Introduction to abortion medication

The number of people suffering from sequelae caused by irregular "abortion" has increased, which has attracted attention from all walks of life. When many young people take medication to abort themselves, the side effects are often ignored. The popularization of sex education is very important for young people. It is too late to learn about contraception and abortion after abortion. We must learn health common sense and protect ourselves. Today we will learn about abortion medication:

Medical abortion is a process of using medicine to abort a woman's pregnancy. Medical abortion means that the pregnancy time must be within 49 days. You can choose medical abortion. Medical abortion avoids the pain of artificial abortion. This is also the biggest difference between medical abortion and artificial abortion. However, there are also some disadvantages. Medical abortion has the phenomenon of incomplete abortion, that is, the embryo cannot be discharged at one time, which will cause residues, so a second curettage is required. Medical abortion is a process of preventing the fetal sac from continuing pregnancy in the uterine cavity and expelling it from the body through the action of drugs. After a woman becomes pregnant, a hormone - progesterone - is produced in the body. Progesterone is a necessary factor for maintaining pregnancy. Abortion drugs bind to the progesterone receptors in the body, which reduces the activity of progesterone in the body. Once progesterone is lacking in the body, it will cause abortion. Abortion drugs can cause the uterus to contract strongly, forcing the pregnancy tissue to be discharged from the body. Its disadvantages are: it is not safe and can easily lead to incomplete drugs. Compared with artificial abortion surgery, medical abortion does not require surgical operation, and there is no possibility of artificially bringing bacteria into the uterine cavity, so the chance of postoperative infection will be relatively reduced. However, the bleeding time after medical abortion is relatively long, averaging 18 days ± 11 days. Long-term vaginal bleeding provides fertile ground for the growth and reproduction of bacteria, and due to the effects of drugs and continuous vaginal bleeding, the internal cervix is ​​also in a relaxed state. If there is an ascending bacterial infection at this time, it will also cause pelvic inflammation.

Medical abortion is a method of abortion that has been developed in the past decade. The purpose of terminating pregnancy is achieved by taking drugs designated by the state. The principle is that the drugs taken interfere with the normal physiological process of pregnancy and allow the pregnant woman to abort on her own. Its advantages are that it does not require intrauterine operation and the pain is less than traditional surgery. However, the scope of application of medical abortion is narrow, the time required is longer, the success rate is lower than that of surgery, and the bleeding after abortion is more and lasts longer. For those who fail medical abortion, surgery is still required.

The more common and mature drugs for medical abortion are prostaglandin (PG) preparations, mainly PGE and PGF and their analogs. They can be taken orally or placed in the vagina to work. The method is simple and only needs 1 to 2 times of medication to take effect. The drugs do not enter the uterine cavity, so there is less chance of uterine cavity infection. There is no discomfort and complication of surgical abortion, so there are no serious side effects, and the success rate is over 92%.

The advantage of medical abortion is that it is convenient and easy to perform, but its long-term side effects still need to be further observed. Its disadvantage is that if the patient is insensitive to the drug and the medical abortion fails, an artificial abortion operation must be performed to leave the damaged pregnancy to continue to develop; medical abortion sometimes causes incomplete abortion, and some patients sometimes need emergency curettage due to heavy bleeding. Menstruation will resume about one month after the pregnancy is expelled by medical abortion; if the pregnancy is not expelled for more than a week, or if the pregnancy has been expelled but the vaginal bleeding is excessive and the bleeding has not stopped after two weeks, the patient should go to the hospital for a follow-up visit and a B-ultrasound examination. The doctor will treat the patient with uterine cleaning, anti-infection, uterine contraction and hemostatic drugs according to the different conditions.