When can you take birth control pills after a miscarriage? Recovery after a miscarriage: step-by-step instructions. What to do after a miscarriage? Ok after a miscarriage what is prescribed

Every woman dreams of having children. This instinct is inherent in nature. But life doesn’t always work out the way you want. Many representatives of the fairer sex have to deal with pathologies such as frozen pregnancy or miscarriage. After such a disappointing diagnosis, it seems that the whole world has collapsed. But don't give up. Today's article will tell you what to do after a miscarriage and how to regain your health. It is worth recalling that the information below should not encourage you to self-medicate or refuse medical care. If you are faced with a similar problem, then you will not be able to cope with it without doctors.

General concept of miscarriage

Spontaneous is called a miscarriage. In this case, the membranes may come out (this often happens in the early stages) or remain partially in it. Such an event can occur at any time. If termination of pregnancy occurs in the first 12 weeks, then they speak of an early miscarriage. The situation is more complicated when a similar condition develops in the second trimester. After 25 weeks, we are already talking about premature birth, since at this time the embryo can be viable (if the right conditions are organized).

Is cleaning necessary after a miscarriage?

If this happens, then nothing can be fixed. There is no need to withdraw into yourself and refuse medical help. The consequences of such renunciation can be very dangerous. It's not uncommon for women to need a cleaning after a miscarriage. How to find out about such a need?

Contact your gynecologist and visit the ultrasound room. During the examination, the physician will determine the condition of the uterus and its inner lining. If the remains of the fertilized egg (even the smallest ones) are visible in it, then you will definitely be prescribed curettage. You cannot hesitate in such a situation, since wasted time is fraught with unpleasant consequences and even sepsis. When no remains of membranes are found in the reproductive organ, you can safely proceed to subsequent actions.

Curettage after a miscarriage is performed more often if the interruption occurred after 6-7 weeks. The manipulation is carried out exclusively within the walls of a medical institution using intravenous anesthesia. It lasts no more than 10-15 minutes. After this, the patient remains under medical supervision for several hours and, if she feels well, can go home. A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.

What medications will you need first?

If the termination of pregnancy occurs spontaneously with complete removal of the fertilized egg, then no medications are prescribed after this (except in certain situations). When curettage was performed after a miscarriage, the gynecologist prescribes appropriate medications. Among them, the most popular are the following:

• Antibiotics (preference is given to penicillins and macrolides, other groups are prescribed less frequently). Bacteriostatic and bactericidal medications are prescribed to prevent infection. Often such consequences arise from cleaning. You need to take antibiotics for 3-10 days in accordance with the doctor’s recommendation.
• Uterine remedies (most often they use Oxytocin or medications based on it). These drugs enhance the contractility of the myometrium. Due to this, the mucous layer is quickly rejected, preventing extensive bleeding and speeding up the recovery process.
• Immunomodulators (“Isoprinosine”, “Derinat”). These drugs increase the body's resistance; they are also intended to eliminate viral infections obtained during or after curettage.

Any medications after a miscarriage should be prescribed by a doctor. Self-administration of drugs can be fraught with unpleasant consequences. Don't listen to experienced friends. Trust only your gynecologist.

Recovery period for the reproductive organ

The uterus recovers quite quickly after a miscarriage. Even if spontaneous termination of pregnancy occurs at a long term, the reproductive organ returns to its usual size within a few days. If this does not happen, then, again, the patient is prescribed appropriate contractile medications.

Sex after a miscarriage should be completely avoided until the arrival of the first natural menstruation. Despite this warning, many couples rush into another sexual encounter. The consequence of this may be infection, inflammation, bleeding and other troubles. Sexual intercourse without a condom is strictly contraindicated for the patient! Even if you are accustomed to other methods of contraception, now they need to be replaced with barrier ones. The fact is that condoms protect well against sexually transmitted infections. And your women's health is especially vulnerable now.

First menstruation after termination of pregnancy

What does the first period look like after a miscarriage? Many patients confuse discharge after cleansing with their first menstruation. In fact, this is not entirely correct. In fact, the doctor cleared the cavity of the reproductive organ from the endometrium. It turns out that the doctor did in a few minutes what usually takes 3-7 days. From this moment you can start a new cycle. But postoperative discharge should not be confused with menstruation. The next bleeding normally occurs after 3-5 weeks. It is preferable to use gaskets with it. Tampons can cause bacterial infections.

The first menstruation can be scanty or, on the contrary, abundant. This happens due to hormonal changes. An important role in this issue is played by the period at which the miscarriage occurred. If the cessation of embryo development occurs before 8 weeks, then the woman’s body has not yet had time to fully adjust to pregnancy. The cycle will be restored quickly and with minimal consequences. When a miscarriage occurs after 12 weeks, the placenta is already fully functioning. Here everything is more complicated. A woman's body needs more time to restore normal functioning. There are cases where hormonal diseases (mastopathy, endometriosis, ovarian tumors) became a consequence of late miscarriage.

Determine the cause and carry out treatment

Is it possible to determine the cause of this outcome after a miscarriage? Is it possible to find out why the pregnancy was terminated? After all, awareness of the problem is already half the way to solving it.

It is possible to reliably establish the cause of a miscarriage only after curettage. The materials obtained during the manipulation are sent for histological diagnosis. Its result helps determine why this situation arose. But this is not always enough. The patient definitely needs to get tested. Depending on the state of health and obstetric history, the doctor prescribes appropriate studies: blood tests, determination of sexually transmitted infections, identification of genetic abnormalities. You should definitely visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors may find pathologies in their area that contributed to the miscarriage. A comprehensive examination will allow you to prescribe the most correct treatment.

Organize your nutrition properly

Many women complain of pain after a miscarriage. If gynecological pathology is excluded, then the issue may be in digestion. Often the described condition causes stress, which, in turn, leads to constipation and increased flatulence. This is why it is so important to establish proper nutrition in the first months after a miscarriage. It will promote normal metabolism and good digestion.

Fill your diet with foods rich in protein and fiber. Eat lean meats and fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water. After gynecological curettage, the likelihood of thrombosis increases. To prevent this from happening, thin your blood in a natural way: drinking water. Avoid any alcoholic beverages. They are actually contraindicated for you, since restorative drug therapy is present.

If constipation persists even after changing your diet, then it is necessary to eliminate it with the help of medications. Poor bowel movements contribute to stagnation of blood in the cavity of the reproductive organ. This is fraught with its consequences, for example, inflammation. Your doctor will tell you what medications to use to soften your stool. Usually safe drugs “Guttalax”, “Duphalak” are prescribed for long-term use, or medications “Glycerol”, “Microlax” for quick action, but one-time use.

Psychological side

Afterwards, patients often withdraw into themselves. If spontaneous termination of pregnancy occurred in the second trimester, then the situation is even worse. Women become depressed. There are cases when patients after this decided to commit suicide. It is not simply impossible to remain in this state. This can be very dangerous. We definitely need to talk about this problem. Such topics are rarely discussed with a partner. Therefore, the most correct decision would be to contact a psychologist.

During the consultation, the specialist will listen to your complaints and concerns. This doctor will help you cope with negative emotions after a miscarriage. After a few sessions you will already feel much better. If necessary, the doctor will prescribe you sedatives and antidepressants. Only the right approach to the problem will help solve it once and for all.

When can you plan your next pregnancy?

Absolutely all women for whom pregnancy was desired ask the question: is it possible to immediately plan a new one after a miscarriage? Any doctor will tell you that this cannot be done. Even if the interruption occurred for a short period of time and did not have negative consequences, your body needs time to restore strength and hormonal balance. We also need to find out what exactly caused such a tragic outcome. Otherwise, the situation may repeat itself again.

If everything is fine with the woman’s health, and the cause of the miscarriage is not the presence of pathologies (the interruption occurred due to taking some kind of medication or injury, nervous breakdown), then doctors allow planning after 3-6 months. In this case, the menstrual cycle should be restored completely.

When the cause of the problem is discovered, treatment is prescribed. It can be short or long. Planning for a subsequent pregnancy is postponed indefinitely. Remember that patients are often prescribed antibiotics. After a miscarriage, you can start planning only for the next cycle, starting with the completion of antibacterial therapy. But practically you can conceive a new life in the same cycle. Therefore, the entire designated time period must be carefully protected.

What kind of reminder can be provided to a woman who finds herself in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instructions.

1. Go for an ultrasound and find out if there are remnants of membranes in the uterus. With the result obtained, go to the gynecologist.
2. If the doctor prescribes curettage, then be sure to undergo this procedure. Otherwise, complications await you.
3. Strictly follow the doctor’s recommendations: take medications, follow the regimen, adjust your diet.
4. Find out the cause of your miscarriage with your doctor, after which the doctor will develop a treatment plan for you. Follow it, do not plan a new pregnancy at this time.
5. If there is mental anguish, depression and stress, consult a psychologist, do not withdraw into yourself.
6. Start new planning when the specialist allows it. Try not to remember negative moments, set yourself up for the positive.

Summarize

From the article you were able to learn a step-by-step plan for recovery after spontaneous abortion. If a miscarriage occurs in the early stages, its cause is often not possible to determine. Be sure to monitor your health. If vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the fewer negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on your own. Do not take any medications on the advice of your girlfriends. This can only worsen the existing situation. Speedy recovery to you!

Abortion is an unexpected event for the body women and requires a quick and radical restructuring of its work.

After it, there is a high probability of inflammatory processes occurring., endocrine disruptions, menstrual irregularities and other diseases that are a consequence of the above.

That is why, after an abortion, the body needs time to recover and a new pregnancy during this period is extremely undesirable. How to protect yourself after an abortion? Correct contraception will give the necessary time for the body to recover and save the woman from unexpected surprises.

We’ll talk about which contraceptives you should use after an abortion in this article.

Abortion and contraception

There are many methods of contraception, but not all of them are recommended in the period immediately after termination of pregnancy. Let's look at the most popular methods of contraception and highlight the most optimal ones.

Oral contraceptives

Approved for use immediately after an abortion. The big advantage is the possibility of taking it in the presence of any infection.

Oral contraceptives after an abortion are one of the best methods of contraception, which provides a very high guarantee of protection (97-99%) if you follow the pill regimen. When choosing this method, you should start taking pills no later than the first week after the interruption procedure.

Very important is the ability of oral contraceptives to normalize a woman’s hormonal levels, which undergo strong and dramatic changes after an abortion. This method of contraception can prevent some gynecological problems that are a consequence of abortion - endometriosis, uterine bleeding and others.

We will discuss taking hormonal pills in more detail below.

For more information about oral contraceptives, watch the video:

Implants

As a rule, it is a capsule containing a certain amount of a hormone with a prolonged release. Capsules can be implanted immediately after an abortion. In general, this method is similar to the previous one, only the form of taking the drug differs.

Spermicides

Preparations in the form of suppositories, gels, ointments that contain a substance that inactivates sperm. Approved for use after the resumption of sexual activity, which should be delayed until the end of bleeding after an abortion.

The method is easy to use - the drugs are used immediately before sexual intercourse and are not used on other days. An additional advantage is the ability to protect against certain sexually transmitted infections, thanks to its bactericidal composition. The effectiveness of the method is slightly lower than when taking hormonal drugs (90%).

Intrauterine devices

For an uncomplicated abortion, the gynecologist can insert the IUD into the patient immediately after the procedure. However, if the abortion was done late in pregnancy (later than the 1st trimester), the introduction of the IUD is allowed only after 6 weeks.

This is due to the fact that the size of the uterus should return to normal. Contraindications to this method are the presence of infection or inflammatory gynecological diseases in a woman.

You will learn about intrauterine devices from the video:

Condoms

The simplest method. Advantages include possible protection against infections. The disadvantage is that the responsibility for protection falls entirely on the man and the woman cannot be completely confident in protection. In addition, you should not use condoms immediately after an abortion. The method is available only after wounds on the uterus have healed and bleeding after an abortion has stopped.

Birth control pills

Birth control pills are recommended as the best method of contraception for most women.

These non-abortive contraceptives continue to show high effectiveness and benefits during the difficult period after an abortion.

The doctor should select the drug, taking into account the individual characteristics of the woman. When should I start taking birth control after an abortion?

After termination of pregnancy, hormonal contraception should begin within one week after the procedure. This will allow you to quickly restore normal functioning of the body, hormonal balance and reduce inflammatory processes. With the correct selection of the drug, the menstrual cycle can be restored according to the patient’s usual schedule.

Taking birth control pills has the following benefits:

• high efficiency;
• healing effect;
• prevention of complications after the termination procedure;
• allowed to be taken immediately after an abortion.

Therefore, it is very important to take care of the health of your body and choose the appropriate contraceptive option.

After an abortion, you can take birth control pills. This will avoid unwanted pregnancy in the future and give the body time to recover. In addition, contraception after an abortion psychologically stabilizes the woman - she will know that she is reliably protected from a repetition of the situation.

The most reliable and recommended method of contraception is taking hormonal pills.. However, all cases of abortion and their consequences are individual, so the decision is made by the woman herself after mandatory consultation with a gynecologist. When choosing a contraceptive method, you should also take into account the convenience of its use in everyday life and contraindications.

Learn about birth control pills from the video:

Basal temperature from A to Z

Treatment after miscarriage and cleansing. Do you need so many medications?

4 months ago I lost my baby and had a curettage performed. I was given antibiotics and contractions. I took birth control and strong sedatives for 2 months. Then a month on the uterus. Finally I went to the gynecologist, who was highly praised. She prescribed me a bunch of medications. Essentiale (didn’t complain about liver)
Viburkol suppositories (there is definitely no inflammatory disease of the genitourinary system, but in case of nervous overexcitation, it’s better to continue taking sedatives)
fluomizin (Bakvaginosis with the possibility of using the drug before receiving test results, candidal colpitis, trichomonas colpitis, nonspecific vaginitis and vulvovaginitis, if it is necessary to carry out sanitation of the vagina before childbirth, gynecological and surgical interventions. - it is generally unclear. The tests are all in the card and nothing was found. A there has already been surgery)
gynoflor (to restore the vaginal microflora - is it necessary 4 months after cleaning.)
tazalok (the drug raises a lot of doubts due to the fact that it has recently appeared on the shelves of pharmacies. The composition includes various herbs, celery root and parsley. I already eat a piece of celery root)

Please tell me whether it is really necessary to prepare this way for the next pregnancy. I never use medications unless absolutely necessary. I am treated with traditional methods. I really want a baby. Please help with advice.

Pregnancy after miscarriage

Total messages: 168

09.22.2009, Nadine
Nadezhda 26 years old. I also recently experienced a miscarriage at seven weeks of pregnancy. The doctor looked at my tests, which I had done during pregnancy and which were taken in the hospital after curettage, and said that everything was fine with me and most likely there was a fetal pathology. But that’s not the point, it’s also about contraceptives. I’ve never taken birth control pills, I have a lot of questions: how much should I take, will they affect my weight, and I actually read in one of the articles that after taking them, the ability to conceive can return only after a couple of months. Tell me, knowledgeable people, is it possible not to take contraceptives?

04/03/2011, manyunya
I’m 23. A week ago I had a curettage - my first pregnancy (very long-awaited - 2.5 years) pain and bleeding! 3 years ago I took Regulon, and for a whole year! After that I can’t get pregnant, although everything is fine with the tests! Now they’re telling me to take hormonal pills again !But I don’t want to, because I have experience! By the way, my dear aunt got pregnant 2 weeks after her first miscarriage!

10/24/2008, Tina
I am 24 years old. I’m 12 weeks old, everything is fine, a normal healthy pregnancy, I registered, prescribed a couple of vitamins and Terzhinan (vaginal tablets), explaining what was needed for prevention, after 3 days of using this Terzhinan, a miscarriage occurred!

07/21/2010, Katya
I had the same thing for 12 weeks. They prescribed a bunch of OK, I’ll drink for 3 months and go back to battle.

12/26/2008, Christina
Hello! I also had a miscarriage at 11-12 weeks. I was in storage for 4-5 weeks. And then I was prescribed Terzhinan 10 vaginal tablets. After the 9th, everything happened to me. I asked the doctors if maybe he was the reason, but they all said in unison that this couldn’t happen.

10/13/2008, Olga
Pregnancy 22 weeks, there was a spontaneous miscarriage, but the tests were normal. Doctors cannot say why. Could a nervous breakdown affect this? Before the next pregnancy, what examinations need to be done, and how many months later to plan a pregnancy?

13.10.2008, Doctor Sikirina
Now, you need to protect yourself from pregnancy for a year. This is the period necessary for the body to recover after experiencing the shock of a non-developing pregnancy and miscarriage. You should generally abstain from sexual activity for a month, because... The uterus is a wound surface.

This is the order of the examination.

1) PCR tests for sexually transmitted infections: chlamydia, gardnerella, human and urogenital mycoplasmas, ureaplasmas, herpes viruses and CMV, because these infections firmly occupy first place as the cause of termination of pregnancy. Blood test for ELISA for rubella (if you have not been sick) and toxoplasma.

2) If there are no infections, or after their treatment, the husband needs to check the spermogram, and pay attention to the paragraph on the number of pathological sperm. A large number of them reduces the likelihood of pregnancy, and if it does occur, it will not develop, and the death of the embryo will occur and the development of pregnancy will stop.

3) You also need to find out the blood type and Rh factor of you and your husband. Rhesus - or group incompatibility, in case of repeated pregnancies, can also cause the death of the embryo and stop the development of pregnancy.

4) Donate blood for anti-phospholipid antibodies, anti-nuclear, anti-DNA antibodies. All these autoimmune diseases can also cause the death of the embryo and stop the development of pregnancy.

04/16/2009, Yana
I am 34 years old, this was my first pregnancy, there were no abortions or illnesses. I had a miscarriage at 12-13 weeks in mid-March. In the hospital. The threat was made a week before: they injected me with magnesium and duphaston. They said that it was a frozen pregnancy, because... the uterus looked 8-9. Meanwhile, all this time I noticed changes in my body corresponding to 11-12 weeks. However, at 8-9 weeks I experienced very strong stress - there was a scandal with my husband and I found out that my mother was terminally ill. But I still walked and felt good, the tests were normal. The threat arose after I almost fell into the ice. First, my back started hurting, then the discharge began, which got worse. It ended with contractions and a miscarriage in the hospital. In this regard, I have several questions: could it be that the pregnancy “froze” after stress (at 8-9 weeks) or after a physical “shake-up” at 11-12 weeks? Could the miscarriage have occurred due to Rhesus conflict? Could this happen as a result of the fact that my husband has problems with sperm viability (he was being treated), and before we conceived a child he took vitamins, i.e. due to sperm deficiency?

04/18/2009, Doctor Sikirina
In connection with a non-developing pregnancy, it is necessary to conduct an examination to find out the reason for the arrest of fetal development.
1) First, take repeated PCR tests for chlamydia, ureaplasma, gardnerella, human and urogenital mycoplasma, herpes viruses and CMV, because these infections firmly occupy first place as the cause of termination of pregnancy. They disrupt the contact of the fertilized egg with the wall of the uterus and can lead to the death of the embryo and miscarriage or stop the development of pregnancy. And the herpes and CMV viruses can cause the death of an embryo, fetus, at any stage of pregnancy, up to a full-term fetus or a newborn child! In addition, they lead to a state of chronic inflammation in the uterus and appendages, causing inferiority of the endometrium, which can no longer accept and reliably hold the fertilized egg. Inflamed ovaries do not always grow eggs rhythmically; the number of incomplete cycles increases, without ovulation or with insufficiency of the 2nd phase of the cycle. Adhesions form inside the uterus and tubes. And in men, as a result of sluggish, asymptomatic inflammation, chronic prostatitis occurs, sperm formation is disrupted, and the number of immobile and pathological forms of sperm increases. Additionally, donate blood for ELISA for rubella (if you have not been sick) and toxoplasma.
2) If there are no infections, or after their treatment, the husband needs to check the spermogram, and pay attention to the percentage of actively motile sperm, because Only from them can pregnancy occur. And correlate this with the number of immobile and pathological sperm, because a large number of them reduces the likelihood of pregnancy, and if it does occur, it will not develop and a miscarriage will occur.
3) The second place as the cause of miscarriage is hormonal deficiency. To study the completeness of the hormonal function of the ovaries, a technique for measuring basal temperature is used. It is necessary to measure BT for at least 3 cycles. Only this makes it possible to get a complete and reliable picture of the work of your ovaries, more detailed and better hormonal tests and ultrasound folliculometry. Insufficiency of the 2nd phase of the cycle is also one of the reasons for miscarriage.
4) It is also necessary to clarify the blood type and Rh factor of you and your husband. Rhesus or group incompatibility, in case of repeated pregnancies, can also cause the death of the embryo.
5) Donate blood for anti-phospholipid antibodies, anti-nuclear, anti-DNA antibodies. All of these autoimmune diseases can also cause embryo death and miscarriage; death of the fetus and non-coagulation of blood in the mother during childbirth.
6) In the first phase of the cycle, at 7-9 dc, you need to do a vaginal ultrasound, measure the width of the internal os of the cervical canal, the opening that leads from the cervical canal to the uterus. Due to a decrease in the amount of ovarian hormones, sometimes an expansion of the internal os is formed, the so-called “isthmic-cervical insufficiency”, ICI. This is also a factor in miscarriage.

08/07/2009, Katya
I’m 24. I had a miscarriage at the 5th week of pregnancy. I had a curettage. I took 1 month of Regulon and 5 months of Novinet. Because I really want a child, I stopped taking it. OK. I hope half a year will be enough. Now I’m trying to get pregnant. Do you think this is possible and Will it end like the previous pregnancy?

08/23/2009, Marina
Hello, I’m 23 years old, 3 weeks ago I had a miscarriage for 6 weeks, I was in conservancy, I was injected with magnesia, dicynon, and duphaston tablets for 2 days, but-shpu is a standard set for a threatened miscarriage, but it seems to me that it was these medications that provoked everything, because Before their appointment, I felt good, and they put me on hold just to be on the safe side. The pregnancy was very desired and long-awaited, now we are being examined for PCR and hormones. The doctor prescribed OK (Yarina), they advise getting pregnant after 6 months, but we want earlier, after what period can we start trying if the tests for PCR and hormones are good?

10/09/2007, Nadya
I am 20 years old. I had a miscarriage at 6 weeks of pregnancy. The uterus is thin and weak. I really want a child, but I’m afraid that a new attempt will end in failure.

Questions

Question: When can I start taking birth control after an abortion?

When can you start taking birth control pills after an abortion?

Birth control pills can and should be started on the first day after an abortion. Moreover, gynecologists strongly recommend taking combined oral contraceptives, starting from the first day after an abortion, which is conventionally considered the first day of menstruation. Birth control pills help quickly normalize hormonal levels and restore the normal structure of uterine tissue. It is recommended to take birth control pills for three menstrual cycles and then continue or switch to another form of contraception, such as an intrauterine device. If a woman did not have time to start taking hormonal contraceptive pills on the first day after an abortion, then this can be done up to 4–5 days after the operation. If more than five days have passed since the abortion, then you can no longer start taking contraceptives; you can start taking pills only after the onset of menstruation.

There are the following rules for taking combined oral contraceptives after an abortion:

1. Start taking the pills - the first day after the abortion;

2. Preparations for use – low-dose monophasic combined oral contraceptives;

3. Dosage regimen: take one tablet for 21 days, then break for 7 days. After the break, start a new cycle of taking pills according to the same scheme 21 + 7, etc.;

4. Duration of use is at least one month.

After an abortion, you can use the following contraceptive pills (monophasic, low-dose, combination drugs):

• Belara;
• Zoely;
• Jess;
• Jess Plus;
• Dimia;
• Jeanetten;
• Janine;
• Lindinet – 20;
• Lindinet – 30;
• Logest;
• Marvelon;
• Midiana;
• Microgynon;
• Miniziston;
• Mercilon;
• Novinet;
• Regulon;
• Rigevidon;
• Silest;
• Silhouette;
• Femoden;
• Yarina;
• Yarina Plus.

The above combined oral contraceptives are contraindicated in women over 35 years of age who smoke, have high blood pressure, vascular disease, thromboembolism, heart valve disease, diabetes mellitus or liver tumors. However, these women can take hormonal contraceptives after an abortion, which contain only gestagens. Currently, the following purely progestogen contraceptives are available in tablet form:

• Exluton;
• Charosetta;
• Lactinet;
• Microlute.

In addition to progestin-only birth control pills, immediately after an abortion, women who are contraindicated for combined oral contraceptives can receive a Depo-Provera injection or a Norplant implant. One injection of Depo-Provera is enough to provide contraception for three months. Norplant provides contraception for five years after installation.

Contraception after miscarriage - what are its advantages?

In the current technological world, the problem of spontaneous abortion is very acute. There are many reasons for miscarriages - environmental disasters, poor gene pool, stressful situations, lead to the fact that more and more women are faced with the loss of a fetus in the first trimester of pregnancy. The consequences are not only psychological stress, but also loss of reproductive function, hormonal imbalance and many other health problems. Sometimes a spontaneous miscarriage does not require specialist intervention; the body cleanses itself and is ready for a new conception within a few days. But in most cases, frozen pregnancy causes pain in the lower abdomen, nausea, vomiting, bleeding, loss of consciousness, and intoxication. The body cannot cope on its own and reject the fetus; in such cases, the intervention of specialists is extremely necessary. An obstetrician-gynecologist not only cleanses the uterus, but also monitors the patient for six months after the abortion. Gynecologists say that a new conception within two months after an abortion has an extremely negative effect on the health of the female body and fetus. That is why compliance with all the instructions of the attending physician is extremely important. In the first months, it is necessary to monitor the patient’s physical and emotional health.

Prescription of contraceptives for miscarriage

This natural remedy will 100% relieve pain during menstruation! If you guess what it is, you will get rid of it forever!

After a missed pregnancy or abortion, the female body needs intensive healing. The primary task of the specialist is to find out the cause of fetal freezing. As a rule, after a series of tests, the attending physician recommends contraception after a miscarriage.

Contraception as a way to restore the body

In this case, we are not talking about condoms, suppositories or coils. The gynecologist recommends taking birth control pills for the first few months after a miscarriage. Many patients are frightened by such prescriptions due to lack of awareness. After all, oral contraceptives, according to rumors, can not only increase weight, but also disrupt hormonal and emotional balance. In reality, all fears are, in most cases, unfounded, and, as a rule, oral contraception after a miscarriage is a panacea for a weakened female body. What are the advantages of this method?

1. Restoration of reproductive function.
2. Prevention from recurrent pregnancy.
3. Prevention of inflammatory processes in the uterus, vagina and fallopian tubes.
4. Restoration of the uterine mucosa.
5. Erosion prevention.
6. Prevention of tumor processes.
7. Normalization of the menstrual cycle.

Birth control pills after a miscarriage have a number of contraindications, which is why “prescribing” the drug yourself is dangerous to your health and is fraught with negative consequences. Incorrectly selected contraceptives cause irritability, depression, and bleeding.

Combined drugs such as Regulon, Novinet, Rigevidon, Janine and others contain estrogen and gestagen and effectively prevent inflammatory processes that affect the genitals and uterus, especially in the first few weeks after spontaneous abortion. Statistics show that contraceptive drugs taken after a miscarriage have a positive effect on the female body. The main thing is to follow the instructions and follow all the specialist’s recommendations. Within a few months the body will be ready for new fertilization. After consulting with your doctor, you can stop taking oral contraceptives and plan your pregnancy again.

This remedy relieved all Chinese women from menstrual pain! It will help you too! You stick it on the groin and forget about the pain!

Contraception after abortion

Many women do not know what contraceptives they can take after an abortion. After all, abortion is a huge stress for any woman, both physically and psychologically. Termination of pregnancy has a very painful effect on the general condition of the body. Therefore, pregnancy after an abortion is contraindicated, since after the operation the lining of the uterine cavity is very thin and damaged. But already from the first days after the procedure, a new cycle is launched in the female reproductive system, which is aimed at reproduction. During this period, ovulation and the process of egg maturation are restored. A woman can become pregnant again within 10-14 days after an abortion. And this is extremely undesirable, because the body must fully recover. Therefore, it is very important to choose the right contraceptive after an abortion for adequate and effective contraception.

What contraceptives can be used after an abortion?

Creams, suppositories, and pills are considered effective contraceptives after an abortion. Such drugs should be used only when necessary. The components of the products destroy sperm directly in the vagina, thereby preventing fertilization.

Such contraceptives after an abortion are an excellent option that protects against the occurrence of an unwanted pregnancy after an artificial termination.

After an abortion, barrier contraceptives can also be used. These are various caps, contraceptive sponges, diaphragms and condoms. When used correctly, the reliability of such contraceptives after an abortion is almost one hundred percent. However, diaphragms and caps must be selected strictly according to size. They must fit very tightly, otherwise the products will not be effective enough.

Most women still prefer hormonal pills after an abortion. In terms of their effectiveness, hormonal drugs exceed all known methods of contraception. The composition of such tablets includes synthetic hormones - analogues of sex hormones in the female body.

The contraceptive effect of such drugs is explained by their minimal effect on the concentration of their own hormones. This influence leads to the fact that the mature egg does not leave the ovary.

After an abortion, you can take monophasic, biphasic and triphasic contraceptives. Monophasic products contain the same dose of hormones for the entire period of the monthly cycle. The package of such drugs includes 21 tablets of the same color. From the first day of menstruation you need to take one tablet. Taking hormonal contraceptives after an abortion should begin from the first to the seventh day after the interruption. After taking all the pills, you need to take a break for a week. Monophasic birth control pills after abortion are very reliable. They are well tolerated and have a pronounced therapeutic effect in some gynecological pathologies.

Preparations of two-phase and three-phase types uniquely combine contraceptive reliability and maximum similarity to the natural hormonal state of a woman. The package of biphasic drugs contains 21 tablets of two colors, and the package of three-phase drugs contains 21 tablets of three colors.

Instead of hormonal contraceptives after an abortion, progestin preparations can be used. The composition of such products includes microdoses of synthetic gestagens. They do not contain the hormonal estrogen component. Such contraceptive pills after an abortion usually give a minimal number of complications to the liver, cardiovascular system, and blood clotting process.

Progestin contraceptives after an abortion must be taken daily and regularly (one tablet, from the first day of menstruation). The course of taking contraceptives is six to twelve months or more. Progestin pills are a fairly safe method of contraception. However, before using drugs of this type, you should definitely consult a gynecologist.

Side effects of birth control pills after abortion

The main disadvantage of birth control pills is their side effects on the body. At the beginning of treatment, spotting and spotting may appear. After the body adapts to the new drug, the discharge usually disappears.

Estrogens, which are part of hormonal drugs, can contribute to fluid retention in the body, swelling of the lower extremities, bloating, increased blood pressure and migraine-like headaches.

Progestins can cause nervousness, irritability, and weight gain.

Sometimes, when taking birth control pills after an abortion, dark pigment spots appear on the skin, reminiscent of pigment spots characteristic of pregnancy. In this case, you should immediately consult a doctor.

Sometimes bleeding may occur when taking contraceptives. Bleeding can be either breakthrough or spotting. Spotting usually occurs in the first months of taking medications. During this period, microdoses of hormones do not yet have time to accumulate in the female body. That is, they are not yet enough to cause a delay in menstruation. However, you can take birth control pills after an abortion, despite the appearance of spotting.

Modern oral contraceptives prevent the development of cancer of the genital area. The severity and nature of the side effect depends on the individual characteristics of the female body. They help regulate the cycle and cleanse the facial skin. Of the combined contraceptives, the most commonly used are Femoden, Regulon, and Silest.

Regulon after abortion

Regulon can be taken after an abortion. Regulon is one of the contraceptive hormonal drugs that can be used both after an abortion and for menstrual disorders, as well as for severe premenstrual syndrome. When taking this contraceptive after an abortion, the condition of the skin improves, the number of vulgar acne decreases, and the menstrual cycle normalizes.

Regulon should be taken regularly after an abortion, at the same time, for 24 days. If the dose is delayed for more than 12 hours, the next time you take it, you must take two tablets at once. The contraceptive effect can only be achieved with long-term and regular use of the drug.

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In the current technological world, the problem of spontaneous abortion is very acute. There are many reasons for miscarriages - environmental disasters, poor gene pool, stressful situations, lead to the fact that more and more women are faced with the loss of a fetus in the first trimester of pregnancy. The consequences are not only psychological stress, but also loss of reproductive function, hormonal imbalance and many other health problems. Sometimes a spontaneous miscarriage does not require specialist intervention; the body cleanses itself and is ready for a new conception within a few days. But in most cases, frozen pregnancy causes pain in the lower abdomen, nausea, vomiting, bleeding, loss of consciousness, and intoxication. The body cannot cope on its own and reject the fetus; in such cases, the intervention of specialists is extremely necessary. An obstetrician-gynecologist not only cleanses the uterus, but also monitors the patient for six months after the abortion. Gynecologists say that a new conception within two months after an abortion has an extremely negative effect on the health of the female body and fetus. That is why compliance with all the instructions of the attending physician is extremely important. In the first months, it is necessary to monitor the patient’s physical and emotional health.

Prescription of contraceptives for miscarriage

After a missed pregnancy or abortion, the female body needs intensive healing. The primary task of the specialist is to find out the cause of fetal freezing. As a rule, after a series of tests, the attending physician recommends contraception after a miscarriage.

Contraception as a way to restore the body

In this case we are not talking about condoms, candles or spirals. For the first few months, the gynecologist recommends taking contraceptives pills after miscarriage. Many patients are frightened by such prescriptions due to lack of awareness. After all, oral contraceptives, according to rumors, can not only increase weight, but also disrupt hormonal and emotional balance. In reality, all fears are, in most cases, unfounded, and, as a rule, oral contraception after a miscarriage is a panacea for a weakened female body. What are the advantages of this method?

1. Restoration of reproductive function.
2. Prevention from recurrent pregnancy.
3. Prevention of inflammatory processes in the uterus, vagina and fallopian tubes.
4. Restoration of the uterine mucosa.
5. Erosion prevention.
6. Prevention of tumor processes.
7. Normalization of the menstrual cycle.

Birth control pills after a miscarriage have a number of contraindications, which is why “prescribing” the drug yourself is dangerous to your health and is fraught with negative consequences. Incorrectly selected contraceptives cause irritability, depression, and bleeding.

Combination drugs such as Regulon, Novinet, Rigevidon, Janine and others contain estrogen and gestagen and effectively prevent inflammatory processes that affect the genitals and uterus, especially in the first few weeks after spontaneous abortion. Statistics show that contraceptive drugs taken after a miscarriage have a positive effect on the female body. The main thing is to follow the instructions and follow all the specialist’s recommendations. Within a few months the body will be ready for new fertilization. After consulting with your doctor, you can stop taking oral contraceptives and plan your pregnancy again.

15.12.2015, 22:50

Hello, I'm looking for advice on recovering from a miscarriage.

I am 33 years old, height 164, weight 58, I have not used protection for the last three years, but I also rarely have sex, so it is difficult to draw conclusions about fertility. The cycle has always been long, from the first day 29-31, 32 days, without gaps, moderate pain on the first day, moderate discharge for three days and then a little for two or three days

The first pregnancy froze: the absence of a heartbeat was discovered at the 12th week, the size of the fetus according to ultrasound was approximately 8th. No symptoms, except perhaps for a suspiciously good state of health, and the fact that at some point in the 10th week my breasts stopped hurting as much as from 4-5 weeks to 8-9 weeks, when I had to hold it even while turning on my side in my sleep)

The miscarriage was spontaneous (stimulated with acupuncture and herbs, it seems to be effective), a control ultrasound showed that everything had worked out, it took another week and a half, the last ultrasound shows a completely healthy picture, the endometrium is growing, according to the ultrasound specialist, it is now approximately adequate for the 20th day of the cycle, and the miscarriage was 23 days back.

The gynecologist at the regional consultation recommends not checking anything now and just resting for two months.
A “professorial” level gynecologist recommends checking coagulation, bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, thyroid hormones, and on the 3rd day of the first menstruation, check all hormones as much as possible and immediately after that, regardless of the results, start a course of JES for 3-4-5 months to get pregnant during withdrawal and give the ovaries a rest.

I have subclinical hypothyroidism (TSH fluctuates between 5 and 8), there are no antibodies and no obvious symptoms (weight is stable, no fatigue, hair.. I don’t complain). Jess (when choosing among other OCs) is appointed, incl. because the doctor sees (without tests) that I have elevated male hormones: there are a couple of hairs around my nipples (I mean, 2-3 pieces), five hairs around my navel and three on my chin. I myself am a brunette, I have southern peoples in my blood: Italians, Tatars, Jews.
The skin is problematic, not smooth, there are often pinpoint rashes on the cheeks or temples, forehead.
She was wonderful throughout pregnancy, i.e. the month that I knew about her, from about the 5th week.

This is what confuses me: many sources write that antiandrogens such as JES can worsen hypothyroidism because suppress the actual function of the pituitary gland, and my TSH is already slightly elevated.
Is it even worth “giving the ovaries a rest”, or can I somehow understand whether it is needed in my case - and is this rest more important than the risk of worsening hypothyroidism?
So far I am not taking synthetic hormones and plan to first try the homeopathic route to restore TSH to normal.

Does such an insignificant deviation play a role for ST at 8 weeks?
Do antiandrogens and OCs in general pose a risk of worsening hypothyroidism?
Can I somehow understand how much this “rest” is needed for the ovaries?
To what extent is it worth listening to the version that, against the background of OK, they can generally “fall asleep” during these 3-4-5 months and then they will have to be shaken up with medication - I see reviews from victims, but I understand that everyone has their own nuances.

And additionally: do I understand correctly (I read in medical consultations) that OCs can thicken bile as a side effect? And promote the formation of stones if there are kinks in the gallstone?

Thank you in advance

16.12.2015, 09:27

1 Subclinical hypothyroidism requires treatment only in one case - planning pregnancy, which requires prescription of replacement therapy
The optimal TSH level when planning pregnancy is 2.5 mIU/l. There is no homeopathic way to restore TSH, but only fluctuations in TSH over time in subclinical hypothyroidism

2 OK, no formations aggravate hypothyroidism - you are confusing it with another phenomenon

16.12.2015, 11:38

2 OK do not aggravate hypothyroidism in any way - you are confusing it with another phenomenon
I may be wrong in the terms: OK affects the pituitary gland, as a result of which the pituitary gland begins to produce less of certain hormones, right? In a broad sense, “its function is suppressed”, maybe this is where this logic comes from..

Decreased thyroid function when using hormonal contraceptives.

Hypothyroidism begins while taking OCs, and becomes obvious after they are discontinued. The mechanism of development of hypothyroidism is due to the fact that the thyroid gland and ovaries are directly connected - in these glands there are receptors that are sensitive to each other’s hormones.

When a woman uses synthetic female sex hormones, they suppress the ovaries' own function. They also suppress the function of the thyroid gland and adrenal glands.

Hormonal contraceptives, when taken for a long time, suppress the intrinsic functions of all endocrine organs, and it is often quite difficult to restore them.
Should we not listen to such statements at all? In fact, my hypothyroidism was discovered just some time after taking OK (Novinet), although I understand that this may not be related.

3 There is NO medical need for either the listed examination or taking OCs
There is also no data for hyperandrogenism
When taking OCs, the ovaries do not sleep, but the state of drug pregnancy is simulated
Of course, the fact that they sleep is a figure of speech, because they are inactive, not producing the usual hormones of the cycle. But it happens that after OK, women’s cycles are poorly restored, and then these same ovaries begin to be stimulated with medication... are there such risks?

The listed tests will not help in any way to understand my condition in connection with planning the next pregnancy. Did I understand you correctly that they should be done only in a couple of months? I have not yet begun to list everything prescribed... FSH, LH, AMG, testosterone, 17OH Progesterone, DHEA-S, Androstenedione, prolactin
Will all this be needed before the start of the next pregnancy, or in advance? Or is it completely unnecessary?

I understand that right now I have no risks, and therefore no medical need (your direct answer). What is difficult for me to understand is whether it is time to check this whole picture now to draw conclusions about the possible causes of the miscarriage and conclusions about the course of preparation for the next pregnancy.

Thanks in advance, and I apologize for the length.

In addition, could there be a connection between taking OCs with thickening of bile and, accordingly, increasing the risk of forming gallstones, given the presence of kinks that disrupt the normal outflow?