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Pregnancy after a medical abortion

Artificial termination of pregnancy in the early stages is carried out in three ways - using vacuum aspiration, surgery (curettage) and medication. The latter option is considered the most harmless to the body of a woman.

It involves the use of drugs that destroy the network of vessels that binds the ovum with the uterus. As a result, it exfoliates and miscarriage occurs. Often there is a perception among women that medical abortion is completely harmless.

Such a misconception provokes many to use it as a contraceptive after unprotected sexual acts. But in fact, it is not just a miscarriage - it is a severe blow to the endocrine system of the body.


How is medical abortion performed?

Pregnancy after a medical abortion

The drugs used for medical abortion contain synthetic steroid antihestagens. To maintain the vital activity of the ovum, a normal concentration of progesterone in the blood of the expectant mother is necessary. If it is not enough, the functioning of the network of vessels linking the embryo and the mother's body deteriorates.

Drugs for medical termination of pregnancy block the intake of progesterone, which provokes a gradual exfoliation of the membranes of the ovum from the uterine wall, where it is implanted.

In addition, each of these drugs leads the uterus to an increased tone and provokes contractions to expel the embryo from its cavity. Further miscarriage occurs naturally.

Consequences for the reproductive health of women

Despite the absence of mechanical damage to the uterine mucosa, this method of getting rid of unwanted pregnancy can have several consequences:

Hormonal imbalance is a very frequent side effect of taking drugs with abortive action. The endocrine system, which has adapted to the cultivation of the ovum and the maintenance of conditions for the vital activity of the embryo, suddenly receives a sharp command to stop the production of some hormones and to start producing others.

With a natural miscarriage, the decrease in the concentration of hormones occurs smoothly and the woman’s endocrine system has time to reorganize.

Incomplete abortion - occurs when a dose of the drug is not high enough - parts of the ovum may remain in the uterus. If the woman does not visit the ultrasound during the first two days after the miscarriage, the inflammatory process will begin, which can provoke adnexitis and the appearance of adhesions in the fallopian tubes .

In this case, the onset of pregnancy after a medical termination of pregnancy will be associated with considerable difficulties.

Intrauterine synechia - suggest the formation of tissue adhesions in the uterus. The fusion can be either partial or complete. To provoke the occurrence of synechia can the remnants of the ovum, not fully released from the uterus during medical abortion.

In order to conceive a child, it is necessary to dissect unions. But even after that, pregnancy in such a patient will be at risk.

Placental polyp - is a tumor in the uterus, which is a particle of the ovum. The difficulty of treating such consequences of medical abortion lies in the fact that initially these particles are so small that the doctor cannot observe them on ultrasound.

With the passage of time, clots of menstrual bleeding settle on them - this is how a polyp is formed. Future pregnancy will be at risk if measures are not taken to treat this pathology.

Planning a pregnancy after medical abortion

Planning a pregnancy after medical abortion

Conception can only be planned 5-6 months after the abortion with the help of drugs. Theoretically, it can happen earlier, but the above period must be waited for two reasons.

Firstly, the endocrine system must return to normal, and secondly, a woman needs time to carry out the following examinations before planning pregnancy:

  • Ultrasound of the uterus and appendages to exclude synechias and polyps, which can be the result of an artificially provoked miscarriage.
  • Hormonal examination. It is necessary to make sure that the endocrine system produces the necessary concentration of hormones, without which the maturation of the egg and the subsequent gestation of pregnancy are impossible.
  • Study of patency of the fallopian tubes. Appointed in the event that after a medical abortion in the uterus has developed an extensive inflammatory process.
  • Gynecological examination is a standard procedure when planning. The doctor will objectively assess what consequences artificial abortion has produced and how to deal with them. It is the gynecologist (or gynecologist-endocrinologist) who should prescribe treatment in cases of a hormonal imbalance.

In most cases, after taking anti-progestin drugs to end an unwanted pregnancy, the woman retains her reproductive functions and the obstacles to having children do not arise.

Unplanned pregnancy immediately after a medical interruption

Unplanned pregnancy immediately after a medical interruption

Despite the hormonal failure that occurs after taking the medications, a woman can become pregnant after a medical abortion in a month.

In this case, a very difficult situation is created: making a second interruption means serious harm to the body. To leave the child means to place the fetus at serious risk, which throughout the entire period of time will find it difficult to keep in the uterus that recently suffered a miscarriage.

Complications of re-abortion:

  • Serious hormonal failure , the consequences of which can remain forever (often - hirsutism, overweight).
  • Impaired ovarian function, which can manifest itself in a decrease in the production of gestagens.
  • Severe intoxication of the body.
  • Severe bleeding, which will be due to the fact that the endometrium has not had time to recover from a recent miscarriage.

Complications in abandoning pregnancy:

  • Cervical insufficiency, manifested in the early stages. This risk arises because in the first weeks after a miscarriage, the cervix has still closed up.
  • Rejection of the ovum due to insufficient concentration of progesterone in the blood, which will be a consequence of hormonal failure.
  • Increased risk of missed abortion. Occur due to improper operation of the endocrine system. After taking a high dosage of anti-progestogen drugs, the hypothalamus and pituitary within a few months restore their function.

Since early pregnancy after medical abortion is very difficult, you need to pay increased attention to contraception for six months.

If necessary, you can combine several types of protection from unwanted pregnancy - for example, using a condom, the calendar method and keeping a basal temperature chart.

Recommendations for planning a pregnancy

Monthly after medical abortion for 3-4 months may be irregular. If the cycle can not be adjusted within six months, you should consult a doctor. Perhaps before planning to conceive a child, hormone therapy will be required.

If bleeding after an interruption does not stop for more than 14 days - this is a reason to consult a doctor. It is possible that the contractions of the uterus were not intense enough and lumps remained in its cavity, which can lead to inflammation. If it affects the fallopian tubes, then pregnancy planning can be delayed for a long time.

After a medical abortion, it is advisable to take a blood test for testosterone, estradiol and progesterone every month. Monitoring is necessary in order to correct the outlined deviations of a hormone from the norm in time.

Preparations for termination of pregnancy are calculated on the fact that within six months a woman will be ready to conceive a child. But before that, it is necessary to pass all recommended examinations in order to eliminate possible risks when carrying a baby.


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