Patient's question:
Aftermath of medication abortion!Doctor's answer:
Medical abortion can lead to prolonged bleeding during the procedure. Without proper care and infection prevention, it is prone to gynecological inflammation. Additionally, the success rate of medical abortion is not high, only 75%, and it is easy to develop postoperative complications.Postoperative complications of medical abortion include:
1. Vaginal bleeding: Normal bleeding after medical abortion occurs within two weeks and should not exceed the amount of a regular menstrual period. If bleeding persists for more than two weeks or exceeds the normal menstrual flow, it is essential to identify the cause of the bleeding and consider a uterine aspiration procedure.
2. Gastrointestinal reactions: These are common adverse effects of mifepristone, manifesting as nausea, vomiting, abdominal pain, diarrhea, and often mild to moderate fever.
3. Vagal nerve excitement symptoms: Some women may experience restlessness, pale complexion, excessive sweating, chest tightness, palpitations, or bradycardia within minutes of taking the medication.
4. Incomplete abortion: The success rate of terminating early pregnancy with a combination of mifepristone and misoprostol reaches 98%-99%, with a failure rate of less than 2%. The primary cause of failure is incomplete abortion, where some embryonic tissue remains in the uterine cavity, leading to irregular lower abdominal pain and persistent bleeding after the procedure.
5. Allergic reactions: Some women with specific constitutions may experience allergic reactions after taking mifepristone. Most reactions are mild, primarily on the limbs and torso, while rare cases may develop anaphylactic shock characterized by a drop in blood pressure.
6. Menstrual disorders: Antipregnancy drugs can suppress ovarian function, affecting follicular growth and development, and even interfering with ovulation. Some women may experience menstrual disorders after medical abortion, such as shortened or prolonged menstrual cycles and increased menstrual flow.
7. Risk of infertility: Repeated pregnancies and miscarriages can cause repeated damage to the endometrium, increasing the risk of placenta previa, leading to severe bleeding during pregnancy or habitual miscarriage.
8. Infection during and after the procedure: After taking antipregnancy drugs, the fetal sac tissue may be expelled on the same day. If the pregnancy tissue is not fully expelled or the endometrium does not recover well, prolonged vaginal bleeding can weaken the body's resistance, leading to endometritis.
Medical abortion is not suitable for every woman, as it has its own indications. Therefore, authoritative experts from Brand Public Hospital Network recommend that women undergoing abortion choose a and select a suitable surgical method for themselves to avoid greater harm to the body.