Reproductive health of a woman, or what consequences after an abortion should be expected

Artificial cessation of pregnancy was the only operation that was not primarily aimed at improving health. And only in a very small percentage of the case histories it is carried out due to medical indications aimed at preserving the health or life of a woman. In this connection, a reasonable question arises, what consequences after abortion should be expected? Consider all types of medical abortion and possible measures to prevent the deterioration of the reproductive health of women.

Medical abortion

This type of artificial termination of pregnancy is based on the use of a special drug by the patient under the strict supervision of a doctor. It consists of substances aimed at suppressing the production of progesterone. Medical abortion is carried out exclusively in medical institutions and only if there are necessary results of analyzes and ultrasound data on uterine pregnancy.

It is worth noting that medical abortion can be performed at the request of a woman only for a period of 3 to 7 weeks. In the future, its use is used exclusively for medical reasons and with the written consent of the woman.

What are the consequences after medical abortion? Despite the fact that WHO recommends 2 strictly defined drugs as the most safe for women's reproductive health, one of them, namely mifepristone, has the ability to "settle" in the body and influence subsequent pregnancies. Another type of consequence after medical abortion is the incomplete separation of the fetal egg from the uterus. Consequently, the doctor will have to use other methods of artificial termination of pregnancy. To prevent such consequences is possible with the help of regular supervision at the doctor and reception of the hormone therapy prescribed by him.

In addition, medical abortion should be performed only by a qualified doctor and only with the use of original, usable drugs. Otherwise, there is a risk of infertility or, on the contrary, further development of pregnancy with genetic damage in the fetus.

Vacuum aspiration

For this period of time, WHO is recognized as the most gentle way of abortion. He is also known as the "mini-abortion" because of the time at which he is held. The essence of this method is that the doctor conducts the "suction" of the fetus and its amniotic fluid with anesthesia. This procedure can be performed manually or by means of an electric vacuum suction, which is introduced into the uterus. The time allocated for this surgical intervention is four to six weeks of pregnancy.

What are the consequences of an abortion performed with vacuum aspiration? The first and the main thing is damage to the cervix, as well as endometrium. The second, occurring much less often, is the incomplete extraction of the fetus and its amniotic fluid, or the lack of extraction as a whole and, as a consequence, the continuation of the development of pregnancy. This complication is made possible by the absence of visual contact with the uterus. Avoid or in time to reveal the negative consequences of this type of abortion is possible if the rules of visiting a gynecologist during the post-abortion period are observed, as well as observing a temporary ban on sexual activity for a period approved by the doctor.

Instrumental abortion

Until recently, it was considered the only possible way to artificially terminate a pregnancy. What consequences after the abortion conducted by this method should be expected, almost every woman knows from lectures on reproductive health. But everything is in order.

The doctor under anesthesia widens the cervix, through which the tongs and curette are inserted. The forceps extract the fruit, and the curette scraps the inner layer of the uterus. Earlier this operation was carried out "blindly", now more and more doctors carry it out under supervision with the help of ultrasound.

What consequences can there be after abortion in this way? Let's start with the method of introducing tools. The cervix is artificially expanded, and, therefore, there is a risk of cracks and ruptures. Endometrium can be scraped to a depth much higher than necessary, which leads to its damage. The consequences can be a whole range of diseases, beginning with erosion of the cervix and ending with the diseases produced by endometriosis.

This list is limited only to those methods of artificial termination of pregnancy, which are available to women for up to twelve weeks. However, it is important to know what consequences after an abortion are reversible.

Previously, it was only about the physiological aspects of abortion, it is worth mentioning, however, about psychological . As a rule, because of the sharp adjustment of the hormonal background, the woman of the slope to the development of psychological diseases - aggressiveness or protracted depression. Therefore, it is important to turn to a specialist for assistance in this period, even if there are no external signs of the disease.

As to what consequences after abortion in the physiological plan are reversible, it is necessary to consult the attending physician. However, it can be safely asserted that premature subsequent birth, erosion of the cervix, primary infertility can be prevented if the recommendations of the post-abortion period are strictly followed and subsequent abortions are avoided with reliable contraceptive methods.