Is the process of medical abortion painful?

The process of medical abortion is not painful, but the most painful thing is the period after the abortion. This is mainly because after the abortion, the fetus will be discharged from the uterus through the blood. At this time, the opening of the cervix is ​​very painful. In addition, medical abortion is very harmful to the body. The process after the abortion is very painful. We should receive treatment from a doctor in the hospital to avoid uterine infection and unclean abortion.

The process of medical abortion

(1) Strict screening before medication, including medical history, full physical and gynecological examinations, laboratory tests such as urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, and B-ultrasound examination when necessary.

(2) The doctor explains in detail the method of taking the medication, the efficacy of the medication, and possible side effects, and the medication can only be used after obtaining consent.

(3) Currently commonly used dosage: Mifepristone dosage is 150-200 mg, which can be taken all at once or divided into several doses within 3 days. On the third day, go to the hospital to add prostaglandin preparations: 1 mg of Carprostol suppository placed in the vagina or 600 micrograms of misoprostol taken orally. Observe in hospital for 6 hours.

(4) Monitoring during abortion: During the hospitalization period, in addition to paying attention to blood pressure, pulse, and drug side effects, all urine and feces must be kept in a clean bedpan and checked by a dedicated person to record the presence of a gestational sac and the time of its excretion, the size of the gestational sac, and the amount of bleeding. If there is active bleeding before or after the expulsion of the fetal sac, uterotonics can be given or curettage can be performed immediately to stop the bleeding.

(5) If the fetal sac has not been expelled after 6 hours of observation and the bleeding is not excessive, the patient can go home and follow up on the date specified by the doctor. If tissue is passed at home, it should be brought to the doctor for examination. It usually takes three to four days to terminate an unwanted pregnancy with medical abortion. Under normal circumstances, it takes four days to take the medicine for medical abortion, on an empty stomach, one tablet each morning and evening for the first three days, and three tablets at a time on the fourth day. Generally, there is no feeling in the first three days, but the pain becomes more severe after taking the medicine on the fourth day. Some individuals do not react obviously. Not only does medical abortion take a long time, but it also generally requires about 2 weeks of rest. After medical abortion, you should pay attention to vaginal bleeding. Once the amount of vaginal bleeding is greater than the usual menstrual volume or is accompanied by other discomfort symptoms, you must go to the hospital in time to avoid unnecessary trouble to your health.

The dangers of medical abortion

1. Cause inflammation: Since the embryonic sac tissue in the uterine cavity can be discharged on the same day after medical abortion, sometimes the pregnancy tissue is not completely discharged, the uterine membrane is not restored well, and the vaginal bleeding time is longer, which can last for 2-3 weeks or even 1-2 months. Long-term chronic blood loss can cause anemia and reduce the body's resistance. At this time, bacteria often travel back through the vagina and cause inflammation of the endometrium.

2. Low success rate: In recent years, there have been many cases of infertility and gynecological inflammation caused by going to the hospital for curettage surgery due to poor abortion results from medical treatment. Mifepristone, which is used for medical abortion, has only been around for a little over a decade, and clinical trials are not sufficient. The success rate is only 75%.

3. Cause infertility: Medical abortion can easily lead to fallopian tube blockage and cervical adhesion, causing infertility; unclean medical abortion and improper uterine curettage can also cause infertility; medical abortion causes excessive damage to the uterus and ovaries, and is therefore also one of the causes of infertility.

4. Repeated medical abortion, especially within a short period of time, is very harmful:

(1) First of all, we must understand that the drug used, RU486, is a progesterone receptor antagonist, which works by "interfering" with endocrine function;

(2) It takes time for the ovaries to recover after a "disturbance", otherwise disorders are inevitable;

(3) Bleeding caused by medical abortion is a direct harm to the body;

(4) Infection may also occur due to local damage, bleeding, low resistance, etc.;