Vacuum abortion: how it works, are there complications?

What is a mini-abortion

Aspiration interruption has many advantages over other techniques.

1. The duration of the procedure usually does not exceed 10 minutes, so on the same day the patient is sent home, where she can live her previous life, i.e. work, study, do household chores, etc.
2. When interrupted instrumentally, the surgeon scrapes out the uterine walls, separating the embryo manually, so there is always a risk of violating the integrity of the uterine tissue. And when aspiration is performed, the fertilized egg breaks away from the endometrium on its own, under the influence of the pressure created by the pump.
3. With a mini-abortion, the cervical canal is also practically not affected, because it is not expanded, so trauma can be avoided.
4. The operation is performed using general or local anesthesia, so patients tolerate the procedure painlessly. Sometimes it happens that pain occurs when moving the aspirator tube through the cervical canal, but after taking antispasmodics, such discomfort quickly passes.
5. In healthy patients, the abortion procedure proceeds practically without consequences, recovery occurs quickly, because it is possible to interrupt conception in a very short period of time.

These advantages are undeniable, but such uterine procedures also have some disadvantages. Firstly, planning for the next conception can be done only six months after aspiration interruption. The body needs this time for full recovery, and after interruption you need to use contraception. If a woman becomes pregnant earlier, then such pregnancy can be very difficult for the body with a high risk of various abnormalities.

Another disadvantage can be considered the possibility of incomplete abortion, when vacuum aspiration is performed, but gestation still continues, or fetal particles remain inside the uterine body, which in the process of decomposition infect the patient’s body. This is possible if the abortion occurred with incomplete separation of the fertilized egg. In addition, the psychological side of the issue can also be considered a disadvantage; for many patients, interruption is psychologically difficult.

Complications sometimes occur during or after the procedure.

• For example, during an abortion, the uterine wall may be damaged by the tip of a vacuum aspirator or any metal instruments, resulting in perforation of the organ. If the damage also affects organs adjacent to the uterus, then urgent surgical intervention in the abdominal cavity will be required. If the perforation is uncomplicated, then the patient is prescribed contractile and antibiotic medications, as well as cold applied to the uterine area.
• Also, after vacuum aspiration, the patient may develop hematometra, in which the evacuation of blood from the uterine body is impaired, as a result of which it accumulates inside. A hematometra is formed due to the early closure of the cervical canal, which provokes an accumulation. As a result, the uterus enlarges and becomes like a ball, which causes severe pain in the lower abdomen.
• Aspiration can also be complicated by incomplete abortion or progressive pregnancy, as mentioned above. Progressive pregnancy is confirmed by a control ultrasound examination. In case of incomplete abortion, fetal parts remain in the uterine cavity, which interfere with the contraction of the uterine body to its original size, cause intractable bleeding, etc.

As for the long-term consequences, they come down to cycle disorders or isthmic-cervical insufficiency, cervical dysplasia and fusion, secondary infertility or ectopic, endometriosis, myomatous processes, etc. Also, many patients, after the termination of an unwanted pregnancy, may be left with psychological trauma for a long time .

After vacuum aspiration, the patient cannot have sex for at least 3-4 weeks, and after the period of sexual rest has expired, it is necessary to use barrier contraception, which protects not only from conception, but also from various infections.

If, after interruption, the patient still feels signs of toxicosis such as nausea and gastronomic peculiarities, and testing shows two stripes, then this indicates the continuation of fetal development. In such a situation, you need to urgently go to the gynecologist.

A procedure by which the doctor uses vacuum aspiration to remove the fertilized egg using a special suction. Under the influence of a device that creates negative pressure in the uterus, the embryo is exfoliated without any effort on the part of the gynecologist. This is explained by the fact that in the early stages of pregnancy, chorionic villi, which become the placenta in the future, have not grown sufficiently into the muscular layer of the uterus, so they are easily removed. The operation is performed under local anesthesia in just a few minutes. To identify possible remnants of the fertilized egg, the woman is then sent for an ultrasound.

Where is abortion performed and how much does it cost?

There is a large selection of paid multidisciplinary or highly specialized clinics and private medical offices that offer this service. Vacuum abortion is also performed in city clinics. On the Internet you can find reviews about a particular clinic, hospital, doctor, and find out how much the procedure costs in the place you are interested in. The choice of place for a mini-abortion is limited by financial capabilities and personal preferences.

The procedure costs differently, depending on the location of the procedure, the desired anesthesia, and the qualifications and experience of the doctor. A comprehensive examination before terminating a pregnancy costs additional money. The price varies greatly.

In a general city hospital network, this is 5–7 thousand rubles, plus paid tests and ultrasound, if they are not done for free.

It is difficult to say how much the amount will be in private medical centers; it reaches tens of thousands of rubles, depending on the reputation of the clinic, the range of additional services, and the volume of examinations.

Before deciding to have an abortion, you need to think a hundred times whether it is 100 percent necessary. If yes, then it is better to act quickly in order to have time to carry out it in the early stages, because a vacuum abortion is the least traumatic, and its consequences are not so threatening in the distant future. You must be very careful when choosing the location of the procedure and the doctor, and follow the recommendations during the recovery period. In order not to terminate the pregnancy, not to jeopardize the health and future motherhood, it is easier to take precautions and prevent unwanted pregnancies.

Vacuum abortion (vacuum aspiration) is a method of terminating pregnancy characterized by the least unpleasant consequences compared to other types of surgical operations.

Such an operation is carried out exclusively in the early stages and strictly after a medical examination and as prescribed by a doctor.

In this article we will talk about what a mini vacuum abortion is and what to choose: vacuum abortion or medication?

Advantages of the vacuum method of abortion

Vacuum aspiration is recognized as the most popular method of terminating pregnancy up to 12 weeks among patients of all ages. Unlike medical abortion with surgical curettage of the uterus, vacuum termination of pregnancy has minimal impact on natural hormonal levels, as well as a low risk of injury to the cervix and body of the uterus.

In modern gynecological practice, a similar procedure is resorted to in the vast majority of cases due to visible advantages:

1. the area of ​​the affected area of ​​the uterine mucosa after vacuum aspiration does not exceed the area where the fertilized egg is located;
2. restoration of hormonal levels after a mini-abortion occurs faster than with medical termination of pregnancy;
3. with a vacuum abortion, the menstrual cycle is usually restored within 1-2 months;
4. the risk of infection of the wound surface is minimal;
5. the likelihood of perforation of the uterine body is insignificant compared to curettage (curettage);
6. the duration of the procedure does not exceed 5-10 minutes;
7. vacuum aspiration does not necessarily require the use of general anesthesia;
8. the method has a small number of contraindications;
9. the absence of severe pain allows the woman to return to her usual lifestyle 2 days after the abortion;
10. If you follow the rules for a mini-abortion, full recovery of the body occurs within six months.

The procedure lasts no longer than 10 minutes. Therefore, on the same day, the woman goes home and continues to lead her usual lifestyle: she goes to work or study, and goes about her daily routine.

During a surgical abortion, the doctor scrapes the walls of the uterus, manually separating the fertilized egg from them, which increases the risk of compromising the integrity of the uterus.

With vacuum aspiration, the fertilized egg detaches from the wall on its own, and this ends the abortion procedure. The cervix also suffers minimally, since it does not have to be dilated for the insertion of a catheter, and therefore injured.

The manipulation is performed under local or general anesthesia, so most women tolerate it without pain. Only the cervical dilatation procedure can cause pain. However, the pain will not be much stronger than menstrual pain and can be relieved with antispasmodic drugs.

Healthy women tolerate this procedure with minor losses.

The body recovers faster after a vacuum abortion, since the termination is carried out in the early stages of pregnancy, when the fetus is still too small and not tightly connected to the mother’s body.

It doesn't matter that the cost of a vacuum abortion is slightly higher than other methods of ending a pregnancy. Vacuum aspiration has many positive aspects:

• short duration of the operation;
• does not cause psychological trauma to a woman;
• local or general anesthetic is used;
• does not require curettage of the uterine cavity;
• reduces the risk of damage (perforation) to the uterus and cervix;
• short recovery period;
• no risk of developing infertility.

How does the abortion procedure work?

After receiving the test results, the gynecologist sends the woman to the ward, where she can change into a set of underwear for gynecological surgery and shoe covers.

After preparation for the abortion has taken place, the patient is sent to the abortion clinic for the procedure itself:

1. The doctor performs a vacuum abortion on a gynecological chair in the presence of a qualified nurse, who helps the doctor hold the aspirator's suction and monitors the removal of biological material. Vacuum aspiration involves inserting a special catheter with a tube (cannula) at the end into the uterine cavity through its cervix. Through this tube, connected to an electric vacuum pump, under the influence of specially created negative pressure, the doctor removes the fertilized egg. Aspiration technology prevents air from entering the uterine cavity with the subsequent development of thromboembolism.
2. To insert a cannula, dilation of the cervical canal is required. This is a painful procedure even for women who have given birth. Therefore, after sanitizing the intimate area with an antiseptic solution, the doctor injects an anesthetic (Novocaine, Lidocaine) into the cervix. This procedure replaces general drug anesthesia. For nulliparous women, an additional injection of Misoprostol is given into the cervix, which helps to increase the distensibility of the walls of the cervical canal.

3. If the patient has a low pain threshold, the gynecologist recommends surgery under general anesthesia in order to completely relieve the patient of possible suffering. However, this issue should be discussed in advance with the anesthesiologist. Sensitivity to pain varies among women, but most patients report pain similar to menstrual pain. Severe pain occurs when the cervical canal expands. If a woman can bear the pain for 2-5 minutes, anesthesia may not be used.
4. After the procedure, the patient is transferred to a ward where she rests for several hours. In the first 20 minutes after the procedure, women place a hypothermic pack or a heating pad with ice on their stomach to quickly contract the uterus and reduce pain. If the woman feels well, she can leave the gynecological department 60 minutes after the abortion. However, the postoperative period under medical supervision for 2-3 hours reduces the likelihood of complications.
5. Vacuum aspiration requires compliance with a protective regime for 2 weeks. A woman can lead a normal lifestyle, but physical activity should be minimized until the body is completely restored.
6. It is necessary to refrain from sexual activity for 2-3 weeks until the wound surface is completely healed, even if the abortion took place without complications. Sexual intercourse is allowed after the specified time using a condom for two months to reduce the risk of infection.
7. Compliance with the gynecologist’s recommendations is important for the successful restoration of the reproductive sphere and the body as a whole.

Contraindications

A mini-abortion is not prescribed if the patient has the following diseases and conditions:

• pregnancy period is more than 12 weeks;
• acute inflammatory process in the reproductive organs;
• acute respiratory viral diseases;
• congenital anomalies of the genital organs;
• diagnosed ectopic pregnancy;
• history of bleeding tendency;
• mental illness;
• poor distensibility of the cervical canal;
• less than 6 months have passed since the previous termination of pregnancy;
• early age of the patient (up to 18 years).

In exceptional cases, it is possible to terminate a pregnancy using vacuum abortion up to 15 weeks.

There are good reasons for this:

1. identified anomalies of intrauterine development of the fetus;
2. infectious diseases of a pregnant woman that contribute to the appearance of mutations in the fetus (rubella, toxoplasmosis, tuberculosis and others);
3. an illness of a woman during pregnancy that poses a direct threat to her life;
4. rape;
5. the presence of a woman in prison;
6. death of the child's father;
7. deprivation of parental rights.

The decision to terminate a pregnancy at this stage is made by a special commission, which includes the head doctor of the institution, a lawyer, a gynecologist, as well as related specialists if the patient has systemic diseases. The vacuum method (mini-abortion) is performed only with the woman’s consent. The use of this technique during pregnancy more than 10 weeks is associated with an increased risk of complications.

An examination is required before the procedure.

Each type of interruption has its own indications for implementation, and the aspiration technique is no exception. Typically, abortion by vacuum aspiration is performed on patients who have various pathologies in fetal development, oncopathology, or diseases of the endocrine system. Also, a mini-abortion is indicated in case of a frozen pregnancy or if there is a threat to women’s health and even life, with pathologies of the hematopoietic system, nervous system or disorders of mental origin.

Sometimes pathologies arise in which a pregnant woman, in order to save her own life, has to take highly toxic medications that have a detrimental effect on the fetus. In such a situation, it is also possible to interrupt using a vacuum method. A mini-abortion is also indicated in cases where the patient suffers from parasitic or infectious pathologies that negatively affect the fetal body, for example, HIV or rubella, tuberculosis or syphilis, etc.

Most indications for vacuum termination are not considered exceptional and can be used for other types of abortion, depending on what stage of gestation the patient is at. After all, some fetal defects are detected already in the later stages, when a mini-abortion is impossible.

The basis for vacuum aspiration is the woman's desire to terminate the pregnancy. However, there are a number of medical indications for this type of abortion, if timing allows:

• severe pathologies (diabetes mellitus, kidney or liver diseases, oncology and others);
• frozen pregnancy;
• rubella or other infections suffered after conception;
• anembryony;
• social indications (staying in prison, rape and others).

Vacuum termination of pregnancy can also be prescribed to solve gynecological problems:

• spontaneous incomplete abortion;
• hematometra (blood accumulation) in the uterine cavity;
• bleeding;
• after cesarean section or childbirth, retention of parts of the placenta;
• after a vacuum abortion, parts of the fertilized egg remain;
• the need for a biopsy procedure.

Curettage of the uterine cavity, even at an early stage, is a surgical operation, so it is not done for everyone. Vacuum aspiration of the ovum is contraindicated in the following conditions:

• pregnancy over 7 weeks;
• acute inflammatory processes in a woman’s body;
• any urogenital infections;
• the presence of fresh scars in the uterine cavity;
• ectopic pregnancy;
• lack of accurate confirmation of conception.

The main indications for mini-abortion are:

• pathologies of fetal development;
• frozen pregnancy;
• threat to the health and life of a woman;
• the presence of infectious or parasitic factors that can have a negative effect on the fetus (hepatitis, syphilis, HIV infection, tuberculosis, rubella and any contact with it in the first weeks of pregnancy);
• oncology;
• endocrine diseases;
• diseases of the hematopoietic system;
• diseases of the nervous system;
• mental disorders;
• taking medications that are toxic to the fetus.

Most indications for vacuum abortion are not exceptional. In any case, the problem will be considered by several specialists, and they will decide whether the health and life of the woman and the unborn child are in danger, as well as what this risk will be.

Most pathologies are indirect indications for abortion and are subject to discussion. But we must remember that some developmental defects are not immediately detected in the fetus, and if they are detected late in pregnancy, it will no longer be possible to terminate it.

There is the following list of contraindications for performing a vacuum abortion:

• acute infections in the body, which increases the likelihood of infection of the genital tract and related complications associated with it;
• ectopic pregnancy that cannot be terminated with a vacuum abortion;
• poor blood clotting;
• unconfirmed pregnancy;
• if 6 months have not passed since the last birth;
• a period of more than 6 weeks, which significantly complicates the procedure for detachment of the fetus and its removal from the uterus.

What to do if the acceptable time frame for having an abortion has passed?

So, you now know up to how many weeks a vacuum abortion is carried out in medical institutions. What to do if the opportunity to have a vacuum abortion in the early stages is missed?

Some women put off visiting an antenatal clinic, some may not realize they are pregnant, and then suddenly it becomes too late. And in this case, women do not know what to do and are lost.

If a pregnant woman comes to the hospital at a period later than the 12th week, and at the same time she has some medical indications, difficult living conditions (for example, her husband is a disabled person of the 1st group, deprivation of parental rights by a court decision), then by law doctors have the right perform a surgical abortion before 22 weeks .

After 22 weeks, they can also carry out an abortion in the form of premature birth, but this requires compelling reasons (medical indications that threaten the health and life of the pregnant woman, gross fetal anomalies, etc.) and the approval of a medical commission, which decides all the nuances.

After such an operation, it is more difficult for women to become pregnant again if they desire.

Abortion is always difficult mentally and physically.

In addition to disturbances in the reproductive and hormonal systems, attacks of depression can be expected.

To avoid abortion, there are various methods of contraception, such as condoms, hormonal drugs, and intrauterine device.

It’s easier to take good and correct protection than to later get rid of an unnecessary child and ruin your health.

We hope that our article was useful to you and you now know until what time a mini-abortion is performed and how you can have an abortion in one day. Remember until what time a vacuum abortion is performed, and do not delay in making a decision.

Based on materials from prberem.com

Disappointing medical statistics indicate that every fifth pregnancy ends in termination. For abortion, women choose the safest methods. But if the desired result is still not achieved, then you have to resort to surgical intervention. Today’s article will tell you about the period until which vacuum abortion is performed. You will learn about the nuances of this manipulation and will be able to read reviews.

This technique is widely used in all medical institutions. Along with medical abortion, vacuum aspiration is recognized as low-traumatic and relatively safe. However, there is a risk that parts of the fertilized egg will remain in the uterine cavity.

Vacuum termination of pregnancy is performed only within the walls of a hospital. Before this, the patient needs to be examined and undergo some tests. The manipulation is carried out using a special device - a vacuum suction.

If you are offered a vacuum abortion, your gestational age is short. It is impossible to say with certainty until what week the procedure is carried out. Many clinics set their own limits. Information differs from different sources. Some indicate that mini-abortion is allowed up to 5 weeks of pregnancy. Others say eight weeks. Experienced specialists are able to perform the manipulation for up to 12 weeks. There is evidence that with a cannula of the appropriate size, vacuum termination of pregnancy can be performed up to 15 weeks.

Despite this, many medical institutions adhere to the 8 week period. It is before this period that there is still no strong connection between the fertilized egg and the wall of the uterus. This means that the result of the manipulation will be successful in almost all cases.

To perform a vacuum abortion, the woman's consent is required. This is the main indication for abortion. Also, manipulation is sometimes prescribed by a specialist without the patient’s initiative. The indications are as follows:

• abnormalities in the development of the fetal egg, incompatible with life;
• a woman’s inability to give birth due to health reasons;
• frozen pregnancy or anembryony;
• viral diseases suffered during a dangerous period (rubella, toxoplasmosis).

Doctors say that there are contraindications to manipulation. They can be absolute or temporary. The latter include genital tract infections, bleeding disorders, fever and colds. After eliminating these pathologies, it is quite acceptable to perform an operation, if time permits.

Complete contraindications for vacuum abortion include abnormalities in the development of the uterus (presence of adhesions and septa), ectopic pregnancy, recent childbirth, uterine tumors and long periods of pregnancy. In these situations, other methods are chosen to eliminate the fertilized egg.

The vacuum method of abortion requires certain preparation. Every gynecologist will tell you about this. Reviews from doctors indicate that ultrasound diagnostics must be performed before the procedure. It allows you to determine the exact gestational age. The woman also takes vaginal smears to study the microflora and to detect an infectious process.

In addition to the preparation described, the patient should undergo a blood test. The study reveals the level of platelets, the presence of antibodies to hepatitis, HIV and other diseases.

Women say that vacuum abortion occurs quite quickly. Reviews report that the manipulation lasts only 5-7 minutes. The patient is positioned on a gynecological chair, as for examination. After this, the doctor injects the cervix with anesthetics and antispasmodics.

If the woman has not given birth, the gynecologist will need to first expand the cervical canal using instruments. Patients who have given birth do not need this. When everything is ready, the cannula is inserted into the uterine cavity. Using his own strength, the doctor pulls out the suction handle. At this time, negative pressure is created in the cavity of the reproductive organ. The fertilized egg is detached from the wall of the uterus and sucked into the manipulator.

Patients say that a mini-abortion is much easier to tolerate than surgical curettage. The manipulation does not require the use of general anesthesia. Also, the injured area of ​​the mucous membrane remains small. After vacuum interruption, there are rarely any complications with the cervix. Whereas curettage can lead to damage to the cervical canal. After this, problems may arise with subsequent pregnancy and natural childbirth.

Discharge after vacuum termination of pregnancy, according to women, is not so abundant and painful. They are, in fact, normal menstruation. And after curettage, the damaged mucous membrane bleeds. The recovery period from this operation is short. The patient must remain under medical supervision for one or two hours. After this, the woman can return to her previous activities.

Doctors must prescribe medications after a vacuum abortion. These are broad-spectrum antibiotics. They will help prevent the development of bacterial infections and complications. Medicines that cause uterine contractions and painkillers are also recommended for women. All of them are selected individually. Some women mistakenly believe that they can do without taking medications. With such a negligent attitude towards one’s health, complications often arise in the form of infections, inflammatory processes, and retention of the mucous membrane in the uterine cavity.

Doctors say that after vacuum aspiration, the patient should return for an additional examination in two weeks. This is necessary to confirm a complete abortion. If parts of the membranes are found in the uterine cavity, then curettage is prescribed.

Vacuum abortion is a safe procedure. Its effect depends on the timing of the operation. The sooner you contact a gynecologist, the greater the chance that everything will go smoothly. If you want to terminate a pregnancy, then never use your grandmother's recipes. They can lead to very unpleasant consequences in the future. All the best!

Based on materials from fb.ru

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Vacuum abortion or mini abortion is one of the methods of surgical termination of pregnancy, which is performed by suctioning the fetus with a vacuum suction. The scientific name for vacuum abortion is aspiration.

This surgical abortion can be considered one of the most gentle methods of ending a pregnancy. But a vacuum abortion can only be done in the early stages. It is not advisable to choose a mini-abortion at 3 weeks, since at such a short period a medicinal method will also be effective, which will eliminate any surgical efforts. The best time to terminate a pregnancy by aspiration is abortion (photo) at 4-5 weeks.

How is an abortion performed? So, surgical abortions, which include vacuum mini-abortion, are carried out using special devices. The main ones are: suction apparatus, cannula, disposable catheter. The main advantage of a mini abortion over other surgical abortions is that the cervix does not need to be dilated. A disposable catheter is inserted into the patient's uterus, the thickness of which will easily allow it to pass inside. A vacuum aspiration device uses a cannula of a certain size, depending on the stage of pregnancy, to perform suction. A vacuum abortion takes approximately 5-10 minutes of a gynecologist's time.

After a mini-abortion, you must undergo an ultrasound, which will confirm that the surgical abortion (vacuum abortion) was effective and the fetus was completely removed from the uterus. If the vacuum abortion is unsuccessful and the fetus cannot be completely removed, additional aspiration is performed or the fetus is curetted.

The undoubted advantages of this method of abortion include:

• absence of cervical trauma;
• outpatient surgery (the woman is discharged from the hospital on the same day as the mini-abortion);
• minimal damage to the uterine mucosa (the uterine cavity heals very quickly);
• less stress for a woman to have an early abortion compared to a later one, when she becomes aware of the existence of a new life inside;
• relatively rapid restoration of hormonal levels and the menstrual cycle after a vacuum abortion.

And as mentioned earlier, even though aspiration is a surgical method, such an abortion is still relatively easier for the body than a regular surgical abortion. Contraindications to the methods are minimal. You should not be sexually active for 3 weeks after vacuum aspiration.

You should also stock up on antibacterial drugs, because the wounded uterine cavity is susceptible to the development of microorganisms that cause all kinds of inflammation. Vacuum abortion is a gentle method, but it takes about 6 months to restore the body and reproductive function. Therefore, after 3 weeks of abstinence from sexual activity, you need to start it with taking hormonal contraceptives in order to avoid pregnancy during this period.

A mini-abortion is an operation, and, therefore, you need to prepare for it just as thoroughly as before curettage. At the clinic where the vacuum mini-abortion will be performed, you will be asked to undergo various tests and tests. For example, to perform anesthesia during a vacuum abortion, it is necessary to determine whether the woman can tolerate anesthesia.

Not every surgeon will take on later stages of pregnancy when performing a vacuum abortion.

The most important thing in preparing for a mini-abortion is how long it is done. Abortion at 7 weeks using aspiration will not be performed by any surgeon, not in any clinic. First, you need to have the right size cannula to allow the fetus to pass through the suction.

The most appropriate time to terminate a pregnancy by aspiration is an abortion at 4-5 weeks. The fertilized egg is not so firmly attached to the uterine cavity. Its suction will take place quickly and, if the surgeon is well qualified, there will be no parts of the fertilized egg left in the uterus. Week 5 is the most “appropriate” time for a vacuum abortion. 6 weeks is also the period when the fertilized egg is well separated from the uterus.

If you are 7 weeks pregnant, most clinics will most likely offer you a curettage rather than a mini-abortion. Until what time can you have an abortion or mini-abortion? Aspiration is possible for a period of 12 weeks under certain operating conditions and the availability of necessary funds. Only such a mini-abortion (at 7 weeks and above) has a high probability of ending in curettage (classic surgical abortion). At week 7, the pregnancy will most likely be terminated using curettage rather than a mini-abortion. The timing determines not only the method of abortion, but also the effectiveness and ease of the method itself. Abortion at 7 weeks by aspiration is not uncommon, but be prepared for complications.

Of course, if it is necessary to terminate a pregnancy, women want to choose the most gentle method that will not affect women's health. But in the case of aspiration, performing an abortion at 7 weeks is simply a delay. Have a vacuum abortion – 6 weeks, no later. That's why it's so important to monitor your sex life. If you have the slightest suspicion of an unwanted pregnancy and do not want to give birth, you need to have a vacuum abortion as quickly as possible. After all, methods of terminating a pregnancy at a later date will certainly affect the woman’s health.

Flaws

Planning your next pregnancy will have to be postponed for at least six months. This is exactly the amount of time the body needs to fully recover. After an abortion, it is recommended to use reliable contraceptives.

If conception occurs earlier than this period, such a pregnancy will become a serious test for the body, and it is often accompanied by deviations from the norm.

Risk of incomplete abortion. Sometimes the pregnancy continues to develop or the destroyed fertilized egg remains in the uterus, decomposing and infecting the woman’s body. This occurs due to incomplete separation of the egg during vacuum aspiration.

Any abortion, including a vacuum one, has the main important drawback - psychological discomfort, but it is impossible to avoid it.

What is better: vacuum or medical abortion?

Both types of abortion are gentle and used in the early stages. The result is approximately the same - the effectiveness of both methods is 95-98%. The choice of a specific method directly depends on the stage of pregnancy. Medical mini-abortion is most effective up to 4 weeks. Vacuum abortion – within 4 to 6 weeks.

Medical termination is recommended for women who have previously undergone cervical surgery. This technique reduces

risk of complications

and cervical canal ruptures and uterine perforation.

In fact, a medical abortion is similar in effect to a natural miscarriage. Therefore, approximately 60% of women prefer to terminate an unwanted pregnancy using this method.

According to pharmacologists, the drug for medical abortion mifepristone cannot be used in patients under 18 and over 35 years of age. Therefore, vacuum aspiration is preferable for them.

For some women, the determining factor is the issue of price. A medical abortion is much more expensive than a vacuum abortion , so patients strapped for money prefer surgery.

Sometimes it becomes necessary to perform a vacuum abortion after a medical one. The indication for the procedure is incomplete release of the fertilized egg after taking an abortifacient.

A vacuum is also used if a miscarriage does not begin after taking mifepristone. According to statistics, this happens in 4-5% of the use of medical abortion. Such a pregnancy cannot be left, because the drug has a negative effect on the fetus.

How long does it take to do it?

If you are looking for ways to terminate an unwanted pregnancy at a late stage, you need to know how many weeks a mini-abortion lasts. Vacuum aspiration is carried out until the fertilized egg reaches a size corresponding to 8 weeks from the first day of menstruation (last). That is, the optimal period for a vacuum abortion is 2-3 months of pregnancy.

To perform a mini-abortion, the patient chooses local or general anesthesia. Before the procedure, the woman should take a shower, shave her pubic hair and refrain from drinking liquids. In an outpatient setting, the patient is placed on a gynecological chair, the genital area is treated with an anesthetic, and then a Sims speculum (spoon-shaped instrument) is inserted into the vagina.

A plastic tube is attached to the vacuum excoleator, which is then inserted into the uterine cavity through the cervical canal (without dilators). The doctor makes translational and rotational movements, trying to aspirate the fertilized egg. The contents of the uterus are sucked out through a special cannula. The manipulation takes no more than 10 minutes.

To avoid possible complications, after the procedure in the rehabilitation period you must follow some rules:

• immediately after surgery, start taking antibiotics and other medications prescribed by your doctor;
• if signs of pregnancy persist or there is a delay in menstruation, you should immediately visit a gynecologist;
• avoid hypothermia;
• refuse to visit the bathhouse, sauna, or take a bath;
• If pain persists after removal of the fertilized egg, do not delay contacting a doctor;
• after 10 days it is necessary to do an ultrasound (control check);
• avoid repeat pregnancy for six months;
• choose hormonal contraceptive pills;
• Avoid sexual activity for 4 weeks after vacuum aspiration.

You can terminate a pregnancy using vacuum aspiration quite early - from the second day of a missed period. According to WHO, vacuum abortion is not limited to 5 weeks; the most qualified specialists, with the necessary equipment, perform this procedure up to 15 weeks of pregnancy.

In any case, vacuum aspiration performed after 10 weeks has no less consequences than surgical abortion. And many specialists will not undertake this manipulation at this time.

The optimal period is 4-5 weeks of pregnancy. At this time, the fertilized egg is still weakly attached to the walls of the uterus, and it can be removed without complications.

The operation is carried out using an electric vacuum pump, which extracts all its contents from the cavity of the reproductive organ.

The procedure is absolutely painless if it is performed under general anesthesia. If local anesthesia is chosen, the woman may feel tolerable nagging pain in the lower abdomen. The pump creates negative pressure or vacuum in the uterus, causing the fertilized egg to peel off and be expelled.

The vascular network of the uterus is practically not damaged during vacuum aspiration. Also, special dilators are not used for the cervix, which allows maintaining its integrity.

That is, a mini-abortion significantly reduces the risk of developing cervical insufficiency, which prevents pregnancy in the future.

Before having an abortion, a woman should consult a gynecologist. During the examination, the doctor determines the duration of pregnancy and prescribes the necessary examination. Typically it includes:

• general urine and blood tests;
• microflora smear;
• Ultrasound examination;
• blood tests for HIV, hepatitis and syphilis.

The tests listed are mandatory and, first of all, they show whether the patient has any contraindications to abortion.

Carrying out the operation

After completing the preparatory stage, the day of the operation is set. Abortion should only be carried out within the walls of a medical institution under the guidance of qualified specialists.

To perform aspiration, the patient sits in a gynecological chair, her legs are fixed in stirrups. The external genitalia are treated with an antiseptic. If a woman has never given birth, the doctor dilates the cervix with a special instrument.

For women who have given birth, this point is skipped. For local anesthesia, an injection of the drug is given into the cervix. During general anesthesia, the woman receives medicine into a vein and falls asleep for a short time. After the end of the anesthesia stage, the procedure itself begins.

The doctor inserts the tip of an electric vacuum pump - a cannula - into the uterus and turns on the device. Negative pressure is created in the cavity of the reproductive organ. The gynecologist carefully moves the cannula along the walls of the uterus, trying to achieve precise contact with the mucous membrane.

At this moment, the fertilized egg peels off and exits through a tube into a special container. After all the fruiting tissue is removed from the uterine cavity, it begins to actively contract. Once the tip of the pump is removed from the uterus, contractions will no longer be felt.

Some women complain of nausea, weakness and sweating during an abortion. For such a procedure, all this is a variant of the norm. Read more about the consequences of abortion →

Manual vacuum aspiration is performed at a fairly early stage. Already from the second day of the delay, such minimally invasive intervention can be performed. Representatives of the World Health Organization claim that the period of vacuum abortion is not limited to 5 weeks of gestation. With specialized equipment, highly qualified specialists will be able to perform a mini-abortion for a gestation period of up to 15 weeks, however, additional expansion of the cervical canal will be required.

But if the vacuum abortion procedure is carried out at 10-15 weeks, then its consequences will be no less serious than after instrumental abortion. Therefore, debates regarding how long it is safe to make a mini-interruption continue among specialists today. In addition, there are not so many specialists who are ready to take on such a procedure and are able to carry it out at the highest level at a later date.

The most optimal time for a mini-abortion is 4-5 weeks of gestation. During this period, the embryo is still weakly attached to the uterine walls, so it is easily sucked out without any complications or adverse consequences in the future.

Advantages

When performing a vacuum abortion, the vessels of the uterus are not affected, and its mucous membrane is not seriously injured. Also, due to the absence of the use of metal dilators, cervical injuries can be avoided. This reduces the likelihood of cervical insufficiency, which may interfere with bearing a child in the future.

The cost of the procedure is quite reasonable and accessible to every woman.

Vacuum abortion, the optimal timing of which is the fifth or sixth week of pregnancy, is the most gentle for a woman’s health, given the significant reduction in the possibility of complications such as bleeding, damage to the uterus and infection.

Vacuum abortion does not cause pain, since it is performed under general or local anesthesia, depending on the specific case. There may be some discomfort when the cervix opens. After the end of the vacuum abortion (the operation lasts a few minutes), pulling pain in the lower abdomen may occur; this is considered a normal reaction of the body to surgical intervention.

Preparation

Vacuum aspiration is done only after examination by a gynecologist and passing the necessary tests. In some clinics, a pregnant woman may be referred for a consultation with a therapist, a biochemical blood test and determination of the Rh factor. Mandatory laboratory tests:

• blood for syphilis, hepatitis B and C, HIV;
• general blood and urine analysis;
• To exclude ectopic pregnancy, a vaginal ultrasound is performed;
• smears from the vagina, cervical canal, urethra.

In what cases is vacuum abortion prescribed?

If it is necessary to terminate a pregnancy, women think about the question: “What will the doctor prescribe – a medical abortion or a vacuum?” If the pregnancy period fluctuates between 4-6 weeks, gynecologists advise having a vacuum abortion. Up to 6 weeks, the medical method of terminating pregnancy is effective, but this option is accompanied by a high probability of disruption of natural hormonal levels. In addition, the abortion may be incomplete.

The likelihood of incomplete removal of the fertilized egg by aspiration increases as the pregnancy approaches 12 weeks. In this case, to be completely sure, the doctor may prescribe uterine curettage. When visiting a gynecologist, a woman will be explained until what time a mini-abortion can be performed, how this procedure occurs, and whether it hurts to “do a vacuum.” Often, the doctor combines the vacuum technique with curettage of the uterine cavity with a curette (after 6 weeks).

If there are no contraindications for vacuum termination, the gynecologist will refer the woman to the laboratory to undergo the necessary tests:

• flora smear;
• general blood analysis;
• blood test for syphilis, HIV, hepatitis;
• determination of blood group and Rh factor;
• coagulogram;
• general urine analysis;
• ECG.

If you suspect an ectopic pregnancy, you will need to undergo an ultrasound examination of the fallopian tubes. Under ultrasound control, the doctor excludes the possibility of fetal development in the fallopian tubes. Otherwise, urgent hospitalization of the woman to the surgical department for surgical intervention is required.

The final stage

Typically, the vacuum aspiration procedure does not exceed 5 minutes. After the end of the manipulation, the patient is asked to rest for an hour in the same medical institution. After this, the doctor gives her recommendations on taking antibiotics to prevent possible infection, as well as analgesics and antispasmodics if pain and spasms occur.

The next day the woman can return to her usual activities. Two weeks later, she should visit the antenatal clinic again for an ultrasound and tests that will confirm that the termination of pregnancy was successful.

Pregnancy after abortion

6 months after the abortion, a woman can plan a new pregnancy if she wants. But before that, it is important for her to visit a gynecologist and make sure that the vacuum abortion performed did not have any consequences on the body.

Many women successfully become pregnant and give birth to healthy children after a mini-abortion, thanks to its gentle effect on the body.

Vacuum abortion is considered to be the least dangerous procedure for terminating an unwanted pregnancy, but we should not forget that this is an intervention in the body that destroys a woman’s physiological cycle. No specialist can guarantee 100% the success of an abortion and the preservation of the health of his patient.

Possible complications

Domestic medical statistics indicate numerous positive reviews from patients who resorted to vacuum aspiration in the early stages. Complications after the procedure are observed only in 5% of cases. They usually arise if the recommended timing of the abortion was not followed or there were contraindications to the procedure.

Western media indicate frequent undesirable consequences of mini-abortion in young patients.

To prevent the development of complications, vacuum termination of pregnancy should be performed in the early stages (4-5 weeks), when the fertilized egg is still weakly attached to the uterine wall.

The next pregnancy after a vacuum abortion should be planned no earlier than 6 months later. Getting pregnant earlier is not recommended due to the risk of cervical insufficiency and the threat of fetal loss.

For many women, pregnancy is not always desired, but carelessness in relation to one’s health is a crime, the consequence of which can be infertility. Any type of abortion is a difficult procedure for the female body. Timely planned contraception will avoid unforeseen circumstances.

Although some doctors claim that vacuum aspiration is done with almost no risk to a woman’s health, patient reviews indicate the opposite. With the help of a vacuum surgical abortion, pregnancy is removed using a special device that can perforate the uterus. This happens very rarely, and manifests itself as a dagger-like pain even through anesthesia.

Another common complication is inflammation of the uterus and/or appendages. It can develop 4-5 days after the procedure. As a rule, this is due to a violation of the rules of the rehabilitation period, when the doctor’s recommendations are not followed. The third possible complication after the vacuum method of artificial abortion is hormonal imbalance. It often occurs in nulliparous girls, after which ovarian dysfunction develops and menstruation is disrupted.

Discharge

In the first days after a mini-abortion, slight bleeding is always present. This is not the beginning of menstruation, but a normal manifestation of hormonal changes in a woman’s body. After all, after a forced termination of pregnancy, there is a sharp decrease in the level of the hormone progesterone. For the onset of menstruation, the body requires a month, during which the endometrium undergoes transformation. Complete restoration of the menstrual cycle occurs from 3 to 9 months after vacuum termination of pregnancy.

Bleeding

Normally, moderate discharge after a vacuum abortion lasts up to 10 days. However, there may also be an individual deviation of the body, when there is no bleeding at all or there is a copious release of blood from the cervix. In what cases is this dangerous and you should consult a doctor:

1. There is no bleeding at all. This indicates that a hematoma has formed in the uterine cavity, preventing the discharge from coming out.
2. The discharge has an unpleasant odor. This means that an inflammatory process occurs.
3. There are blood clots or various inclusions. Indicator of pregnancy or incomplete abortion.
4. Heavy bleeding. Incomplete vacuum abortion, when fragments of the fertilized egg prevent the uterus from contracting.

Abortion. The NGO talked about termination of pregnancy

In Kyrgyzstan, according to Bermet Baryktabasova, a specialist at the Ministry of Health on evidence-based medicine, the situation with access to safe methods of abortion has improved. Often, abortion is a necessary measure.

How to choose the safest method of abortion? How to avoid repeat abortion? These and other frequently asked questions were answered by specialists from the NGO Alliance for Reproductive Health.

What modern and safe abortion methods exist?

The most modern and safest methods of artificial termination of pregnancy are medical abortion (taking pills) and vacuum aspiration (manual or electrical extraction of the fetus using a special vacuum suction).

The use of the cervical dilatation method and curettage are not safe methods and are permissible only if it is impossible to use modern techniques.

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A safe abortion has minimal risk of complications, but not no risk at all.

In what cases is abortion considered dangerous?

Abortion always has risks to a woman's health. They increase tenfold with:

• failure to comply with infection control;
• the use of outdated methods of abortion (curettage of the uterine cavity);
• lack of pregnancy termination skills among staff;
• criminal abortion (outside a medical institution, from healers, midwives).

Until what period can a pregnancy be terminated?

The deadline for abortion, which has minimal consequences, is 5-6 weeks of pregnancy. In a clinic setting, it is officially allowed to terminate a pregnancy up to 12 weeks using vacuum aspiration and up to 9 weeks using medical abortion.

In a hospital setting, under certain indications and by decision of the medical and social commission, termination of pregnancy up to 22 weeks is possible.

What is medical abortion?

Medical abortion is a safe method of ending a pregnancy up to 9 weeks. There are schemes for conducting medical abortion for a period of 12-22 weeks, but they are used only by decision of a specialized medical and social commission in a hospital setting.

The procedure consists of two stages. At first, a drug is taken that blocks the effect of the pregnancy hormone progesterone. After 36-48 hours, a second drug is taken, which promotes the opening of the cervix, its contraction and, as a result, termination of pregnancy. Medicines are taken only after consultation with a specialist and signing of informed consent for an abortion.

What is vacuum aspiration?

Vacuum aspiration is a safe method of terminating pregnancy up to 12 weeks. With manual vacuum aspiration, a syringe with a flexible plastic tube at the end is inserted into the uterine cavity. Under the influence of a vacuum created in the syringe, the contents of the uterus are extracted. The procedure can be performed under local anesthetic and does not require general anesthesia.

In what cases is medical abortion contraindicated?

Medical abortion is contraindicated if:

• severe diseases of internal organs;
• ectopic pregnancy or suspected pregnancy;
• pregnancy more than 9 weeks;
• long-term use of corticosteroids;
• adrenal insufficiency;
• the presence of an intrauterine device in the cavity (only after its removal);
• allergic reaction to drugs;
• space-occupying formations on the appendages with an unknown diagnosis;
• severe anemia and other diseases of the hematopoietic system.

In what cases is vacuum aspiration contraindicated?

Vacuum aspiration is contraindicated if:

• acute inflammatory diseases of the genital organs;
• ectopic pregnancy;
• uterine tumors;
• more than 12 weeks of pregnancy;
• general serious condition of the body.

What are the most common complications after an abortion?

Every abortion can have complications or consequences, regardless of the number of pregnancies. The most common complications:

• habitual miscarriage, when the body “remembers” the outcome of pregnancy and repeats it in the future;
• impossible gestation, when the cervix, which is artificially dilated during an abortion, loses its tone and elasticity, which affects the woman’s ability to bear a child during the next pregnancy;
• disruption of the menstrual cycle, when periods become irregular;
• Hormone failure, which can affect mental health, lead to excessive weight gain or loss, and sexual pathology.

Is it possible to go back to work after an abortion procedure?

If a woman chooses one of the methods of safe abortion within an acceptable time frame, in the absence of complications, then the likelihood of impairment is minimal, and the woman can perform her usual activities. Restrictions apply only to heavy physical labor, heavy lifting, sports exercises and sexual activity for 3-4 weeks.

How to behave after an abortion to avoid complications?

The recommendations are very simple:

• lack of sexual activity for at least 3 weeks;
• exclude sports for 2 weeks;
• do not carry heavy loads;
• do not take a bath, do not swim in open reservoirs and pools;
• visiting the bathhouse and sauna is prohibited;
• proper nutrition (lots of proteins and fiber, reduce fat).

What are the warning signs after an abortion?

It is important to notice warning signs after an abortion in time:

• heat;
• heavy bleeding with blood clots (if 2 or more pads are changed within an hour and this lasts more than 2 hours);
• pain in the lower abdomen that exceeds the threshold of menstrual pain;
• discharge from the genital tract with a strong unpleasant odor;
• prolonged dizziness, fainting, anxiety, rapid breathing, pale and cold skin, decreased urine output.

Is there a risk of infertility after termination of pregnancy?

There is a risk of infertility after any termination of pregnancy. The percentage of this risk depends on the chosen method of termination, the duration of pregnancy, the individual characteristics of the woman’s body, and possible complications. When choosing safe methods, performing them correctly, and when the woman follows all the doctor’s recommendations, this risk is minimized.

Useful video about abortion and its consequences

Complications after a mini-abortion are rare. As a rule, they are associated with ignoring the medical history, the results of the woman’s examinations, or violating the doctor’s instructions during the recovery period.

Among the most common consequences are:

1. Hematomer - blockage of the cervical canal with a clot and subsequent filling of the uterus with blood. Most often found in nulliparous women. It can be corrected with medication or mechanical expansion of the cervical canal.
2. Hormonal disbalance. It occurs in young, nulliparous girls. This failure is associated with an unstable background that occurs as a result of an artificial interruption. It can result in ovarian dysfunction, menstrual irregularities and even infertility.
3. Inflammation. They arise as a result of lack of proper antiseptic treatment before surgery, or violation of the rules of behavior during rehabilitation (hypothermia, swimming in open water). A week or two after cleansing, exacerbations of chronic pelvic diseases may occur.
4. Incomplete embryo removal. Happens quite often. When performing an operation, the doctor is forced to work blindly, so there is a possibility that part of the fertilized egg will remain in the body. This is fraught with the development of a polyp (painful growth on the mucous membrane). In rare cases, the chorion may not leave the uterus at all, and the pregnancy will continue.

To avoid the negative consequences of an interruption, a woman should be attentive to her own health and follow the doctor’s recommendations.

• Damage to the cervix (cracks, tears) with a surgical instrument. At the same time, there is a high risk of infertility and miscarriage of subsequent pregnancies.
• If a vacuum abortion is accompanied by subsequent curettage, which occurs when the pregnancy is more than 4 weeks, perforation of the uterus is possible. This requires immediate surgery and, in some cases, removal of the uterus.
• Heavy bleeding. They occur when large vessels are damaged or uterine fibroids are present. Sometimes it may be necessary to remove the uterus to stop them. They usually appear immediately after the abortion operation or 1–2 hours after its completion.
• Penetration of infection into the uterus. 1–2 weeks after an abortion, an infection that has entered the uterus causes inflammatory diseases and exacerbation of existing diseases of the female genital organs. This is also fraught with infertility and problems in carrying future desired pregnancies.
• Menstrual irregularities. This problem occurs in 12% of patients. The main reason for this consequence of a vacuum abortion is severe hormonal imbalance.
• Endocrine disorders. They are caused by hormonal imbalance and lead to disturbances in the functioning of the adrenal glands and thyroid gland. New growths may also appear in the mammary glands.
• Negative effect on reproductive function. Unnatural dilation of the cervix leads to its weakening, which can subsequently cause miscarriages.

These are the early and delayed consequences of a vacuum abortion. The most insidious are the long-term consequences, which manifest themselves 2–5 years after an already forgotten operation. Typical of them: endometriosis, endocrine dysfunction, infertility. By contacting a good clinic, you can reduce the risks of the consequences of a vacuum abortion to a minimum.

Answers to questions on the topic: Vacuum abortion

Although the likelihood of complications after a vacuum abortion is low, performing an abortion using any type of intervention threatens a woman with endocrine infertility. An abnormal invasion of body processes, even with modern methods, leads to chronic gynecological diseases. When there is a hormonal imbalance, the ovaries, uterus, and mammary glands suffer greatly. Medical or surgical abortion can promote the development of malignant tumors in the female organs or in the liver.

Procedure for carrying out an abortion

Before a mini-abortion, a series of tests and an ultrasound are required to prevent negative health consequences. A complete blood count, coagulation tests, a urine test, a smear for microflora from the vagina, a test for human chorionic gonadotropin hormone (hCG), tests for sexually transmitted infections, HIV and hepatitis are checked.

Vacuum abortion is carried out both without anesthesia (some women, for one reason or another, go for it), and with local or general anesthesia.

Women who have not given birth are often given the drug misoprostol to relax the muscles of the cervix so that the suction tube can be inserted more easily.

Beforehand, it is better for a woman to find out how a vacuum abortion is performed. The procedure is carried out in a chair, similar to an obstetrician, and takes only a few minutes. A suction tube is inserted through the cervical canal into the cavity, and the fertilized egg is vacuum removed. At the end of the mini-abortion, the doctor examines the extracted contents of the uterus to ensure that the entire embryo has been removed. Ultrasound is performed for control. For 2–4 hours (it is impossible to say exactly how long, it all depends on the woman’s condition), the patient is observed by a doctor. If there are no complications and she feels good, she is sent home.

Reviews from most women say that the mini-abortion procedure is unpleasant, but tolerable, and the consequences are minimal. Someone endured it without anesthesia and experienced only abdominal cramps or discomfort when passing the aspirator tube through the neck. If anesthesia is administered, pain and discomfort are reduced to zero. The recovery period is not as difficult as after curettage.

Rehabilitation period

Rehabilitation after a vacuum abortion is a very important point for preserving women's health. A minor abortion also affects the body, like any other intervention.

The body recovers after a vacuum abortion in 3-4 weeks.

The first 6-7 days are the most critical period when monitoring the patient’s condition by a doctor is necessary. A woman needs to visit a gynecologist 3-4 days after surgery.

At the appointment, the doctor assesses whether the fertilized egg has completely left the uterus. According to statistics, pregnancy continues in 1% of cases . By the way, you can very often hear the following question: is it possible to have a vacuum abortion after a medical abortion? Decisions of this kind are made only after consultation with a gynecologist.

This possibility exists if the doctor initially incorrectly determined the gestational age. In this course of events, the pregnancy will continue, but the fetus will develop with abnormalities.

In the first three to four days after termination of pregnancy, vacuum aspiration indicates bed rest and a diet excluding fatty, spicy foods.

Drinking alcohol is strictly prohibited , as it can cause increased blood circulation in the pelvic organs and provoke bleeding. It is also worth giving up vigorous exercise and heavy lifting to avoid straining your abdominal muscles.

Nagging or aching pain in the lower abdomen continues for several days after surgery. Normal pain resembles periodic pain during menstruation. Pain can be relieved with antispasmodics. If cramping or increasing pain begins, you should urgently consult a gynecologist.

To prevent the development of infection after the vacuum abortion method, the patient is prescribed antibiotics. The risk of developing infections during the postoperative period is quite high. In this regard, a woman is not recommended to swim in open water or visit a bathhouse for three months.

Discharge, bleeding and menstruation after aspiration

Normally, discharge from the uterus after the procedure lasts 10-14 days.

Brownish-red spotting indicates that the blood is clotting normally and the uterus is cleansing normally.

The menstrual cycle after surgery is restored in different ways.

For some women, menstruation may come on time, without violating the previous deadlines. On average, ovulation and new bleeding begins after 35-40 days. Some women start their periods after 50-60 days.

Full cycle recovery depends on previous pregnancies:

in women who have given birth, the period is about 3 months; for nulliparous women – up to six months.

If the bleeding after a vacuum abortion is profuse, scarlet in color or with clots, you should consult a doctor.

Sex life and pregnancy

Sexual life after a vacuum abortion is resumed after 3 weeks. Ideally, you should abstain from sex after a mini-abortion for 1.5 months. Some women allow sexual intercourse already from the third or fourth day after the procedure, without thinking about the danger of developing complications.

During the period after a vacuum abortion, the woman’s body is as weakened as possible, the uterus is in a semi-open state and access to any infection is ensured. Sex is an additional burden for the body, and it can react to it with a number of complications.

Unprotected sex in the postoperative period can lead to another unplanned pregnancy.

A ban on a new pregnancy after a vacuum termination for at least three months. Ideally, you should plan a pregnancy no earlier than six months after surgery.

By this time, the woman’s body has fully recovered, and she is ready to bear a healthy baby and maintain her own health. In earlier stages, a new pregnancy may end in miscarriage or bleeding, since the uterine mucosa has not recovered, and problems may arise with the attachment of the fertilized egg to it.