What are the signs of successful medical abortion?

Many female friends become pregnant unexpectedly and want to have an abortion, but they are afraid that they will not be able to recover in a short time after the operation, which will waste time and affect their work. They are also very afraid of surgery and worry that it will leave scars or something, so they choose to take medicine to have an abortion. But do you really understand medical abortion? Can you have a successful abortion by taking the medicine? How can you judge the success or failure of medical abortion? These questions must have been bothering some female friends, so today I will introduce to you the specific situation of medical abortion, and what counts as a success after taking the medicine.

First of all, the signs of successful medical abortion are: bleeding after medical abortion generally lasts 1 to 3 weeks, and the bleeding becomes less day by day; if a woman finds that her bleeding decreases and then increases, or does not decrease at all or gradually increases, it is abnormal.

2 to 3 days after taking the medicine for medical abortion, the embryonic sac in the uterine cavity can be discharged. At this time, there will be more vaginal bleeding, accompanied by dizziness, nausea, vomiting, fatigue, abdominal pain and other symptoms; but the decidual tissue in the uterus often takes about 2 weeks to be slowly discharged, and then the bleeding stops. This is a symptom of a complete medical abortion.

Medical abortion refers to achieving the purpose of artificial abortion in the early stages of pregnancy without the need for surgery, but by means of injections or medication. After a successful medical abortion, the body will experience some symptoms. So what are the symptoms of a successful medical abortion? The symptoms of a successful abortion generally include vaginal bleeding that will gradually decrease over time and finally be clean.

Complete abortion: The pregnant woman naturally expels the gestational sac after taking the medicine, or there is no clear gestational sac expelled, but B-ultrasound examination, blood test, and HCG show that it is a complete abortion, and vaginal bleeding will stop naturally and menstruation will change.

A small number of women may experience incomplete abortion. The gestational sac is not expelled after taking the medication, and B-ultrasound shows that there are residual gestational sacs in the uterine cavity. If the abortion is not complete, symptoms such as persistent vaginal bleeding and nausea may occur.

The success rate of medical abortion is only 75%. It is generally only suitable for use within 49 days of pregnancy and should not be used after 49 days. After medical abortion, bleeding usually lasts for about 1-3 weeks, and becomes less and less each day. It is abnormal if the bleeding decreases and then increases, does not decrease at all, or gradually increases.

After a successful medical abortion, the medication used during the abortion process will naturally be discharged from the gestational sac, or even if the gestational sac is not clearly discharged, B-ultrasound, blood or urine HCG confirms a complete abortion, and vaginal bleeding has now stopped naturally and menstruation has changed. If long-term vaginal bleeding occurs after medical abortion, it is likely the result of an unclean abortion.

Compared with the 99% success rate of painless abortion, it is obviously much lower. If the abortion is not clean, the remaining fetal membrane tissue will cause hemorrhage, and you must be admitted to the hospital immediately for curettage and cleaning. Otherwise, there will be a risk of life and it is more likely to cause infertility. Many women have certain misunderstandings about medical abortion and listen to their friends' advice, thinking that they can easily have an abortion by taking a few pills without any worries. Otherwise, medical abortion involves huge risks and must be chosen with caution. The harm of medical abortion to the human body usually includes a series of side effects such as easy to cause infection, affect female endocrine, long bleeding time, and easy to cause infertility. Improper medical abortion may even threaten life

2. Indications

(1) Healthy women aged 18 to 40 years who were diagnosed with normal intrauterine pregnancy (last menstrual period ≤ 49 days) and voluntarily requested to use medication to terminate pregnancy;

(2) High-risk candidates for abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic deformity, extremely tilted uterus, cervical dysplasia or tough uterus, uterine scar, or multiple abortions. (Note: Even if these patients choose medical abortion, they still have high-risk factors for medical abortion. The failure rate of medical abortion and the chance of post-abortion bleeding are higher than those of patients without high-risk factors);

(3) Those who have concerns or fears about surgical abortion.

3. Contraindications

(1) Contraindications of mifepristone: endocrine diseases such as adrenal glands, diabetes, thyroid gland, abnormal liver and kidney function, history of skin itching during pregnancy, history of blood diseases and vascular thrombosis, and tumors related to steroid hormones;

(2) Contraindications of prostaglandins: cardiovascular diseases, such as mitral stenosis, hypertension, hypotension, glaucoma, gastrointestinal dysfunction, asthma, epilepsy, etc., or those who are allergic to prostaglandins;

(3) Those with allergic constitution or severe vomiting during pregnancy;

(4) Anemia, hemoglobin level 100 g/L or below;

(5) Pregnant women with an IUD;

(6) Ectopic pregnancy or hydatidiform mole;

(7) Smokers who smoke more than 10 cigarettes a day or are alcoholics;

(8) Those who live far away from medical institutions and cannot receive timely medical treatment and follow-up;

(9) Inflammation of the reproductive tract, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., which have not been treated.

At the end of the article, the editor has also compiled some appropriate and taboos. I hope that the majority of female friends will take the above introduction and final suggestions seriously if necessary, because medical abortion is actually not as simple as we imagined, and there are still certain risks. Of course, if you insist on choosing medical abortion, you should first see if it is suitable for you. If you have already taken the medicine, you should now be able to judge whether it is successful.