Five possible dangers of medical abortion in women

Medical abortion is no less harmful to the body than surgical abortion. Because it affects the endocrine system to force the endometrium to fall off, it damages the endometrium and also has the risk of disrupting the endocrine balance. If the secretion of sex hormones is out of balance, you will have many problems in the future. There are many restrictions on female medical abortion. You cannot have a history of allergies or exceed the number of days of pregnancy specified by the hospital. Therefore, women who are preparing for medical abortion should be prepared to face the following five major risks.

1. Excessive vaginal bleeding Many people will experience vaginal bleeding within 24 to 48 hours after starting to take Ru486. Some people bleed a lot, even more than the normal menstrual flow. This will bring fear; if you are not prepared enough, it is inevitable that there will be embarrassing situations where the clothes are soaked; if the amount of bleeding is large, there will also be mild symptoms of excessive blood loss, such as dizziness, pale lips, etc.

2. Abdominal pain If you can pass this level, there is another level waiting for you: After taking misoprostol on the last day, most people will feel a burst of lower abdominal pain. Don't be nervous, it's just uterine contraction.

3. Nausea and vomiting This is not the end, because misoprostol has the effect of contracting smooth muscles. When the uterus contracts, the stomach and intestines will inevitably churn, and nausea and vomiting will follow. When you are so uncomfortable, my colleagues and I will definitely come to harass you, constantly asking you to "stand up and jump, you can't get down without jumping." "Drink more hot water, you will feel better."

4. Confirm that the gestational sac has been discharged. If everything goes well for you, within a few hours after the last dose of the medicine, you can see something like a ruptured fish bladder (the size varies depending on the number of weeks of pregnancy) discharged along with a lot of blood clots. Then you must take it to the doctor to confirm whether it is a gestational sac.

If the doctor says, "Yes," then congratulations, the medical abortion is basically successful.

What does "basically successful" mean? That is, if the abortion is complete, the bleeding will stop in a few days until the next menstrual period. If the abortion is incomplete, the bleeding will continue and the bleeding will not stop. Then the only solution is to have a curettage and dilation surgery - which is more painful than an abortion.

5. If the curettage is not smooth and the gestational sac is not observed to be discharged on the same day, there are two ways to deal with it: one is to have a curettage immediately, which is very painful. The other is to go home and wait anxiously. If there is still no result after going home to observe (up to two weeks of observation), then you still cannot escape the disaster of curettage. Of course, there are also very smooth ones, with no bleeding or very little bleeding, which does not cause panic, and the gastrointestinal reaction is not serious while waiting; even the uterine contraction pain is not very obvious; the gestational sac is found to be discharged a few hours later. Simple, convenient, and painless, what an ideal way of abortion. But how many of them are there? I didn't see much in the two months I worked in the family planning clinic.