Immobilized pregnancy in the early stages ends sooner or later with spontaneous abortion. However, it may take several weeks from the moment of death of the embryo to its rejection from the uterus. During this time, inflammation, bleeding and other unpleasant complications may develop. That is why most doctors do not recommend waiting until a miscarriage occurs, but prefer to make a curettage of the uterus and remove the dead embryo immediately after the diagnosis of missed abortion has been finally confirmed.
Scraping (brushing) when pregnancy stopped is performed under general anesthesia, and the whole procedure lasts no more than 30-40 minutes. Sometimes vacuum aspiration is used to remove a dead embryo. Do not confuse cleaning after a missed abortion with an abortion, even if the methods are the same. Abortion is the interruption of a normal pregnancy with a viable embryo. With missed abortion, there is nothing to interrupt, since the death of the embryo has already occurred. You should not blame yourself for the fact that you had an abortion during a missed abortion, since it was not an abortion, but a treatment after the tragedy that had already happened.
After curettage, the gynecologist directs the resulting material to a special histological examination. Histology with missed pregnancy helps to understand the causes of the incident.
What will happen after cleaning with missed abortion?
Recovery after curettage during missed abortion may take a few weeks.
In the first days after scraping:
If you are okay, you will be discharged from the hospital on the same day. The doctor will prescribe antibiotics for the prevention of inflammation and pain medication, as the pain after cleansing can be quite intense.
After returning home, keep bed rest for a day. Intense physical exertion in the first days after curettage can lead to bleeding.
Pain in the lower abdomen after curettage during missed abortion may persist for several days. No need to endure the pain, if it is expressed. You can take pain medication. Usually, Ibuprofen helps to deal with these pains.
The discharge after curettage during missed abortion can be quite intense and last from several days to 2 weeks. For the time of these secretions, use gaskets, but not tampons. Using tampons in this situation can cause dangerous inflammation.
In the first weeks after scraping:
Gynecologists recommend to abstain from sex for at least 2 weeks after scraping. If, after this time, you still have bleeding, you should wait for their complete cessation. Depending on your situation, the doctor may give other recommendations.
If you resume sex life, then take care of contraceptive methods. Pregnancy after curettage of a missed pregnancy may occur in the first weeks, so you should not practice unprotected sex until your doctor tells you that you can start planning your pregnancy again.
The following menstruation after missed abortion may come in 2-6 weeks after curettage.
Immediately consult a gynecologist if, after curettage:
- Body temperature rises to 38 ° C and higher
- The bleeding has increased and you have to change the gasket every hour or more.
- Spotting ("monthly") continues for more than 2 weeks in a row
- Severe pain in the abdomen does not go away while taking painkillers
- Vaginal discharge has an unpleasant smell
Examination after missed abortion
Many couples ask themselves the question “what to do after a frozen pregnancy, do we need to be examined?” There is no single answer to this question, since everything is individual.
In most cases, missed abortion occurs due to "random" errors in the early stages of embryo development, so gynecologists usually do not prescribe a thorough examination after the first missed abortion. This makes no sense, since there is simply no “guilt” on the part of a woman or her partner. A frozen pregnancy can happen in an absolutely healthy couple, and in this case the chances of a successful pregnancy in the future are very high.
Tests after a missed abortion are usually prescribed if this has not happened for the first time. Most gynecologists recommend screening after the second missed abortion, and in Western countries, tests are often prescribed only after the third missed abortion.
So, what tests you need to take after a frozen pregnancy? It all depends on how long it took, what histology data were obtained after scraping, what reason your attending physician suspects. The most common tests after missed abortion are:
Pregnancy after curettage of missed abortion
Twenty years ago, only a few couples were engaged in purposeful planning of pregnancy. Most parents realize all the responsibility that falls on their shoulders with the birth of a child, so for many it is important to get pregnant after scraping. Scraping is a gynecological surgery performed in a hospital. During this procedure, the doctor removes the top layer of the mucous membrane lining the uterus. Scraping is indicated when removing the ovum during a frozen pregnancy or during abortion.
The postoperative period is aimed at natural cleansing of the uterus from the remaining fragments of the mucous membrane. If the uterus was scraped during pregnancy, then after the manipulation, the uterus is reduced to its natural size, hormones gradually normalize in the woman’s body.
For several days after scraping, pain in the lower abdomen is felt. These are nagging, aching, cramping pains. Pain will be worse if a woman receives treatment with drugs that reduce the uterus. Pain in the first hours after curettage is a consequence of damage to the uterine walls.
Recovery after missed abortion
Such an unforeseen and terrible event, like a missed abortion, plunges into shock any woman. The body is experiencing a tremendous hormonal shock - all its organs and systems have already been configured to bear the fetus, and suddenly something went wrong. The recovery of the body after a frozen pregnancy has both understandable physiological aspects and psychological, no less important.
To change to a normal, normal level of hormones, to return to the usual menstrual cycle and, most importantly, it will take time to acquire a normal psychological state. How does recovery take place after a missed abortion, how long it will last and how to return peace of mind, you will learn in our article.
Physiological recovery after missed abortion
A frozen pregnancy ends with either a miscarriage, or, what happens even more often, the so-called cleaning - surgical curettage of the uterus. It should be understood that in both cases the incident is a huge stress for the organism.
Miscarriage with missed abortion is a relatively better outcome. The body itself (or medication) gets rid of the non-viable fetus. Scraping becomes a necessary measure, which has to be applied after detecting a frozen pregnancy at the next examination by a doctor. Cleaning is a serious surgical procedure that injures the cervix and its internal cavity.
Recovery after brushing will certainly take some time: according to the recommendations of the doctors, between curettage or miscarriage during a frozen pregnancy and the next conception should pass not less than 3 months. And this is the minimum threshold - it takes 6-12 months to fully recover after scraping.
The uterus after a frozen pregnancy and curettage is a damaged, injured surface. It takes about six months to fully restore the endometrium. After this period need to visit a gynecologist, which will assess the condition of the cervix, which is extremely sensitive to mechanical stress and is subject to risk of erosion after curettage.
The next physiological aspect of rehabilitation after a missed pregnancy is recovery of the monthly cycle: ovulation and menstruation. It happens that menstruation begins as early as 1-1.5 months after miscarriage or curettage, and conception after a frozen pregnancy may well happen in the next cycle.
However, many women complain hormonal disbalance after missed abortion, usually expressed in delayed menstruation. It should be noted that often it is the existing imbalance of hormones that causes miscarriage. And violations of the cycle after a frozen pregnancy have obvious reasons - the body has experienced serious stress, because with the onset and course of pregnancy the level of the main female hormones changes dramatically, and interrupting it becomes a shock that must be overcome as soon as possible. A menstruation delay of up to 45 days is considered normal. Give your body time to heal itself or take hormonal drugs - the decision is yours. It is better if it is taken after consulting a physician you trust. There are also other possible causes of delayed menstruation after missed abortion - the occurrence of internal inflammation (it often manifests itself as yellow or brown discharge) or the presence in the uterus of residues of the ovum. Therefore, 10 days after curettage, it is necessary to undergo an ultrasound.
Sex life after miscarriage, you can begin 2 weeks after a natural or medical abortion, as well as after extracting the fetus under vacuum, if the period was longer and there was cleaning, it is advisable to abstain from vaginal contacts for about a month. Sex at first can cause pain. Planning for the next pregnancy after a frozen one should begin approximately six months later, after visiting a gynecologist watching you.
Psychological rehabilitation after missed abortion
Relatives and friends, of course, you are very sympathetic, but those who have not experienced this, can never fully understand this. And yet - do not lock yourself in; in such a situation, the support of a husband, mother, or sister is extremely important. Psychological rehabilitation after a missed abortion should include accepting a situation (a discussion with relatives of what happened) and getting rid of guilt will help. Analyzes and surveys will give an answer to the question you are having about the cause of a missed abortion and will prevent the tragedy from recurring next time.
The next step in psychological rehabilitation will be a return to normal life. Fill it to the maximum with useful and enjoyable activities that make you happier. Listen to your favorite music, watch good movies with a good ending, go for a walk more often and meet with friends. Sport after a frozen pregnancy can also be a great way to escape from bad thoughts, and in addition, and improve the overall state of their health. You can do jogging, yoga, fitness within a couple of weeks after cleaning. Even simple morning gymnastics refreshes the mind and helps not to dwell on what happened.
Many women can not move away from what happened, saying “I am afraid to become pregnant” after a missed abortion has occurred. Having passed all the tests, identifying and solving all the existing problems, they understand with their minds that the next pregnancy after a frozen one probably will not be a repetition of the previous one, but the fear does not let them go. Of course, in this case there is no need to hurry, because planning a pregnancy after a missed pregnancy is a process that is largely psychological. Give yourself time.
I wish you health and speedy recovery!
Effects of scraping on the female body
Usually monthly after scraping appear after a month. The countdown must start from the day of the operation. If the menstrual cycle consists of 28 days, then the monthly period will begin in 4 weeks. Each female body is individual, so there are sometimes delays, the causes can be very different, but most often they are due to inadequate ovarian function and failure of hormonal levels.
The first periods after curettage should be exactly the same as regular menstruation. If there is a high body temperature, excessive discharge, sharp pain in the lower abdomen, you should immediately contact a specialist. Gynecological cleaning can be carried out for the purpose of diagnosis or treatment. The first usually does not violate the hormonal background, so the monthly come on time. Medical scraping causes great trauma to the body, so a woman may need to undergo a course of therapeutic procedures.
Recently, vacuum scraping has been practiced, because it is less dangerous than a curette. They try to carry out cleaning only in extreme cases, because it often damages the walls of the uterus, leads to female infertility, and provokes inflammation.
Immediately after gynecological cleaning, bleeding is possible. Discharges are usually similar to menstruation, if they are not abundant, then you should not raise the alarm. If the gasket needs to be changed every 3 hours and even at night, it is necessary to consult a doctor. He will prescribe hemostatic drugs to normalize the uterus. If diagnostic cleansing has been carried out, then menstruation may begin on time, because the work of the ovaries is not suspended. Scanty periods after scraping in this case are considered the norm.
In due course, menstruation will begin and in case of emergency surgery, for example, uterine bleeding. If the procedure was carried out 3 weeks before the start of the cycle, then the monthly ones will begin in 3 weeks. Otherwise, the situation with abortion. It often happens that after cleaning the uterus there are no periods longer than 35 days. The reason lies in the fact that after a spontaneous abortion or removal of a frozen fetus, the hormones of a woman are disrupted, it may take up to 7 weeks to restore it.
Abundant periods after scraping are considered a reason for immediate visits to the gynecologist. Of course, you can turn to traditional medicine, for example, take a decoction of nettle, but the effect will be minimal. The doctor will prescribe hemostatic drugs that will bring the body back to normal in the shortest possible time.
When menstruations come after scraping in a couple of days, it is also recommended to make an appointment with a gynecologist. Do not forget about the accompanying symptoms: weakness, dizziness, discomfort in the stomach. The amount of discharge is important. Based on this information, the doctor will be able to diagnose the cause of the failure of the menstrual cycle and eliminate it.
Abundant discharge may indicate that during an abortion in the uterus there were fragments of the fetus. After a vaginal examination, the doctor will definitely conduct an ultrasound examination, ask for tests for hormones. If necessary, will be repeated cleaning. A month after curettage, when menstruation goes, you need to look at the discharge. If they are dark in color, with an unpleasant smell and they are few, it is recommended to make an appointment to see a doctor, to pass the necessary tests. Symptoms indicate the development of infectious inflammation.
If, after cleaning the uterus, there is no menstruation, this does not indicate the presence of any disease. Within a fortnight after scraping, a woman can become pregnant again. That is why doctors recommend taking oral contraceptives, because the body must fully recover, rest after surgery.
If the monthly after curettage is delayed by 7 or more weeks, then you should not postpone the visit to the doctor for later. In this case, there is a high probability of having a serious disorder requiring emergency medical intervention. The first menstrual periods after curettage may not occur due to a spasm of the cervix. In this case, blood fluid accumulates in the uterine cavity, which is not able to go outside. The consequences may be the most negative, so you should immediately contact your gynecologist for help.
Abundant periods after scraping, as well as their absence, indicate some kind of malfunction in the body. The reasons may lie in infectious diseases, inflammatory processes, hormonal disorders, medical error, in the end. Чистка матки – это серьезная операция, которая может повлиять на детородные функции женщины, поэтому нужно внимательно следить за своим здоровьем, отмечать любые нарушения в работе организма.
Если месячные после выскабливания вызывают тревогу, следует немедленно обращаться к специалисту. Чем раньше будет выявлена причина нарушения, тем легче ее устранить. Следует всегда помнить об этом.
About missed abortion
Experts still can not determine the exact causes of fetal death. They identified common factors that may be indirectly implicated in this:
- Reception of a large number of medicines.
- Infectious diseases.
- Bad habits.
- Constant nervous tension, stress.
Unfortunately, the fetus can stand still in a woman whose life does not have these negative factors. Independently it is not always possible to understand that with the development of the fetus problems began, he froze. An important role in this is played by the presence of menstruation, which should not be during normal pregnancy.
When the fetus stops developing, the progesterone level in the body decreases, partial retraction of the endometrium resumes, and bloody discharge is observed, accompanied by pain. If the ST was not detected in time, the consequences for the body can be very traumatic, it will be hard for the woman to fully recover.
After the cessation of the development of the fetus is diagnosed, curettage is necessary, the procedure is performed in a hospital, and after that the woman undergoes a rehabilitation period. Doctors do everything to preserve reproductive health.
What to do?
Doctors do not have the opportunity to restore embryonic development, they must get rid of the fetus to preserve the health of the woman. If fading occurred in the early stages, when the woman herself did not suspect that she was pregnant, the fetus could go out on her own. This may be perceived as late menstruation. In order to make sure that the miscarriage was complete, you should undergo an ultrasound scan.
If the doctor is not sure what will happen spontaneous miscarriage, is scraping in the hospital.
Ultrasound after the procedure is carried out in 1-2 weeks. So the doctor has the ability to control the situation, the patient's condition. To speed up the recovery process, a course of hormonal, antibacterial drugs can be prescribed. The treatment regimen is individual in each case.
Menstruation after curettage of a missed pregnancy can change character, there is scarcity or abundance of secretions. This process is affected by a combination of internal, external causes. A woman should clearly follow the cycle, regularly visit the gynecologist to normalize the condition.
When do monthly periods begin?
Scraping is a shock for the woman and the body. It is important that the cycle is restored, the opportunity to continue to become pregnant and have a baby is preserved. Doctors can not say for sure when they go monthly.
The first day of the new cycle is considered to be the day of scraping. The first menstrual periods after curettage of a frozen pregnancy will begin when the upper uterine layer is fully restored and a normal process of rejection occurs, and menstruation occurs. On average, periods should begin 28-35 days after surgery.
Doctors warn, when in the middle of the cycle the spotting will begin, do not perceive them as menstruation. This may be a sign that an organ whose surface has been scraped is starting to recover. The period when menstruation comes depends on the duration of pregnancy, the more it is, the longer it takes to wait for a new menstruation. Their age is affected by the age of the woman, the general condition of the body. When they start, a woman should carefully monitor the nature of the discharge. There should not be increased discomfort, severe pains, there should not be an unpleasant smell from the discharge. These signs indicate the development of infection in the uterus, such a condition needs timely treatment.
Reasons for the delay
A situation where there is no menstruation after missed abortion is a common consequence of the condition that has arisen. The average delay period is about 2 months. Experts have identified the main causes of this condition:
- Disruption of hormonal balance, resulting from the interruption of ST, incorrect selection of hormonal agents during the recovery period. A woman’s refusal to take COCs can also cause hormonal imbalances.
- The inflammatory process, which became the consequence of surgical intervention or the woman’s neglect of the rules of rehabilitation. Inflammation can be in the ovaries, tubes, and is accompanied by pain, fever.
- Strong stress can interfere with the process of producing the necessary hormones, as a result, there is a delay in menstruation.
How many days are menstruation?
Monthly after missed abortion occurs at about 28-35 days. Their flow patterns may vary. This explains the surgical intervention, stress for the body, hormonal imbalance. A woman needs to know how many days her periods go to understand if there are any reasons for concern.
The normal period for a healthy woman is menstruation lasting 3-7 days, after scraping this period may increase by a couple of days, but gradually the cycle will return to normal.
If after the procedure there are bleeding that lasts 2 weeks or more, you must inform the doctor - this is not a monthly, but a sign of recovery of the injured organ or evidence of the presence of internal inflammatory processes, diseases.
How menstruation after intervention
The nature of the flow of menstruation after scraping may change for a short time. This is influenced by the age of the woman, the professionalism of the doctor who performed the scraping. One should take into account the general condition of the woman and the period during which the fetus died.
The cycle can resume in 3-4 months from a woman who has previously given birth. If there was no birth, the process can take up to 7 months. During this period, you must undergo preventive examinations, follow the doctor's recommendations for recovery.
Abundant periods after clearing a missed abortion occur in many. The woman changes the hygiene products after about 3 hours; at night, the discharge does not become less abundant. After scraping is an alarming symptom that can be triggered by:
- hormonal imbalance,
- inflammatory process
- residues of particles of fetal membranes in the uterus.
Very heavy monthly discharge may be accompanied by an unpleasant smell, lasting up to 2 or more weeks. There may be monthly chunks. Discharges may indicate the presence in the body of a problem that requires timely diagnosis and treatment. Abundant periods will cause blood loss, so do not postpone a visit to the doctor.
Weak periods after curettage are common in most cases and should not cause anxiety. The inner layer of the endometrium can not recover immediately, sometimes in the first cycle, even ovulation does not occur, hence the scarcity of secretions.
It is necessary to consult a doctor when menstruations started with a strong delay and they are very scarce. This is often a sign of inflammation in the ovaries, stenosis of the uterine cervix. The blood cannot escape from the narrowing of the cervical canal, the process is accompanied by painful sensations.
Are pain possible?
Full recovery cycle after missed abortion requires a certain time. Severe pain can accompany the first 1-3 cycles of menstruation. During this period, the uterus is especially sensitive to contractions. Severe pain also occurs due to hormonal disorders. A large amount of dopamine and adrenaline cause a sharp reduction in uterine smooth muscle. Gradually, the state is normalized.
After scraping, normal menstruation returns after several cycles. A woman should strictly follow the recommendations of the doctor during the recovery period in order to preserve reproductive health.
Freezing pregnancy and cleaning
Scraping on indications during a missed abortion or after an abortion always negatively affects the health of the woman, and the cervix and uterine cavity are injured. Therefore, it is necessary to understand when menstruation begins after cleansing and how to determine that it is not bleeding.
First of all, in cases of suspected fetal fading, it is necessary to pay attention to the following signs:
- vaginal discharge with blood,
- increased body temperature on the background of general malaise,
- pain in the lower abdomen,
- in the second trimester there is no movement on the part of the fetus.
In the first trimester, the body can reject the fetus on its own, before 8 weeks of gestation, a planned abortion is possible, and in a later period, scraping will be required. The situation is attributed to the fact that death and decay inside the womb leads to intoxication and blood infection.
Recovery after curettage takes a long time, since the uterus is traumatized, and it takes at least three months for a woman to bear and conceive a child. Doctors recommend for absolute restoration of the genital organs to protect themselves during sexual intercourse from 6 to 12 months.
Monthly after missed abortion
After missed abortion, when menstruation comes, it is necessary to pay attention to the quality and quantity of secretions, as well as for the period between cleaning and the onset of menstruation. As a rule, the first menstruation occurs in 1-2 months, but the recovery of the cycle can also be caused by the individual characteristics of the female body.
The delay of menstruation for a period of just over 2 months is considered normal and does not require special treatment. But still, in this situation, you should not postpone visiting the attending physician. Because the pathological process can be caused by the accumulation of blood in the uterus and neck spasm, in which the fluid is unable to exit through the vagina.
In the first few days after the procedure, poor spotting is possible, which indicate the healing of the uterus and the operation performed.
If after a month there are abundant blood secretions with clots, pain and possibly unpleasant odor, then this indicates the development of sepsis and the presence of fragments of the fetus in the uterus, you should immediately seek emergency help. In the hospital will be carried out an ultrasound study, you will need to pass tests for hormone levels. The decision to re-clean is made by a doctor after thorough diagnosis.
The first menstruation is no different from the previous normal discharge, the hormones and the menstrual cycle should stabilize on their own.
For 2 weeks you should refrain from sexual intercourse. In the case of vacuum cleaning on a long term gestation, it is better to start sexing after one month.
The psychological component after a missed abortion is an important aspect to restore hormonal levels and the subsequent onset of menstruation. Therefore, positive emotions and a long rest are necessary in order for the body to quickly return to its normal state.
Cleaning after missed abortion - why
The most important thing is not to blame yourself. Often the death of the fetus occurs for unclear reasons.
However, doctors distinguish a number of possible preconditions that can lead to this phenomenon:
- clearing a missed pregnancy photogenetic developmental disorders of the fetus itself, as a result of which the mother's body rejects non-viable offspring from the womb (most often it occurs in the initial terms of gestation)
- infectious diseases and those that are sexually transmitted (STDs)
- Also, cleaning during a missed abortion may be a consequence of the influence of bad ecology, bad habits, unhealthy lifestyle
- chronic diseases such as hypertension, diabetes, diseases of the reproductive system often provoke the development of pathologies in the fetus
At risk are women after 35 and women who have had multiple abortions. The most dangerous period is the first trimester of pregnancy. However, fetal death can occur in the second and third trimester.
Brushing during missed abnormalities: signs
Fruit freezing is not detected immediately. As a rule, the beginning of pregnancy does not foreshadow trouble.
The fertilized egg is safely implanted in the uterus, the amniotic egg develops, and here, depending on the type of pathology present, the embryo either does not develop at all or dies, for the reasons described above.
At the same time, signs of pregnancy - lack of menstruation, breast swelling, toxicosis - may persist.
Quite often, no signs indicate the presence of missed abortion. No manifestations of the lack of development of the embryo are found, and that a woman learns that the fetus is dead only at a regular reception at the gynecologist or at the time of the ultrasound. Further, she is waiting for cleaning during a missed abortion.
missed abortion photo
Doctors recommend to pay attention to such phenomena that are not characteristic of pregnancy as:
- bleeding from the vagina
- general discomfort, manifested without apparent reason: weakness, fever
- pains localized in the lower abdomen
- sudden absence of signs of toxemia and breast swelling.
In the second and third semesters of pregnancy, a clear sign, among other things, is the cessation of fetal movement.
Any of these symptoms is a reason for seeking emergency medical care, such actions will bring the next pregnancy after miscarriage and cleansing and prevent the development of blood poisoning.
If symptoms are not observed, the gynecologist may suspect a missed abortion on examination, in the case when the size of the uterus does not correspond to the duration of pregnancy. Ultrasound will show the absence of the heartbeat of the fetus.
Also a fairly accurate way to determine the pathology of the fetus is a blood test for hCG. That is why it is so important to get on a hospital account to a gynecologist during pregnancy.
If you skip the dangerous signs, the intoxication of the female body will begin, which can later lead to infection of the blood and tissues. The development of sepsis is provoked by the decay products of a dead fetus, entering the bloodstream of a woman’s body. In such cases, pregnancy after miscarriage and cleansing may not occur soon, and possibly the development of infertility.
In some cases, the woman's body itself rejects an empty egg in the form of a miscarriage. Basically, vacuum aspiration using vacuum suction or curettage (curettage) of the uterus cavity is prescribed. The operation is performed under general anesthesia.
If the term is not more than 8 weeks, the doctor may have a medical abortion. Prescribed drugs that cause uterine contractions and endometrial rejection of the fetus, that is, provoking miscarriage.
The discharge after cleansing a missed pregnancy may indicate the development of the inflammatory process, so the doctor prescribes antibiotic shots for prophylaxis and prescribes an ultrasound scan.
These measures eliminate the risk of incomplete removal of the fetus. If the cleaning was performed poorly, then this is a prerequisite for the appointment of another operation.
Monthly after cleaning a missed abortion
Cleaning the uterine cavity is fraught with injury, which in any case will be a selection.
monthly after cleaning photo
With a favorable outcome, they are similar in volume and appearance to the discharge during menstruation. After seven days they usually become scanty, smearing, brownish.
After a month, no trace of the operation should be. If the bleeding is too heavy, with an unpleasant smell and pain, then this is a sign of the development of pathology - you should immediately consult a doctor.
Monthly after cleaning a missed abortion may be irregular.
They should be expected the next month after the operation, sometimes the delay is delayed by 2-3 cycles. Much depends on the individual characteristics of the organism.
In any case, the absence of menstruation is the reason for the visit to the doctor, such symptoms may indicate hormonal disruptions or the development of the disease.
Pregnancy after miscarriage and cleansing - in anticipation of happiness
A frozen pregnancy should not be taken as a sentence.
There are many cases where a woman after failure for the first time became a happy mother in the second pregnancy.
However, doctors do not advise the first half year after cleaning to get pregnant again.
This is due to the fact that the woman's body is weakened, the nervous system can be depleted.
Do not endanger another child due to lack of strength in the body.
It is advisable to drink a course of vitamins, to eliminate alcohol for a while and taking medication without any urgent need. Useful will be sparing type of food.
How to plan a pregnancy after a miscarriage and cleaning
First of all - do not despair. Yes, the death of the fetus in any case will be physical and mental pain.
Time cures. It's true. One has only to remember that there is always another chance, and not one.
Главное, беречь себя, вести здоровый образ жизни, радоваться по мелочам самой и радовать других. Верить и ждать.
И в этом к месту будут две прекрасных пословицы: «Всё, что ни делается – делается к лучшему» и «Всё будет хорошо».
Monthly after scraping: when they start and what to expect from them
In order for a woman's body to recover after curettage (gynecologic cleaning) it can take a long time.
A reliable indicator that the hormones and ovarian functions have recovered is the onset of regular menstruation. True, there is one very important condition, menstruation after curettage should not differ from the usual menstrual flow of a woman. The appearance of severe bleeding, pain, fever during menstruation is considered abnormal and requires immediate medical attention.
How curettage affects the female body
Currently, the procedure of gynecological cleaning is carried out both for diagnostic purposes and for treatment. Previously, this method was one of the main ways to terminate an unwanted pregnancy, but today there are many other, less traumatic methods for abortion.
Nowadays vacuum curettage is the most common, it is less dangerous than curettage curettage. It is worth remembering that the procedure can cause damage to the walls of the uterus, can provoke inflammation and the development of infection, often the menstrual cycle fails. Scraping may even cause future infertility.
In view of the above adverse effects, scraping is attempted only in cases of extreme necessity.
When should menstruation begin
The first menstruation should begin after scraping. after 28-35 days after the procedure. Menstrual flow after eliminating missed abortion often begin after 6-7 weeks. If during the specified period, menstruation has not begun, it is worth contacting a gynecologist. Delayed menstruation after termination of pregnancy is quite possible, since the reproductive system may take some time to recover.
Diagnostic curettage, as a rule, does not lead to disruption of the hormonal cycle; therefore, menstruation should come in due time. However, one should not forget about the peculiarities of the female body, which in each individual case may react differently to external interference.
Whatever the purpose of the procedure, there is a risk of inflammation or infection, so you need to carefully monitor how the menstruation will proceed first after curettage.
Too much menstrual flow (hygienic means changes every three hours) or, on the contrary, scanty dark discharge accompanied by an unpleasant smell is a good reason to visit a gynecologist.
If during the first menstruation after gynecological cleaning a woman experiences pain in the lower abdomen or notes a rise in temperature, then this is also a very alarming signal. Often, after a surgical abortion, the particles of the fetal membrane remain in the uterus, which provokes abnormal periods, in which case the doctor performs a repeated curettage.
After diagnostic curettage, which is carried out with miscarriage, missed abortion, removal of polyps or tissue sampling for a study, the menstrual flow should not normally differ in its abundance or duration, otherwise, you should immediately visit a doctor.
Long absence of menstruation after scraping may indicate a fairly serious pathology. It is possible that in the process of recovery after the procedure there was a cervical spasm - this can cause an accumulation of blood discharge in the uterine cavity, which in turn can lead to very adverse consequences. Therefore, it is not worthwhile to postpone a visit to the gynecologist for a long time, if the menstruation after curettage does not come for a long time!
The absence of menstruation after surgical abortion may indicate a new pregnancy. A woman can become pregnant within 10-14 days after an abortion, so it is worth choosing contraceptives especially carefully.
As mentioned above, the norm is considered if the monthly after scraping does not differ from the monthly before performing the procedure, in any other case it is worth consulting a gynecologist.
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Pregnancy during pregnancy is when the embryo stops developing, the causes are different: from hormonal disorders, infectious diseases, etc. In the overwhelming majority, the fetus is surgically removed from the body of the uterus, hormone preparations and antibiotics are prescribed. Naturally, such procedures have an impact on the monthly.
Usually menstruation with such a pregnancy goes through a month and a half. Delay of menstruation can most often be associated with hormonal stress experienced. Causes of missed abortion - long-term use of antidepressants, as a result of hormonal disorders, when an imbalance occurs between progesterone and estrogen) in infectious diseases (toxoplasmosis, ureaplasmosis, rubella, influenza, herpes). Pregnancy death occurs after taking drugs, tobacco, alcohol.
During the entire period of pregnancy, missed abortion may occur. To date, experts have figured out at what time it may be a fading pregnancy. The most dangerous is the 8th week. The child is most vulnerable from 3 to 4 weeks, from 8 to 11 weeks, and from week 16 to week 18. There are rare cases when the pregnancy stops in the final terms. In the early stages, signs of fetal fading are unclear and the woman most often goes to the doctor at the stage of intoxication. Monthly after such a pregnancy are irregular. And to restore a normal cycle will take some time.
Symptoms of missed abortion
A pregnant woman in early pregnancy may not feel that the fetus has stopped developing. Signs of missed abortion may be disappeared symptoms of pregnancy - vomiting, nausea, gland swelling. There may be pain in the lumbar spine, in the lower abdomen, there may be blood or bloody discharge. But in the 2nd trimester and in the late stages of pregnancy, more pronounced symptoms appear, when the general state of health worsens, the child ceases to move. Pregnancy during pregnancy usually ends in miscarriage, but if the fetus is not pulled out, then intoxication will occur, which will affect the general condition of the woman.
Period of menstruation after cleansing
Do not confuse spotting, which is released after surgery for several days, with monthly. Ideally, menstruation should be in the normal period, for example, with a cycle of 28 days, you must wait for menstruation four weeks after the postoperative discharge ends.
Do not forget that every woman has an individual organism. In addition, deviations in the timing of menstruation depend on what week the curettage was performed, on the drugs prescribed by the doctor. But in most cases, be guided by the specified time.
- Changes in hormonal levels lead to a delay in menstruation. After surgery, for a long period, gynecologists prescribe hormonal contraceptive drugs. It is necessary to restore the body and to prevent pregnancy, the next conception is recommended to be postponed for six months. If a woman refuses to take drugs, the cycle is broken.
- Internal inflammations occur when, during intercourse, an infection gets into the uterus, after interrupting a prescribed course of antibiotics. In case of inflammatory diseases, menstruation can be on time or later, but they will be dark, with an unpleasant smell, scarce.
- Too strong periods indicate that the particles of the fetus remained on the uterus. This happens when a woman does not undergo an ultrasound 2 weeks after the operation. In this case, you need to re-clean with the subsequent treatment and have to stay in the hospital for some time.
In order to avoid the consequences of the disease, with violations of well-being and any abnormalities, even minor ones, you need to contact a gynecologist.
How does normal menstruation proceed after curettage?
Theoretically, normally the first menstrual periods after diagnostic curettage or abortion come on day 28-35. If diagnostic curettage was performed, the hormonal background was not affected. Therefore, violations during the cycle should not occur. However, in practice, much depends on the individuality of the flow of the menstrual cycle and the general state of the patient’s body.
If a woman undergoes a surgical abortion, the delay of the menstrual period after scraping is quite possible. The reproductive system must recover from an unexpected termination of pregnancy. In any case, it is worth remembering that intervention in the uterine cavity carries the potential threat of the development of infectious and inflammatory processes. Therefore, you need to carefully consider how the first menstruation will pass after curettage.
Violations during menstruation after curettage
Abundant or, on the contrary, scanty periods after curettage serve as a weighty excuse to visit a gynecologist. Notice how often you change the pads during menstruation. Abundant menstrual periods after curettage are those for which it is necessary to change the hygienic means once at about 3 hours. An indication of severe bleeding may be the need to change the gasket at night. As a rule, during sleep, bleeding becomes more passive, as the woman practically does not move. Scanty periods after curettage, accompanied by an unpleasant smell, of dark color is a disturbing signal. Especially if the menstruation takes place against the background of poor general well-being, fever, pain in the lower abdomen. Perhaps, after an abortion, a number of particles of the fetal membrane remain in the uterus. In this case, you should donate blood to determine hCG. If a positive result is recommended re-scraping. An unpleasant smell during menstruation confirms the presence of an infectious process, such as endometriosis.
Usually, the second periods after scraping come on time. But the full recovery of the menstrual cycle may be delayed. The norm is the restoration of the usual course of menstruation for 2 - 3 months. In the absence of menstruation for three months after an abortion or diagnostic curettage, it is necessary to consult a doctor, since we can talk about such a serious violation as infertility.
After diagnostic curettage, carried out during missed abortion, miscarriage, in order to remove polyps or tissue sampling for histology, the periods do not differ normally in duration or profusion.
However, the absence of menstruation in due course can be a sign of a serious pathology. Why there is no monthly after scraping in this case? Most likely, during the recovery period after surgery, a cervical spasm occurred. As a result, bleeding accumulates in the uterus, forming a fairly dense clot. Under such circumstances, you should immediately consult a doctor.
Don't know what to wear? Become fashionable immediately! Your name * E-mail address * Other articles: Bad odor during menstruation The nature of the flow of menstruation can sometimes indicate a problem in the body of a woman. Some people experience, as they think, an unpleasant smell during menstruation. Is it the norm or is it worth paying attention to health? Let's try to figure it out. The reason for the delay of menstruation, the test is negative The regular menstrual cycle for a woman is more rare than the rule. But sometimes such deviations from generally accepted standards can indicate diseases. Therefore, it is important for every woman to know about the possible reasons for delaying menstruation, which we will discuss in our article. Monthly Delay Rate Women sometimes experience menstrual delays that are not related to pregnancy. And here are possible options - if the menstruation does not occur too long - this may indicate a variety of disorders in the body. And how do you know what the delay is normal? You will find the answer by reading our article.
Discharge after missed abortion
Discharge after missed abortion - this is normal. When scraping, the endometrium is partially removed from the uterus. Removal of the ovum without bleeding is not possible. Usually bleeding lasts 3-4 days. After 10 days, you will be assigned an ultrasound scan to see if everything is in order. Sharp pain should encourage a woman to consult a gynecologist before the scheduled time.
Brown discharge after missed abortion
Brown discharge after missed abortion, beginning later than 2 weeks after curettage, should alert you. They can be signs of inflammation. If abundant brown discharge after a frozen pregnancy is also accompanied by pain and fever, you should go to the doctor immediately!
Abdominal pain after missed abortion
Abdominal pain after missed abortion is observed as a reaction to trauma during curettage. Short-term cramping pains are also possible.
Abdominal pain in the absence of discharge can talk about the development of complications in which blood is retained in the uterus. If there is pain and bleeding, it can speak about the trauma of the uterine wall (perforation), and the delay of parts of the ovum. If the discharge after curettage of a missed pregnancy is not abundant, there is no pain, you are allowed to go home that evening. Life after missed abortion continues, 90% of subsequent pregnancies in such women proceed normally. After 6-9 months you can think again about the baby.
Depression after missed abortion
Depression and depression after missed abortion - a reason to consult a doctor. The main thing that you need to understand is that you cannot significantly affect the development of the fetus. Pregnancy freezes may have saved you from having a sick child. Depression after missed abortion is accompanied by very strong depression, apathy and constant crying.
In addition to referring to a psychologist, it is still necessary to gather strength and distract. Best of all yoga classes help.
Motherhood is a joy that you will surely know! For the time being, limit your interaction with the children of your friends. But be sure to communicate with your peers, look for friends and family support and support. You have experienced a loss. Do not hold back emotions, cry. Avoiding communication exacerbates pain. On the contrary, a kind word from a close person can soothe and ease it. You can also help those in the same situation.
Rarely there is a frozen pregnancy for a period of 20 weeks. In this case, the woman has to give birth to a dead child. To avoid infection, caesarean can not be done. A woman is left alone with her grief. Shame, doubts, anger - all these are normal human emotions, reaction to trauma. Without the help of a specialist, it is often really difficult to do. Depression usually lasts about six months. But in some cases, women experience the effects of missed abortion even after the birth of another child.
Endometritis after missed abortion
Endometritis after a missed abortion is a consequence of curettage. Endometritis is an inflammation of the lining of the uterus. If curettage is not done, blood infection may develop. In the early stages of fetal extraction produce a vacuum, then the risk of endometritis is reduced.
Chronic endometritis is a common cause of infertility after missed abortion.
If you feel weakness and pain in the lower abdomen after scraping a frozen pregnancy, this may be the beginning of endometritis. To confirm the diagnosis prescribed ultrasound of the pelvic organs. You will be prescribed broad-spectrum antibiotics, sedatives and physiotherapy.
Delay of menstruation after missed abortion
The delay of menstruation after missed abortion can last up to 2 months. If the period began, but they are very strong, with clots, you need to do an ultrasound to make sure that the particles of the fetus did not remain in the uterus, which is fraught with intoxication and the development of sepsis. Pay particular attention to such a symptom of problems in the body, such as a long delay of menstruation after missed abortion or, conversely, too heavy menstruation.
Ovarian cyst after missed abortion
Ovarian cyst after missed abortion is the reaction of a woman’s hormonal system to the cessation of fetal development. An ovarian cyst is a cavity in it that has accumulated fluid. 8 out of 10 cysts pass by themselves. From exercise, the cyst is compressed and twisted. There is suppuration. В случае перекрута появляется слабость, женщина теряет сознание.
Выявить кисту без перекрута может только гинеколог. Он назначает женщине, у которой киста после замершей беременности, гормональные лекарства, физиотерапию.
Гистология после замершей беременности
Гистология после замершей беременности помогает определить пороки развития плода. Most often these are genetic disorders and viral infections, for example, herpes. Thanks to histology can prevent violations in future pregnancies. Ultrasound after missed abortion
Ultrasonography after a frozen pregnancy is done for 14 days in order to check whether parts of the ovum remain in the uterus. Consultation of genetics after a frozen pregnancy. Consultation of genetics after a frozen pregnancy is especially necessary for women after 35 years of age, with an unfavorable family history, with a closely related marriage and bleeding disorders in relatives. Most often with missed abnormalities, genetic and environmental factors are combined.
Repeated curettage after frozen pregnancy
Repeated curettage after a missed pregnancy is done, if on the ultrasound, 14 days after the cleaning, remains of the ovum are found or, if the woman has previously dealt with disturbing symptoms, such as fainting and fever, severe abdominal pain and heavy discharge with clots, not associated with menstruation. Consequences after a frozen pregnancy The consequences after a frozen pregnancy are difficult to underestimate: life after a frozen pregnancy is often colored for the failed mother in dark colors. The child she was waiting for, who may have already begun to move, will not be born. This news is shocking. Often, relatives cannot understand a woman, because only she felt in herself the birth of this new life. This is reflected in both physical and mental condition. Pregnancy during pregnancy can occur at any time, but most often occurs up to 12 weeks, when the fetus is very vulnerable and only formed.
The consequences of missed abortion do not imply miscarriage in the future. You just need to carefully prepare for a new pregnancy, to pass tests. Rest more, go to the appointment with the gynecologist with her husband, he will explain to him the cause of your unstable emotional state. It may also be necessary to examine the father of the deceased child. Sometimes the cause of stalled pregnancy becomes stress or hormonal problems. To minimize the effects of the next pregnancy you need to remove all risk factors.
Complications after missed abortion
Complications after missed abortion are most often associated with inflammation of the uterine lining - endometritis. During curettage during missed pregnancy, infectious agents sometimes enter the uterus. In addition to missed abortion, abortion is often the cause of endometritis. 20% of abortions end with a diagnosis of endometritis. Due to mechanical injury, local immunity is reduced. Intense spotting and high temperature is a reason for an extraordinary visit to the gynecologist and even to call an ambulance. Sometimes a woman may need hospitalization. Complications of endometritis can be sepsis, adhesions and infertility. Endometritis is treated with antibiotics.
This is regarding the physical condition of a woman. But let's also talk about the aspect of psychological crisis and depression after a missed abortion. Zamerchaya pregnancy does not pass without a trace for the psyche of the failed mother, it causes mental distress. And no consolation, even the fact that 15% of pregnancies freeze, cannot console a woman. She waited and already fell in love with this particular baby. Life after a frozen pregnancy breaks into two halves for her - before and after the tragic event. Those close must help her not to withdraw into herself. Do not hesitate to seek professional psychological help.
Treatment after missed abortion
Treatment after missed abortion consists primarily in extracting a dead fetus from the uterus (this may be a medical abortion or mechanical cleaning, in later periods - artificial birth). After that, a woman is prescribed a course of antibiotics. It can also be prescribed hormonal drugs to restore the disturbed hormonal balance and vitamin complexes.
The most common antibiotics for missed abortion are broad-spectrum antibiotics. One of these drugs is gentamicin. With missed abortion, it is administered intramuscularly. Daily dose - 3mg / kg. The multiplicity of the introduction - 2-3 times. The treatment lasts 7-10 days. Side effects such as muscle twitching, anemia, nausea, vomiting, skin rashes and itching are possible. In patients with renal insufficiency, renal necrosis is possible.
Hormonal tablets after missed abortion prescribed, if menstruation does not come within 60 days after curettage. Also, if you consider that it is not recommended to become pregnant for 9-12 months, they can serve as a contraceptive.
Doctors often recommend Janine after missed abortion. Janine - COC (gestagen + estrogen). Take 1 tablet 21 days from the first day of the cycle, then do 7 days off. Side effects: anemia, vaginal candidiasis, decrease in mood, migraine, abdominal pain. Contraindications: deep vein thrombosis, angina and heart attack in history, migraine headaches, diabetes mellitus with vascular complications, arterial hypertension.
Recovery cycle after missed abortion
Recovery cycle after missed abortion should occur naturally within 2 months. If this does not happen, combined oral contraceptives are prescribed to the woman. In many cases, Duphaston becomes the drug of choice. Duphaston after a frozen pregnancy drink 2 times a day from 11 to 25 day of the cycle. Close to natural progesterone. Does not affect blood clotting. It does not adversely affect liver function. Side effects: headache, migraine, skin rash, itching, urticaria.
Contraceptive after missed abortion
Contraceptive after missed abortion may be necessary if there are failures in the menstrual cycle and with contraceptive purposes (it is undesirable to become pregnant immediately). Often for its correction apply drug Regulon based on a combination of two hormones: estrogen and progestogen. If the menstrual cycle is normal, the reception of Regulon begins from the first day of the cycle and drink it 21 days at the same time of day. Then do a 7-day break. Contraindications: heart attack, angina pectoris, stroke, migraine, epilepsy, severe depression, venous embolism in relatives, diabetes, hepatitis, gallstone disease, Gilbert's syndrome, liver tumors, smoking after 35 years. Side effects Regulon after a frozen pregnancy: nausea, Crohn's disease, depression.
Yarin after a frozen pregnancy Yarina after a frozen pregnancy is used for contraceptive purposes and to restore the body. Yarin - estrogen-progestin COCK. The drug is drunk for 21 days, after which they take a break of 7 days and begin to drink tablets from a new package. Contraindications to the use of Yarin after a frozen pregnancy: deep vein thrombosis, heart attack, stroke, migraine, diabetes, arterial hypertension. Side effects: Crohn's disease, migraine, nausea. During antibiotic therapy and for 7 days after their cancellation, an additional condom should be used.
Jess plus after missed abortion
Jess Plus after missed abortion is used as a contraceptive and means to restore the menstrual cycle.
Jes Plus is a low-dose preoral estrogen-progestin contraceptive. The drug suppresses ovulation, makes menstruation more regular. Contraindications: hypersensitivity or intolerance to the components, thrombosis and thromboembolism, migraine with severe neurological symptoms, diabetes mellitus. Apply in the order indicated on the package, 28 days. Start taking the pills from the next pack without interruption. Side effects: migraine, mood swings, decrease in libido, arterial and venous thromboembolism. Utrozhestan after missed pregnancy Utrozhestan after a missed pregnancy is used to restore hormonal levels. The active ingredient is progesterone. The drug is taken orally in a daily dose of 200-300 mg (2-3 caps.) In phase II of the menstrual cycle for 10 days. Contraindicated in marked disorders of the liver and individual sensitivity.
Hormones after missed abortion
Hormones after a frozen pregnancy are prescribed to prevent a new frozen pregnancy or miscarriage against the background of an impaired hormonal background or, if the menstrual cycle cannot recover, bring it back to normal. Also, when a woman does not want to be protected by other means, hormonal contraceptives are prescribed during preparation for the next pregnancy. HCG after missed abortion
The level of hCG after missed abortion is falling rapidly, and pregnancy tests give a negative result. This is a reason to guard and immediately run to the gynecologist. According to the level of human chorionic gonadotropin, other developmental pathologies can be suspected.
Metipred after missed abortion
After missed pregnancy, metipred is prescribed with an increased level of male hormones, which provoke fading. Side effects: weight gain, mental disorders, changes in carbohydrate metabolism. Dosage is prescribed individually. Hyperandrogenism is a common problem that makes it difficult to carry a baby. The drug Metipred prescribed for the correction of the level of the hormone adrenal glands. Doctors recommend a woman to reduce the calorie content of food to avoid problems with weight.
Wobenzym after missed abortion
Wobenzym after a frozen pregnancy has a complex effect on the health of a woman: improves immunity, increases the bioavailability of antibiotics. Wobenzym is an enzyme preparation that does not inhibit the body's production of its enzymes. He is well tolerated. Wobenzym can be considered as part of a comprehensive treatment of STDs, mastopathy and miscarriage. Contraindications: individual intolerance, violation of the blood coagulation system. Side effects: changes in stool and diarrhea. Dosage: 3 tablets 3 times a day for 2-5 weeks.
Antibiotics after missed abortion
Antibiotics after missed abortion are discharged after cleaning in order to avoid infectious effects, as after any surgery. One of the antibiotics suitable in this case is ceftriaxone.
Average daily 1-2 g 1 time per day or 0.5 g 2 times per day. The drug is administered intramuscularly or intravenously. Duration of reception is 2-3 days.
Contraindications: renal failure, liver failure, ulcerative colitis. Hypersensitivity Reactions.
Side effects: change in blood picture, dyspepsia, bronchospasm, candidiasis, vaginitis.
Recommendations after missed abortion
Doctors may prescribe the following recommendations after missed abortion.
The diagnosis of missed abortion can only be made by a doctor, since according to subjective data, like the cessation of nausea, it cannot be said for sure whether it is a frozen pregnancy or toxicosis.
- Pay attention to any disturbing symptoms during the next pregnancy. Plan a pregnancy. You can prevent fading of pregnancy by treating all infections with STDs in advance.
- Give up alcohol and smoking.
- Minimize the number of abortions.
- Avoid stress.
Sex life after missed abortion
Sex life after missed abortion is allowed after 2 weeks, if the gestation period was short, and you were given a fetal extraction with a vacuum or a medical abortion. If there was a mechanical curettage, then, in order not to carry the infection, you should refuse sex for a month. In addition, the first weeks you may experience pain.
Sport after missed abortion
Sport after a frozen pregnancy is allowed after 1 month after scraping, walking, yoga, and a swimming pool are very useful for keeping fit. Life after missed abortion after some time will be interesting again. Take a break from problems. And with the help of sports to do it best. They will help you not to focus on what happened. You can play sports with the whole family, let the husband take part too, because his health plays a big role for the life of your future baby.
Vitamins after missed abortion
Vitamins after a frozen pregnancy are needed in order to saturate the body with everything necessary during the planning of the next pregnancy. The future father also needs to take vitamins before conceiving. Vitamins E and B9 (folic acid) reduce the formation of poor-quality spermatozoa in the seed, vitamin C makes spermatozoa more viable. In the male sperm about 5% of defective sperm. To reduce their number need to take folic acid. Folic acid is found in bananas and the liver, but it can break down during heat treatment. Therefore, it is necessary to fill its deficiency with drugs.
Vitamin C is necessary for the future mother for strong immunity. Vitamin E restores the cycle. Remember that hypervitaminosis, like vitamin deficiency, is harmful to the body. Folic acid after a frozen pregnancy Folic acid after a frozen pregnancy is prescribed to prevent developmental defects in the fetus during a future pregnancy. It vices that are incompatible with life become an obstacle to the development of pregnancy. Eat more greens, vegetables, very good liver. Also, take folic acid in the dosage prescribed by your doctor. Let folic acid supplements also be taken by your spouse.
Monthly after curettage of missed abortion
Such gynecological surgery as curettage is an indispensable procedure in obstetrics. There are three main reasons in this area for which curettage of the endometrium of the uterus is prescribed:
- To eliminate unwanted pregnancy,
- To clean the uterus after an incomplete abortion or miscarriage,
- To eliminate the fetus during missed abortion.
Although endometrial curettage is not considered a serious surgical procedure, complications may occur after the procedure. Therefore, this procedure is recommended to perform in a hospital under general anesthesia.
What is scraping?
Scraping provides for the removal of the upper layer of the mucous membrane, during which, together with the endometrium, the ovum or pathology is removed from the uterus. As a rule, the fetus dies in the first trimester of pregnancy, so most often the curettage procedure for removing a frozen pregnancy is carried out from 5 to 12 weeks of pregnancy. But there are also later periods, on which the uterus is “cleaned”.
How to prepare for this operation?
Before scraping a woman must take a shower and make a cleansing enema. It is also necessary to remove hair from the pubis. Scraping is performed on the empty bladder. Immediately before the operation, the patient is examined by a gynecologist and an anesthesiologist. A gynecological examination will help establish the location of the uterus and eliminate contraindications for curettage.
How is surgery performed to remove a missed pregnancy?
Instrumental abortion, as they call this procedure in gynecologyIt is performed under general anesthesia in a sterile room. The patient is on the gynecological chair, and the doctor, using a curette, carefully removes the endometrium and the frozen fetus.
The whole curettage procedure lasts approximately 20-40 minutes. After that, the woman is transferred to the ward and watched over her condition for another couple of hours. If there are no complaints and complications, then on the same day she goes home.
Monthly after curettage of missed abortion should start in 24-60 days. The beginning of the cycle is the day on which the curettage procedure was performed. Normally, menstruation should go through as many days as the cycle lasted and before the operation, because scraping should not be the cause of the failure of the menstrual cycle. Violation of the cycle suggests that the hormonal balance has failed in the woman’s body. Hormonal background can, without additional treatment, within a month to return to normal and within 60 days after curettage, menstruation begins. The shortest monthly cycle (norm) is considered to be 24 days, therefore, before 24 days the monthly period after curettage should not begin. If you do not have menstruation for more than two months after the procedure for removing a missed pregnancy, or, on the contrary, it started too soon, you should immediately seek help from medical Center.
The first periods after missed abortion: when you should be alert
As a rule, after curettage, bleeding goes for 2-3 days. They cannot be called abundant, but they also cannot be called bloody. This behavior of the body is the norm, since after ST, the functionality of the female organs must recover and thus the uterus cleans itself.
If after 3 days (maximum 7 days) blood is still flowing - you need to contact a gynecologist. Many girls confuse the first menstruation with secretions after scraping.
Monthly after scraping: what to expect from them?
Если работа организма стала функционировать в привычном для себя режиме, то уже через месяц девушка может ждать первую менструацию после выкидыша или чистки. Но так как ЗБ – это очень большой стресс для организма, многие пациентки жалуются на задержку месячных.
- If the functional body of the woman was able to recover a little, then the monthly will be similar to those that she had before pregnancy. If a girl takes all the medicines prescribed by the doctor, then the body's work will soon be restored.
- If the monthly went, but plenty, you need to watch a few days.
The amount of blood should decrease every day. If this does not happen - see a doctor immediately. Bleeding may have occurred.
- If there is no menstruation at all, it means that the woman's hormones are disturbed (which is natural, after curettage).
Period of menstruation after surgery
How long the first menstruations will go after scraping is impossible to say for sure. Every woman's body reacts in its own way to this phenomenon. However, the norms of menstruation, after all, is.
- Menstruation lasts no more than a week. Otherwise, it is bleeding that needs to be stopped. With this question you need to contact your doctor.
- Monthly can be abundant, but decrease every day. If this does not happen, you also need to consult a doctor, because the reason for this may be not only hormonal imbalance, but also infections, inflammation, etc.
- If menstruation is scarce, then most likely, the body adjusts its work, and the next period should go as it should.
Scanty menstrual flow
Poor menstruation, as well as its absence, is a bell for a woman, that her hormonal background has not yet stabilized.
It is to restore the cycle and the normal functioning of the body after such stress that the doctor prescribed strong antibiotics and hormonal drugs. Taking medication is very important. You should not stop treatment if the first menstruation is normal, because the work of the body can not fully recover in such a short time.
There are several reasons due to which menstruation becomes abundant:
- Malfunction of hormonal background. Because of this, the functionality of the body is disturbed and the menstrual cycle is lost. In order to get everything in shape, doctors prescribe contraceptives that contain hormones. It is they who regulate and restore the cycle. If they are not taken, the cycle will be lost and will be irregular.
- After scraping, internal inflammation may begin, which at first will not be felt. Already after it can begin abundant menstruation, developing into bleeding. Also, the inflammatory process can begin due to infection during sexual intercourse. In any of these cases, you should go to the hospital.
- Also, abundant periods may indicate that particles of a frozen fruit are still inside. They may be very small, but because of them the organs can become very inflamed. In this case, you need to re-scraping.
Delayed menstruation, what to do?
If a month and a half after cleaning the monthly did not go, you need to contact the clinic. This is the first wake-up call you should pay attention to. Menstruation may be absent in several cases:
- cervical spasm, which does not allow the "contents" to go out, as a result of which problems with the body begin,
- hormonal surge, it is because of him that menstruations cannot go, as the woman’s body has prepared for pregnancy, and there should not have been menstruation at all,
- A new pregnancy can also be a reason for the delay,
- if a woman stops taking antibiotics for some reason, it can also cause inflammation and delayed menstruation,
- hormonal preparations that a woman consumes after cleansing, can also provoke a delay in menstruation, since the body has not yet established its work.
Every girl should understand that her health is the way to nurturing a baby easily, even after scraping. That is why you should listen to all the recommendations of doctors and be sure to follow them. Otherwise, it can result in complicated operations, sterility and even death.
Fetal dosing and cleaning
It is impossible to fully protect yourself from missed abortion. This problem can affect everyone.
Causes of fetal death are not always obvious. In some cases we are talking about genetic pathologies. But can also have an impact bad habits of women, medication intake, stress and infectious diseases. If in the past the pregnancy has already been interrupted, the probability of fading increases.
In the early stages, the body can reject the embryo on its own. In other cases, after confirmation of the fact that the development of the fetus stops, curettage is necessary. The procedure is performed under general anesthesia and, on average, takes about half an hour. After surgery, the embryo tissue is sent to a study to find the cause of the pathology.
When to wait for menstruation
During the first two weeks after cleansing, the woman has bloody discharge. They can be accompanied by painful sensations in the abdomen. During this period, the woman should take analgesics and carry out anti-inflammatory therapy, following the recommendations of the doctor. The following periods come in about 3-6 weeks. Ideally, they should not last more than eight days. Deviations should be reported to the gynecologist as a matter of urgency.
The nature of menstruation after the intervention
The timely start of critical days is not a guarantee of the correct functioning of the reproductive system. Of great importance are the intensity, duration of menstruation and associated symptoms. The amount of blood secreted should be moderate. The average duration is 5-7 days. A slight fever and slight cramping in the lower abdomen are permissible. Deviations include:
- too scarce or heavy discharge,
- intense pain that does not go away after taking analgesics,
- temperature increase up to 38 ° C
- unpleasant smell from the vagina.
An increase in menstrual flow indicates that in the uterus could remain fragments of the fetus. In this case, conduct additional examination and cleaning. Sometimes abundant periods indicate the development of an infectious or inflammatory process. If a woman has to change the gasket more than once every two hours, then you should consult a doctor.
The amount of menstrual flow depends on the thickness of the endometriumI. When scraping its upper layer is damaged, so the growth slows down significantly. Recovery takes place gradually. The first time periods can be scanty.
Sometimes a decrease in the amount of discharge during menstruation indicates a lack of hormones. The solution to the problem is the use of medical drugs. If scanty periods are observed while taking oral contraceptives, you should not worry. This is the body's natural reaction to hormonal alteration. Addiction to the drug occurs within 3 months.
In the first three cycles after curettage of the uterus, the periods pass from unpleasant sensations. This is due to the increased sensitivity of the organ to contractions. Their frequency increases due to increased production of adrenaline and dopamine. It must be remembered that the pain should not be acute. Normal is considered the pulling nature of sensations, covering the lower abdomen and lower back.
In some cases, painful menstruation is caused by cervical stenosis. The disease is characterized by a narrowing of the cervical canal as a result of the formation of scars in it. They prevent the flow of blood, so the monthly become scarce. The accumulation of fluid in the abdominal cavity leads to intense pain.
After a frozen pregnancy, it is especially important to follow the menstrual cycle. In this case, it is one of the main indicators of a woman’s health status. At the slightest deviations from the norm it is required to immediately consult with a specialist.
With a favorable outcome, pregnancy can be planned six months after surgery.
Prayer after missed abortion
Prayer to wife, when a baby erupts. (Only read by a priest and only when nonviolently miscarried)
Vladyko Lord our God, be born of the Holy Virgin and the Virgin Mary, and in the wilderness like a baby of appearances, Your servant Himself this very day I am in a great grace, killed in the murder, will or bondage, and conceived in her, disgraced, have mercy upon the great of Your mercy. forgive her volnyya and nevolnyya sins, and keep from vsyakago diavolskago koznodeystviya and filth cleanse, disease, heal, health and blagomoschie body with the life thereof, the Lover of mankind, grant, and the angel of light, This may keep from vsyakago invasion of invisible demons, her Lord, on disease and weakening. And cleanse the body of filth, and the uterine finds that are different to it, and bring forth by Thy mercy many times in humbleness in its body. And resurrected from the bed, lies on her nezhe, like in her grave birth, and in lawlessness, and have foul all the Emas before You, Lord, and fear and cry and verb: Look down from heaven and see our sickness for the condemned, and forgive Your servant ), existing in the grace, killing the departed, willingly or unwittingly, and conceived in her by the fiendish, and all who were and touched her, according to Your great mercy, God bless you and God for the mercy of God of Mercy and forgive, for You are the One God who has the power to leave sins and lawlessness, the prayers of the Most Exquisite Thy Matera and all the saints. It is for you that every glory, honor and worship befits You, with the Father and the Holy Spirit, now and ever and ever and ever. Amen.
One missed abortion is not a sentence. 80% of women after it give birth to a child. Life after a stalled pregnancy continues, and you should not lose hope to hold your baby in your arms - you will succeed.
What determines the arrival of menstruation after this procedure
Embryo dying is a great shock for a woman, both physically and morally. At the same time the hormonal background is inevitably disturbed. In addition, as a result of curettage, complications are not excluded.
Even if the procedure was carried out in accordance with all the norms and requirements, in any case, the level of hormones in the blood changes. This is due to stress, mechanical effects on the reproductive organ and a reaction to anesthesia. The time of arrival of menstruation after curettage also depends on the age of the woman and the period at which he stopped in the development of the embryo.
The first menstrual periods after curettage of missed abnormal pregnancies should begin 28–35 days after the procedure.
At the same time, those discharges that appear immediately after the operation are not considered as menses. They indicate that the scraped surface begins to heal.
Speaking about how long it takes to restore the cycle after a missed pregnancy, you need to take into account many factors. The reason why critical days do not start in due time may be an infection.
The process of normalizing the cycle is also more difficult if fading has occurred over a long period of pregnancy.
If miscarriage during missed abortion occurred in the early stages, then the arrival of menstruation after curettage can be expected a month later. When the fetus stops developing in the second and third trimester, a serious hormonal disturbance is noted. Critical days appear after two, or even three months. Often, they become irregular and prolonged.
Delayed menstruation after cleansing can be a sign of an inflammatory process. Failure to follow the doctor’s recommendations during the rehabilitation period may lead to the development of infectious diseases of the inner lining of the uterus, ovaries and tubes. In addition to the failure of the cycle, hyperthermia and a pronounced pain syndrome are observed.
Have there been complications
Scraping in the uterine cavity is fraught with injury. Often, cuts and tears in the walls of the genital organ appear. To prevent bleeding, suture the damaged areas.
Cycle failure is caused by hematometra after curettage (cervical spasm), and the woman notes that she has no menstruation. Blood accumulates in the uterine cavity, which causes the onset of the inflammatory process. Against this background, the temperature rises, pain, nausea and dizziness appear.
Scraping of the basal layer of the endometrium is considered the most dangerous. At the same time, its functional part is no longer capable of recovery. This in turn leads to infertility.
The regularity of menstruation before pregnancy
The timeframes for which the monthly period should come after the procedure depends directly on how regular the cycle was before the onset of pregnancy. If the menstruation delay was often observed earlier, then after cleaning the critical days may appear late.
What can be the first monthly
The fact of the arrival of regulators does not indicate that the recovery process after the operation has been successfully completed. It is extremely important to pay attention to the nature of the first menstruation after missed abortion. What matters is the color, consistency of discharge and the duration of critical days.
It should be alerted when menstruation begins 30 days after the procedure and lasts more than one week. In this case, it is necessary to consult a doctor. There is a risk of major blood loss. Especially if it is abundant menstruation, in which the replacement of hygiene means has to be carried out more than once every three hours.
Scanty periods are considered normal after cleansing a missed abortion. It takes time for the endometrium to recover. Accordingly, a small amount of regul should not cause concern.
The first cycle often goes without ovulation, which explains the small amount of blood loss. Ovaries by this time still can not function properly.
Should cause concern long delay critical days. Scanty periods may indicate the beginning of an inflammatory process in the ovaries or the reproductive organ. A visit to the gynecologist does not need to be postponed even in case of pain.
Clearing a stalled pregnancy is an incredible stress for the body. In this period, hormonal failure occurs. It takes time to normalize reproductive function. For this reason, violations of the cycle, changes in the volume and nature of the discharge are often observed. Regardless of whether the critical days came in due time or with a delay, a month after the procedure should be examined by a gynecologist. Only in this way will it be possible to avoid undesirable consequences.
Analyzes after missed abortion
Post-pregnancy tests that your gynecologist, endocrinologist or geneticist may recommend:
- Ultrasound of the pelvic organs.
- Blood on PB, HIV, Hepatitis B and C.
- Antibodies to herpes and toxoplasmosis.
- Smear on the flora.
- PCR for chlamydia, ureaplasma, trichomoniasis, gonorrhea.
- Analysis of hormonal background: LH, FSH, prolactin, testosterone.