Questions about the use of medication for medical abortion

You can't have an unmarried pregnancy, you can't have an unmarried pregnancy when your career is at a low point, you can't have an unmarried pregnancy when you are under great financial pressure, you can't have an unban drug, etc. Facing unexpected pregnancy and various unavoidable situations, female friends should pay attention to abortion and don't take it lightly. Today we will analyze the questions about the use of medical abortion medication:

Medical abortion and artificial abortion, using medicine to induce artificial abortion. Medical abortion means that the pregnancy time must be within 49 days. Medical abortion can be chosen. 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 residue, so a second curettage is required. 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. Due to the effect of drugs and continuous vaginal bleeding, the internal opening of the cervix is ​​also in a relaxed state. At this time, if there is an ascending bacterial infection, 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 not sensitive 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 product of pregnancy is expelled by medical abortion. If the product of pregnancy is not expelled for more than a week, or if the product of pregnancy is expelled but there is excessive vaginal bleeding and the bleeding has not stopped after two weeks, the patient should go to the hospital for a follow-up visit and an ultrasound examination. The doctor will prescribe uterine cleaning, anti-infection, uterotonics and hemostatics according to the condition of the patient.