Why abortion is harmful

When abortion occurs two kinds of effects on a woman's body: mechanical and hormonal. Mechanical effects of abortion (dilatation and curettage) can always cause damage, which then are very difficult to correct (and sometimes even she can not be). But the hormonal effects not pass unnoticed for the body - such violations as heavy for women, despite the fact that now developed enough drugs to restore normal hormonal levels.

The story of drugs for medical abortion

In 1982 in France, it was invented by the drug mifepristone, which effectively blocked one of the female sex hormone progesterone Progesterone - norm and pathology That can be used for medical termination of pregnancy. Apply mifepristone began only in 1988, after successful clinical trials.

At present, Russia uses the analogy of mifepristone: mifegin (France), and mifepreks penkrofton (Russia).

What happens in a woman's body with mifepristone

As a result of blocking progesterone is the destruction of the capillaries in the lining of the uterus and it is rejected. In addition, as a result of exposure to mifepristone is increased concentration of particular substances - prostaglandins, which cause uterine contractions contribute to pregnancy termination and separation of the ovum, as well as softening and dilatation of the cervix and expulsion of the ovum. To enhance the action of mifepristone (enhance the contractility of the uterus) prostaglandins introduce additional 36-48 hours after mifepristone.

Indications for medical abortion

Such indications are:

• medical termination of pregnancy up to 6 weeks;
• emergency contraception as the prevention of unwanted pregnancy after "unprotected" sexual intercourse.

Contraindications to medical abortion

Contraindications:

• inflammatory diseases of the genital organs;
• irregular menstrual cycles;
• uterine fibroids, endometriosis;
• Suspected ectopic pregnancy;
• the scars on the uterus;
• anemia (anemia);
• severe diseases of internal organs (kidney, liver and adrenal insufficiency, severe diseases of the cardiovascular system, asthma, inflammatory bowel disease Inflammatory Bowel Disease: Symptoms and Treatment   and etc.);
• age 18 and after 35 years, and smoking;
• prolonged treatment with corticosteroids and drugs that lower blood clotting (anticoagulants).

Preparations for medical abortion

First conducted a full examination of the patient in order to avoid possible contraindications, which includes:

• gynecological examination;
• sampling on the degree of frequency of the vagina;
• blood tests for syphilis Syphilis - punishment of Venus   (RW) and HIV;
• ultrasonography.

After the examination and exclusion of contraindications woman explains the essence of the method, it will be carried out and possible complications.

How is medication abortion

The reception was at the gynecologist woman taking pills mifepristone and is under observation for one to two hours, and then goes home, and a few hours later she appeared spotting Spotting - it is important to rule out pathology .

After two days, the woman comes back to the reception, it is ultrasound in order to determine whether to remove the fertilized egg. If not removed, it takes prostaglandin tablets. At this time, it is under supervision for about 4 hours, and then goes home. After receiving prostaglandin spotting become more abundant, resemble normal menstruation. They can continue for about 10-12 days.

After 12-14 days, an ultrasound study to check whether it was removed completely fertilized egg.

Complications of Medical Abortion

After mifepristone may experience discomfort, weakness, headache, nausea, vomiting, diarrhea, dizziness, fever. All it usually resolves on its own.

In the process of separating the egg may appear severe pain and bleeding. If bleeding is severe, and started home, then you need to call an ambulance.

Sometimes there is an incomplete abortion, in this case, the removal of residues produced instrumental ovum (vacuum aspiration or curettage).

Medication abortion eliminates mechanical damage to the uterus, but does not exclude the likelihood of development of functional disorders caused by changes in hormonal levels.

In the early stages of pregnancy medical abortion - this is a good tool, but it must always be remembered that it is absolutely safe abortion does not happen.

Contraindications

Side effects and contraindications "Mirena" quite few in number, but they definitely need to consider when choosing this method of contraception Contraceptive Methods: Ten myths about contraception in the mirror of facts To avoid serious health problems.

Absolute contraindications

In some cases, the use of "Mirena" will have to give up? Absolute contraindications to the use of this tool include:

• Pregnancy or the suspicion of it. It is advisable to secure and pass tests before installing the spiral to ensure that pregnancy is not present;
• Inflammatory diseases of the pelvic organs (chronic or acute). Set "MIRENA" only after complete recovery;
• Postpartum endometritis;
• Infections of the lower genital tract (cystitis, urethritis, bartholinitis, vaginitis, cervicitis);
• Cervical dysplasia;
• Septic abortion during the last three months;
• Malignant tumors of the cervix, and uterus;
• Acute liver disease or liver tumor;
• Progestagenzavisimye tumors, in particular breast cancer Breast cancer: what every woman needs to know ;
• Uterine bleeding of unknown etiology;
• Congenital deformity of the uterus;
• Acquired anomalies of the uterus, including fibroids and other benign tumors;
• Any disease associated with decreased immunity and increased susceptibility to infections;
• Hypersensitivity to the drug.

Consultation specialist

In some cases, use the "MIRENA" is possible, but only after consultation with a specialist and with great care. If there is any deterioration condition should consult a doctor: it may be advisable to remove the spiral.

Only under the supervision of a physician should use "MIRENA" women with severe circulatory disorders and diseases of the cardiovascular system, such as stroke and myocardial infarction. Caution is needed, and those who suffer from high blood pressure. Consultation is needed and suffering from jaundice, severe headaches, migraines and cerebral ischemia Cerebral ischemia - how to overcome illness .

Disadvantages spiral Mirena

In addition to all these advantages spiral Mirena has disadvantages. Firstly, it is a high price, that is, in the case of complications and the need for the removal of her unplanned money will be lost. Secondly, after the introduction of spiral Mirena often appear long spotting that continues even after the treatment. Third, the changing nature of menstruation, they are becoming more scarce, but more durable.

Pregnancy and Mirena

Pregnant hormone spiral "Mirena" never established, but what to do in the rare cases when pregnancy occurred after the installation of a spiral? Since "Mirena" is one of the most effective contraceptives, such cases are very rare, however, minimal risk of conception is still preserved. First, you must verify the absence of ectopic pregnancy: using hormonal IUD risk of developing this disease increases slightly. In case of ectopic pregnancy is assigned to surgery.

Furthermore, hormones secreted "reconciliation" can theoretically affect the fetus. In practice to date is not enough clinical evidence to make any conclusions about the impact of contraceptives on fetal development. Please note that the removal of the helix "Mirena" can also cause miscarriage Miscarriage - can you protect yourself from it? . If you remove the spiral for some reason it is not possible, pregnancy should take place under the close supervision of a physician.