Abortion, even in cases when it is done in a medical facility experienced professionals - it is always a risk of loss of reproductive function, ie the ability to have children in the future. Infertility can occur after an abortion, both because of the damage to the internal reproductive organs and because of the hormonal disturbances.

Abortion and its species

Abortion is called an abortion in the first 22 weeks, when the fetus is still viable. Previously, this period was equal to 28 weeks, but today is considered viable fetus after 22 weeks - nursed preterm born even with the weight of 500 grams divided into spontaneous abortion (miscarriage) and artificial - medical. There are also criminal abortion is not made in health care settings, which often end with the death of a woman bleeding or infection.

Medical abortions are carried out in different ways today. Most are considered safe abortions carried out in the early stages sparing techniques - medication and a mini-vacuum abortion or abortion. Up to 12 weeks is allowed to carry out instrumental abortion - the so-called early abortions. From 12 to 22 weeks, abortions are carried out only for medical reasons, and called later.

The most common type of abortion - mini-abortion

Mini-abortion (vacuum abortion) is used today mostly for pregnancies up to 6 - 8 weeks. Abortion is performed using vacuum suction. Since the vacuum abortion is performed early in pregnancy, and does not injure the uterine wall, it is considered to be gentle, it can reduce the risk of damage to the uterus and bleeding, and hence of infection.

Mini abortion is contraindicated in infectious inflammation of the female genital organs, the presence of foci of purulent infection in the body (eg, boils, acne, large, etc.), common acute illness and exacerbation of chronic diseases, made recently (less than six months ago) medical abortion .

Certainly before the mini-abortion, a woman must undergo an examination which confirmed the presence of uterine pregnancy, determine its time and eliminate contraindications for abortion.

Vacuum abortion is performed on an outpatient basis under local anesthesia. In the cervical canal is entered special catheter coupled to electric pumps. Enabling electric pumps creates a negative pressure in the uterus and the conditions for the removal of the ovum. For even greater security today mini-abortions are carried out under the supervision of the ultrasonic beam.

Restoration of reproductive function of women after mini-abortion occurs in a short time. Thus, most of the menstrual cycle in women restored after an average of 45 days.

Mini-abortion complication is incomplete removal of fetal eggs - it would require re-operation - instrumental abortion. Abortion may also be complicated by significant impairment of hormonal and infertility, as well as the addition of an infection.

Medical abortion - the best option in early pregnancy

Medical abortion - is an opportunity to get rid of an unwanted pregnancy with the help of tablets. Medical abortion for a period not later than six weeks of pregnancy. To remove the uterus from the ovum used mifepristone - a drug that blocks the action of the female hormone progesterone. The main function of progesterone during early pregnancy is to suppress smooth muscle contractions of the uterus. If these cuts are not suppressed, there is a miscarriage. Sometimes, to enhance the action of mifepristone administered as prostaglandins - they also contribute to the reduction of uterine muscles.

After the expulsion from the uterus of the gestational sac, together with the mucous membrane of the uterus starts bleeding as a normal menstruation. But sometimes, the bleeding can be very strong and the woman need medical help. That is why mifepristone sold in pharmacies only by prescription and is used after a preliminary examination under the supervision of a gynecologist.

Medical abortion causes fewer complications than other types of abortion, it would seem that easy! But this is not always safe abortion, it also has its indications and contraindications.

Contraindication to medical abortion Medical abortion with mifepristone and misoprostol: how it happens   are the presence of scarring of the uterus (eg, after cesarean section), any benign or malignant tumors of the uterus, endometriosis, uterine bleeding disorders, epilepsy, glaucoma Glaucoma - an eye disease , Severe diseases of internal organs or hormonal disorders.

Tool abortion - serious injury to women

Tool abortion - it is scraping the mucous membrane of the uterus along with the fetal egg gestation up to three months (12 weeks). Tool abortion almost always leaves a negative effects in the form of changes in the uterine wall or hormonal disorders Hormonal disorders: causes and the most frequent disease . Most often it causes and bleeding, as well as a variety of infectious complications.

For a period of 12-22 weeks of abortion can only be done for medical reasons, if a woman on health can not bear a child. Later, pregnancy termination is performed by introducing into the uterus of a high concentration salt solution, or using small caesarean section.

Galina Romanenko

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