Medical abortion - is the termination of early pregnancy, which is caused by using drugs mifepristone and misoprostol. Such an abortion can be done until the ninth week of pregnancy.

In the first stage of the procedure the doctor gives you a pill mifepristone, and you take it orally in his presence. Then, over the next 24-72 hours, at home, you need to take the second drug - misoprostol. It causes contractions and miscarriage. The use of mifepristone and misoprostol is effective in 95-97% of cases.

How it works

Mifepristone blocks the production of progesterone Progesterone - norm and pathology Hormone, which is also known as "pregnancy hormone." Because of this the wall of the uterus can no longer hold the fruit begins to soften the cervix and may start bleeding. After six to eight hours after taking misoprostol abortion occurs directly, that is, the expulsion of the embryo from the uterus.

The woman herself decides exactly when to take misoprostol, and thus can control the course of the abortion.

Application

At the doctor examine you using ultrasound to make sure that the pregnancy is less than eight weeks. The doctor will examine your medical history and if you decide that you can do medical abortion, describe in detail about the effects of mifepristone and misoprostol and answer your questions. When you take mifepristone, you will be given the package with four misoprostol pills - they need to be taken, as we have said, over the next 24-72 hours. If this dose will not cause a miscarriage, contact your doctor.

What to expect

Bleeding may begin immediately after taking mifepristone. Depending on the characteristics of bleeding are different: someone easy and quick passes, someone - a strong and long lasting. For most women, bleeding only starts after taking misoprostol.

Within twenty minutes may start cramping, go clotted blood. Cramps can be worn wavy character. Bleeding after medical abortion is usually stronger than after mini-abortion.

Aftercare

Two weeks after the abortion, you will need to be examined to ensure that the process is complete. If (although the probability of this is very small) at that time there was no miscarriage, you will vacuum aspiration Vacuum aspiration - widely used method   (vacuum abortion).

Side effects

Most of the side effects, which generally can be at medical abortion caused by a second pill, misoprostol Misoprostol - indications for abortion . Among the possible consequences of his admission: severe bleeding, headache, nausea, vomiting, diarrhea, cramps are very strong.

Risks

Vaginal bleeding after medical abortion Bleeding after medical abortion: a real danger   It can be extremely strong. In rare cases, it may need to vacuum aspiration, and very rarely - a blood transfusion.

If after taking the drugs abort the pregnancy continued, at high risk for serious fetal defects.

Criteria

Medical abortion can be done under the following conditions:

The gestational age of less than eight weeks.

• You have the ability to use the phone and / or vehicle and, if necessary, to ask for help.
• You do not live more than two hours away from the nearest hospital.
• You will be able to come to the survey after the abortion.
• You agree to a surgical abortion if the drugs do not work as expected.

Because of the risk of serious complications of medical abortion is not recommended in the following cases:

• Do you ever have a problem with blood clotting or you are taking anticoagulants
• Severe anemia
• Adrenal insufficiency
• Receiving systemic corticosteroids for a long time
• Suspected ectopic pregnancy
• The hereditary porphyria
• Allergy to mifepristone, misoprostol or other prostaglandin drugs
• Severe diarrhea

Subsequent pregnancies

There is no evidence that mifepristone and misoprostol somehow affects subsequent pregnancies. So you can plan a pregnancy almost immediately after medical abortion.

Not to be confused with the preparations aborted pills for emergency contraception. The latter can not terminate an existing pregnancy already. They can be bought without a prescription. Mifepristone and misoprostol can be obtained only on prescription.

The main advantage of an intrauterine device - reliable protection against unwanted pregnancy. Reliability index IUD as a contraceptive - 99%, which means that only one out of a hundred women get pregnant even after the IUD. However, this means of contraception, there are other tangible benefits, as well as several significant drawbacks, depending on the type of IUD.

Advantages of an intrauterine device

Although different types of IUDs - hormonal, and traditional copper - are considered to be equally effective means of contraception, the benefits they may be different. For example, the key advantages of the hormonal intrauterine device, in addition to high efficiency - the ability to reduce the length of the menstrual period and do less abundant menstruation. Moreover - in some cases the effect of hormonal IUD generally leads to the cessation of menstruation.

The main advantages of intrauterine devices:

• Convenient and very effective
• Allow to have sex whenever you want, without worrying about contraception
• It suggests a very easy and fast installation process, after which the woman does not need to constantly monitor the spiral
• Has a very long life span - up to five years (hormonal IUDs) and up to ten years (traditional copper coil)
• It does not affect a woman's ability to conceive Conception, ovarian cycle, fertilization and genetics of a child   (after removing the IUD can become pregnant)

Disadvantages IUD

That is why setting IUD is recommended primarily for women who have a regular sexual partner. In addition, a significant drawback of traditional copper intrauterine devices - provoking heavy and painful menstruation, and the lack of hormonal spirals - side effects associated with changes in the level of female hormones Female hormones: because you - a woman!   (headache, mood swings, breast tenderness, nausea Nausea - there may be problems with the nervous system The appearance of acne).

By the way the main disadvantages of IUD include:

• The need to visit a gynecologist for the installation and removal of an intrauterine device
• Irregular bleeding or "spotting" vaginal bleeding that often occur within the first three to six months after the installation of an intrauterine device
• The painful process of installing spiral
• Spasmodic pain, which often occur during the first few months after the installation of an intrauterine device
• Increased risk of pelvic infection (particularly for women who often change sexual partners)