Abortion often leads to violations in the reproductive system of a woman, to a change in the usual length of the menstrual cycle, the emergence of new, unusual sensations during menstruation. It may be too much pain, which had never happened before, painful unpleasant feeling in the lower abdomen and many others. The time of the onset of menstruation may change: they come early, then much later, and sometimes they are completely absent for several months. In short, the cycle becomes irregular. Of course, menstrual irregularities do not occur in every woman, but the more abortions she has performed, the older she is, the more likely a pathology will occur.
There are several types of causes of menstrual abnormalities after an abortion: mechanical and functional. Mechanical causes are mainly damage to the mucous membrane of the uterus with gynecological instruments, its excessive removal. Functional - violation of the functions of the uterus, ovaries with fallopian tubes, leading, for example, to excessively strong contractions of the myometrium, which provokes severe pain. Ovarian dysfunction changes the time of ovulation, it may not even occur at all for several months in a row. Their hormone-producing function also suffers, and hormonal imbalance is the main cause of the menstrual cycle, its irregular nature.
As a result of mechanical trauma to the genital organs during abortion, amenorrhea can occur, sometimes lasting up to 3-4 months. This situation can be associated either with total damage to the endometrium, after which its restorative capacity decreases several times, or to the cervical canal becomes overgrown, which can give a picture of the absence of menstruation, while the menstrual blood simply accumulates in the uterus, having no way out. There is a very unpleasant condition, called hematometra, threatening with its complications: severe pain, the possibility of perforation of the uterine wall, a high probability of infection. During abortion, the neuroendocrine system suffers, the subtle interaction between estrogens, progesterone, pituitary hormones, glucocorticoids is degraded - this is a violation of the menstrual cycle, which is very difficult to treat.
In order to recover as soon as possible after an abortion, to adjust the work of the nervous and endocrine systems, it is recommended to undergo a course of post-abortion rehabilitation. For the treatment of menstrual disorders after an abortion, oral contraceptives, vitamins, nootropic drugs, a rich protein, a balanced diet, and the creation of comfortable conditions for physical and mental activity are now used. For the prevention of inflammatory complications, a strong antibiotic is administered to all women who have performed an abortion, for example netromycin (a single injection is usually enough). Of course, such "serious" drugs, such as oral contraceptives, for treating the main cause of menstrual disorders after an abortion - discoordination in the endocrine system, should be prescribed and individually selected only by a gynecologist.
How do oral contraceptives (COCs) work?
When using these funds, the volume of blood lost during menstruation decreases, the discharge becomes not so abundant, the intensity of myometrial contractions decreases - the pain begins to subside, the cervical mucus becomes thicker - ascending infection gets much less chance to get into the uterus and spread further.
Given that the hormonal imbalance after an abortion lasts for 3-4 months (and sometimes even longer), treatment of menstrual disorders with contraceptives should last no less. Further intake of these drugs makes sense only for the purpose of contraception.
For the speedy recovery after a powerful stress caused by an abortion, you need good nutrition, good vitamin complexes, and good sleep. Unfortunately, women pay little attention to these fairly simple ways of treating menstrual disorders after an abortion, relying mainly on hormonal pills. This is not a completely rational approach, because it is much more reliable to influence the disease in a complex way, and not just at any one link in its pathogenesis.
Questions and answers:
miko hello! I have such a question 24-25 weeks of pregnancy. A chromosomal abnormality was discovered in a child. I had an abortion after that a month later my period began.
I am 22 years old. first pregnancy. The interruption was at week 7, June 26th. a week was at the doctor. analyzes are normal. ultrasound showed that the uterus is clean and diminished after two weeks. propyl
On June 3, there was a vacuum, 7 a clot fell out and black blood went to me, it was bad all day, it was better the next day, until June 10 it was bleeding like usual periods and stopped. then all week.
a month and a half ago there was an abortion, the first menstruation passed, but the second does not begin. only highlight chocolate color. Propyl regulon and did not take a break began to drink again. how to be.
after a medical abortion, the cycle was broken, then 6 days earlier, then 6 days later! without pain, and discomfort. not abundant! general well-being is deteriorating (perhaps this is not related to.
I have uterine fibroids, had a pregnancy of 5-6 weeks, had a surgical abortion. After the ceftriaxone was pricked, 3 droppers with metragil were made, and calcium chloride was injected. Virtually no excretions.
a month ago there was an abortion for a period of 6-7 weeks, the day began to smear with chocolate color for 3 weeks. a month has passed, but the monthly has not yet arrived. did the pelvic ultrasound, they said that there is nothing, test.
after a medical abortion, 10 days have passed, including this one. Abundant "monthly" went 4-5 days, then the amount decreased, until brown, the last two days I was worried about the smell of these secretions.
I am 34 years old, have 1 child. a year and a half ago, I had the only surgical abortion in my life, a month later there was a very heavy bleeding, after which I gradually began to get poor.
She had an abortion for 5 weeks. After 1.5 weeks, the ultrasound did it, they said that clots were left, treatment was prescribed for chloride, oxycillin and antibiotic. After the course of treatment, I made another ultrasound.
On December 8th I had my last periods. January 19, spontaneous miscarriage, followed by scraping. Somewhere after 2 weeks they started having sex. Monthly there is still no. Fine.
I had an abortion on October 13, after the abortion there was blood for 1 day and everything went away, then it was blood as a 7-month period, 2 days after the abortion, please tell me why there were no monthly periods for the next month.
- No menstruation after abortion. This may be due to a special complication - a violation of the hormonal background of a woman. The fact is that during the development of pregnancy, the organs of internal secretions produce a large amount of hormones necessary for normal gestation. After an artificial termination of pregnancy such a set of hormones is unnecessary, then it comes to hormonal failure. Even small changes in the amount of hormones affect the harmonious function of important organs: the liver, kidneys, and genitals.
- Hormonal failure after an abortion or vacuum requires special attention, because the delay of menstruation is not the most serious consequence of hormonal disturbances. This failure leads to serious illnesses: myoma, polycystic ovaries, etc. Moreover, there is a dependency - the longer the period of the interrupted pregnancy, the more serious the disturbance in hormonal function.
- Specialists distinguish the following symptoms of hormonal failure:
- failure of the menstrual cycle, the delay of menstruation,
- abundant bleeding after abortion,
- fatigue, irritability, change of mood,
- increase or decrease in weight,
- skin problems, especially on the face - acne and acne appear.
Restoration of hormonal failure occurs with the help of drugs that contain hormones, both natural and artificial. With the onset of menstruation after an abortion, the woman calms down and believes that everything is in order. But if there are only two symptoms described above, it is necessary to take tests for hormones.
This is a hormonal disease in which brushes form on the ovaries. It is a fairly common cause of infertility. In case of violation of hormone production, the absence of menstruation occurs.
Lack or excess body weight
Obesity or dystrophy affect the absence of menstruation, this is due to hormonal imbalance.
If a month is delayed for more than 30 days, it is necessary to consult a gynecologist to determine the cause and start treatment promptly to prevent more serious consequences, one of which is infertility.
Features of menstruation with various types of abortion
Abortion is possible in the following ways:
- with medication,
- vacuum method
If you want to make an abortion, it is recommended as soon as possible. The duration of recovery depends on the method of intervention. It should be understood that the negative consequences can occur regardless of the method of abortion. This may be a temporary cycle disturbance (this problem is described in detail in the Causes of Impairment section) or serious health consequences with impaired reproductive function (see Complications after an Abortion).
It is important for women to understand that the state after an abortion (bleeding and discharge) is not menstruation, but a consequence of abortion.
Months themselves will begin only after the restoration of reproductive function, that is, after 28 - 45 days (the countdown begins from the first day of cleansing). The indicated periods are the extreme limits of the norm; on average, the female body needs 30 to 35 days for primary recovery, that is, for the maturation of the new egg, ovulation and its removal from the body (before the first menstrual period after the abortion).
When there is a choice, you should give preference to less traumatic methods of interruption. An abortion is carried out for a period of up to 20–22 weeks (after this period, the operation will be called “artificial labor”). At the request of the patient, an abortion is recommended to be done no later than 12 weeks, in the future, the operation is performed only for medical reasons. The earlier it is done, the less risks, in the early stages the woman herself and the doctor have the opportunity to choose the method of interruption. But in any case, the possibility of complications remains, and the first periods can begin with a delay. Consider how interconnected methods of abortion and the speed of recovery of the menstrual cycle.
Monthly after drug interruption
Abortion caused by drugs, is considered the most gentle way to end a pregnancy. This opinion is based on the following facts:
- early date (no later than the 7th week),
- medicines cause rejection of the fetus, which means that there is no need to additionally injure the uterus and endometrium,
- the fruit comes out naturally without additional interventions.
Normally, menstrual periods after medical abortion should begin in 20 to 45 days, and bleeding can occur during the first 10 days after the medabort. The body is gradually restored, it takes several months, after which the menstruation will go in the usual way.
Since women most often use special preparations independently at home, it is important to understand that bleeding after rejection lasts only a few days (on average a week). But there are alarming symptoms in which you should immediately go to the doctor. These include:
Any of these symptoms is a serious reason to go to a gynecologist. If the period after the pharmacist did not start in due time, then you should also visit a doctor. The main risk of a medical abortion is the ineffectiveness of the procedure. That is, bleeding is still not a guarantee that everything went well, but the fetus was completely rejected. Even if the first menstrual periods after an abortion began in a timely manner, it will not hurt to visit a gynecologist. This is necessary to assess the condition of the female body after the procedure.
How long are the monthly after medical abortion? The first menstruation may begin with a slight delay (but not more than 2 weeks). If there is a longer delay of menstruation or after pregnancy termination, menstruation comes earlier than 20 days, then you should immediately contact a specialist.
Monthly after vacuum aspiration
The method of vacuum termination of pregnancy is also considered less dangerous for the female body. The operation is carried out for up to 7 weeks, it is done with the help of a vacuum, which pumps out a fertilized egg from the uterus. After a mini-abortion, bleeding is observed for 5–10 days, which should be painless.
When do menstruation begin after an abortion made by the hardware method? The standard period is 30 - 35 days from the date of the operation. Menstruation may come at a normal time for the cycle (for example, after 28 days) or linger a little (but not more than 10 days). Monthly after a vacuum abortion in its color, texture and duration usually do not differ from normal. If there are deviations, it is necessary to consult with the gynecologist. Usually, a woman's body lasts 3 months for full recovery, after which the menstruation should go in the usual way without any abnormalities.
Menstruation after surgical abortion
Most complications occur after surgical abortion. This is due to its technology. Scraping of the uterus is accompanied by damage to the endometrium, so bleeding after surgery may last for 10 days (up to complete healing), and recovery may take up to six months.
Endometrial disturbances are a serious injury, inadequate brushing may require reoperation, and too much curettage can lead to serious pathology. If you damage the deeper layers, then the woman may have big problems.
Since the deep layers are not restored (as opposed to the surface layer), menstruation may not begin at all. That is, the mechanism of maturation of the egg and its removal from the body will take place without the usual bleeding, but the reproductive function will continue.
When menstruation begins, depends on various factors. These include:
- the timing of the operation,
- the age and health of the patient,
- surgeon's skill
- the absence or presence of a secondary infection (the state of the reproductive system after curettage increases the risk of infection and the development of infectious diseases).
How many days are the selection? After the operation, the maximum period is 10 days, while there should not be severe pain, spasms, temperature and other unusual symptoms. Monthly should begin in the usual time, there may be a slight delay (up to 2 weeks). If 45 days after surgery, menstruation does not begin, then you should visit a gynecologist.
Factors affecting the resumption of menstruation
After termination of pregnancy, the female body needs a recovery period. It can be divided into 2 stages:
- first: the time that is necessary for the maturation of the new egg. Usually it is 30 - 35 days, sometimes the first periods can begin earlier, at the usual time (but not less than 20 days) or later (maximum - after 45 days),
- second: the period required for the full recovery of the menstrual cycle (from 3 to 6 months).
The period when menstruation begins for the first time after an abortion depends on the following factors:
- mode of administration (the body recovers most quickly after a medical abortion, which is considered less dangerous),
- timing (the sooner the better),
- age (young organism is recovering faster)
- the presence of pathologies of the reproductive system (diseases may worsen or develop new ones, which affects the duration and quality of the rehabilitation period),
- anesthesia (some drugs can cause hormonal disorders),
- the experience of the surgeon (the more carefully and professionally the scraping is performed, the faster the body will return to normal),
- quality of rehabilitation (recovery period may require a sparing regimen, taking special medications, psychological assistance, etc.).
Hormonal disorders after abortion
If the menstruation after the abortion did not start within the prescribed time, the nature of the menstruation changed (they became too abundant, last longer than the usual time, or too scarce), that is, reason to worry about your health. Hormonal failure is one of the most common consequences of abortion. To restore the normal cycle takes a maximum of six months. During this period can be observed:
- аномальное течение месячных (обильные, скудные, несвоевременные, слишком короткие или длинные),
- change in general condition: increased fatigue, weakness, acne or pimples, weight gain,
- psychological problems: mood swings, nervousness, irritability.
Any of these symptoms separately or their appearance in the complex suggests that you need to contact a specialist. If these symptoms persist, then we can talk about the serious consequences of abortion. Sometimes it can take several years to restore the hormonal background, women have amenorrhea or dysmenorrhea, problems with conception occur.
The reason for this phenomenon is the abortion, and, the longer the term, the worse the consequences can be. The female body during pregnancy undergoes serious hormonal changes, it is preparing for childbirth. The sudden disruption of this process causes a hormonal storm, which is sometimes difficult to cope with. That is why in medicine it is customary to limit the duration of the operation (maximum 12 weeks) and to use benign methods (medical or vacuum abortion, which are carried out in the early stages and are considered less traumatic). If the hormones are not restored, then treatment is prescribed, which is aimed at normalizing the balance of hormones.
Causes of violations
The menstrual cycle after an abortion may be broken temporarily, but the consequences of the operation should completely disappear within six months. During this period can be recorded:
Although symptoms are similar to signs of hormonal disruption, the causes may be completely different. Consider this question in more detail.
Abundant periods after an abortion can be the result of an inflammatory process, poor-quality cleansing, injuries of the reproductive system. It is not normal if menstruation takes more than 10 days, and the volume of discharge is so large that a woman is forced to change the pad or tampon more than once every 3 hours. The consequence of blood loss may be the development of anemia, iron deficiency, problems with immunity (against the background of the latter, other diseases often develop).
The scarcity of discharge is also a problem. Scanty periods can indicate a spasm of the appendages, a violation of their function, partial retention of blood in the uterus as a result of its atony or other causes. If there is a lack of blood during menstruation for 3 months, then this is a serious reason to think about the state of health, the consultation of the gynecologist in this case is necessary.
The delay in menstruation after abortion is more than 45 days, it speaks of pathological processes. It can also be caused by different reasons:
- the absence of menstruation is observed if spikes and / or scars have appeared,
- the uterus was damaged or the muscle tone is insufficient (if there is no menstruation after an abortion, they can accumulate inside the uterus, as a result of which infections can develop and serious complications up to peritonitis can occur),
- in case of damage to the deep layers of the endometrium, the reproductive function is preserved, but there is no menstruation. This is because only the surface layer of this tissue can regenerate, and menstruation is the result of its rejection,
- re-pregnancy: if a woman does not observe sexual peace for a month (it is recommended after an abortion) and sex is unprotected, then the risk of re-pregnancy increases many times over.
What to do in this situation? The absence of menstruation for more than a month and a half is a sign of pathological processes; only a specialist can identify the cause and begin treatment.
Complications after abortion
We have already indicated some possible consequences (hormonal failure, adhesions, delays, bleeding, etc.). Complications can manifest as:
- incomplete removal of the embryo,
- damage to organs of the reproductive system,
- development of fibroids, cysts in the ovaries and mammary glands,
- the appearance of tumors, including malignant,
- development of a variety of gynecological diseases,
- appearance of psychological problems, etc.
Abortion is a serious intervention in the female body. Regardless of whether menstruation arrives on time or not, she needs to be monitored by a gynecologist. The consequences can be remote, for example, about infertility in the background of abortion can be found in a year. The most important recommendation is the use of contraceptives that prevent unwanted pregnancy. Then you can avoid all the consequences of abortion. If surgery is necessary, it is recommended:
- hold it in the early stages, preferably with medication or vacuum method,
- to visit a gynecologist for six months, to carry out his appointments during the rehabilitation period,
- with the slightest problem after an abortion, consult a doctor,
- during the month to comply with sexual rest, to eliminate complications and re-pregnancy.
How is the recovery
If the surgery went well, without any complications, then an independent resumption of the menstrual cycle is possible. Monthly appear in a month.
If after this period the cycle has not recovered in a woman, it means that there are consequences after the intervention and disturbances in the body. In this case, an urgent need to visit a doctor.
Usually, the restoration of menstruation after an abortion occurs quickly and menstruation becomes the same as it was before pregnancy. If there are no changes in the uterus, the body instantly resumes.
However, when periods are markedly different from previous ones, this can also indicate the presence of complications. And if there are still malaise and weakness in the body. In this regard, you need to carefully monitor the menstrual cycle and unusual manifestations of menstruation.
What affects the recovery
After surgery, a woman must follow all the instructions of the gynecologist to avoid unpleasant consequences.
The duration of the recovery is determined by the following factors:
- abortion method,
- age of woman
- term of termination of pregnancy (it is better to interrupt early),
- the patient's state of health (the presence of chronic or hereditary pathologies delays the recovery process),
- qualification and professionalism of the doctor,
- mental condition,
- quality of drugs used.
The patient's age plays a significant role - the older she is, the slower the body recovery process takes place. It is also dangerous for young girls to terminate a pregnancy - this can negatively affect the ability to give birth in the future.
After medical abortion: when will menstruation recover?
After a medical abortion, when will menstruation recover? This procedure involves the termination of pregnancy through special medicines that contribute to the inhibition of fetal development. As a result, the fetus cannot cling to the uterus. After that, along with blood clots, it comes out, their volume depends on the duration of pregnancy (the shorter the period, the weaker the bleeding).
After a few days after the use of such drugs should be examined, because not in all cases, drugs act positively. If the fetus does not come out, but remains in the uterus, then surgery is performed.
After this type of abortion, the monthly may not occur for a long time, and the first manifestations can be expressed in small quantities. Therefore, the procedure with the effect of drugs on the female body determines the long and difficult recovery.
Menstruation may not be 10 days, or even more, but in the case of 30-40 days indicates the development of complications. Here, without a doctor just can not do.
How to recover from a vacuum abortion
This method of preventing pregnancy is considered the safest and lightest. The operation lasts about 5 minutes. Manipulation involves the suction of the fetus from the uterus through the formation of negative pressure. However, if an operation is performed incorrectly, complications appear: the woman feels bad, weakness, nausea occurs. Recovery of the menstrual cycle after an abortion is very slow.
If the operation was successful, the woman quickly normalized condition. Subsequently, after this type of abortion, you can easily get pregnant, it does not lead to infertility.
After the procedure, experts advise to conduct a survey for complete confidence in her well-being. In the future, there are some bloody bleeding for a period not exceeding 5 days.
How to recover from a surgical abortion
This method can significantly weaken a woman’s health. Fetal extraction occurs with medical instruments, by scraping. This method of abortion is the most traumatic.
How to restore the menstrual cycle after an abortion? Renew the body and the cycle takes a long time. Menstruation should occur in a month, if they did not appear within 40 days, then there are complications. After the intervention, it is necessary to carefully monitor the state and secretions (smell, color, structure, etc.).
Formation of strong or, on the contrary, very scanty monthly means careful medical examination. When regularity, the permissible plenitude and duration of discharge, appear, the woman can be completely calm.
Very often, after such an abortion, there are difficulties in the independent formation of menstruation, then the gynecologist will prescribe the necessary medicines that will lead the cycle back to normal.
Folk remedies to restore the cycle
How to restore a cycle after an abortion? There are many different folk methods for renewing menstruation.
The most effective recipes are:
- Herbal infusions. Take the roots of peony, chamomile, parsley, mountain ash, St. John's wort, and each separately in a ratio of 2 parts / 1 liter of water brewed with boiling water. For 6 hours, the broth should be infused. Take 1 tsp. before eating for 5-10 days.
- Borova tincture. Prepared in proportion to 1 g of dried grass per 10 ml of vodka. Drink 20 cap. three times a day for 2 weeks. Tincture is able to stabilize the menstrual cycle, remove inflammation, improve the function of the urogenital system.
- Healing herbs. You can make baths or consume inside. Use St. John's wort, lemon balm, chamomile, and more. These herbs have an antiseptic and calming effect.
With such an abortion, drugs are taken that interfere with the process of attaching the embryo to the wall of the uterus. Due to the fact that there is no possibility to consolidate, the fetus is removed from the uterus. The downside of the drug method is that the embryo may not fully exit. Therefore, doctors recommend passing an additional examination to make sure that everything went well. Women should not be afraid of bleeding that occurs after medical abortion. Up to 5 days of such discharge is considered normal.
Menstruation after abortion
After termination of pregnancy, the female body enters a new menstrual cycle. The day of the start of bleeding after an abortion is considered the first day of menstruation. Scraping, vacuum aspiration in the first trimester lead to the destruction of the ovum on the day of the procedure. From this point on, a new cycle after an abortion is considered. If abortion is carried out with the help of tablets, the appearance of discharge from the genital tract for 3-4 days is considered the first day of menstruation after an abortion. Bleeding after termination of pregnancy is not actually the actual menstruation, but allows you to count the days of the cycle.
The first real menstruation should take place in natural time after an abortion. The rate is considered the beginning of bleeding in 21-35 days. Much depends on the natural duration of the menstrual cycle in a given woman. If this period was, for example, 30 days, then it should remain the same after an artificial termination of pregnancy. Delay after an abortion is not uncommon, but it cannot be considered the norm. If the intervention was carried out in standard terms up to 12 weeks, then we can hope for a speedy recovery of menstrual function. The earlier the interruption was performed, the less often there is a delay after an abortion. Gynecologists track the recovery cycle after an abortion. To do this, scheduled visits to the doctor are scheduled at certain times.
The delay after an abortion in late periods is very common. Usually the body needs at least three months to recover. This is associated with fundamental changes in the hormonal background of a pregnant woman after the active function of the placenta, which corresponds to the second trimester of pregnancy. Late abortion is a dangerous procedure for a woman’s reproductive health. Partly because of this, an artificial termination of pregnancy at the request of a woman is carried out only up to 12 weeks.
Menstruation after an abortion may differ from the usual in duration, pain, profusion. Any changes should be reported to the gynecologist. This information can be used to plan a survey and treatment. A delay after an abortion is considered to be a compelling reason for compulsory visits to the doctor.
Causes of delay after an abortion
A number of reasons may cause a delay after an abortion. In the first place are hormonal factors. Any abortion violates the natural balance of female hormones. The natural regulation of the endocrine system suffers. The interaction of the central structures (pituitary and hypothalamus) and the ovaries is roughly suppressed. Delay after an abortion is caused by a lack of hormone concentration and the absence of a cyclical change in their level. The greatest danger in this regard is abortion in later periods. The hormonal cause of the absence of menstruation is functional. Normalization of the menstrual cycle in this case is possible after appropriate treatment.
Another cause of delay after an abortion is a strong emotional stress. Despite the relative rarity of such a reaction, it must be borne in mind. Depression provokes an increase in the level of the hormone prolactin, which leads to the absence of ovulation and menstruation.
Delay after abortion can be caused by mechanical damage to the basal layer of the endometrium. This situation is possible with rough scraping during operative abortion for a period of 7-12 weeks. The more damage, the less chance of restoring the natural cycle. In the most extreme cases, there is a total removal of the basal layer of the endometrium. In such a situation, infertility and the absence of menstruation with normal ovarian function form.
Another reason for the delay after an abortion is a new pregnancy. Gynecologists talk with women about family planning and compulsory contraception after an abortion for at least 3 months with women. Most women are prescribed reliable pills to protect against unwanted pregnancy. Also, with normal abortion, sex life is banned for a month. However, already in the first cycle after an abortion, many couples irresponsibly ignore the recommendations of gynecologists. There is an opinion that it will not be possible to get pregnant right away. Unfortunately, this is far from the case. Already in 10-14 days, ovulation occurs in some women, which means that conception is possible. A standard pregnancy test, a blood test for chorionic gonadotropin, an ultrasound scan of the uterus will diagnose the fact of pregnancy. But what to do in this case? Repeated abortions are particularly damaging to a woman’s health. However, the persistence of pregnancy may be questionable due to the effects of a recent interruption.
Which abortion is safer
Any artificial termination of pregnancy can lead to a delay. However, some interventions disrupt the natural cycle more than others. It is believed that menstruation after an abortion pills recover best. Clinical observations confirm this view, especially if the interruption is carried out for up to 6 weeks. Mini-abortion using vacuum aspiration of uterine cavity contents also rarely causes cycle disturbances. The situation with delay after abortion with mechanical dilation of the cervix and curettage is much worse. Such an intervention is complicated by a violation of the cycle in more than a quarter of women. If the interruption is carried out after 9 weeks, then the delay after the abortion is more common.
Late abortion always leads to the development of violations of the natural cycle. Safe interventions after 12 weeks of pregnancy simply do not exist.
Delay after abortion prevention
Pregnancy planning and careful contraception is the prevention of both abortion and its complications. If the unwanted conception did happen, then in order to restore the normal cycle, you need to seek medical assistance as soon as possible. The sooner the pregnancy is terminated, the higher the chances of avoiding delay after an abortion. Choosing a proven medical center and a qualified doctor also affects the outcome.
Врачи проводят профилактику задержки после аборта с помощью таблеток. Обычно практически всем женщинам назначают комбинированные оральные контрацептивы после аборта. These drugs mimic the natural cycle, partially restore hormones, and most importantly, reliably protect against repeated unwanted pregnancy.
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What is abortion
Abortion is a medical procedure for artificially terminating pregnancy in the early stages, usually in the first trimester. After 20 weeks, artificial birth methods are used, since the fetus is already practically formed. Such a view can carry dangerous consequences and it is carried out strictly according to indications:
- severe pathology of the fetus, which can lead to disability and lead to death,
- missed abortion due to fetal death in the womb,
- a serious deterioration in the health of a woman against the background of complications of existing diseases or the acquisition of new ones that require urgent therapy.
A small cesarean section can also be used to extract the fetus.
When pregnancy occurs, the woman's body is rebuilt, and the hormone progesterone begins to be produced, which is responsible for the successful delivery of the fetus. Artificial termination of pregnancy is a shock for hormones and for the body as a whole. Therefore, it may take some time to restore the previous state.
In addition, depending on the type of abortion, a wound surface that is sensitive to various microbes and bacteria can form in the uterus. Therefore, it is often possible complications after the manipulation. In this case, it is very important to carry out the procedure only in specialized medical institutions under the supervision of an experienced doctor.
Types of abortion
Due to the successful development of medicine, modern abortion is a completely safe procedure. Depending on the duration of pregnancy and individual indications, There are three types:
- medical abortion (pharmabort),
Up to 8 weeks you can use the drug method. Its essence is to take a drug based on a chemical called mifepristone. This component causes the detachment of the ovum from the walls of the uterus, like a miscarriage.
As a rule, the procedure of medical abortion involves taking 1 pill in a medical institution. After that, the patient is under the supervision of a physician for 2−3 hours. The second pill, if necessary, the woman usually takes at home, after 1-2 days. In most cases, termination of pregnancy occurs within 24 hours after the second stage.
Immediately before the procedure, you need to consult a doctor and pass the necessary tests.
This method is the most secure and comfortable. Since there is no intervention in the uterine cavity, the risk of infections and complications is reduced. But it is worth remembering that the success of the procedure depends on the duration of pregnancy.
There is also a method of emergency contraception, which will help prevent pregnancy if unprotected sexual intercourse took place. The essence of it consists in a single pill for three days after sex. The composition of drugs has a substance levonorgestrel. Its principle of action is to suppress ovulation and implantation. The highest efficiency of this method is observed in the first two days and significantly reduced on the third day.
Surgical or instrumental method is an intervention by expanding the cervical canal of the cervix and gynecological cleaning. This method is used in case of impossibility to conduct pharmabort.
Surgical abortion is performed under general or local anesthesia.as this procedure is very painful. In addition, pain and cramps, as during labor, can be observed after the operation. Usually, after a few hours after anesthesia, a woman can go home. She is also prescribed a course of antibiotics and antifungal drugs.
Since the use of such a method can cause a number of complications, a woman is recommended to undergo a control ultrasound scan and a gynecologist's examination within 14 days.
Vacuum aspiration or mini-abortion is a compromise variant of the surgical method. Its essence lies in the extraction of the ovum with a special device, vacuum suction. This option is more gentle than the instrumental method, since there is no mechanical damage to the uterus and cervical canal. The procedure can also be performed under local or general anesthesia. The optimal time for it is 5−6 weeks. Since at a very early period the fetus is still too small and may not get into the catheter, and at later periods there is a risk of incomplete abortion and complications.
Menstrual cycle after interruption
In the case of a successful termination of pregnancy in the first trimester, the menstrual cycle should resume within 4–12 weeks after the intervention and fully recover within six months. There can be no unequivocal answer to the question how many days after an abortion a period begins. It all depends on the type of intervention, the period, the state of health of the woman and the implementation of the prescribed procedures.
Failures, as well as the intensity of menstruation can be a variant of the norm, and can talk about pathologies. In the natural version, disturbances - this is the body's natural reaction to intervention. In order to understand when menstruation will go after a medical termination of pregnancy, it is worth remembering that hormonal failure is the main cause of menstrual irregularities. High doses of hormones are taken and, after the rejection of the ovum, they become useless. This causes a hormonal disorder, which results in a delayed menstruation.
In the surgical method, the degree of damage to the endometrium, which determines the period when menstruation comes after an abortion, is important. They may not occur for several months. In addition, as a result of the operation, adhesions may be formed that provoke the formation of scars. Such a condition can cause serious complications and lead to infertility. Vacuum aspiration method is also able to delay the monthly for several months.
Normally, the first monthly more scarce and shorter. But excessive their abundance should be alerted. Since this may be a symptom of the development of infections and any inflammation.
The duration of the recovery and the period when menstruation begins after an abortion is directly dependent on the fulfillment of the doctor’s prescriptions and the observance of certain generally accepted rules. Among them:
- refusal from physical exertion for several days and their moderate amount until the full restoration of the menstrual cycle,
- sexual rest for 2−3 weeks with vacuum and farmer, with surgical - until the resumption of menstruation,
- more rest, avoid stress,
- proper nutrition
- thorough hygiene of external genital organs.
You should also strictly follow the doctor's instructions., which can be directed to receive special hemostatic agents and antibiotics. The doctor may order oral contraceptives in order to speed up the rehabilitation period and reduce the risk of infection. You should also undergo a routine examination by a gynecologist, breast specialist and carry out timely diagnosis.
Onset of pregnancy
It is worth remembering that despite the fact that there are no periods after an abortion, ovulation may occur immediately after it. This means a possible pregnancy even if slight bleeding is present. That is why it is very important to use contraceptive methods.
In any case, the body will need some time to recover. Usually this period is at least six months. Early pregnancy is dangerous both for the woman's body and its ability to bear the fetus, and for the child herself. As possible intrauterine infections that adversely affect the development of the fetus.
Abortion is an aggressive intervention in the female body that has its side effects. Some of them are natural and should not cause concern. Some of them are dangerous and signal possible complications.
In the first or second day after an abortion, regardless of its type, bleeding occurs. With medical abortion, the discharge is abundant, pink tinged with clots. This indicates the release of the ovum from the body of a woman. Bleeding continues up to 10 days. It is worth paying attention to excessive intensity of discharge, which may indicate that part of the fetus remains in the uterus. In this case, additional cleaning is required.
In surgical methods of abortion, bleeding occurs due to damage to the uterus and blood vessels. It can last from 10 days to 4 weeks and depends on factors such as:
- the duration of the procedure,
- general condition of a woman
- quality of rehabilitation,
- professionalism of the doctor.
With the vacuum method, bleeding usually lasts no more than 2 weeks. Spotting that does not give the woman painful discomfort can last up to 1 month.
Mild pain in the lower abdomen or in the chest after an artificial termination of pregnancy is a variant of the norm and can last up to 1 week. Spasms and pain can be eliminated by the use of painkillers, such as ibuprofen, nurofen, spazmalgon, etc.
Among the abnormal symptomswhich require urgent medical advice:
prolonged and heavy bleeding,
- scarce bleeding or lack of it,
- huge blood clots
- high body temperature and chills,
- severe pain and cramps
- nausea, vomiting, diarrhea, which last more than a day,
- loss of consciousness,
- unpleasant smell of discharge.
Excessive bleeding can indicate incomplete removal of the fetus, severe damage to the uterus, incomplete cleaning of the fallopian tubes. This may be a danger to the health of the woman and requires urgent hospitalization. Special attention should be paid to the presence of other symptoms such as fever, chills, nausea, and severe pain.
Excessive blood loss can also lead to such complications as anemia, which will affect the general health of the woman and lead to the development of other diseases. It is also worth remembering that blood clots are characteristic only for medical abortion and for other types of them should not be.
Scanty bleeding after an abortion, or the complete absence thereof, may indicate that blood has accumulated in the uterus and cannot leave it on its own. It is worth paying attention if the bleeding was present for several hours, and then abruptly stopped. Abdominal pains that are accompanied by bleeding with an unpleasant odor can signal genital infections.
This type of intervention is considered the most benign for the female body. The procedure itself takes only a few minutes, and the recovery process is much faster than with other types of intervention. The procedure is the “suction” of the embryo from the uterus using the created negative pressure.
But there is a possibility that if the procedure is carried out incorrectly, damage to the reproductive organs may occur. A woman will notice a general deterioration of her condition, weakness, and occasional bouts of nausea.
With this type of abortion, the removal of the embryo occurs with the help of special surgical instruments. In almost all cases, the method of curettage, which is very traumatic, is used. There is a violation of the integrity of the mucous and muscular membranes of the uterus, which increases the recovery time.
Why after abortion cycle loses?
It is necessary to understand that such an intervention in the reproductive system and in the body as a whole will not pass without a trace. First and foremost, the body reacts by changing the menstrual cycle.
It is no secret that every woman’s menstrual cycle proceeds individually. And even in normal quantity, color, consistency of discharge vary. Also the recovery cycle will vary. Someone first menstruation will begin soon and will look like a pair of blood smears, which will stop the next day. And someone after a short time will begin monthly, which will not differ from those that were before the abortion.
How does the recovery generally occur?
Recovery cycle after an abortion usually lasts from 1 to 3 months. In the absence of any complications, the menstrual cycle is restored independently in a month. If this does not happen, then you should contact your gynecologist to find out the reasons for the absence of menstruation.
It may also happen that menstruation occurs, but their character is different from those before the abortion. In general, such a change is not dangerous to the health of women. However, if the changes are accompanied by a state of weakness or a general deterioration of the condition, then this is an alarm signal, signaling that there are any consequences after the intervention.
It is necessary to seek emergency medical care if pains of a cramping character appear in the abdomen or the temperature has significantly increased. These symptoms signal that the termination of pregnancy was unsuccessful, and part of the ovum remained in the uterus.
Recovery after various abortion techniques
Recovery of the female cycle after an abortion depends on several factors.
- Gestational age.
- The age of the patient.
- Selected intervention method.
- The quality of the drugs used.
- Mental state of a woman.
- The presence of chronic diseases that may affect the recovery process.
- Qualification doctor.
Recovering from a medical abortion
The first periods appearing after such a procedure are most often very scarce. This is due to the effects of drugs on the woman's body. Normal is the absence of menstruation for 10 days. And if there is no more than a month after a medical abortion, then there are some complications. In this case, you should contact your gynecologist for further examination.
Recovery after a vacuum abortion
If the procedure has passed without violations, then the menstrual cycle returns to normal very quickly. A few days after the abortion may be spotting, but they do not signal any complications. After such a procedure, a woman can, if she wishes, conceive a child again, because her reproductive function is not disturbed. If during the procedure the genitals were damaged, the recovery period is delayed. If this happens, then doctors recommend an additional examination.
Recovery from surgical abortion
With this intervention, the integrity of the layers of the uterus is disturbed, so the recovery period is the longest. Normally, the menstrual cycle is restored within a month, and you should begin to worry if there is no discharge, after about 40 days.
Gynecologists recommend that women monitor their condition and the nature of menstruation. It is especially important to pay attention to:
To say that the menstrual cycle is fully restored, it will be possible if all the listed parameters do not differ from the norm that was before the abortion. If the cycle does not bounce back on its own, then the doctor may prescribe medication or folk remedies that help this process.
How to help the recovery of the menstrual cycle?
You can shorten the recovery period with a few simple rules.
- Approximately within a month it is necessary to refuse an intimate life. With surgery, the period may be longer.
- If medications were taken before an abortion, then a break should be taken with the permission of the doctor.
- Try to avoid stressful situations.
Be wary of doing physical culture. Indeed, many exercises can increase blood flow and cause an increase in secretions.
To accelerate the normalization of hormonal background gynecologist may prescribe special drugs. In addition to hormonal medications, vitamins can be prescribed to improve the immune system.
If the doctor suspects the presence of inflammatory processes or there is a risk of infectious diseases, the doctor may prescribe antibiotics.