Abortion is an artificial termination of pregnancy. It can be carried out today in several ways: surgical, vacuum or medication using anti-progestogen drugs.
Regardless of the method, the operation becomes a severe stress for the body, which is characterized by its manifestations. The first and mandatory symptom is pain. By its duration and intensity, we can talk about the norm or pathology.
Types of Abortion
An abortion can be performed for medical reasons or at the request of the woman herself, if for various reasons she does not want to have a child now. The type of operation is selected depending on the gestational age by the doctor. Any method is fraught with negative consequences and often infertility.
Medical abortion
Such an abortion is the least painful. It is not accompanied by surgical procedures, anesthesia, etc. The procedure is performed with a gestation period of 1 to 4 weeks, rarely up to eight. Termination of pregnancy with this method consists of two stages: first, a drug is taken to reduce the level of pregnancy hormone (progesterone) in the body. This is done most often by Mifepristone. The fetus stops its development.
Along with this, prostaglandin preparations are taken that will cause and strengthen uterine contractions. This will cause rejection of the fetal egg and expulsion of it from the cavity. The fact that the rejection is over will be indicated by the appearance of spotting for a period of 1 to 5 days. They resemble regular menstruation.
The mechanism of medical abortion resembles a spontaneous miscarriage. Before it is necessary to undergo a full examination. Complications are associated with hormonal imbalance.
Vacuum Abortion
It is carried out for a period of 4 to 6 weeks or after an unsuccessful farmabort. After the third month it can not be carried out. The fetus is already growing by this time and will not be absorbed into the syringe. In psychological terms, this means that the embryo already has the features of a child.
Vacuum is considered the most gentle way of abortion, it is also called mini-abortion, because there is less risk of complications. Scheme of the procedure: a special vacuum pump sucks a fetal egg with its membranes from the uterine cavity. Duration is only about 10 minutes. In this case, the risk of infection in the uterine cavity is minimal.
A procedure with local anesthesia is performed. The patient does not feel pain. Contraindications to vacuum:
- purulent infections of the MPS;
- acute general infections;
- inflammation in the pelvis.
In the absence of complications, pain and spotting lasts for 3-5 days. They are insignificant and are caused by contractions of the uterus.
Surgical curettage
The most traumatic and dangerous way, with a large percentage of complications. It is carried out for periods of 6 to 12 weeks. Progress of the procedure: instrumental expansion of the cervix is performed, then the fetus is scraped from the wall with a curette (placenta, membrane, embryo). The procedure is painful, anesthesia is desirable. The qualification of the doctor in this case plays an important role. It often gives complications in the form of inflammatory processes in the uterus and appendages, and can lead to infertility.
Sensations after the procedures
If the abdomen hurts after an abortion , then this is normal. With medical termination of pregnancy, the uterus muscles contract and pain is caused. Two other methods are accompanied by additional damage to the walls of the uterus. But in any case, the pain is moderate. Analgesics are not required.
When the abdominal pain after an abortion, the pain is cramping, aching, pulling, for 3-5 days. She is accompanied by spotting. In this case, the amount of blood varies. For many, discomfort ceases for 2-3 days.
After an abortion, my stomach hurts as if menstruation had begun. Such pain can very rarely radiate to the lower back.
Why does an abdominal pain after an abortion? This condition is explained by contractions of the uterus to its previous size. In addition, there is a slight discomfort in the vagina. Unpleasant sensations are accompanied by bloating, stool disorders, nausea.
Does the stomach hurt after an abortion in the stomach and intestines? Yes, and sometimes a lot. Such pain occurs due to the fact that the contracting uterus affects the organs of the digestive tract.
If the abdomen in the left side hurts after an abortion, then this is a clear symptom of inflammation in the intestines. To avoid such symptoms, before and after an abortion, pay attention to nutrition: avoid fried, muffin and sweet, heavy foods, drink at least 2 liters of water per day.
How much does my stomach hurt after an abortion? In the absence of complications no more than 3-5 days. Otherwise, you need to see a doctor. If the pain after a pill or mini-abortion lasts longer and intensifies, becomes unbearable - this may indicate an incomplete exit of the fetal egg. The uterus in such cases tries to contract unsuccessfully, and this provokes pain in the form of contractions.
Reason to see a doctor
If the recovery period is over, but the pain continues, bleeding is the same, then this is an alarming symptom.
A doctor should be consulted in the following cases:
- the stomach is unbearably painful after an abortion and the discharge has an unpleasant smell, the pains are localized in the lower abdomen with a return to the lower back;
- the duration of pain and bleeding exceeds a week;
- blood clots are present in the discharge;
- fever;
- fainting.
All About Medical Abortion
Even if the discharge after tablet abortion lasts up to 30 days, you should not worry - this is the norm. If longer, consult a doctor. When discharge is necessary to pay attention to their smell and color. If they are unusual, most often this is the result of an infection. Pain in the lower abdomen indicates inflammation or poor abortion. The joined fever will also speak of this. A short-term reaction after an abortion may be nausea.
If an ultrasound after a medical abortion has shown that the pregnancy continues, this is possible in 5% of cases. The problem is that such a pregnancy should never be left behind. The chances of normal development of the fetus, without pathologies and deformities - are negligible.
In 7% of cases, pregnancy may end, but the fetus remains. This leads to inflammation or sepsis. Increased greasy skin and the appearance of acne are evidence of hormonal imbalance, and this problem is by no means a cosmetology. Should visit an endocrinologist.
Why does the lower abdomen hurt after an abortion and tingles in the ovaries? Such pains indicate a disturbed hormonal balance. In hypertrophic ovaries, progesterone production is inhibited. Such a complaint is quite common with tablet abortion.
Unpleasant sensations in the chest also occur: enlarged glands, which were already swollen, are reduced to their normal level. This does not occur within 4-5 days, but lasts much longer. It is manifested by heaviness in the chest.
When the stomach hurts after an abortion, the intensity and duration of pain is determined by the individual characteristics of the woman. Some may have only mild discomfort, while others may have excruciating pains.
If the stomach hurts after a medical abortion, the pain does not stop, they will probably talk about a long term of an interrupted pregnancy, since in this case it takes more time to expel the fetus. As soon as he is completely torn away, the pain goes away.
Symptoms similar to early gestation will also speak about the preservation of the embryo: for example, breast swelling and nausea in the morning.
After an abortion, the lower abdomen hurts, because gestation products in the form of fetal prolactin remain in the uterine cavity. With such symptoms, curettage should be performed.
Why does my stomach hurt?
Why does an abdominal pain after an abortion occur in pill mode? The feelings of patients after an abortion depend on its type. Contraction of the uterus joins the begun hormonal restructuring, which gives a pain syndrome. Also, a problem is possible if before the abortion the examination was not carried out or it was of poor quality. The development of inflammatory processes will also give severe pain (endometritis).
After a mini abortion
Although this intervention is considered the most sparing, it is possible that the cervix is injured by a clamp or a uterine wall by a probe. Heavy bleeding immediately becomes a sign of this condition. They begin during the first two days and increase. May last up to four weeks. If they do not stop further, ultrasound usually reveals the remains of the ovum and the accumulation of blood clots. In this case, it is better to carry out curettage.
Another option: aspiration was carried out five days ago, but it still pulls and hurts the stomach after a vacuum abortion. In this condition, you need to see a doctor urgently, because the reason may be the remains of the embryo in the uterus. Such a complication will require curettage.
Causes of pain after curettage
Why does the stomach hurt at the end of surgical procedures? The reasons are different:
- the uterine wall is significantly damaged (the result of unprofessionalism);
- acute endometritis developed;
- blood entered the peritoneum;
- parts of the embryo remain;
- very rarely, a uterine wall may rupture and peritonitis may develop.
Complications
After a pharmaceutical abortion, the uterus is not injured, but the complication may be in the form of residues of the embryo. Then the uterus cannot contract completely. Among the long-term consequences of abortion, hormonal disorders and the development of hormone-dependent tumors such as fibroids against this background can be listed.
With surgical intervention, inflammatory processes of the uterus and its appendages are frequent - endometritis, salpingitis, adnexitis.
What can be taken to reduce pain?
In general, after an abortion, a woman usually does not resort to taking analgesics, since the pain is quite moderate. But some require treatment because of their increased sensitivity or during hormonal changes, inflammatory processes and other things to reduce pain, especially with tablet abortion. For this, doctors prescribe hormonal drugs. They will help normalize the menstrual cycle in case of violations.
Nonsteroidal anti-inflammatory drugs, antispasmodics, such as "No-shp" or "Drotaverin" are also prescribed.
Immediately after an abortion, you can put ice on your stomach, but not more than 10 minutes. It stimulates uterine contractility and the elimination of pregnancy residues from its cavity. The pain of cold does not relieve. Dry heat, which will help reduce pain, can be applied only if there are no inflammatory processes.
Abortion Recovery
After an abortion, the body needs time to recover. This is important with any method of surgery. Man is weakening in any case. Only on the resources of the body does the duration of recovery depend.
To speed up the process, it is recommended:
- Increase attention to personal intimate hygiene, especially after an abortion in the first month. It is necessary to wash at least twice a day.
- Change clothes more often (at least in the morning and evening).
- Wear linen made from natural fabrics.
- Change gaskets regularly. Use only showers, baths, saunas and pools to exclude.
- Have more rest.
- Eat properly.
- Monitor the regularity of stool and urination.
- Use contraceptives.
- Avoid drafts.
- The temperature in the room should not exceed 25 degrees.
- It is impossible categorically: to sunbathe, to take any medications spontaneously.
- It is forbidden to engage in vaginal or anal sex for 3 weeks.
- You can not do douching and use tampons for spotting.
Reconception
Such an opportunity must be remembered. The fact is that after an abortion, menstruation occurs. At the same time, ovulation occurs on day 14, and even with a damaged uterine mucosa, the fetal egg in case of conception can attach to its wall.
Such a pregnancy will not be successful, so taking COCs is the optimal solution to a possible problem. In addition to protecting against unwanted during this period of pregnancy, they have more advantages:
- mitigate hormonal disorders that have arisen against a background of stress;
- prevent the development of neuroendocrine disorders;
- reduce the possibility of inflammatory complications;
- reduce pain and bleeding;
- protect against repeated pregnancy.
It should be remembered that a large number of abortions result in chronic endometritis, which is extremely difficult to treat, and infertility afterwards.