Vacuum abortion can be carried out between the sixth and twelfth weeks of pregnancy. In some cases, it is done earlier - the fifth week, and later - to the fourteenth week of pregnancy. First of all, you should do a home pregnancy test, undergo a pelvic examination Gynecological examination: an important component of women's health   and ultrasound. If pregnancy is confirmed, the doctor discusses with the patient further action. If she decides to have an abortion, appoint the date of the procedure; sometimes an abortion can be done in the same day.

Anesthesia and surgery

Vacuum abortion usually performed using a local anesthesia, but if desired the patient can be used general anesthesia. If you are taking such a decision, ask your doctor about all the possible risks. Even if the powerful anesthetic not give serious complications, you have to stay in hospital for a few hours longer than if you agreed to local anesthesia.

Immediately prior to the procedure, the patient give misoprostol to relax the cervix and oxytocin to induce uterine contractions. Then inserted into the vagina dilator and sheath is treated antiseptic.

If abortion is performed under local anesthesia directly during aspiration, the patient may appear sweating, nausea and weakness. After the end of the aspiration the doctor is studying what has been removed from the uterus. If any parts are missing, it continues to process using a curette - a thin metal rod with a loop at the end. To clean up the remnants of the uterus, it is necessary to spend more time on her walls curette.

Often, in order to prevent possible infections prescribe antibiotics; to relieve the pain, you can take acetaminophen or ibuprofen. In no event should not take aspirin after an abortion, because it can cause severe bleeding.

Effects

Moderate bleeding can continue for about two weeks after abortion; cramping in the lower abdomen - 2-3 days. To work and normal activities can return almost immediately after an abortion, and sex can be no earlier than a week. Also during the week is impossible to use tampons How to use sanitary pad - basic precautions   and do douching How do douching: Technology of .

After 14 days after the abortion is necessary to undergo a medical examination in order to finally make sure that the procedure took place without complications, or, otherwise, to start appropriate treatment.

Currently, vacuum abortion is the most common method of abortion. It is safer than conventional surgical abortion because they do not require the use of metal tools, which can cause serious damage to the uterus (except in cases where the doctor has to use a curette). In addition, the vacuum abortion is considered safer than medical. Vacuum aspiration bleeding usually ends quickly, while the probability of a failed abortion is minimal.

Less than 2% of cases in the vacuum abortion fails to terminate a pregnancy. This usually happens if the abortion was carried out up to 6 weeks of pregnancy. If a woman does not want to have an abortion again, there is a possibility that the pregnancy will continue to develop normally and the baby will be born healthy. However, the chances of it is negligible in most cases it is necessary to do another abortion usually surgery.

Contraindications

Contraindications for vacuum abortion are:

• pelvic inflammatory disease;
• foci of purulent infection no matter where they are;
• Less than six months after the previous interruption of pregnancy;
• acute infectious diseases;
• gestational age of more than 3 weeks.

Complications

Complications can occur after any abortion, including after vacuum. Most often, when a vacuum abortion is an incomplete removal of the ovum and the need for additional surgery. Therefore, after the vacuum abortion carried ultrasound, which ensures that the fertilized egg is removed completely.

The result - a violation of the maturation of follicles in the ovaries, ovulation Ovulation - How to determine as accurately as possible?   (release of the egg into the abdominal cavity and then into the fallopian tube), and infertility.

Although that technique is less traumatic, infection, and may join the development of inflammatory diseases of the internal sex organs, which can also lead to infertility.

Contraceptives new generation of women have a number of features that allow us to recommend them for the prevention of unintended pregnancies among women of different ages. Choose hormonal contraceptive, which is most right for this woman will obstetrician.

Jess - hormonal contraceptive for a new generation of young girls

Jess - a low-dose hormonal contraceptive with a pronounced antimineralokortikoidnym (prevents the formation of edema) and antiandrogenic (inhibits the action of male sex hormones) action.

Jess is produced by the pharmaceutical company Schering (Germany) tablets, coated tablets, for twenty-eight pieces in the package. Each package contains 24 active tablets (each tablet 20 mg of ethinyl estradiol and 3 mg drospirenone) and four inactive tablets (placebo).

Included in the active tablet formulations are synthetic analogs of female sex hormones. Relatively large doses of hormones suppress ovulation Ovulation - How to determine as accurately as possible?   and contribute to the release of viscous mucus in the canal of the cervix - this ensures the contraceptive action of the drug.

Jess A feature is the presence of drospirenone, which is in contrast to other analogues of female sex hormone progesterone inhibits the action of female sex hormones estrogen, which prevents the development of edema and weight gain. Furthermore, drospirenone inhibits the action of male sex hormones androgen and it prevents the appearance of acne, hirsutism and male pattern baldness.

Jess has excellent regulating effect on the menstrual cycle, particularly in the presence of the premenstrual syndrome. By reducing the swelling of tissues, it simultaneously removes and soreness. In addition, it has a positive effect on the mental state of a woman taking irritability Irritability - you try to control my temper   and aggressiveness.

The positive influence for premenstrual syndrome and suppression of acne, allow us to recommend this drug for hormonal contraception in women under twenty-five years. Jess begins to take only after the onset of menarche.

Klayra - hormonal contraceptive new generation for adult women

Klayra is a combined four-phase (in the package are four kinds of tablets with different doses of hormones) hormonal contraceptives. Klayra - it is also a low-dose hormonal contraceptive, but to make it better after 35 years, as it contains several large dose of estrogen and progestogen than Jess (analogue of progesterone), which hardly inhibits the action of estrogen.

Klayry peculiarity is that it is composed of natural estrogen Estrogen - the key to bone health   estradiol valerate, which, unlike other members of hormonal contraceptives synthetic estrogen exerts minimal adverse effects on the liver.

The synthetic analogue of progesterone dienogest has a moderate anti-androgenic effect, that is, inhibits the action of male hormones. But he hardly inhibits the action of estrogen, so it can be recommended for women 35 years and up to menopause, when it starts a gradual decline in estrogen production.

The joint action within the klayru hormone inhibits the secretion of pituitary hormones, under the influence of which matures the egg and ovulation (release of an egg from the ovary), as well as promotes the secretion of viscous mucus in the cervical canal (barrier to the penetration of sperm) and a change in the state of the mucous membrane of the uterus ( obstacle to the implementation of the embryo in the uterine wall).

Tablets klayry produced five kinds - dark yellow, pink, pale yellow, red and white. The first four colors are active, and white - placebo Placebo - an effective tool for self-hypnosis . The tablet contains the active adapts to the natural menstrual cycle hormones in the pill placebo no hormones.

Assign klayru for the prevention of unwanted pregnancies, as well as certain gynecological diseases, especially if they are accompanied by intermenstrual bleeding or prolonged heavy menstrual periods.

Klayra has the same contraindications, as well as all other hormonal contraceptives. First of all - this increased blood clots and all the diseases that could potentially cause this condition, as well as liver diseases in violation of its functions. There are a number of other contraindications, therefore before taking klayry woman must necessarily be examined.

Jess and klayra - a new generation of contraceptives that have minimal side effects and are appointed, as a rule, women of different ages.

Galina Romanenko