Amenorrhea after abortion is often a consequence of the "shock" caused by neurohormonal system are women. But perhaps the emergence of organic changes in the reproductive organs of women, such as the cervical canal atresia and intrauterine adhesions.
Amenorrhea after abortion as a consequence of the hormonal impact
Normal functioning neurohormonal system of women is a multi-stage forming, in which the main, decisive role played by the cerebral cortex and the hypothalamus. Abortion - is abortion, which leads to a sharp sudden malfunction of the entire system. Such a violation of the same degree of impact shock, and sometimes completely destroy the system. Amenorrhea and infertility, are developing in such a case are called hypothalamic or central.
Depending on how great was the stress
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suffering from stroke, amenorrhea may last from several months to several years (of course, if left untreated). Thus, the longer a woman is not menstruating, the less the chance of restoring fertility as functional disturbances in neurohormonal regulation system can lead to organic changes in the ovaries.
Amenorrhea after abortion as a result of organic disorders in the reproductive organs of women
Sometimes after the abortion occurs atresia (complete or partial imperforate) the cervical canal, resulting in a false amenorrhea occurs. Imperforate cervical canal caused the destruction of its mucosa, which leads to the development of connective tissue adhesions - adhesions.
In such cases, there are no monthly after abortion, but there are monthly cyclic pain caused by violation of the outflow of blood from the uterus.
The diagnosis in this case is confirmed by means of ultrasound (US), which should be carried out when a monthly pain. In the US, you can see the accumulation of fluid in the uterus. Since the hormonal system in this case is operating normally, the content of hormones in blood is not usually altered.
Restore patency of the cervical canal by bougienage (extensions with special bougies with increasing diameter). If the abortion took place after more than six months, probing does not help, then spend colliotomy using a hysteroscope (hysteroresectoscopy).
The cause of amenorrhea after abortion may be the development of intrauterine adhesions (adhesions). Appears only such amenorrhea absence of menstruation, pain usually does not happen. Also confirms the diagnosis by ultrasound, the study is carried out using a vaginal probe. It held as diagnostic hysteroscopy, which in case of intrauterine adhesions can move in hysteroresectoscopy - colliotomy. Hormonal contraceptives after surgery is not indicated, as they inhibit the growth of the mucous membrane of the uterus and hamper the process of recovery.
Recovery after abortion
After an abortion, women need replacement therapy. It includes the prevention of infectious and inflammatory complications (antibiotics), reference ultrasound and, if necessary (if the uterus were not removed tissue) re scraping
Scraping - heavy and unsafe procedure
. To restore the normal function of the reproductive organs are appointed by reflexology courses
Reflexology - a policy of non-drug therapies
It held the appointment of combined oral contraceptives (COCs) to restore hormonal levels and prevent a new unwanted pregnancy. Assigns low-dose COCs only obstetrician based on identified hormonal disorders. Modern low-dose COCs allow gently restore the neurohormonal system and avoid such unpleasant consequences of abortion as amenorrhea, mastitis, ovarian cysts, and so on.
Great attention should be given after the abortion of immunity, since the accession of infection may negate the chances of a woman to have a child in the future. In order to strengthen immunity
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recommended nutrition, exposure to fresh air and moderate physical activity.
Abortion - it is always a stress for the women hit her hormonal system and the risk of developing complications from the organic genitals. Menstrual disorders after abortion should be identified as early as possible and treated. If this is not done in time, against the backdrop of sustained amenorrhea, infertility may occur.