Use protection after a miscarriage. View full version. Regulon after abortion

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, 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.

Did you have a miscarriage or did you have to terminate the pregnancy? If you didn’t want such a turn of events, then try not to panic: life doesn’t end there, you will definitely have children.

If you were forced to have an abortion because there was no other choice, well, what can you do? It’s a pity, of course, that you subjected your body to such an intervention, because everything could have been solved differently. Try not to treat abortion as a means of contraception in the future. This is an extreme measure, and its consequences for the body can be very harmful both for you and for your future children. You put yourself at greater risk for many diseases, inflammatory and chronic, than if this did not happen.

But, one way or another, the abortion has already been carried out. This operation injured the mucous membrane of the uterine cavity and pregnancy is simply contraindicated. But the ability to conceive is restored very quickly, and a woman’s sexual activity does not decrease after termination of pregnancy. However, until the vaginal bleeding stops, you have no time for sex. In the future, careful protection is necessary. What can you recommend?

Hormonal contraception. Effective. The only safer option is sterilization. Combination birth control pills are the best option after an abortion. They will not only provide you with protection, but also treat you: they will normalize the menstrual cycle, make your periods shorter, and protect you from inflammatory diseases. But your self-discipline is required - follow the arrow on the package.

Mini-pills, injections, implants. And they will fit. You may be given a Depo-Provera injection or Norplant injection immediately after an abortion. Minor side effects may occur, however. So, Depo-Provera may affect your weight gain, and it may not be long before this drug wears off if you want to get pregnant.

Barrier methods. They are effective, especially in combination with spermicides (chemical means of contraception). But, since their effectiveness is not the highest, it is better to turn to them when other contraceptives are contraindicated for you. But their advantage is protection against sexually transmitted diseases and the absence of side effects. If you use these tools carefully, you can rely on this method.

Surgical sterilization. If the abortion went without complications, and your doctor is sure that the genital tract is not infected, then you can take this step. True, it would be better if you were already over 32 and had at least two children waiting for you at home... Your written consent to the operation is always required.

Intrauterine devices. Don't forget that your uterus is already damaged. Therefore, after an abortion, it is better to abstain from intrauterine contraceptives and not expose yourself to even greater risk. As a last resort, if the doctor can only recommend this method for you, then it is better to install the IUD 4–6 weeks after the abortion, i.e., when the menstrual cycle is restored.

Biological methods. According to statistics, out of 100 women who use these methods after an abortion, 10–30 become pregnant again in the same year. Therefore, it is better to choose other methods - there are many of them!

Conclusion: You know what you want. You know how to achieve this. Now you know what will help you. Listen to yourself and don't let other people or misinformation influence you. You are free!

That's all. If you read the book carefully and find something new for yourself, its purpose is completed. We hope it helped you. Now you will go to the doctor, understanding how important it is to be the master of your life, and knowing that there are many ways to do this. Be happy, desired, loved!

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?

Protection after miscarriage.

Hello,

I’m 23 years old, female, weight 60, height 158. I’ve had my period since I was 10.5 years old, the cycle established itself quite quickly - 4 days, every 28 days, moderate discharge, usually pain and poor health on the first day of menstruation, pain often begins after a few days before they start. Last menstruation 12/05/2006 (delayed by a week), miscarriage 01/22/2007 - first pregnancy. Among the diseases, about 5 years ago there was a left ovarian cyst, discovered by ultrasound, which went away without treatment. At the same time, there was a menstrual cycle disorder - they prescribed me to take Tri-Mercy for three months, after a course of medication, the cycle returned to normal. Recently, brown discharge appeared in the middle of the cycle; last year there were delays several times - for 4 and 7 days, but pregnancy tests were negative.

At about 4 weeks of pregnancy, I suffered from a respiratory viral disease (not the flu, I didn’t see a doctor), took rimantadine and claritin (to reduce a runny nose), since I didn’t know about pregnancy yet.

01/09/2007 - positive pregnancy test, a little earlier my stomach began to ache and brownish discharge appeared, the doctor did not examine me, but said that this was normal.

01/20/2007 - discharge became white, slightly yellowish

01/22/2007 - in the morning blood appeared from the vagina, I immediately went to the doctor, the diagnosis was an early miscarriage, there was no pain.

Hospitalization. The diagnosis in the hospital is that abortion is common in early pregnancy.

Blood test: hemoglobin -142 g/l; red blood cells 4.2 H10^12/l; leukocytes - 8.3 H10^9/l; ESR - 15 mm/h.

Urine analysis: specificity. weight - 1013; protein, sugar, red blood cells -0, leukocytes - 1-2; cylinders, bacteria - 0.

An operation was performed - curettage of the uterine cavity during an unspecified abortion: the uterine cavity along the probe was 7 cm. The cervical canal was expanded to No. 10. Curettage of the uterus was performed using 4.2 curettes. The scraping is abundant, representing fragments of the fetal egg and chorion - sent for histology. No deformations of the uterine walls were detected. The bleeding has stopped. Diagnosis: abortion is common in early pregnancy.

Doxycycline 0.2 and Trichopolum were prescribed for 3 days.

During the consultation, the doctor prescribed me to take OK Lindinet for three months. But my husband was always categorically against OCs, before pregnancy we were protected with condoms, the pregnancy was planned and occurred already in the second month after stopping protection. Do I have to take these pills now or can I choose another method of contraception? When can you start having sex again? What examinations should be completed first? How accurately will it be possible to judge the causes of miscarriage based on the results of histological examination (not ready yet)?

Miscarriage (spontaneous abortion)

A miscarriage is the spontaneous termination of pregnancy before 20 weeks. The words “miscarriage” and “abortion” in gynecology are synonymous, so spontaneous abortion or miscarriage mean the same condition.

Depending on the period at which the termination of pregnancy occurred, miscarriages are divided into early (up to 12 weeks) and late (from 13 to 20 weeks). In the vast majority of cases, pregnancy is terminated in the early stages of pregnancy.

According to statistics, up to 20% of wanted pregnancies end in miscarriages. If a woman has already had several miscarriages in the past, then she is diagnosed with miscarriage.

Causes of miscarriage

There are many reasons for termination of pregnancy, ranging from banal stress to serious endocrine disorders. In some cases, the cause of the miscarriage cannot be determined.

The main causes of miscarriages include:

- genetic (chromosomal) abnormalities of fetal development that are incompatible with life. As a result, the non-viable fetus dies and a miscarriage occurs;

- hormonal disorders: lack of the hormone progesterone, hyperandrogenism, hyperprolactinemia, thyroid disease and diabetes;

— sexually transmitted infections (chlamydia, trichomoniasis, ureaplasmosis, mycoplasmosis, HPV, HSV, CMV) and TORCH infections (rubella, herpes, toxoplasmosis, cytomegalovirus infection);

- anatomical anomalies: malformations of the uterus (unicornuate, bicornuate and saddle uterus, the presence of an intrauterine septum); uterine fibroids with submucosal localization of the node, intrauterine synechiae;

— isthmic-cervical insufficiency (insufficiency of the muscular layer of the cervix, leading to its dilatation);

- Rh conflict between mother and fetus.

Other factors that can also trigger a miscarriage include: previous abortions, smoking, drinking alcohol, using drugs, stress, acute respiratory diseases, taking analgesics and hormonal contraceptives.

How to recognize the symptoms of an incipient miscarriage?

As a rule, a miscarriage begins with nagging pain in the lower abdomen. These pains feel like the first day of menstruation. This condition indicates an increase in uterine contractility, that is, a threat of miscarriage. The fetus does not suffer.

As the process progresses, the pain becomes cramping in nature and blood discharge from the genital tract appears. Discharge may be spotting or moderate. This indicates that a miscarriage has begun.

When the fertilized egg is detached from the wall of the uterus, a “complete” or “incomplete miscarriage” occurs. In both cases, the pregnancy cannot be maintained. With a complete miscarriage, bleeding from the genital tract increases - the discharge becomes profuse with clots. The fertilized egg comes out of the uterine cavity on its own. After which the uterus contracts on its own and the bleeding stops.

With an incomplete miscarriage due to the fact that the fetus does not completely leave the uterine cavity, bleeding can be very long and heavy.

All of the above symptoms at any stage of pregnancy require immediate contact with a gynecologist.

Diagnosis of threatened miscarriage

Diagnosing spontaneous abortion is not difficult. During an examination on the chair, the gynecologist checks whether the size of the uterus corresponds to the expected period of pregnancy, checks whether there is any tone of the uterus, whether or not the cervix is ​​open, determines the nature of the discharge - mucous, bloody, with or without the remains of the fertilized egg.

To assess the condition of the fetus, an ultrasound of the pelvic organs and fetus is performed. At the same time, they determine the location of the fertilized egg (if present), and look to see if there is a detachment. Using an ultrasound, you can determine the hypertonicity of the uterus, that is, its excessive tension, which is a sign of a threat of miscarriage.

Based on examination and ultrasound, the management tactics for the pregnant woman are determined. All pregnant women with a threat of miscarriage are subject to hospitalization in a hospital.

Treatment of pregnant women with threatened miscarriage

Treatment tactics are determined depending on ultrasound data, examination and clinical manifestations.

In case of threatened abortion or incipient miscarriage, therapy is carried out aimed at prolonging pregnancy, provided that there is no detachment of the ovum. In case of partial detachment of the fertilized egg, if the bleeding is not very profuse, as happens when a miscarriage begins, treatment is also carried out aimed at preserving the pregnancy.

But if the fertilized egg has already detached and the bleeding is profuse, then the treatment is no longer effective. In this case, the uterine cavity is curetted to remove the remains of the fertilized egg. The resulting scraping is sent for cytogenetic research.

In late abortions, after removal of the remaining fetal egg, drugs to contract the uterus (Oxytocin) are prescribed intravenously. After curettage, antibiotics are prescribed.

For women with a negative blood group, anti-Rhesus immunoglobulin is administered after curettage to prevent Rh conflict.

For better contraction of the uterus and to reduce blood loss, after curettage, apply a bubble of cold water or ice to the abdomen.

Upon discharge from the hospital, a woman is recommended to undergo an outpatient examination by a gynecologist to determine the cause of the miscarriage, which includes: ultrasound of the pelvic organs, examination for urogenital infections and TORCH infections, blood test for hormones (DHEA, prolactin, 17-OH progesterone, progesterone, estradiol, LH, FSH, cortisol, testosterone); study of thyroid hormones (TSH, free T3, free T4); coagulogram, hemostasiogram; cytogenetic study of the remains of the fetal egg.

This is the main checklist. At the initiative of the doctor, it can be expanded. In addition, for 6 months a woman is recommended to protect herself from pregnancy with hormonal contraceptives to regulate hormonal levels.

If everything is normal with the fetus, then the following groups of drugs are used to prolong pregnancy:

- gestagens (Duphaston or Utrozhestan) to correct progesterone deficiency. They are prescribed up to 16 weeks of pregnancy;

- glucocorticoids (Dexamethasone, Metipred) are prescribed to correct hyperandrogenism;

- sedatives (tinctures of Motherwort or Valerian);

- antispasmodics (No-shpa, Papaverine, Baralgin) to relax the muscles of the uterus;

— vitamins and microelements (Magne B6, folic acid, vitamin E).

If the pregnancy has been maintained, then upon discharge the pregnant woman is recommended to continue taking the medications prescribed in the hospital. This is especially true for gestagens and glucocorticoids, which should be used continuously. If you suddenly stop using the medications, there may be a risk of miscarriage again.

In addition, a pregnant woman needs physical and emotional rest and sexual abstinence.

To reduce the risk of miscarriage in the future, it is recommended to increase the consumption of complex carbohydrates (bread, pasta); fiber-rich fruits and vegetables; dairy products, fish, meat, vegetable oil and legumes.

Complications of miscarriage:

- spontaneous abortion that cannot be treated;

- excessive uterine bleeding, which can lead to hemorrhagic shock;

Prevention of spontaneous abortions:

- healthy lifestyle;

— timely examination and treatment of gynecological and endocrine diseases;

- refusal of abortion.

Consultation with an obstetrician-gynecologist on the topic of miscarriage:

1. Is it possible to get pregnant after a miscarriage?

2. Does a doctor have the right to perform curettage without a preliminary ultrasound?

In emergency situations, if a woman is admitted to the hospital with heavy bleeding, then maintaining the pregnancy is out of the question and curettage is performed on an emergency basis without an ultrasound. In other cases, an ultrasound is required.

3. I had a miscarriage and the discharge stopped. Tell me, is it necessary to do curettage? Can fetal remains remain in the uterus?

If there is no discharge, then most likely everything has already come out and there is no need for scraping.

4. After a missed period, I began to experience heavy bleeding with clots. What is this? A miscarriage? The pregnancy test is negative.

The clinical picture is very similar to a miscarriage. Pregnancy tests sometimes give false results. Go to the gynecologist for an ultrasound.

5. Can sex cause miscarriage?

If the pregnancy is progressing normally and there are no other reasons causing a miscarriage, then sexual intercourse is safe.

6. After a miscarriage at 20 weeks, I started having light yellow discharge from my nipples. Is this normal or does treatment need to be done?

This is the norm. The discharge will go away on its own after menstrual function is restored.

7. Can I use tampons if I have a miscarriage?

You can’t, they can contribute to infection of the genital tract. Use gaskets.

Miscarriage

I am 30 years old. A year ago I became pregnant; my uterine fibroids were 56mm. in diameter. At 16 weeks They cut out a specific appendicitis, and I underwent two general anesthesia (during laparoscopy and during surgery). Two weeks later, water began to leak, the cervix was open 1.5 fingers, and at 20 weeks. induced labor. The child had a hematoma on his head and his body was covered with a whitish coating. What is this from and what caused the loss of the child? Myoma grew to 80mm. I was prescribed surgical treatment, I passed all the tests, but I became pregnant (4-5 weeks) and now I don’t know what to do. The doctors say that the pregnancy rate is low, but they left the last word with me. What is the best thing to do (have an abortion and surgery or try to carry it to term)?

Myoma since 27 years old. Why so early?

No one can say why fibroids appeared at this age or another. There is no age limit for fibroids; 27 years is not the earliest age for its appearance. Pregnancy with uterine fibroids can be tolerated, you need to constantly monitor the node, prevent placental insufficiency and constantly take relaxers (no-spa, Magne B6, in the second half of pregnancy - ginipral). The reason for the opening of the fetal bladder and leakage of water is unknown, but when the membranes are opened, an infection quickly rises from the genital tract and infects the fetus. This is what happened.

Please tell me if there could be a cyst measuring 7.5 cm by 5.6.

This situation already happened when five doctors diagnosed her with a cyst. I had my blood and urine tested, and everyone said that it could only be a cyst.

But a couple of months later she had a miscarriage, after which doctors examined her. It turned out that she had a bicornuate uterus, one half very close to the left ovary. it turned out that the fetus developed in this very place. Tell me if this can happen again and if it can be accompanied by severe pain in the lower abdomen.

It is very difficult to confuse a cyst and pregnancy in the uterine horn. if the ultrasound is performed by a good specialist using good equipment. The cyst can be as big as you describe, and it looks completely different from the uterine horn. The cyst may be accompanied by abdominal pain due to stretching and cycle disorders. But pregnancy can too. During pregnancy, the hormone beta-hCG is detected in the blood. Not with a cyst. Otherwise, an accurate diagnosis is possible using ultrasound.

Please, explain, is there a clear difference between the causes of a miscarriage that began after the pregnancy stopped developing and a miscarriage that began after a threat of any discharge, that is, with a normally developing pregnancy? Is it possible that the reason for a non-developing pregnancy is increased male hormones? I just keep seeing in the text that in this case there is a possible “threat of miscarriage.” Is this the same thing as non-developing? What can be assumed if male hormones are elevated during pregnancy and I took dexamethasone, but the pregnancy still stopped developing and a miscarriage occurred? Apart from infections?

The threat of miscarriage is not the same as a frozen pregnancy. Threat is the threat of termination of a live pregnancy, it can be associated with hormonal imbalances, infection, or an autoimmune condition. A frozen pregnancy is rarely hormonal in nature. Indeed, the most common cause in this case is infection. You can also consider antiphospholipid syndrome as a possible cause - antibodies to hCG, lupus anticoagulant, but dexamethasone also helps in this situation. If while taking dexamethasone the level of 17-KS was normal, it means that male hormones were not the cause. What remains is an infection and a genetic abnormality. Why do you write "except for infections"? This is really the most common reason. Antiphospholipid syndrome, for example, often results from a chronic viral infection.

The fact is that 2 years ago my husband and I were treated for trichomoniasis, almost a year later we were diagnosed with ureaplasmosis, we were treated, 2 months after the course of treatment, tests showed neither ureaplasmosis nor trichomoniasis, another month after that I became pregnant, but there was a miscarriage, after for which I took Marvelon for 2 months, and for 8 months now we have not used any protection, but I cannot get pregnant. What should I do?

First of all, don't worry. The diagnosis of infertility is made only after a year of regular (at least 1-2 times a week) unprotected sexual activity. Next you need to be examined. The spouse needs to take a spermogram. You should check the patency of the tubes and hormonal status. If deviations are detected, treatment is carried out. Naturally, these are not all the examinations that are carried out on infertile couples, but you should start with them.

After a miscarriage at 6 weeks, I was diagnosed with ureaplasma +++ and mycoplasma ++, although there are no signs of the disease. She underwent a course of antibiotic treatment, but as a result, the infection did not go away, but psoriasis began to grow throughout the body, although before it was almost invisible. Now I'm afraid to be treated with antibiotics, because... It is more difficult to cure psoriasis. Can I have a baby now?

These microorganisms in 30% of men and women are representatives of the normal microflora of the genital tract. Most often they occur in sexually active people. If they do not cause inflammation in either you or your partners, then no treatment is required. If there is no inflammation, then there is no threat to pregnancy. If inflammation is present, appropriate therapy is carried out. After a miscarriage, you should abstain from pregnancy for 6 months. The cause of miscarriage is not only infection, but also hormonal disorders.

I'm planning a pregnancy. The fact is that about 4 years ago my husband was diagnosed with chlamydia, he was treated, but I was not, because I was also examined and nothing was found. 3 years later, tests were done during pregnancy, the results were negative, but the pregnancy ended in a miscarriage. Now I repeated the tests, the results are also negative, but I am tormented by cystitis. Could it be that chlamydia is present, only in a latent form, or can you try to get pregnant again and not worry?

Western doctors believe that we should focus only on smears (DNA). If according to the results of these tests there is no infection, then no. Our specialists also consider a blood test for antibodies to chlamydia. If a blood test reveals an infection, appropriate treatment is given. For your own peace of mind, donate blood. If chlamydia is not detected in the blood, then live calmly and give birth to a child. The cause of miscarriage may not only be an infection.

three years ago I had a mini-abortion at approx. 6 weeks, no complications. A year later, she became pregnant again, decided to give birth, was examined at the hospital, outwardly everything proceeded without problems, but at 8 weeks bleeding began and a miscarriage occurred. Now I would like to get pregnant again, but I’m afraid that everything will happen again. There are no infections (STDs), hormonal levels are normal. What should I consider next time? Was the miscarriage a consequence of an abortion?

Complications of abortion. which lead to miscarriage are intrauterine adhesions, which prevent the fetus from attaching to the uterus, and isthmic-cervical insufficiency (a slightly open cervix, as a result of which the fertilized egg moves down and, without support, a miscarriage occurs). The latter condition is typical for later stages of pregnancy (after 16 weeks). During an abortion, the mucous membrane of the uterus is injured and in the future it may not be complete, especially if inflammation develops, as a result it becomes unsuitable for the implantation of an embryo in it. The most common causes of early pregnancy loss are hormonal imbalances and infection. To find out the cause, a hysterosalpingography (x-ray of the uterus) should be done, this will eliminate uterine pathology (adhesion). An ultrasound scan in the second phase of the cycle can determine the condition of the mucous membrane. Antiphospholipid syndrome may also be a cause of miscarriage. At the same time, the mother’s body produces antibodies that perceive the fetus as a foreign agent and reject it. To diagnose this syndrome, you should donate blood to determine the level of antibodies to phospholipids.

I am 27 years old, only childbirth, no abortions. Two months ago I was treated for cervical erosion and colpitis, and therefore was tested for various infections. All tests were negative. About six months ago I stopped using Depo-Provera (I used it for 9 months) and switched to Contraceptin-T. In January, in the middle of the cycle, painless spotting with filling began. The pregnancy test was negative. My period did not come at the expected time, and the test showed the presence of pregnancy. The gynecologist said that I was having a miscarriage. Please tell me what could have caused it and what explains such a long process (about two weeks)?

It is impossible to determine in absentia what may cause a miscarriage. A full examination is necessary. If the test shows pregnancy, it means there is no miscarriage (at the time of testing), otherwise the test would be negative. Continued (?) spotting may be a sign of a threatened miscarriage.

Why so long? — how long some pathological condition exists that is the cause of the threat. If today the pregnancy is still ongoing, it is necessary to go to the hospital for examination and decide on its continuation. if the pregnancy is terminated. You need to be examined to find out the possible causes of miscarriage. If infection is excluded, the causes may be genetic abnormalities or hormonal disorders.

Pregnancy 6 weeks, toxicosis, threat of miscarriage, plus diagnosis of nephroptosis. What treatment methods are proposed and what prognosis can be given regarding this?

Treatment methods and prognosis depend on the cause of the threatened miscarriage. First of all, you need to get examined. The reasons for miscarriage at such an early stage are:

1. hormonal disorders (lack of female or excess male sex hormones),

2. infection

3. genetic abnormalities.

4. Metabolic or other non-gynecological diseases.

Nephroptosis can lead to impaired kidney function, but at a later date. In any case, you will need to carefully monitor your kidneys and take urine tests.

Currently, it is advisable to undergo a full examination in a large center and find out the cause, then it will be possible to prescribe treatment.

I am 28 years old. In the past I had 3 mini-abortions (there were no complications), in March of this year I became pregnant. My husband and I really wanted a child. But it didn’t work out. At 17 weeks of pregnancy, I was diagnosed with a 2 mm dilatation of the internal os of the cervix. We decided that it was necessary to apply a circular suture. 1.5 months after examination on the chair upon discharge from the maternity hospital, the suture fell apart into two parts. I was urgently hospitalized, and after 5-6 days at 27 weeks of pregnancy in the maternity hospital, contractions began. The doctors said that there was nothing that could be done, they punctured the bladder and left me in the isolation ward. After 7 hours, I gave birth to a living girl, but since there was no one around and no one helped the child, she died after living for about half an hour. In the extract they wrote that there was a late miscarriage, and the child was not viable. Doctors say that everything happened because of ureaplasma, which was discovered in me when I came to register. But by the time of the miscarriage, I had undergone treatment with rovomycin. I have questions: were the doctors’ actions competent? — was it possible to save my child (they said that there were no pathologies)? — how and with what to treat ureaplasma? - how best to prepare for the next pregnancy in order to avoid tragedy and give birth to a much-desired child. — what medical institutions could you recommend to me for planning and managing pregnancy?

Unfortunately, it is difficult to judge from your letter the competence of the doctors’ actions. From world obstetric practice it is known that children weighing more than 500 g are nursed. However, in our country, even in the largest centers, this is not always possible. Premature babies are born with immature vital organs, especially the lungs, so it is very difficult to deliver such babies. Ureaplasmosis is dangerous due to the inflammatory process in the genitals. Apparently, inflammation was the reason why the seams on the neck came apart. The cause of isthmic-cervical insufficiency, the so-called weakness of the cervical muscles, is most often hormonal disorders (decreased ovarian function and hyperandrogenism) and trauma to the cervix as a result of abortion. You should rule out hormonal disorders and treat the inflammatory process of the genital organs.

In the fourth month of pregnancy (second) a miscarriage occurred (before this, two days before that there was a high temperature of 39’C and only on the third day the stomach began to hurt and four hours later the birth occurred). All possible tests have been completed. Everything is okay. There were never any sexually transmitted infections, the first pregnancy and childbirth went unnoticed. What are the possible reasons?

In order to answer your question, you need to see a doctor with the results of the examination

A month ago I had a miscarriage at 6 weeks. After being tested for hidden infections, I was found to have gardnerella. Could it cause a miscarriage and should it be treated if I have absolutely no symptoms, because... I read that there should be some kind of foamy discharge. I have nothing at all.

Most often, at such early stages, miscarriages occur due to hormonal disorders or genetic pathology of the fetus. Genetic anomalies are rarely hereditary in nature, but are the result of a mutation in the fetus under the influence of unfavorable factors (environmental pollution, hazards at work, viral diseases - influenza, rubella, etc.). Gardnerella is a normal representative of the vaginal flora, but it should be contained there in small quantities. With a decrease in the number of lactobacilli - the most normal representatives of the flora, gardnerella begins to actively multiply and takes up empty space. In this case, it causes an inflammatory process, which is accompanied by abundant foamy discharge, an unpleasant odor and an increase in leukocytes, which can be seen in a regular smear on the flora. In such a situation, the inflammatory process could cause a miscarriage. If your smear is normal, then the cause of miscarriage should be sought first among the more probable factors.

The situation is like this: Oct 2. I had my next period (with a delay of 10 days, such a delay had never happened before), October 17. I was with a man at the end of October. two or three times I felt a pulling sensation in the lower abdomen (I’m 26 years old, I’ve never had any such sensations and in general everything was fine, only the painful first day of my period, sexual activity is rare, I’m not married), these sensations passed, I started eating a lot (about two weeks), I was a little dizzy and I thought about a possible pregnancy. My period did not come after November 2 as expected. The chest was swollen and ached. Around November 10th there was a small pink watery discharge once without any sensation. Nothing else bothered me (I didn’t feel sick) and therefore I didn’t go to the doctor. On November 17, I took a test - it showed pregnancy. On the 18th I felt unwell (the general condition seemed to have dropped significantly), in the evening I again noticed pink, watery, small discharge, at night pain began and discharge began! like menstruation. Was I really pregnant and had a miscarriage or was it such a long delay in my period (20 days)? If there is a delay, why? (after all, I never had any painful sensations). Why did the test show pregnancy then? If there was a miscarriage, what were the possible reasons? This is the first time this situation has happened to me; I have never been pregnant before. Now I feel fine, nothing bothers me.

The probability of pregnancy is high. Sexual contact took place on the days of expected ovulation. The cause of the miscarriage, if it actually occurred, is difficult to determine in this situation. Most often, hormonal disorders, as well as genetic abnormalities in the fetus, lead to miscarriage at such an early stage. Perhaps for some reason your ovarian function is impaired. This is evidenced by a delay in menstruation in October.

At the 11th week of pregnancy there was a miscarriage, after which there was bleeding for more than a week. Please tell me, after what period of time should my period begin now?

Normally, menstruation should begin approximately a month after the miscarriage, i.e. A miscarriage is counted as the first day of menstruation and the next one begins as usual. However, termination of pregnancy is always accompanied by hormonal imbalance, so both a delay in menstruation and an earlier onset are possible.

The bleeding you noticed is alarming. You may have developed endometritis (inflammation of the uterus). You should consult a doctor immediately.

We want to have a child. I have chronic inflammation of the appendages, my husband was diagnosed with chlamydia, the urologist said that even if I get pregnant. then there will be a miscarriage for 1-1.5 months.

With chronic inflammation of the appendages, there is a risk of disruption of the patency of the fallopian tubes, which prevents fertilization. Chlamydia can cause infection of the fetus and pose a risk of miscarriage. This, of course, does not mean that a miscarriage will necessarily occur, but it is better to be treated before pregnancy. You and your husband should treat the infection and use a condom in the meantime until your test results come back normal. It is advisable to check the patency of the pipes. If obstruction is detected, surgery should be performed to restore patency.

I went to the doctor for an appointment and they did an ultrasound using the vaginal method. The doctor says that the cervical canal is completely closed. In my last pregnancy (I had a miscarriage at 20 weeks), I was told that I would have to have surgery to narrow the canal before 10 weeks (I went to the hospital at 16 weeks and my dilatation was 1 ms). Now I’m 8-9 weeks old, but the doctor says that everything is fine with the canal and also says that if I had ICI, it would already be visible at this stage. What should I do now? To stitch or not? Is it possible that the channel will open at a later date?

The fact is that a late miscarriage can be not only a consequence of isthmic-cervical insufficiency. There are many reasons for this. This includes a genital tract infection, hormonal imbalance, and antiphospholipid syndrome... Since the cervix is ​​in normal condition, surgery is not required. You need to be examined in order to find out the cause of the miscarriage and prevent it. You should be under close medical supervision.

I am 26 years old, a year ago I had a miscarriage at 4-5 weeks of pregnancy. I was examined and found chlamydia (as the doctor said in a small amount). My husband and I underwent a course of treatment with cycloferon, erythromycin, and nystatin. After a repeat analysis (a month later), the result is negative. I recently went to the doctor and they suspected pyelonephritis. Could a chlamydial infection provoke pyelonephritis, and how could it affect the likelihood of conception and the course of pregnancy (since six months have passed after the course of treatment, but pregnancy has not occurred)?

Theoretically, chlamydia affects both the reproductive and urinary systems, and can serve as a favorable background for the development of pyelonephritis. The presence of pyelonephritis does not affect conception, except as a general adverse effect on the entire body, but during pregnancy, when the kidneys are under double load. it almost always gets worse and causes a lot of problems. Therefore, it is worth “dealing” with pyelonephritis before conception - how exactly - a urologist or urogynecologist will tell you.

I am 21 years old. My husband and I decided to have a child. There were attempts from 12-16 days from the first day of menstruation (my cycle is 24-28 days). I still have to wait a week before I can find out if I'm pregnant or not. My breasts have become swollen and slightly enlarged. Sometimes you feel dizzy, sometimes you feel nauseous. We tried to check it using tests, but it shows negative. Maybe it's too early to check? And I still had a little reddish discharge. really only once. And there was also a little pain in the lower abdomen. Tell me what are the symptoms at the very beginning of pregnancy? And if I’m pregnant, how will the discharge and sensations affect the pregnancy? I'm afraid of miscarriage. And many people say that they feel terribly sick. But I didn’t have that. When can the first analysis be done?

Symptoms suspicious of a threat of interruption are obsessive pain in the lower abdomen, worse if it is cramping in nature; bloody discharge from the genital tract. Nausea is a sign of toxicosis in the first half of pregnancy, which is a pathological condition. Normally, there should be no nausea, much less vomiting. A home pregnancy test gives a positive result after a week of delay. Ultrasound also begins to distinguish the fertilized egg after 7 days of missed menstruation. But human chorionic gonadotropin (hCG), a hormone synthesized by the fertilized egg, begins to be detected in the blood from the 23rd day of the menstrual cycle.

I am 28 years old, married. In 1991, she gave birth to a child from her second pregnancy. After that, unfortunately, I had 4 abortions (I got pregnant very easily, although I used contraception). In 1997 I installed a coil (the second one), which gave me inflammation. I went for a cleanse in 1998 with a diagnosis of endometriosis. I was treated for a long time. My husband and I decided to have a second child. Six months later, pregnancy began, I went for an ultrasound, where I was told that a miscarriage had begun (5-6 weeks). I had an abortion. Another six months later, I was pregnant again, ending in a miscarriage (I didn’t even get to the doctor, I was about four weeks pregnant). And here I am again pregnant (came a week before the New Year). I already guessed about it when I got the flu in the 3rd week. She did not take any medications, stayed at t39.7 for three days, and was sick for 2 weeks. Immediately after recovery I had an ultrasound. Term 5 weeks, fertilized egg 7 mm. After 10 days, I did an ultrasound again: the fertilized egg was developed for 3 weeks, the fetus appeared, but the size was still the same 5. The doctor said that fetal pathology was possible and advised me to have an abortion. On the same day, bleeding began. I went to the doctor and they immediately gave me an abortion. The doctor diagnosed gardnerellosis (15 minutes after the abortion), prescribed tinidazole and oxycillin. She said that there is no endometriosis, but the cause of miscarriages. is gardnerellosis (10 days before, they took a smear from me there and diagnosed me with bacterial vaginosis, prescribing Terzhinan, which I was treated with). Please tell me, was it possible not to notice gardnerellosis at the first smear (after that I was not sexually active)? Was it possible to make this diagnosis so clearly after an abortion? And, most importantly, could this disease be the cause of my miscarriages? I am very careful in my sex life, I am completely confident in my husband (he is a doctor, works with children, undergoes examinations every 2 months), I do not find any symptoms of gardnerellosis in myself.

Until recently, the diagnosis of gardnerellosis and bacterial vaginosis were considered synonymous, but now it has been proven that these are different things. The first is an infectious disease, the second is vaginal dysbiosis. Unfortunately, not all doctors have “rebuilt” yet. This is the reason for the different diagnoses. But, in any case, this could not be the cause of the miscarriages in your case. Termination of pregnancy at such an early stage is usually associated with fetal pathology. An acute viral infection, such as influenza, could cause pathological changes. herpes. cytomegallovirus; abnormalities in the chromosome set of parents; sperm defect. You need to be seriously examined. Both spouses need to undergo a genetic study, be examined for various infections, the husband must take a spermogram, and you must examine your hormonal status.

Over the past two years, I suffered a miscarriage at 22 weeks, and half a year later at 15 weeks. After tonometry of the cervix, a diagnosis of ICN was made. The length of the cervix is ​​3.4 cm. But even now (I’m not pregnant) it misses a finger. I was recommended to have a suture on the cervix in the early stages (up to 10 weeks of pregnancy). Please answer, what are my chances of bearing a child? There were no such problems during my first pregnancy. Thank you in advance

For isthmic-cervical insufficiency (ICI), there is only one treatment method - mechanical narrowing of the cervical canal. To do this, the neck is either sewn up or a special ring is put on it. However, the latter method is less effective, because the ring can easily slide off the neck, then it will no longer hinder the process of its opening. ICI may be primary (for no apparent reason), or may be a consequence of abortion or hormonal disorders (increased levels of androgens - male sex hormones or their precursors). Miscarriage at such stages of pregnancy (15-24 weeks) can also be a consequence of infection (chlamydia, ureaplasmosis, mycoplasmosis, herpes, CMV).

I recommend that you be thoroughly examined for miscarriage, check the above factors. In addition to them, the cause of miscarriage can be antiphospholipid syndrome, while the woman’s body perceives the child as something foreign and rejects it. This disease, like the others listed, can be corrected, i.e. You have a very real chance of bearing a child.

Now I have a child, but several years ago, during my first pregnancy, at 25-26 weeks, the threat of miscarriage began. Before this, the pressure periodically increased and there was swelling in the legs. The doctor did not pay attention during the consultation. At 28 weeks she prescribed oxyprogesterone for a miscarriage. 1 or 2 days after this, very severe swelling appeared on the legs - they looked like jellied meat, the face was covered with pimples, as if in the cold. At night the bleeding started. At the emergency hospital they diagnosed “central placenta previa,” although at 10 weeks I had an ultrasound and was diagnosed with “the placenta is located on the back wall of the uterus.” The child was not saved because... from 7.30 am to 12.00 noon I received no help and even vice versa. In the annotation for oxyprogesteon it is written everywhere that it increases swelling and increased blood pressure. Could this injection cause placental abruption? And could the placenta slide down from the back wall? In addition, already at that time I had autoimmune thyroiditis and hypothyroidism. But the diagnosis was made after the birth of my child. It's a long story. During the first pregnancy, could hypothyroidism have an impact on the pregnancy? There was no diagnosis, which means there was no treatment? I never had an abortion, there was no inflammation.

Pregnancy against the background of hypothyroidism is extremely unfavorable, and your case is further confirmation of this. Hypothyroidism in the mother causes vascular pathology (puffiness and blood pressure problems), premature birth, stillbirth, and cretinism in the child. Placenta previa ends with breakthrough bleeding at the slightest opening of the cervix. It is extremely difficult to say after the fact what provoked the rather sharp deterioration in the condition. Oxyprogesterone has not been used in obstetrics for 15 years (or is used due to desperate poverty). Yes, and its more modern analogues are effective when there is a threat of premature birth up to 16 weeks, after which their use is ineffective. The placenta migrates only upward; it never “creeps” downward. and even at the 10th week of pregnancy it is not yet formed; with an ultrasound, you can only see the chorion - what the placenta is formed from. At this time, ultrasound is preliminary. A more accurate description of the localization of the placenta and the development of the child, the exclusion of malformations is carried out with an ultrasound at 18 - 22 weeks, which. alas, in your case it was not carried out

My wife is 25 years old. She had a miscarriage in the second month of pregnancy. The doctor said it was due to a hydatidiform mole. I was told that she could not have children. Is it true?

Hydatidiform mole is a fairly serious disease that can result in complete recovery, or it can be complicated by chorionepithelioma (a tumor from the tissues of the embryo), which is malignant. The cause of hydatidiform mole is unknown. If your wife does not stop bleeding, the uterus does not contract to normal size, and the level of human chorionic gonadotropin in the blood is elevated, you should immediately contact an oncologist to prescribe treatment. In the absence of any complications, the woman should be under close medical supervision. If she has a normal, regular menstrual cycle, she can become pregnant within a year. With an irregular cycle, pregnancy is allowed after a year and a half. During this time, she should be examined by a doctor and have human chorionic gonadotropin determined in the blood every 2 weeks during the first month after diagnosis, and every 1.5 - 2 months over the next year, as well as once every 2 months. do an X-ray examination of the lungs. If there are no complications, the woman is considered healthy and allowed to become pregnant.

How long after a miscarriage should you take birth control?

It is usually advised to abstain from pregnancy for six months, during which, firstly, you can try to find out the reasons for the miscarriage and exclude their recurrence, and secondly, give the body a “rest” after stress.

My wife had a miscarriage at 8 weeks of pregnancy. How long should you use protection before your next pregnancy? Thanks for the answer.

After a miscarriage, it is necessary to use contraception for 6 months. During this time, it is necessary to contact a gynecologist and, if possible, determine the cause of the miscarriage.

I had 2 miscarriages. After the examination, a diagnosis of NLF was made and medications were prescribed to improve cerebral circulation. What are the recovery statistics in similar cases? Thank you.

It is necessary to know at what stages of pregnancy the miscarriages occurred. If you become pregnant again, you should contact a gynecologist in the first days of the delay for examination and treatment.

History of 1 miscarriage and 1 non-developing pregnancy. During a subsequent pregnancy, a positive reaction to lupus antigen was detected at the fifth week. I took prednisolone in small doses throughout my pregnancy, plus monitoring every three weeks:

Apparently you have antiphospholipid syndrome. Before your planned pregnancy, you need to determine the titer of lupus antibodies and the state of hemostasis, and, if necessary, hormonal therapy during pregnancy.

I had a miscarriage at 18 weeks. Since then (for 8 months now) white liquid has been secreted from the mammary glands. How abnormal is this, how can I get rid of it, and can it somehow affect my next pregnancy? Thank you.

Most likely we are talking about hyperprolactinemia, which was the cause of the miscarriage. And white liquid is released from the mammary glands due to the increased content of prolactin in the blood. To establish a diagnosis, a more detailed examination is necessary. Hyperprolactinemia can be primary or secondary. There are many reasons for its occurrence and all of them can cause recurrent miscarriages

Hello! 20 years. Several miscarriages. 19th week of pregnancy. Periodic severe pain in the lower abdomen (about once a week), We are very afraid of contractions. At the antenatal clinic they said that “the uterus is in good shape” and advised me to take no-shpa. How serious a threat is this to premature birth and what can replace no-shpu. I really don’t want to be poisoned by chemicals. Thank you in advance.

At 19 weeks, the threat of late miscarriage in a woman with a burdened obstetric history should be carried out in a hospital. No-spa is not an effective remedy at this stage of pregnancy.

More than a year ago I had a miscarriage at 7-8 weeks. She underwent a full examination - no STDs were found, hormone tests were normal. This year there were cycle delays twice (some kind of glitch, before that there was a regular cycle). Based on the temperature measured rectally, the doctor determined a lack of progesterone (the temperature does not rise very sharply during ovulation and a maximum of -36.9 - 37.0) and prescribed hormonal pills (Duphaston), and advises getting pregnant while taking them and continuing to take them during pregnancy. pregnancy time. Tell me, how dangerous can taking hormonal drugs be for an unborn child and will this interfere with the normal course of pregnancy and childbirth?

Apparently, you have a lack of progesterone production - the “pregnancy hormone”. Duphaston is its synthetic analogue. No negative effects of this drug on the course of pregnancy and the fetus have been identified, but a lack of progesterone leads to the threat of miscarriage and spontaneous abortions. This drug is usually taken until 12-16 weeks of pregnancy, then the developing placenta “takes over” the production of progesterone.

I am 28 years old. Married for one year. Rh negative. In January of this year, I had a non-developing pregnancy at 5-6 weeks; in June I was treated in the gynecological department with a diagnosis of bilateral periophoritis, salpingitis, and adhesions. My last period was one month late. The temperature is constantly kept at 37-37.3. Please advise me what to do, how to treat it, will I be able to have children?

Unfortunately, your situation cannot be called successful - apparently you have developed chronic inflammation of the genital organs. You need to be tested for infections (chlamydia, mycoplasma, ureaplasma) and cultured for flora (preferably before menstruation). Depending on the results and examination data, treatment will be anti-inflammatory, immunocorrective, absorbable, etc.

I had a miscarriage at 7-8 weeks. A hormonal study was performed and infectious diseases were excluded. During the ultrasound examination, a diagnosis was made - a bicornuate uterus (total size in diameter is about 6 cm, two cavities are approximately the same size, the septum is not very large - the uterus is in the shape of a “heart”). Please tell me if this could be

be the cause of a miscarriage and how this fact can affect subsequent pregnancies, how dangerous it is for pregnancy and childbirth. How necessary is it to undergo cosmetic surgery of the uterine cavity?

With a bicornuate uterus in the shape of a “heart,” the risk of miscarriage increases, and miscarriages are possible at 20–24 weeks. Miscarriages at earlier stages are more often associated with infection (including herpes) or hereditary diseases of the fetus. In this case, it is better to postpone “cosmetic” operations for a while.

Instructions

The course of therapy after a miscarriage includes taking medications to prevent complications and eliminate spontaneous abortion. In addition to a gynecologist, a woman needs to consult a general practitioner, endocrinologist, cardiologist, or urologist to rule out other diseases of the body. To identify the causes of a miscarriage, they take tests for hormones, hidden infections, and undergo an ultrasound.

After a miscarriage, a woman usually undergoes a cleaning of the uterus (curettage). This procedure can cause bleeding, so hemostatic drugs are prescribed (Ditsinon, Vikasol, Calcium chloride). Since cleaning the uterus can lead to an infectious and inflammatory disease, antibiotics are prescribed. The following drugs are used: Doxycycline, Azithromycin, Trichopolum, Macropen, etc. Antibiotics are taken for 5-7 days.

Antiviral drugs (for example, Acyclovir) may be prescribed. Medicines are selected based on laboratory data. After a miscarriage, the progestogen drug Duphaston may be prescribed. Its active ingredient is dydrogesterone. The drug is taken 10 mg 2-3 times a day continuously or from days 5 to 25 of the cycle. In case of severe psycho-emotional shock, sedatives and antidepressants are prescribed (Phenazepam, Adaptol, Melitor, Fluoxetine).

The next menstruation should begin 1-1.5 months after the miscarriage, but the recovery period continues for 6-12 months. You should not plan a pregnancy at this time. In order to restore hormonal levels and to prevent pregnancy, it is necessary to take oral contraceptives (Marvelon, Zhanin, etc.). It is necessary to give up bad habits, eat right, drink vitamins and avoid stress.

The active ingredients of Marvelon are: desogestrel and ethinyl estradiol. The drug is taken 1 tablet. per day for 21 days. Then they take a break for 7 days, during this period menstrual-like bleeding appears. The composition of the drug "Zhanine" includes ethinyl estradiol and dienogest. The drug must be taken 1 pc. daily at approximately the same time, in the order indicated on the package. The product is used for 21 days, then take a break for a week and start taking the drug from a new package.

A miscarriage is an interruption of pregnancy before 22 weeks that occurs without outside intervention. The embryo is rejected from the uterine wall during the period when it is not yet viable.

Causes of miscarriage

According to statistics, about 70% of miscarriages occur due to genetic disorders in the fetus. Most often, these are not hereditary disorders, but defects that are the result of mutations that occurred in the germ cells of the parents. This can be caused by various viruses, occupational hazards and radiation.

Miscarriage can also cause hormonal imbalance. Most often this happens due to a lack of progesterone in a woman’s body. If this deviation is detected in time, it is possible to save the pregnancy by taking special medications.

A miscarriage may occur due to Rhesus conflict. For example, with a Rh-positive embryo, the Rh-negative maternal body will reject foreign tissue.

Sexually transmitted infections also have a detrimental effect on pregnancies. Toxoplasmosis, trichomoniasis, chlamydia and syphilis can cause miscarriage. Viruses and bacteria cause damage to the membranes and infection of the embryo.

Any disease that causes a temperature above 38 degrees and intoxication can cause a miscarriage. The most dangerous are influenza, rubella, viral hepatitis, pyelonephritis and pneumonia. Therefore, when planning a pregnancy, you should undergo a medical examination, as well as treat foci of chronic infection if they are discovered.

Severe stress, mental stress, unexpected grief are very dangerous for the fetus. Therefore, if you are experiencing a difficult period in your life, consult your doctor about taking sedatives.

Treatment of miscarriage

The treatment that is prescribed is most often aimed at preventing infection. In order to stop bleeding after dilatation and curettage, the doctor often prescribes medications. You need to monitor the abundance of discharge. If a woman, already at home, notices that they have become very abundant, fever and hyperthermia have appeared, she should immediately consult a doctor.

In some cases, after a miscarriage, an analysis is performed, the results of which can determine its cause. The woman is also examined for hidden infections. In addition, an ultrasound scan is required.

In addition to the gynecologist, a woman needs to see other medical specialists. It's best to start with a therapist to find out if there are any heart or kidney diseases. A new pregnancy is possible, but 6-12 months must pass after a miscarriage. During this period, you should quit smoking, alcohol, minimize physical activity, and also avoid stress.