The onset of menstruation after a medical abortion depends on numerous factors. It will take a lot of time to fully restore a weakened woman's body. So expect the arrival of menstruation immediately after the termination of pregnancy is certainly not worth it. This phenomenon greatly affects the reproductive system, leading to a stressful state.
After a medical abortion, menstruation occurs only after the restoration and normalization of the activity of the uterine endometrium. This process can take quite a long time, which often makes a woman panic. But is it really worth worrying in such a situation and how to solve the problem? In this article you will find answers to all your questions.
Features of the procedure
The modern method of terminating an unwanted pregnancy in its early stages does not involve surgical intervention at all, but the use of loading doses of special drugs. This procedure is alwayscarried out under the supervision of a specialist. Only a doctor is able to determine exactly how the female body reacted to such an intervention and when to expect the first menstruation after a medical abortion.
Despite the more gentle effect of drugs compared to traditional curettage, the consequences of such an operation can be quite serious. That is why such a procedure should be trusted exclusively by a specialist.
Significance of some factors
The normalization of the menstrual cycle after an abortion takes a long period. But some conditions can affect this protracted process. Among them, it is worth highlighting the following factors:
- women's general he alth;
- her age;
- comorbidities of the reproductive system;
- failures in the hormonal background;
- abnormal thyroid function.
How quickly menstruation will go after a medical abortion depends largely on the condition of the patient as a whole. So, in the presence of chronic defects and acute forms of diseases, it is extremely difficult for a weakened body to return to a normal rhythm. Because of this, after a medical abortion, periods may be too early or, conversely, appear with a strong delay.
What else affects the cycle
An important factor influencing the speed of rehabilitation is the period at which the abortion was performed. It is best to resort to such intervention with minimal delay, when betweenthere is no connection between the fetus and the uterus yet.
No less significant condition is the presence of all sorts of complications. Of course, much also depends on the qualifications of the doctor and the subtleties of his work. And, in the end, the recovery process is influenced by the means applied directly during the procedure.
Discharge immediately after an abortion
The first blood clots come out of a woman's vagina a couple of hours after a dose of the drug. They usually have a brown tint.
After using prostaglandins, the discharge is abundant - they are similar to normal menstruation. At first they have a rich scarlet hue, and then become lighter. Such discharge is a kind of confirmation of the successful completion of medical abortion.
Deviations from the norm
If, after the procedure, the blood comes out with yellow impurities, this indicates the presence of an infection in the body. This pathology appears due to a sudden change in the microflora in the vagina. At the time of an abortion, this condition is considered extremely dangerous, against its background sepsis often develops and the likelihood of infertility increases significantly. If the situation becomes critical and the egg does not leave the uterus by this time, an emergency abortion is performed by vacuum method or by surgical intervention.
If after the procedure there is no discharge at all, this usually indicates a spasm of the cervix. Her muscles are compressed and do not allow the embryo to leave the cavity. In other words, abortion remainsunsuccessful. This condition provokes the development of inflammation and abnormal formation of the fetus.
How much blood flows
Brown discharge is usually observed within two days prior to the use of prostaglandins. At the second stage of the intervention, there is a strong contraction of the uterus, accompanied by profuse blood loss. How long is the discharge after a medical abortion? Usually the process is completed in 2 weeks.
Sometimes the spotting doesn't stop until the first normal menses. In this case, the gynecologist prescribes drugs to the woman that reduce the intensity of uterine contractions.
For personal hygiene, it is recommended to use only pads. Tampons simply do not allow the embryo to leave the uterine cavity. In addition, on the gasket you can see the nature and shade of the discharge, which allows you to evaluate the picture. Ideally, clots stop coming out after 10 days.
How long does it take to get my period after a medical abortion
After an abortion, menstruation should appear at the usual time. When does my period start after a medical abortion? Every woman has her own cycle: usually it is about 28-30 days.
If it is irregular, you should wait 35 days. If, after a medical abortion, menstruation does not begin by this time, the gynecologist prescribes a course of treatment for the woman, aimed at normalizing the reproductive function and blood flow in the uterus. For this, hormones are almost always used.drugs.
Before the arrival of the first menstruation, it is strictly forbidden to take birth control pills and engage in intimacy. The selection of suitable oral contraceptives is carried out by a gynecologist after the onset of the first menstruation. It is noteworthy that the means used before may become less effective after the implementation of the intervention.
How long is the period
The abundance of discharge and the duration of menstruation are determined by the stage of restoration of the vessels that saturate the uterus with blood, and the general state of its microflora. How long does it take for a period after a medical abortion? Under normal conditions, menstruation lasts in the usual rhythm for a woman, about 5-7 days. Bleeding may be too intense at first, but later it becomes the same.
Approximately 7-10 days after the start of the discharge, menstruation ends. If a woman has too long periods, this may indicate the presence of various pathologies covering the uterus. How long does it take for a period after a medical abortion? In the event of a complication, the gynecologist should prescribe the patient an unscheduled ultrasound, a blood test and a smear to detect inflammatory processes.
Causes of abnormal bleeding after an abortion
During the medical intervention, blood secretions help the embryo out of the uterus. A woman's condition is considered normal if a pad with 5 drops is filled every 3 hours for the first days.
Such periods aftermedical abortion provoke the appearance of pain in the corresponding area of the abdomen and lower back. If the pad is filled in just an hour, moreover, the woman has a temperature, dizziness or nausea, it is necessary to immediately call a team of doctors and go to the hospital.
In this case, we can talk about intrauterine bleeding. This can happen for several reasons:
- unsuccessful abortion, in which particles of the embryo remained in the uterus;
- infection;
- high physical activity during abortion;
- blood clotting problems;
- not following doctor's orders, such as taking birth control pills or having sex;
- stress, psychological disorders.
With a weakened immune system and a low pain threshold, blood discharge can pass with severe pain. Uncontrolled use of analgesics without the appointment of a specialist often causes abnormal bleeding.
Causes of missed periods after medical abortion
Menstruation will go after such an intervention, as soon as the woman's body is fully restored. As already mentioned, medical abortion, even more gentle than curettage, carries a huge danger not only for the reproductive organs, but also for all other systems. First of all, the hormonal background suffers from such manipulations, and with it the whole body. Used during an abortiondrugs inhibit the production of estrogens, which will certainly affect the activity of the ovaries and the endocrine system as a whole. That is why there may be a delay in menstruation after a medical abortion. It is perfectly acceptable if it lasts up to 10 days.
In addition, after an artificial termination of pregnancy, a woman, as a rule, endures severe stress. At the same time, prolactin is intensively produced in her body. It is he who often becomes the cause of delayed ovulation, which delays the onset of menstruation after medical abortion.
How many days does this delay last and when should I start worrying? Usually the process of ovulation is delayed no more than 10-14 days. But, if after a few weeks the woman still does not have the expected menstruation, she should see a doctor to adjust the treatment.
It is worth saying that a possible reason for the delay, among other things, may be the onset of pregnancy. Contrary to popular belief, ovulation in women who have had an abortion can occur even in the first month. For those who have strong immunity, it takes 2 weeks to restore the natural process.
Scanty periods
Small menstruation after an abortion is actually the norm. This phenomenon, like all other anomalies, is explained by an increased concentration of sex hormones in the bloodstream. It is these substances that cause contractions of the endometrium of the uterus, due to which the fetal egg comes out through the vagina. The drugs used during abortion also have a negative effect on the processes of ovulation.
In addition, too scanty periods can be the result of ongoing hormone therapy prescribed by a gynecologist. In this case, even a few drops may stand out. But in order to avoid all sorts of complications when such a problem is identified, a woman is still recommended to undergo an additional examination.
Probable Consequences
Medicated abortion is considered more preferable for women of any age than classical surgery. Usually, the drugs used in the process of such a procedure are effective and well tolerated by the body. True, in some cases, women face various problems after such an abortion. So, many complain about the occurrence of dizziness, skin rashes, nausea in the first hours after taking medication. But in the second stage of the abortion, there is a high risk of abnormal bleeding.
Even before the procedure, the doctor must warn the patient about the possible consequences. The most common among them include the following conditions:
- hematometra - appears due to spasm of the cervix, characterized by the accumulation of clots in the cavity;
- placental polyp - a particle of the embryo remains inside, against which abnormal bleeding opens;
- hormonal deviations;
- depression, depression, suicidal attacks.
How to normalize a loop
Ovarian activity alwaysdisrupted after medical abortion. This happens due to a decrease in the level of progestogen and estrogen. During rehabilitation, gynecologists most often prescribe oral contraceptives like Microgynon and Regulon to their patients - such drugs are necessary to restore ovarian function, hormonal levels, the natural process of ovulation and normalize menstruation after medical abortion.
How long does this therapy take? The answer to this question is determined purely individually. However, according to gynecologists, women are allowed to plan the next pregnancy only after 6 menstrual cycles that appear regularly. At the same time, there should be no problems or deviations in any of them.
