There are two methods of the mini-abortion. Manual aspiration - this procedure can be used for 5-12 weeks pregnant. Suction fetus carried by a special syringe. Vacuum aspiration: as a rule, this method is used, from 5 to 12 weeks of pregnancy. Germ of a special device removes the uterus.

The procedure for manual aspiration

The procedure itself usually takes 5-15 minutes. It is as follows:

• The patient lies on the examination table in the same way as during a routine gynecological examination.
• Expanders inserted into the vagina.
• Vagina and cervix cleaned with antiseptic.
• The cervix an injection of local anesthetic.
• If necessary, the cervix is ​​inserted into a small tool that extends it. In most cases this is not required.
• Through the cervix into the uterus of a thin tube is introduced, which is attached to the end of a special syringe to suck the contents of the uterus. After removal of the uterus an embryo reduced. During the procedure, most women feel cramping. Usually they disappear soon after cervical remove tube. Some women also nausea, sweating, weakness, dizziness. But usually, the procedure is significantly easier.

Vacuum aspiration procedure

For a day or a few hours before the commencement of the cervix is ​​placed a special tool that will gradually expand it. Immediately before surgery patient given antibiotics to avoid infection. Sometimes also give misoprostol - it softens the cervix, facilitating operation. Machine vacuum aspiration takes approximately 10-15 minutes. It is performed in the following order:

• The patient lies on a table for inspection as well as during routine gynecological examination
• Expanders inserted into the vagina
• Vagina and cervix treated with antiseptic
• Make an injection of local anesthetic into the cervix. Sometimes anesthetic mixed with vasopressin or another drug, retarding uterine bleeding
• Using special instruments fixed cervix
• Extend the cervix using tools
• In the uterus through the cervix and inserting a thin tube through her special machine pumped the contents of the uterus. During this procedure, women can also feel cramps, but they will soon after the operation is complete
• The tissue removed from the uterus during vacuum aspiration, check to make sure that all the embryos removed and the abortion is complete
• In some cases, to remove the remaining tissue, it is necessary to use a method of expansion and extraction, the residual tissue removed from the uterus with a sharp surgical instruments

After operation

Vacuum aspiration - a small surgical operation. During normal recovery process are:

• Irregular bleeding for two weeks. In the first week after the abortion, do not use tampons How to use sanitary pad - basic precautions Only gaskets
• Cramping, like menstrual
• The emotional reaction to an abortion within two to three weeks

After an abortion:

• Take the full course of antibiotics that are prescribed by your doctor to prevent infection
• Give yourself a relaxing stay at least one day. The next day, if the state of health allows, you can return to your normal activities.
• If necessary, take painkillers
• Do not have sex for a week. Take the pill and use condoms

Signs of complications

Serious problems in the aftermath of abortion are less than one percent of women.

Call your doctor if in a few months will find at least one of these symptoms:

• Heavy bleeding

As after medical or surgical abortion hemorrhage are different from menstruation. If a strong bleeding:

1. Clots the size of a golf ball or more go for two hours or more.
2. In an hour you have to change more than two large pads Feminine pads - talk about wings   and it lasts for more than two hours.
3. Very heavy bleeding is longer than 12 hours.

• Signs of infection - headache, muscle aches, dizziness, general malaise.
• Severe pain in the lower abdomen, in which pain relievers do not help.
• Attacks of intense heat or stable high temperature - above 37, 8.
• Vomiting for more than 4-6 hours.
• Sudden severe abdominal bloating and / or heart palpitations.
• Very heavy vaginal discharge The whole truth about vaginal secretions Possibly bad smell.
• Pain, swelling and / or redness in the genital area.

Arrange a visit to the doctor, if soon after an abortion you will have the following symptoms:

• Bleeding continues for more than two weeks
• Any abnormal physical sensations that could be caused by medications
• The absence of menstruation for 6 weeks after abortion
• You showed signs of depression Depression - a little more than a bad mood . This condition can cause both your attitude to abortion, and occurred after surgery hormonal changes in the body

Despite the wide range of contraceptives represented in the pharmacy, sometimes there are situations when you need to use the method of emergency contraception Emergency contraception - do no harm! . Almost every woman sooner or later confronted with similar, and then the question arises: "How do you avoid unwanted pregnancy? "Many people have heard about this drug is Postinor, and most women to use. But to prevent an unplanned pregnancy need to know how to take Postinor. From reception to the rules it is not only a contraceptive effect, but also the possible side effects of the drug.

What Postinor

Postinor is a drug that has a contraceptive, progestogen and anti-estrogenic effects. The main active ingredient is Postinor levonrgestrel. The drug is used only for an emergency, fire or contraception. Each tablet contains 750 mg Postinor levonorgestrel, which is also included in other hormonal contraceptive tablets Hormonal birth control pills - a modern method of preventing preg   for permanent use. The difference is that in Postinor significantly more active substances.

The package contains two pills required for one time to prevent unwanted pregnancies.

Mechanism of action

The drug has a different effect depending on the phase of the menstrual cycle. The mechanism of action of Postinor is based on three points:

• slowing or preventing the release of a mature egg from the ovary in the first phase of the menstrual cycle (ovulation blockade);
• prevents merging egg and sperm (fertilization) and / or the introduction of a fertilized egg into the interior lining of the uterus (implantation) in the second phase of the cycle;
• It causes the thickening of mucus in the cervix Cervical canal - the path traversed by every person That prevents penetration of sperm into the uterus (irrespective of the stage of the menstrual cycle).

How to take

To the drug showed its contraceptive effect, you must abide by the rules of his admission. The first tablet (750 mg) should be taken no later than 72 hours (ie within three days) after unprotected intercourse. It is important to know that the earlier the first tablet has been drunk, the more likely to prevent pregnancy. Second pill out of the package (750 mg) must be taken exactly twelve hours after the first, at no later than sixteen hours. Some experts avoid missing second dose recommended to take two tablets at the same time. In case of vomiting within two hours of taking any tablets should be repeated taking the drug and consult your doctor for advice. To reduce the risk of vomiting tablets should be taken after meals.

In order to avoid violations of the timing for receiving the second tablets preferably immediately calculate the hour that re supposed to drink a dose of the drug. For convenience, all data on the Postinor and its possible side effects is recommended to bring in a calendar or diary of menstruation.

Menstruation after receiving hormonal agents, usually comes in due time. But in some cases there may be earlier (a few days) or late onset of menstruation. Note that after taking Postinor may cause intermenstrual bleeding Intermenstrual bleeding - a cause for concern   low or moderate intensity. In the absence of menstrual period three weeks after use of the drug should consult a doctor to rule out pregnancy.

What to consider when taking Postinor

It is important to remember that the drug is used only as a means of emergency contraception and can not be used as a tablet for regular admission. In addition, Postinor not always able to prevent unwanted pregnancies, especially if the woman does not remember the time of sexual intercourse, or before there was another unprotected intercourse.

If fertilization occurred and the administration of the drug should be considered the possibility of an ectopic pregnancy. Postinor tablets can not be used more frequently than once a month (optimally no more than three times a year) After using Postinor is advisable to visit your doctor and decide with him the issue of regular contraception.

Anna Sozinova