How much does abortion hurt girls? If your boyfriend says these 2 words to you, break up quickly!

Reviewed by: Hongjun Li (Third Affiliated Hospital of Southern Medical University)

"You conceive a child for me and beat him up." Presumably, many people have been brushed by the "Chilling Love: Chat History of Peking University Suicide Girl".

And this sentence and the "permanent sterilization, leaving a section of fallopian tubes" later, the harm to the female body is self-evident, making everyone feel physically uncomfortable and angry.

A female friend who studied medicine said: "How scummy is a scumbag, go to the obstetrics and gynecology department to see where there is an abortion." ”

Some girls go to the hospital alone to do abortion, there is no man or family to accompany them, and even borrow money for the operation, all the pain is carried alone; some girls see the Internet and roadside propaganda, mistakenly enter some black heart private hospitals, the operation is not clean and is pit money.

In recent years, abortions, especially for unmarried women, have remained high, and according to statistics, 40 to 60 million abortions occur worldwide every year[1].

Although abortion is said to be a remedy after contraceptive failure, it is invasive after all, especially some unsafe abortions can increase the occurrence of complications and even threaten life.

A systematic analysis from WHO shows that 7.9% of maternal deaths are caused by miscarriages, of which 45% are unsafe [2].

So, don't think that abortion is just a simple little operation. Which kind of surgery to choose and how long to rest after surgery have a great impact on women's future physical and mental health and fertility.

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First, there are many methods of abortion, how should I choose?

1. Medical abortion

Drug abortion, also known as drug flow, is to take drugs (mifepristone tablets + misoprostol tablets), first reduce the level of progestogens in the pregnant woman's body, miscarriage occurs, and then induce strong contractions in the uterus (misoprostol), and excrete the embryo, decidua, etc. from the body.

Medical abortion is mainly indicated for early pregnancies within 7 weeks.

Advantages: simple and easy, high safety factor, low psychological pressure, relatively low cost.

Disadvantages: Unauthorized medication, prone to incomplete drug abortion, vaginal bleeding time is long, increasing the chance of uterine clearance. In addition, it must be carried out in a medical institution with rescue conditions, and the doctor determines that it is an intrauterine pregnancy and can only be used under the guidance of a doctor; and there are many contraindications to the use of misoprostol.

2. Surgical abortion

(1) Suction abortion under negative pressure. Simply put, with the help of a negative pressure device, the embryo and other tissues in the uterus are sucked out with a straw. The so-called "painless abortion" refers to the use of anesthesia and then do negative pressure to induce abortion.

Negative pressure suction abortion is mainly suitable for pregnant women who want to terminate pregnancy within 10 weeks, compared with ordinary abortion, painless abortion can reduce the pain and fear of patients during surgery, reduce the occurrence of complications, and improve the rate of complete miscarriage [3][4].

Tips: Painless abortion will only reduce pain during surgery, but it is still painful after surgery!

(2) Forced curettage. What is often said about curettage is the use of special clamps to scrape off the embryos and other tissues in the uterus, and then suck them out with negative pressure suction.

Forceps and curettages are the preferred method of abortion after 10 to 14 weeks' gestation, and are now combined with anesthesia and medical abortion to reduce the duration of surgery and reduce bleeding [5].

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If it is determined that an abortion is to be performed, it is recommended that the sooner the better. Pregnant women over 9 weeks are currently required to be hospitalized for abortion.

Regardless of the miscarriage plan, you must go to the hospital for B ultrasound, blood tests and other related tests, and then choose the appropriate method after comprehensive evaluation by the doctor.

2. Can I go to work on the second day after an abortion?

Absolutely not!

As long as you are pregnant, the body will change a lot, the consumption of the body by pregnancy, coupled with the damage caused to the body during miscarriage, although it is not as good as full-term pregnancy and childbirth, it still needs a period of recovery, and it is necessary to treat it like a full-term confinement.

The first 2 weeks after abortion are a critical time for endometrial and physical recovery, so it is recommended to rest for 2 weeks after abortion and avoid sexual life, do not engage in heavy physical labor for 1 month, and recommend going to the hospital for review after 2 weeks.

Of course, if there is bleeding for more than 1 week during the period, or there are abnormal manifestations such as fever, lower abdominal pain, and odor of secretions, it is necessary to consult a doctor in time to eliminate complications such as bleeding and infection caused by tissue residues.

3. How long can I resume sexual life after childbirth?

At least 1 month!

After the abortion, both the uterus and the body are in a weak state, and the mucus plug of the cervix after the abortion has not yet formed, which cannot prevent the invasion of bacteria.

At this time, if you have sex too early, it is easy to bring bacteria into the infection, and if the abortion causes the uterine lining to be traumatic, it is more likely to induce infection, and in severe cases, even cause tubal obstruction, resulting in infertility [6].

Moreover, if the action is too intense, it is easy to cause the uterus to contract, increasing the risk of bleeding.

Therefore, for safety reasons, it is advisable to resume sexual life after the first menstrual period is clean and the body is recovering well. Also pay attention to the use of contraception.

4. How long can I get pregnant again after an abortion?

Pregnancy causes relatively large physical attrition, and miscarriage causes great damage to the body, especially the endometrium, and it takes a period of time to recover.

Even the best seeds (fertilized eggs) have a hard time thriving on barren land (endometrium).

Similarly, the endometrium is the vegetative soil for the growth and development of fertilized eggs, and whether it is a medical abortion or negative pressure suction surgery, it will cause greater damage to the endometrium.

If you get pregnant again before the endometrium recovers after miscarriage, it will not only affect embryonic development, but also increase the risk of spontaneous abortion.

Therefore, it is recommended that the time of re-pregnancy after miscarriage should be at least 3 months, depending on the recovery status of the pregnant woman.

5. Is repeated abortion harmful to the body?

Too big you can imagine!

The data show that the incidence of repeated abortions is high among women after miscarriages, especially unmarried women, with an average of 3 to 4 out of every 10 people.[7][8][9]

Young, physically awesome, wayward!

As everyone knows, each miscarriage is a great damage to the body, especially the uterus, in addition to easily causing complications such as cervical adhesions, pelvic inflammatory diseases, menstrual disorders, etc., it can also cause depression, anxiety and mental illness [10].

The most dangerous is that recurrent miscarriages not only increase the risk of infertility, but also the risk of infertility [11].

Therefore, if you are not ready to have children, you must do a good job of contraception before starting sex to prevent another unwanted pregnancy.

6. How to use contraception after abortion?

Regarding contraceptive methods, I believe that everyone is also more familiar, such as common condom contraception, contraceptive pill contraception, contraceptive ring contraception, ligation contraception, subcutaneous implant contraception and so on.

For women with abortion, there are more choices, which can be selected according to their own situation and wishes, and there are different methods at different stages of life, such as:

Condoms are short-acting contraceptives, which are familiar to everyone and easy to accept. However, some people often have some misunderstandings in use, such as popping has begun for a period of time to remember to wear condoms, and accidentally causing semen leakage in the middle of the way, resulting in contraceptive failure. So, be sure to educate your boyfriend or husband to use condoms properly.

Combined hormonal contraception, including combined oral contraceptives (COCs) and combined contraceptive injections (CIC), have few contraindications, ideal contraceptive effects, and high safety, among which short-acting contraceptives are the world health organization (WHO) key recommended post-abortion contraceptive methods.

Simple hormonal contraception, that is, everyone is more familiar with contraceptives or subcutaneous implants, and contraindications are few, safety is also high, even lactating women can also use, for multiple abortions, often worried about unintended pregnancy of women recommended to use, but must follow the correct guidance of professional pharmacists or doctors.

IUD, that is, the birth control ring, is the most widely used contraceptive method in mainland China, which can be placed after artificial abortion, the contraceptive effect is high, and it will not increase the risk of complications such as bleeding, perforation, infection, etc. It is a long-term contraceptive method and is recommended. And, if you want to restore fertility in the future, you can simply remove it from the womb.

Sterilization of contraception. Note that sterilization is permanent contraception, and the chance of re-conceiving after sterilization will be greatly reduced, and it is only suitable for the Dink family who never intend to have children in this life, and must be carefully considered before choosing.

However, there are still many people who are still obsessed with the "safe period, external sperm evacuation" contraceptive method. Especially some scumbags, in order not to wear condoms, try to brainwash girls: "I have calculated that this is a safe period and will not get pregnant!" "It's all right to shoot out!"

Tell you, don't do this, it's really unreliable!

Because we simply cannot predict exactly when we will ovulate and how long each sperm will survive in the womb, there is no guarantee that sperm and eggs will pass each other during the "safe period".

There is also the so-called external sperm evacuation, do not feel that "as long as you ensure that you can quickly get out of the vagina before ejaculation can be contraceptive", in fact, before ejaculation, there are already some "small tadpoles" running into the vagina or uterus, but you are not aware of it.

In short, I hope that everyone can pay attention to abortion, do a good job of daily contraception, and be responsible for themselves. At the same time, it also advises girls to polish their eyes and stay away from scumbags who disregard the physical safety of girls, irresponsible, and control the harm to women for a while, and do not gamble on their health, reproductive rights and youth for a man.

bibliography:

[1] Henshaws SK，Susheela Singh，Tayler Heas. The incidence of abortion worldwide [J].international family planning perspectives，1999，25，36.

[2] Say L, Chou D, Gemmill A, Tun alp , Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014 Jun; 2(6):e323-33.

Xu Jianqing,Wang Li. Psychological characteristics and related influencing factors of outpatient painless abortion[J].Chinese Journal of Family Planning,2016,24(1):42-45.

Cao Xiuhua. Comparison of clinical effects of painless abortion and ordinary human abortion[J].Hebei Medicine,2015,(2):228-229.

LI Jinyan. Observation of clinical effects of mifepristone with painless forceps and curettage at 10-14 weeks gestation[J].Chinese Journal of Modern Pharmaceutical Applications,2011,5(23):64-65.

Li Li,Jiang Li,Lv Bangquan. Correlation analysis between the time to resume sexual life after abortion and secondary infertility[J].Chinese Journal of Sex Science,2016,25(6):132-134. DOI:10.3969/j.issn.1672-1993.2016.06.043.

Liu Dongmei,Liu Hongyan,Wang Hui,et al. Analysis of repeated abortion in women of childbearing age and its influencing factors[J].Chinese Journal of Family Planning,2019,27(10):1284-1287.

Gao Fangzhen,Chen Huifang,Liu Yu'e. Analysis on the status of multiple induced abortions in unmarried young women and their influencing factors[J].China Primary Health Care,2017,31(8):26-28.

YUE Guifang. Analysis of repeated abortion in young women and its influencing factors[J].China Family Planning and Obstetrics and Gynecology,2015,(3):63-65,68.

Wei Xiangqun,Zhang Honghui. Influencing factors of depression and anxiety symptoms before artificial abortion[J].Chinese Journal of Reproductive Health,2005,16(2):84-86.

HE Yaxia. Analysis on the impact of repeated abortion on women's health[J].Chinese and foreign women's health research,2015,(11):22,9.

*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.

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