not create a traumatic situation.

The procedure does not require long stay in a hospital setting. After the patient has taken medications that cause a medical abortion, bleeding can be expected at home. But self-administration of medications without a doctor is impossible.

What's better, vacuum abortion or medicinal?

This is decided individually. But the complications and degree of interference in the body with vacuum aspiration are much higher.

How is the time for an abortion determined?

The timing for medical abortion is determined by the protocol of the Ministry of Health of the Russian Federation dated October 14, 21015. They record that it is possible to carry out a gestational disorder up to 63 days, or the 9th week. But in world practice there are differences in how long this manipulation can be done. In developed countries, the period is defined as 49 days, or 7 weeks of pregnancy.

Why is such a period determined for pharmacological interruption?

At the 5th week of pregnancy, the embryo begins to acquire human features, the rudiments of many organs and the umbilical cord appear. At 6 weeks the placenta begins to form and continues to develop internal organs. At week 8, the embryo is already fully human species, it enters the fetal stage. After this period, the formation of blood vessels in the placenta occurs, so a medical abortion can cause heavy bleeding.

Registered and used in Russia the following drugs for medical abortion:

1. Mifepristone 200 mg.
2. Misoprostol 200 mcg.

Pharmacological abortion can be used if the gestational age corresponds to that allowed by the protocol. The main condition for the successful completion of the procedure is the day of pregnancy and the presence of an embryo inside the uterus according to ultrasound results. After caesarean section the drug method is preferable to.

Preparation for the procedure

When you first visit a gynecologist, you need to general examination, bimanual examination on a chair and in mirrors, smears are taken from the vagina. Also measured arterial pressure, pulse, breathing rate. Next, the woman is sent for an ultrasound to determine the exact day of gestation, the condition of the uterus, and the fertilized egg.

Referrals are given for blood, urine, glucose, and ECG tests. A coagulogram is prescribed if there is a history of problems with the blood coagulation system. May be needed additional methods examinations, the need for which is determined by the doctor.

Execution method

When visiting the obstetrician-gynecologist again, the patient signs consent to perform an artificial abortion through pharmacological drugs. How does a medical abortion work? clinical protocol.

For gestational age up to 63 days, 200 mg of Mifepristone is used, which the woman drinks with a doctor. A doctor's supervision is required for 1-2 hours, after which you can go home.

If the period is 49 days, 200 mcg of Misoprostol is taken at the next visit after 24-48 hours. During pregnancy 50-63 days, 800 mcg of the drug is used. This medication should be placed under the tongue, behind the cheek, or deep in the vagina. With the last method of administration, you need to lie down for 30 minutes. The patient should be observed for 3-4 hours. During this period, most people begin to bleed. If this does not happen, to achieve the result, take Misoprostol 400 mcg tablet again.

The signs of abortion are identical spontaneous miscarriage. A woman feels a cramping stomach ache and menstrual-like discharge appears.

How long does the bleeding last?

For most women, it lasts 7-9 days. Blood discharge after the procedure is rarely observed until the next menstruation. If the manipulation is carried out at 3-4 weeks, then bleeding is not much different from menstruation. As the period increases, blood secretion increases; sometimes the use of hemostatic therapy may be required.

After 14 days you need to appear for a follow-up examination. This is necessary to confirm that the interruption has occurred. If an unsuccessful medical abortion occurs, aspiration from the uterus is prescribed.

Contraindications

The above medications have serious side effects. Despite high degree safety, there are certain contraindications to medical abortion:

• gestation period exceeds 63 days;
• diagnosed;
• large fibroids that change the internal cavity of the uterus;
• infectious diseases genital organs during the acute period;
• anemia with hemoglobin less than 100 g/l;
• porphyria is a disease associated with impaired metabolism of the constituent pigment hemoglobin;
• bleeding disorders, as well as taking anticoagulants;
• individual intolerance to one of the drugs;
• adrenal insufficiency or long-term use of glucocorticoids;
• diseases of the liver and kidneys, which are accompanied by acute or chronic failure;
• serious illnesses other organs;
• extreme exhaustion;
• smoking when a woman is over 35 years old;
• arterial hypertension;
• bronchial asthma;
• glaucoma;
• diabetes and other diseases endocrine system;
• hormonally active tumors;
• lactation period;
• pregnancy during or after taking oral contraceptives.

According to WHO recommendations, interruption using Mifepristone is possible up to 22 weeks, but the severity of bleeding increases parallel to the period. In this case, for the duration of the procedure, the patient is hospitalized in a hospital, where there is a large operating room and emergency surgical care can be provided.

Fibroids threaten the development of bleeding, but if the size of the largest node is up to 4 cm and they do not change the uterine cavity, then you can resort to a pharmacological method.

Anemia is also a relative contraindication. The consequences of medical abortion can manifest themselves in a decrease in hemoglobin concentration: bleeding after taking medications exceeds menstrual bleeding in volume and duration.

Disturbances in hemostasis have implications for the volume and duration of blood loss. If shortly before the procedure the woman was treated with anticoagulants, then an increase in blood clotting time will lead to more heavy bleeding. Smoking women over 35 years of age are at risk of developing thrombosis and disease of cardio-vascular system. Therefore, to exclude complications, a consultation with a therapist is carried out.

Use of oral contraceptives long time before pregnancy also affects the hemostatic system. But this contraindication is relative. If the coagulogram results do not reveal pathological abnormalities, then you can use this interrupt method.

If pregnancy occurs while an IUD is installed, it is removed before the procedure. Further tactics do not differ from the standards.

Infection of the genital organs is a pathology that requires appropriate therapy, which should not be delayed. Medical abortion does not contribute to the development of ascending infection, and treatment acute infection can be carried out simultaneously.

Mifepristone and Misoprostol penetrate into breast milk. If there is a need for interruption during breastfeeding, then you need to express milk for up to 5 days after taking Misoprostol. During this time, the child is transferred to artificial feeding.

Bronchial asthma, high blood pressure and glaucoma are diseases that respond to prostaglandins. Therefore, in these pathologies, taking Misoprostol is contraindicated.

In addition, the contraindications for each drug should be taken into account. For the most part they coincide with those given above. It can only be supplemented with careful use of Misoprostol in patients with epilepsy, cerebral atherosclerosis, coronary disease hearts.

Possible complications

Despite the small number of complications, it is possible to determine why medical abortion is dangerous. In 85% of cases adverse reactions in the form of abdominal pain and bleeding are moderate, special treatment not required.

In other cases, manipulation can lead to the following complications:

• expressed pain syndrome;
• heavy bleeding;
• temperature;
• incomplete abortion;
• progressive pregnancy.

Pain in the lower abdomen is observed during the period of expulsion of abortion products. Its intensity may vary, but the individual tolerance threshold also matters. Analgin and Drotaverine are used to reduce pain. WHO recommendations indicate Ibuprofen to reduce pain. If your breasts hurt after an abortion, this may be a consequence high level, which increases with the progression of pregnancy. This symptom goes away on its own.

Bleeding is considered significant if you have to change two pads in an hour, and this condition lasts for at least 2 hours. In this case, vacuum aspiration of the contents of the uterus is indicated in order to stop it. In severe cases, surgical cleaning is performed.

In 2-5% of cases, medical abortion is incomplete. Then it is also necessary to perform vacuum aspiration or curettage of the uterine cavity. Less than 1% of cases result in pregnancy progression. If a woman insists on an abortion, then invasive methods are used. Those who have changed their decision must be informed about the possible teratogenic effect of the drugs on the fetus. But there is not enough data to confirm this fact.

Taking medications may cause a slight increase in temperature, but it lasts no more than 2 hours. If the fever lasts for 4 hours or more or occurs one day after taking Misoprostol, this indicates the development of an infectious process. A woman with these symptoms should consult a doctor.

Infectious complications are not typical for pharmacological abortion. But there is a group of people who have an increased risk of infectious complications:

• , established by smear;
• patients with a sexually transmitted infection up to 12 months ago, but there is no laboratory confirmation of its cure;
• patients diagnosed with;
• women with a large number of sexual partners or low socioeconomic status.

Other complications in the form of dyspeptic symptoms may be a sign of pregnancy itself. At allergic reactions treatment needed antihistamines.

Recovery period

After taking Mifepristone and Misoprostol, there is no disruption of the menstrual cycle. But when menstruation begins and how long it lasts after a medical abortion is difficult to predict. The timing of the procedure matters; after an earlier interruption, the cycle is restored faster.

The first menstruation may begin in 30-50 days. But medical abortion does not affect the onset, so a new fertilization is possible in the first cycle. To avoid this, immediately after the procedure the doctor prescribes combination oral contraceptives. These may be such means as Yarina, Regulon, Rigevidon, Novinet, Lindnet, Jess. Selection medicine happens individually.

Protects against unwanted pregnancy in 99% of cases. The positive effect is the regulation and restoration of the menstrual cycle. The minimum period for such contraception is 3 months, but you need to wait full recovery body to decide when to get pregnant. Usually this is a period of at least 6 months.

If pregnancy occurs earlier, this can lead to complications such as:

• threat of interruption;
• ectopic pregnancy;
• anemia in a woman.

Doctors' advice on how to restore the body after a medical abortion is as follows:

• start taking oral contraceptives early;
• avoid overheating and hypothermia in the first month after the procedure;
• do not visit the sauna, swimming pool, or swim in open water;
• not to accept hot bath, wash in the shower instead;
• take care of your health during the season colds avoid crowds of people to avoid getting infected;
• nutrition should be balanced, with sufficient protein and vitamins;
• completely give up alcohol, eliminate smoking;
• At first, physical activity should be limited. Those who are intensely involved in sports or fitness need to stop going to the gym for a while;
• will limit stressful situations and emotional stress.

Sexual activity after a medical abortion is possible after the end of the first menstruation. The uterus after an artificial miscarriage is an extensive wound surface with a breeding ground for microorganisms. Sexual contact always carries a risk of infection. In addition, active frictions can cause discomfort or lead to resumption of bleeding.

Physiotherapy has a positive effect on the recovery process. The choice of a specific method of exposure must be agreed with the attending physician, because This method of treatment also has contraindications.

If the menstrual cycle does not resume within 2 months, you should consult a doctor to conduct an examination and look for the causes of hormonal imbalance. You may also be concerned about discomfort in the mammary glands, which have begun to prepare for lactation. Therefore, in some cases, a consultation with a mammologist is recommended.

Despite numerous positive aspects, medical abortion is not an ideal method. Any interference with internal environment may lead to unpleasant consequences. To avoid them, it is necessary to approach family planning issues correctly, and not solve the problem after it appears.

Abortion - dangerous operation, the consequences for the body are unpredictable: from ordinary thrush to infertility. After an abortion, the patient will inevitably experience abdominal pain. When unpleasant sensations are considered the norm, how to restore health faster, which case would be a reason to consult a doctor - all questions are answered in the article.

Public opinion regarding the abortion procedure is ambiguous. The operation is prescribed by gynecologists in the presence of fetal pathologies or the mother’s strong desire to terminate the pregnancy. Before the operation, the woman is informed about possible risks, consequences: sometimes the procedure can cause death. There are three known ways to terminate a pregnancy.

Medical abortion

Prescribed to patients whose pregnancy is from one to four weeks. Carried out after complete gynecological examination: examination, ultrasound, tests. A woman takes special pills that can cause an induced miscarriage. The procedure consists of two stages. The first step is an increase in the hormone progesterone, the release of the fertilized egg. The second stage is the relaxation of the uterine muscles, the release of the embryo. A kind of contraction is provoked, pushing the fertilized egg through the reproductive organ.

Medical abortion is accompanied by bleeding for a period of one to five days. Additionally, painkillers and hemostatic medications are prescribed. Normal side effects: nausea, vomiting, dizziness, back pain, abdominal pain, bleeding similar to menstruation.

Vacuum abortion

It is carried out for a period of four to six weeks. The safest type of abortion. The procedure follows the following scheme: a special device sucks out the fertilized egg. Perform the operation under local anesthesia. Vacuum intervention in the body is not carried out if:

• Purulent infections of the genitourinary system.
• Inflammatory processes of the pelvic organs.
• Acute infectious diseases.

After the operation, the woman feels pain in the lower abdomen for several days, caused by contractions of the uterus. Light bleeding is observed for 3-5 days.

Surgical curettage

Most dangerous way termination of pregnancy, which increases the risk of complications. It is carried out for periods of six to twelve weeks. The walls of the uterus are expanded with a special device, then the embryo, mucous membrane, and placenta are scraped out. Surgical abortion is a painful undertaking. The patient is given special anesthetic drugs.

Pain for the first time after surgery - normal phenomenon. The uterus narrows to its previous size. After a medical abortion, the pain is caused solely by muscle contraction; after the other two procedures, it is due to additional damage to the walls of the reproductive organ. The norm is bleeding, discomfort, and moderate pain for five days. If the symptoms persist, this is a reason to see a specialist.

After surgery, your intestines and stomach may hurt greatly. The complication is caused by contraction of the uterus affecting the walls digestive organ. Unpleasant sensations are accompanied by abnormal bowel movements, bloating, and increased gas production.

If after an abortion the stomach hurts on the left side - a symptom associated with inflammatory process in the intestines. To avoid such complications, you should adhere to a diet before and after the abortion procedure: avoid fried foods, fast carbohydrates (cookies, sweets), heavy foods, observe drinking regime(about two liters clean water per day, coffee, tea and soups do not count).

Reason to see a doctor

Depending on the type of operation, a certain period of time is allotted for the restoration of the body: several days for medication, a month for surgery. If recovery period ended, but the woman suffers from pain and bleeding - it’s worth thinking about. The list of alarm signals from the body includes:

• Unbearable pain in the lower abdomen, back.
• Pain lasts longer than a week.
• Bleeding for more than a week.
• Blood clots.
• Unpleasant smell of discharge.
• No bleeding.
• Fainting.

If a woman suffers from any of the above symptoms or other unpleasant sensations, she should go to see a gynecologist. An abortion may be unsuccessful; the fetus or part of it will be preserved. The safety of the embryo is indicated by symptoms similar to those in the early stages of pregnancy. If after an abortion a woman’s breasts swell and she suffers from nausea in the morning, it’s time to run to the doctor. As a rule, a woman is sent for a second or first (with a medical abortion) curettage.

Complications

The main reason discomfort– contraction of the uterine muscles, minor injuries to the walls. After a medical abortion, the only complication, the symptom of which is pain, is the inability to contract the uterus. During surgical intervention during the procedure, complications of the following type may occur: endometritis (inflammation in the mucous layer of the uterus), adnexitis (inflammatory process in fallopian tubes), peritonitis (inflammation of the peritoneum), uterine perforation (puncture of the uterine wall), incomplete removal of the fertilized egg, fetal fetus and inflammation. The most dangerous complication– a puncture of the uterus that can affect other organs. Also to more late complications violation applies hormonal levels, infertility, the occurrence of uterine fibroids. In case of violation monthly cycle, the appearance of painful periods, if everything went fine before, you should consult a specialist.

How to cope with pain after an abortion using folk remedies

The only cause of pain after an abortion that is not caused by complications is the contraction of the muscles of the uterus and the release of the remaining fertilized egg. After an abortion, on the first day it is advised to apply a cold heating pad to the lower abdomen - the uterus begins to contract intensively, the fetal residue is removed from the body faster. The method does not eliminate pain in the lower abdomen, but helps speed up the recovery process. A warm cloth, which is also recommended to be applied to the stomach, will help cope with the pain. Folk remedies Treatment is used after a repeat ultrasound confirms that there is nothing left in the uterus.

It is possible to stop bleeding, reduce pain, and eliminate the consequences of abortion on your own at home by using special tinctures and decoctions:

1. A decoction of orange peel accelerates the exit of embryonic remains from the body, returns the uterus to normal size. For the decoction you will need 6-7 oranges, preferably unripe ones. Pour two liters of water over the orange peels, boil and simmer until half the water remains. Take 4 teaspoons of the decoction three times a day until the bleeding stops.
2. Red pepper tincture. Sold in a pharmacy. Take a teaspoon half an hour before meals. Works similarly to orange decoction.
3. Viburnum bark helps with bleeding, it is believed prophylactic the appearance of fungal diseases (candidiasis). Pour water over the bark at the rate of 4 tablespoons per liter of water and cook for 30 minutes. Take a tablespoon immediately before meals.
4. Wormwood is a miraculous remedy that helps quickly restore the body and protect it from infectious diseases that sometimes accompany abortion: fibroids, herpes, trichomonas, thrush, chlamydia and others. Treatment with wormwood begins after bleeding has stopped. When taking a decoction of the plant, you should not consume alcohol, meat, dairy products, or nicotine. The course lasts a minimum of three weeks. It is permissible to prepare a decoction or consume it dry. To prepare the decoction, pour two tablespoons of 200 milliliters of boiling water and leave for half an hour; take a tablespoon 30 minutes before meals. You don't have to prepare the decoction. Take a tablespoon of crushed wormwood half an hour before meals. Drink with water.
5. St. John's wort relieves pain and reduces inflammation. Pour five grams of herb into a glass of boiling water and leave for 15 minutes, drink a quarter glass half an hour before meals, until the pain begins to subside. St. John's wort is one of the most fortified plants and will help quickly restore the immune system.

Medicines for pain after abortion

To relieve pain and speed up contraction of the uterine muscles, patients are additionally prescribed a number of medications.

No-Shpa

Hungarian medicine, basic active substance- Drotaverine. Also contains magnesium stearate, povidone, talc, corn starch, lactose. Release form: tablets, injections. A type of medication is No-Shpa forte. In contrast of regular format– increased content of active substance. After an abortion, take two tablets three times a day. Injections are administered one capsule three times a day. The course of treatment is no more than two days.

Drotaverine

Domestic antispasmodic. Active substance similar to the name of the drug. Take one tablet twice a day.

Tranexam

Country of origin: Russia. Available in tablets of 250 milligrams of tranexamic acid. It has an anti-inflammatory effect, helps to cope with bleeding faster. Take a tablet every three hours until bleeding stops.

Medical abortion It is considered the safest among all types of abortion. Why is that? It's all about the mechanism of abortion using pills. Their goal is to trigger something like a standard period, which will push the already fertilized egg out of the uterus. But you still need to be prepared for the fact that such a simple and relatively safe way may entail . In addition, it is necessary to take into account that an abortion, even a medical one, is a restructuring of the body. This means that internal systems are disrupted, which has consequences to a greater or lesser extent. Medical abortion is a serious step. It is impossible to treat it as if the pill solves all problems. Complications after a medical abortion are just as likely as with other types of abortion. This article discusses the most frequent complications after a medical abortion and the consequences of a medical abortion.

Is medical abortion dangerous?

Millions of women have already experienced the effects of medical abortion. In most cases, the abortion was successful without serious complications. After medical abortion, some women experienced certain problems, such as incomplete removal of the fetus, too heavy bleeding, infectious diseases. They had to treat these consequences. In isolated cases known to date, medical abortion has resulted in the death of patients. This was due to severe bleeding in abdominal cavity, due to heart failure caused by mifepristone, etc. Therefore, when asked whether medical abortion is dangerous, every conscientious doctor will tell you that there is a risk. And a lot depends on individual tolerance. Do not believe promises of 100% effectiveness and safety medicinal method. Whether they will or not depends, first of all, on the duration of pregnancy and the characteristics of your body.

The following list will show how much influence the period has on the absence of consequences after a medical abortion.

1. At up to 7 weeks, 98% of women terminate their pregnancies with medication. The remaining 2% are faced with the need to perform curettage or vacuum suction of the fetus.
2. Between 7 and 12 weeks, 5% of women will need to seek surgical assistance in order to completely expel the fetus.
3. For a period of more than 12 weeks, only 92% of women will manage with pills alone. Already 8% undergo surgical abortion.

Given these figures, it becomes clear that among a hundred women who decide to have a medical abortion, complications will arise in several women who will need further medical intervention. It depends on a number of factors, whether it happens or not, so it’s too early to talk about the dangers of the medication method.

So is medical abortion dangerous? What we talk about below will help you answer this question.

After an abortion, pregnancy hormones are still present in the woman for some time. Combined with a feeling of accomplishment, hormones can cause depression. Depression is manifested by fatigue, irritability, guilt, loss of appetite and can be... This is normal, but if depression continues for more than 2 weeks after an abortion, this case can be classified as complications after a medical abortion. Sex life in the first week after a medical abortion - taboo. This period may be longer as prescribed by the doctor. Such a restriction is necessary to prevent possible bleeding inside the woman’s genital organs. In the future, it will be necessary to protect yourself not so much from the risk of becoming pregnant, but from all kinds of bacteria that pose a danger to the mucous membranes of the internal organs.

Medical abortion, complications. Is medical abortion dangerous?

The high effectiveness of abortion drugs does not eliminate a number of complications. These include :

• The pregnancy continues. At the same time, the health of the fetus and mother is undermined to a greater or lesser extent.
• Contractions.
• Inflammation of the female genital organs.
• Fever.
• Failure of the menstrual cycle.
• Ovarian dysfunction.
• After a medical abortion, abdominal pain.

To avoid consequences after a medical abortion, it is necessary to carry out the abortion strictly as prescribed by a highly qualified doctor. Given the consequences, medical abortion is not performed at home, since this approach only increases the risk of serious complications.

Medical abortion. Pain

Women experience abdominal pain similar to contractions after taking prostaglandin. This drug speeds up medical abortion. The pain is associated with contraction of the muscles that push the fetus out of the vagina. In most cases, the pain is tolerable. If the pain is unbearable, the doctor may prescribe a number of painkillers. The pain is similar to that of normal menstruation. They cannot be considered serious consequences after a medical abortion. The pain ends within 24 hours after taking prostaglandin. If the pain continues, you should consult a doctor for advice. May be required.

Bleeding after medical abortion

Do not rush to attribute prolonged bleeding to consequences after a medical abortion. After all, it is with the help of bleeding after a medical abortion that the expelled fetus is released. Amount of blood and blood clots secreted by a woman, individually in her case. Therefore, you should not call heavy or too scanty bleeding complications. But still, if very heavy bleeding occurs, it makes sense to go to the hospital. After all, blood loss is serious, which can be solved by blood transfusion. Too little blood loss may mean that the cervix has closed, which means that the fetus will not be able to get out safely. Ideally, heavy bleeding lasts 2 days, then further scanty discharge. In any case, it is advisable to consult your doctor for emergency assistance.

Restoring menstruation after medical abortion

Menstruation after medical abortion in best case scenario will start after one menstrual cycle after an abortion.

Considering the consequences, medical abortion is considered the first day of menstruation. This means that a new menstrual cycle must be counted from the moment it occurs.

Periods after a medical abortion (which are induced by drugs) can be very heavy. This may mean that part of the fetus remains in the uterine cavity. In this case, it is necessary to clean the uterus. Real natural periods appear after one month. If this does not happen, you should go to the hospital. There may be a new pregnancy. You can get pregnant after a couple of weeks, but for normal pregnancy and the health of the child, the restoration of a woman’s fertility after a medical abortion should last at least six months.

A woman definitely needs recovery after a medical abortion. Avoid physical activity and possibly undergo physical therapy. Should we remind you about contraception? Probably worth it. After all, otherwise women would not resort to abortion.

2013-03-14 14:12:06

Tatiana asks:

Good afternoon. I had a medical abortion. A week later I came for an ultrasound and it turned out that not everything came out right. On the chair, the doctor provoked uterine contractions. She prescribed me to drink trichopolum and analgin with quinine. Cheser came back for an ultrasound 3 days later and was told that everything was fine and the discharge would continue for another week. A week has passed. The bleeding stopped, but strange discharge appeared, similar to snot. Pain in the lower abdomen also appeared, as during menstruation. Stool disorder. Could this be side effect after a medical abortion? What pills can you take to relieve pain?

Answers Purpura Roksolana Yosipovna:

These may be consequences of medical abortion, manifested hormonal imbalance. To reduce pain, you can take no-spa, but it is very advisable to undergo a control ultrasound again.

2013-03-03 15:08:07

Olga asks:

What does light brown mucous discharge mean after a medical abortion? After the abortion, an ultrasound was performed 10 days later. Small residues were detected there, oxytatsin and antibiotics were prescribed. The bleeding resumed with the same force. After 10 days of taking the medications, a brown mucous discharge began to appear. I also started taking Regulon after the abortion. There is no temperature and no pain, but I am very worried about spotting

2012-07-02 14:17:00

Elena asks:

I took medication 3 days ago, there were sharp pains in the lower abdomen, for the third day now I have been bleeding profusely, is this normal??? And how many days will this discharge last? What can you recommend to improve your health after a medical abortion?

Answers Vengarenko Victoria Anatolevna:

Elena, after a medical abortion, heavy discharge may begin, as during menstruation - noma, be sure to start with the next cycle, take contraceptive medications for 3 months.

2016-08-12 12:15:08

Karina asks:

On July 12, I had a medical abortion. 2 weeks later I went for an ultrasound and was told that the fetus had not come out. After that, the doctor prescribed me metronidazole to eliminate unpleasant odor from the discharge. 5 days after that, he said to wait until the discharge went away, and then contact him again. On August 7, I had exercise stress in the gym. After this, my blood just runs. Large clots come out. Sometimes there is a nagging pain in the lower abdomen. I don’t have time to change pads. What could this be? Is it dangerous? Which doctor should I go to and what should I do in general? Please tell me!!!

Answers Bosyak Yulia Vasilievna:

Hello Karina! Have you experienced bleeding after taking abortion pills? At what stage did you terminate your pregnancy? If for two weeks the remains of the fertilized egg were in the uterus, then this threatens an inflammatory process - endometritis. In this case, additional cleaning is usually carried out. You should contact your gynecologist if the amount of bleeding does not decrease.

2016-04-25 20:34:38

Sergey asks:

Good day! My wife and I have two children, our second child is 1.6 years old. Now we have an unplanned pregnancy, approximately up to 40 days. My wife has a sharp girdle pain. Of course, we will contact a gynecologist and we will make the final decision after the appointment, but still .. We want to continue lactation, what type of abortion is better to choose in our case and where to go (to a residential complex or to a private clinic)? My wife had a medical abortion, after two births without complications.

Answers Bosyak Yulia Vasilievna:

Hello, Sergey! If the wife plans to continue lactation, then the only method of terminating the pregnancy can only be surgical abortion at least 6-7 weeks.

2014-12-12 19:49:52

Natasha asks:

Hello. I am 22 years old. 4 months ago I had a medical abortion with a period of two weeks. Everything went well, but a month after the abortion I woke up with severe pain in my left breast. Pain as if after strong blow, it hurts like a bruise. And it hurts only in one point, on top of the chest. I did an ultrasound, everything seemed fine, they just said something about the ducts and to test for the hormone Prolactin. I didn’t get tested, I noticed that with the arrival of my period the pain goes away, but after my period a week later the pain returns. Has a permanent character until the next menstruation. I have already been to two mammologists, both say that everything is fine with the breasts. Could this be related to my abortion? first pregnancy and first abortion.

Answers Demisheva Inna Vladimirovna:

Good afternoon, yes, this can be a consequence of hormonal abortion and a blood test for hormones is necessary to select therapy for you and relieve pain

2014-10-02 20:34:38

Alina asks:

Hello, Doctor. In 2012 I had a medical abortion. The next day it gave my lower back that I was moving from nagging pain in the lumbar region. It's been 2 years already. Now I'm planning a pregnancy. And I'm very worried. Can I have a child after what happened to me?

Answers Bosyak Yulia Vasilievna:

Hello, Alina! It is impossible to answer your question virtually; you need to be examined - undergo an ultrasound scan of the pelvic organs and contact a gynecologist with it. Be healthy!

2014-08-14 17:55:48

Dana asks:

Hello.
I am 28 years old. I had my first medical abortion. Duration 4.5-5 weeks. I took the pills as prescribed and everything was done correctly at the appointed time. But heavy bleeding did not have. There were terrible pains and only started after 6 o’clock bleeding, even a little less than my usual periods. More than a day has passed and the fruit has not come out. I actually don’t know how I’m supposed to understand that it came out, but there were no large clots or anything like that. Is this normal? What should I do? I don't want surgical intervention, and I want to understand whether it will be required? Is it possible to do an “underabortion” in this way and what to do in this case.
Thank you

Answers Wild Nadezhda Ivanovna:

You need to immediately contact the doctor who performed the medical abortion. An examination and an ultrasound are needed, after which we can decide this question taking into account your wishes.

2014-08-08 12:27:56

Ksenia asks:

Hello, I had a medical abortion. After 7-8 days of bleeding, my weight started to go away and I just started to smear it with brown. Yesterday I was in the store and picked up a heavy bag, came home and a large amount of blood appeared again. Then abdominal pain. The bleeding has been going on for two days now. Ultrasound on the 12th, how can I go if I’m bleeding? What should I do? In general, medical abortion lasts about 13 days.

Popular articles on the topic: pain after medical abortion

Emergency contraception. Were you forced to have sex? Forgot about contraception? Did the condom break or slip off and, as a result, sperm ended up in the vagina? Find out what you can do to avoid an abortion and prevent pregnancy.

Pain during a medical abortion occurs due to contraction of the uterus (its muscular layer). Mifepristone (a drug taken at the first stage) has little effect on the tone of the uterus, so any pain it usually does not occur while taking it. The main contribution of Misoprostol (Cytotec, taken in the second stage) to the abortive effect of the complex for medical abortion is the intense stimulation of uterine contractions (uterine contractions). Due to contractions, the fertilized egg is expelled from the uterine cavity. But this effect, of course, has the opposite effect - it is cramping pain. Pain in the lower abdomen appears 0.5-4 hours after taking Misoprostol, it can be very different intensity, from subjectively barely perceptible to unbearable. The nature painful sensations can be: cramping, pulling, pressing. If the pain is sharp, cutting in nature, this may indicate the presence of an ectopic pregnancy and in this case you should urgently seek medical help.
The intensity of pain is directly proportional to the duration of pregnancy and largely depends on the individual pain threshold women. The duration of pain ranges from several hours to a day, on average about 3-4 hours. A long duration of pain is usually associated with a relatively long pregnancy, since in this situation it is more difficult for the uterus to expel the fertilized egg. After the expulsion of the fertilized egg from the uterine cavity, the pain usually calms down. Penney G. in 2006, during his study, suggested that patients undergoing medical termination of pregnancy , rate your pain on a 10-point scale, where: “1” is mild pain, and “10” is unbearable pain. The obtained statistical data is given below:

• Moderate pain (3-5 points) – 25%;
• Very strong and Strong pain(6-8 points) – 40%;
• Unbearable pain (9-10 points) – 10%.

Thus, about half of the patients do not require pain relief, and the other half must be prescribed special analgesics. We provide the opportunity to order effective pain relief, which does not affect the action of the main drugs. For more details, see the page “Analgesia for MA”. Please note: Special attention that taking non-steroidal anti-inflammatory drugs (NSAIDs) (Diclofenac, Indomethacin, Paracetamol, Aspirin, etc.) for pain relief contraindicated(!), since they are essentially a blocker of the action of the prostaglandin Misoprostol. In addition to special analgesics, they can be used to reduce pain No-shpa. The drug does not so much anesthetize as it relaxes the cervix, thereby facilitating the process of releasing the fertilized egg from the uterine cavity. Back to section “ Important information for the patient»