Medical termination of pregnancy - a procedure for termination of pregnancy using drugs. Anesthesia is not required, but this can only be done an abortion in early pregnancy.

Risks

Despite the obvious advantages of the procedure, with medical abortion involve certain risks, such as:

• Incomplete abortion, after which usually require a surgical abortion
• Infection
• Heavy bleeding

Medical abortion is not right for you if:

• On the first day of the last menstrual period was more than nine weeks
• You should intrauterine device
• Do you have conditions such as uncontrolled high blood pressure, heart disease and blood vessels, serious violations of the kidneys, liver and / or lung disease, uncontrolled epilepsy
• You are taking medication, blood thinners or steroids
• You smoke a lot
• You have allergies to medicines, which are used during medical abortion

How does medical abortion

First of all, your doctor should confirm the pregnancy. To do this, it conducts a pelvic examination Gynecological examination: an important component of women's health   and ultrasound to establish the gestational age, and to make sure that the pregnancy is not ectopic. Furthermore, the patient to take blood and urine tests.

If pregnancy is confirmed and the patient says he wants to have an abortion, the physician should explain exactly what abortion methods it will fit.

There are several ways to medical abortion.

• Mifepristone and misoprostol orally. This is the most common type of medical abortion. It can be carried out for seven weeks after the first day of the last menstruation. Mifepristone blocks the activity of progesterone Progesterone - norm and pathology , Due to which the further development of the embryo becomes impossible. Misoprostol, a drug that belongs to prostaglandins, causes contractions of the uterus, resulting in the expulsion of an embryo. Mifepristone is usually taken in a doctor's office, and misoprostol - at home, a few hours later. To reduce the chance of infection, the patient can be assigned to antibiotics.
• Mifepristone and misoprostol orally - vaginally. This way you can make medical abortion up to nine weeks pregnant. This method is considered the fastest and most efficient of all types of medical abortion. It is used less often because of the previous inconvenience of intravaginal misoprostol.
• The injection of methotrexate and intravaginal misoprostol administration. This abortion can also be made not later than on the seventh week of pregnancy. Injection makes the physician and the patient has to take misoprostol at home.
• Intravaginal misoprostol administration. This method is seldom used, primarily due to the large number of side effects.

Most unpleasant symptoms usually appear within two hours after taking misoprostol - is usually a strong cramping in the abdomen Abdominal pain: Types and Symptoms   and sometimes dizziness. Vaginal bleeding lasts at least one week - it is the norm. But if the bleeding is too strong (you have to change pads every hour and / or blood is not dark and bright red), immediately seek medical attention. You should also seek medical help if you have any severe pain in the lower abdomen or lower back; body temperature rises above 38 C, and does not go more than a day and / or vaginal secretions come The whole truth about vaginal secretions   with a strong unpleasant odor.

Barrier methods of contraception are very popular and reliably protect against both unwanted pregnancy and of sexually transmitted diseases by. Unfortunately, not all manufacturers produce high-quality condoms, it can lead to the fact that the condom can tear at the crucial moment. What to do?

What dangers arise when the condom breakage

Poor-quality condoms are produced mainly Asian countries (except Japan, in this country with the quality mark), they are cheaper than European and North American products, and more eager.

If a condom breaks, then there are two dangers: an unplanned pregnancy and the possibility of contracting a sexually transmitted disease by (and sometimes a whole bunch of diseases). And as such cases are fairly common, and developed a special emergency measures to eliminate the consequences of the "accident."

How to prevent an unplanned pregnancy if the condom breaks

If a condom breaks and semen got into the vagina, the first thing you need to think about the severity of the incident. This means that a woman has to remember what she has today is the day of the menstrual cycle The days of the menstrual cycle: Four phases . As is well known, it is impossible to conceive, starting with 2-3 days after ovulation (release of the egg from the time of the ovary, which is in the middle of the menstrual cycle) until the next menstrual period (time of absolute sterility). At other times, the sperm have a chance to wait for the egg.

To douche better fit slightly acidic solutions (lemon juice, vinegar) - they move slowly and sperm will die. Before douche, you need to try the taste of the prepared solution: it should only be slightly acidic, very acidic solution may cause a burn delicate mucous membrane of the female genital organs. After douching vagina must enter spermicides - spermicides (farmateks, kontseptrol, Delphine, ortho, koromeks), which are produced in the form of creams, foams, suppositories, tablets, topical. Does this method is an absolute guarantee that a woman will not get pregnant? Of course not.

Therefore it is necessary to continue the emergency prevention of pregnancy. For this special hormones are released, for example, postinor Postinor - used very carefully! Which contains a synthetic analogue of the female hormone progesterone, which suppresses the activity of other female sex hormones - estrogen, which prevents pregnancy. One pill Postinor better take immediately (but you can do it and for three days), and the second 12 hours later. The drug is not harmless, it can cause hormonal disturbances.

Instead Postinor can be used and combined hormonal contraceptives, but it is already being done by a gynecologist appointment. Within a few days after the "accident" can be introduced into the uterus intrauterine device (IUD) - it also makes only a gynecologist.

But every woman should know clearly that emergency birth control methods (other than the IUD, it can be used continuously) should not be used as a permanent means of contraception, it can lead to severe damage of the female genitalia.

How to prevent the disease, sexually transmitted infections, if the condom broke

No less dangerous gap in condom if sexual contact occurred with a random man, and have no confidence in his health. In this case, it is possible to become infected with sexually transmitted infections (STIs). These infections are sexually transmitted diseases (syphilis, gonorrhea Gonorrhea - self-ruled , Chancroid, and venereal limogranulema granuloma venereum), and infections such as ureaplasmosis Ureaplasmosis - inflammation of the urogenital system , Chlamydia, trichomoniasis, genital herpes, HIV infection.

If your partner was unreliable, it is better to apply to the point of personal prophylaxis in STI clinics, where men spend prevention of a 2% aqueous solution protargola, as well as drugs such as gibitan, tsidipol. Preventing women held drug solution of mercury salts, silver nitrate, potassium permanganate, and tsidipol gibitanom. Do not neglect such prevention, if there is no confidence in your partner.

Condom - reliable means, but in order to avoid unpleasant situations with his break, you need to choose quality products.

Galina Romanenko