Any abortion, whether surgical abortion with curettage Curettage - how dangerous it is?   or pharmacological abortion is accompanied by spotting. Terms discharge after medical abortion are strictly individual for each woman and depends on her constitutional features, state of health, the mode of the day and more. Medical abortion, although it is widely known in the community, is still to some extent remains a mystery to doctors and rigorously developed standards for the duration and amount of bleeding after drug abortion does not exist.

What is the medical abortion

Medical termination of pregnancy based on the use of special drugs that have abortifacient effects. For pharmacological abortion used Penkrafton, Mifegin, RU486, which include substance Mifepristone. Mifepristone refers to a group of hormonal agents and has antiprogestivnym effect, i.e. cause changes in the hormonal background of the organism. In particular, Mifepristone blocks progesterone receptors and inhibits the activity of progesterone Progesterone - norm and pathology On which depends the preservation and development of pregnancy.

In 50% of cases during the first two hours after ingestion of the preparation is abortion, which proceeds as miscarriage. Repeated visit to the gynecologist woman should put 36-48 hours.

Bleeding after medical abortion

As follows from the above that clear parameters for the duration of bleeding and the number after medical abortion does not exist. Since abortion drug is none other than as interference in hormonal processes in the body, hence the bleeding individual characteristics of each woman. Not least in the duration of bleeding and covers the period in which termination of pregnancy (less delay menstruation Delayed menstruation - when to sound the alarm? The shorter and poorer release). This is primarily due to the fact that the early period of pregnancy is not accompanied by significant hormonal changes, and secondly, the surface of the wound in the uterus after the expulsion of the embryo is too small and regenerates (heals) faster.

Usually, bleeding or miscarriage happens in the first two hours after eating the abortion drug. But often, bleeding begins in half - two days, it is through this period of time is necessary to re-appear before the doctor (to confirm the expulsion of the embryo). Generally, bleeding after medical abortion a little than differ from menstruation. Their intensity is moderate, they are virtually painless or accompanied by a slight pain in the abdomen. Duration "menstrualnopodobnoe" discharge is not more than 48 hours, then bleeding is reduced and the discharge becomes scarce. Spotting persist for ten - fifteen days, but sometimes they last until the next menstrual period.

Massive bleeding

In extremely rare cases after drug abortion begins massive bleeding, which refers to abortion complications. Profuse bleeding can be life-threatening and the patient requires immediate action. The advent of heavy bleeding may be the result of taking high doses of hormonal drugs, the presence of residues in the uterine cavity of the ovum (incomplete abortion) or the result of violations of the blood coagulation system. In addition, increased bleeding occurs in violation of the recommendations of the doctor (heavy physical activity, intake of hot tubs).

In the event of heavy bleeding a woman should see a doctor immediately. In some cases, a scraping Scraping - heavy and unsafe procedure   the uterine cavity.

Anna Sozinova

Medical abortion is today recognized as one of the safest methods of abortion. Compared with surgical abortion risk of complications during pharmacological abortion is minimal. And, yet, frequently after medical abortion uterine bleeding occurs. Bleeding after medical abortion vary in intensity and duration of each woman. A great danger is massive bleeding, which can occur at different time intervals after receiving "abortive" tablets. Such bleeding requires immediate treatment to the doctor and to take urgent measures to stop it.

Methods of medical abortion

Medical (pharmacological or medicinal) abortion is non-surgical method of abortion. After passing the necessary tests, a pelvic exam Gynecological examination: an important component of women's health   and ultrasound woman offering a drink special medication, which includes the active ingredient Mifepristone, an abortifacient effect.

Mifepristone, adopted at a dose of 600 micrograms, blocks the action of progesterone Progesterone - norm and pathology Who is responsible for maintaining pregnancy. In addition, Mifepristone increase the sensitivity of the muscle layer of the uterus to prostaglandins, causing contractions. The drug is carried out in a doctor's office and under his control.

Abortifacient action of mifepristone causes a spasm of blood vessels in the placenta, the embryo does not enter the blood, resulting in the rejection of the ovum with the decidual layer of the endometrium, resulting in bleeding.

Normal bleeding after medical abortion

As noted above, common standards bleeding time after administration of the drug preparation is not abortion, they are unique for each woman. Equally important in the duration of the bleeding is and the period for which pregnancy is terminated. The smaller the period of the delay menstruation, the easier it flows medical abortion and shorter spotting Spotting - it is important to rule out pathology . This is due to the fact that in a small pregnancy ovum still not firmly entrenched in the uterine cavity, and the body has not yet caused a serious hormonal changes.

Typically, spotting begins within two hours after administration of the drug. You may experience bleeding 36-48 hours. Normally spotting mild, painless and somewhat painful and remind menstruation. "Menstrualnopodobnoe" bleeding lasts no more than two days, then decrease spotting and reminiscent of the "scribble". Spotting usually last no more than ten - fifteen days, but maybe a longer duration, until the next menstrual period.

Abnormal bleeding

Unfortunately, not all bleeding, which appear after a medical abortion can be attributed to normal. At 0, 1-0, 2 per cent of cases there is a very strong uterine bleeding. Bleeding is so massive that for two hours a woman is forced to change three or more pads. Such bleeding is life-threatening and can occur for three reasons:

• massive hormonal drugs that violates uterine activity;
• violation of the blood coagulation system is not diagnosed before the abortion;
• incomplete abortion (remnants of fetal eggs in the uterus).

Heavy bleeding leads to weakness of women, she noted pale skin, rapid pulse, possible unconsciousness. When expressed bleeding should immediately call an ambulance. Treatment of uterine bleeding is to appoint intravenously and intramuscularly and shorten hemostatic drugs. In the absence of effect of conservative therapy performed curettage Scraping - heavy and unsafe procedure   the uterine cavity.

Anna Sozinova