When can you exercise after a frozen pregnancy?

Characteristic symptoms of the disease

After curettage, acute endometritis most often develops, which has very pronounced symptoms and causes a deterioration in the woman’s well-being. The first manifestations of the disease occur 3-4 days after cleaning.

Symptoms of acute endometritis include:

• pressing pain in the abdomen;
• temperature rise to 38°C or more;
• vaginal discharge with an unpleasant odor;
• increased heart rate;
• weakness, lethargy;
• chills;
• painful urination.

If a woman is not given timely help, endometritis quickly becomes chronic, which is characterized by a sluggish inflammatory process in the uterus, accompanied by frequent aching pain in the lower abdomen, serous vaginal discharge, and uterine bleeding. Subsequently, the woman experiences disruptions in the menstrual cycle, periods become heavy or too scanty, and severe discomfort occurs during sexual intercourse.

Scraping

When curettage, if a frozen pregnancy is diagnosed, a specialist surgically completely removes all its contents from the uterus. The problem is that it is impossible to visually control the procedure using equipment. All manipulations are carried out blindly. To minimize injury, it is recommended to use a hysteroscope.

In such cases, chronic endometritis after a missed pregnancy is less likely. And yet, it will be possible to assess the condition of the uterine cavity only after completion of the operation, which is quite traumatic. Therefore, complications are not uncommon, although they are not always associated with curettage due to the fact that they occur after a fairly long period of time.

Possible complications:

• chronic endometritis;
• infection of the ovaries or fallopian tubes;
• tubal or uterine infertility;
• endometriosis.

It is very important to provide support to the body immediately after curettage so that it recovers as soon as possible with minimal loss of health. After a frozen pregnancy, endometritis occurs very often. Below we will look at how to deal with it.

Recommended Treatments

Acute post-abortion endometritis is the basis for hospitalization in a hospital, where the patient is provided with complete rest, bed rest, and medication is prescribed. An ultrasound scan of the uterus is required at a medical institution.

If during the study it is determined that there are remnants of the fertilized egg or blood clots in the organ, the woman is sent for repeated cleaning, after which therapy is immediately started.

The basis of treatment is antibacterial drugs, selected taking into account the sensitivity of the infectious agent to antimicrobial substances. The following medications are used:

1. Gentamicin.
2. Clindamycin.
3. Amoxicillin.
4. Levomycetin.
5. Ceftazidime.
6. Lincomycin.

It is possible to simultaneously prescribe several drugs belonging to different groups of antibiotics. Also, along with antibacterial agents, antiprotozoal drugs are often used to eliminate anaerobic flora in the uterus (Metronidazole).

For symptomatic therapy, anti-inflammatory, antipyretic and painkillers are prescribed (No-spa, Indomethacin, Ibuprofen, Baralgin). In order to prevent the development of candidiasis infection provoked by taking antibiotics, antifungal drugs are used, probiotics are used to restore the body's microflora, and immunomodulators and multivitamin supplements are used to increase immune defense.

If endometritis is accompanied by severe intoxication, droppers with protein and saline solutions are prescribed.

At the final stage of treatment, to accelerate the regeneration processes of the mucous layer, it is recommended to undergo a course of physiotherapy (UHF, electrophoresis, magnetic therapy).

Similar treatment regimens are used for chronic endometritis. First of all, the causative agents of infection are eliminated with the help of antibiotics, then a course of restorative treatment is carried out, aimed at regenerating the uterine mucosa. During this period, hormonal drugs and agents with metabolic effects are used, which improve metabolism and accelerate the healing of the endometrium. It is strongly recommended to undergo physiotherapeutic procedures, mud and hydrotherapy.

After losing a child

A spontaneous miscarriage by itself cannot happen out of nowhere, there is a reason for everything. Therefore, you immediately need to find the source of the problem.

Since there is a possibility of pathological, genetic abnormalities in the development of the embryo, it is necessary to examine the non-surviving embryo for abnormalities. Perhaps this is what caused the loss of the baby.

The second point will be an examination of the former mother in the gynecology department for the presence of diseases of the reproductive system.

At this stage the following deviations will be looked for:

• Quite often, the source of miscarriage is genitourinary tract infections. If they are detected in the body, a course of therapy will be prescribed aimed at getting rid of the disease.
• In many ways, the functioning of the reproductive function is based on the harmonious balance of hormones in the body. Hormonal instability can cause problems not only with conception, but also with pregnancy. Therefore, the state of hormone levels must be analyzed. If a problem is detected in this area, special hormonal drugs are prescribed to stabilize hormonal levels.
• If a woman has previously had an abortion, this procedure may subsequently cause a miscarriage. Abortion can provoke dysfunction of the ovaries and adrenal glands, and is also a source of inflammatory diseases of the reproductive system. You will need to undergo appropriate tests.
• The woman undergoes testing not only of the adrenal glands, but also of the thyroid gland. Quite often, in the early stages, the cause of miscarriage can be the improper functioning of these systems.
• A mandatory procedure after the loss of a child is to examine the patient in an ultrasound room. The uterus and appendages are checked. Here the doctor looks for the presence of neoplasms, abnormalities in the structure of organs, and also records the condition of the endometrium.
• In addition, both partners must undergo compatibility tests, because a woman may have a negative Rh factor. When a Rhesus conflict occurs, the pregnant woman is given a special drug that neutralizes antibodies.
• It is also necessary to donate blood to check for sexually transmitted diseases.

What could be the consequences?

In the absence of adequate timely treatment of endometritis, pus begins to accumulate in the uterine space, which can then penetrate the ovaries, fallopian tubes and abdominal cavity, which jeopardizes not only the functioning of the reproductive system, but also the life of the woman, increasing the risk of developing sepsis. The disease can cause the formation of cysts and polyps in the uterus, promote the appearance of adhesions in the pelvic organs, disrupting their functioning.

Endometritis that develops after curettage often causes partial or complete infertility, prevents normal pregnancy and provokes miscarriages. As a result of the disease, the processes of renewal of the mucous layer of the uterus are disrupted, and thinning or hyperplasia of the endometrium may be observed. These disorders prevent the attachment of the fertilized egg to the wall of the organ and the onset of pregnancy.

How to get pregnant after a miscarriage if everything is normal

If diseases are detected, the doctor will prescribe treatment for you. And within a few months you can become pregnant and successfully carry a child to term. But what if the doctors found nothing? Then focus on your lifestyle.

1. No nerves. After a miscarriage, you can get pregnant immediately if you follow an important rule: “I am calm. I am absolutely calm." Eliminate from your environment everything that causes nervousness. Go with your husband to a resort, change the scenery. Your mental state has a direct impact on your physical state. If your nerves continue to be naughty, drink soothing teas made from lemon balm and mint leaves.
2. No bad habits. Moreover, both parents need to give up alcohol and nicotine. They deteriorate the quality of male sperm, which is why pregnancy may not occur for a long time, and the fetus may be formed with defects.
3. Minimum medications. Reduce your intake of all medications to the minimum possible. Be sure to consult your doctor if you take any of them regularly. Perhaps some things can be replaced with dietary supplements or avoided altogether.
4. Proper nutrition. You must eat well. If you have a thin physique, eat more protein foods and the right fat (valuable varieties of fish, flax seeds, olives, avocados). It is protein-fat metabolism that has a direct impact on the production of sex hormones. If you have problems with excess weight and it is not a matter of hormonal imbalances, include as many vegetables and fruits in your diet as possible. They should make up more than half of your daily diet, and 60% of them should be consumed raw.
5. Taking vitamin E and folic acid. These substances will prepare your body for pregnancy and help the proper development of the fetus in the first weeks, the most dangerous for the risk of miscarriage.

So, is it possible to become a mother after a miscarriage? Of course you can. Approach your future pregnancy responsibly. And the second time you will definitely succeed!

Prevention

To prevent the development of endometritis after curettage, doctors carefully follow the rules of asepsis and antisepsis during the operation. After the procedure, the patient is prescribed antibacterial drugs to prevent the development of pathogenic flora in the uterus. An ultrasound examination is performed to ensure that there are no blood clots or fetal debris in the organ.

Throughout the entire rehabilitation period, the woman herself must carefully monitor intimate hygiene and refuse sexual intercourse. When the first signs of endometritis appear, you should immediately seek medical help.

The first days after discharge

If you have a frozen pregnancy, you can return home immediately after the “curettage” procedure if your health condition does not cause concern to doctors. Most often, you should take painkillers after cleaning.

Upon returning home, you need to rest more and avoid physical activity that can cause bleeding.

Pain after curettage, during a frozen pregnancy, can last for a couple of days. You shouldn't tolerate it, even if it's not too big. It is better to resort to painkillers prescribed by the doctor.

The bleeding that accompanies this procedure can be observed for a couple of weeks. It is not recommended to use tampons at this time, as they can cause inflammation. Gaskets should be used.

For two weeks, a woman should abstain from intimate relationships. If bleeding does not stop during this time, you should consult a doctor to prescribe additional treatment. When having sex, a woman needs to remember about contraception. This is primarily due to the fact that you can plan to conceive a child when the doctor considers that you have recovered. Premature pregnancy can be unsuccessful and harm your health.

When can you plan a new pregnancy?

When can you get pregnant after a miscarriage? Is it even possible to get pregnant after a miscarriage? I would like to immediately note that you should not be discouraged; a new pregnancy after the loss of a child is a matter of time. Moreover, the time will depend not on the woman’s physical health, but on mental anguish.

In a physiological matter, the girl will be ready for a new conception immediately in the next cycle, you agree, quite quickly. But doctors are of the opinion that it is worth waiting for a certain period and only then planning a new pregnancy.

• Firstly, you need to be examined immediately to identify the cause of the miscarriage, and this takes time.
• Then give the body time to recover, because the previous pregnancy did not go unnoticed for it. The hormonal storm that accompanies the birth of a new life does not stabilize so quickly.
• Thirdly, and most importantly, moral balance. It is difficult to find it after such a situation, but it must be done to minimize a similar outcome.

In general, the following situation arises: you can get pregnant any month after a miscarriage, but it is better to do this after a short period of rest. And as doctors recommend, let a year pass and then start planning. It is believed that it is after a one-year break that the female body will be fully ready to conceive and bear a child.

Some obstetricians and gynecologists agree that it is possible to plan a pregnancy after a miscarriage within 3–6 months.

Why you should wait to plan your pregnancy:

• During pregnancy, a woman experiences major hormonal changes, and a miscarriage will lead to hormonal imbalance. Against this background, the next pregnancy immediately after a miscarriage is very risky with repeated spontaneous termination.
• Large blood losses after a miscarriage can lead to the development of posthemorrhagic anemia. If pregnancy occurs immediately after the incident, due to a lack of hemoglobin, there is a high risk of fetal developmental delay. In this case, the embryo does not receive the required amount of nutrients and oxygen.
• Also, pregnancy after a miscarriage within one to two months is dangerous because the inflammatory process and infections after a spontaneous abortion can cause an ectopic pregnancy.

Prenatal chronic endometritis

If you know that you have chronic endometritis, pregnancy definitely needs to be planned. To prevent this disease from harming the health of the pregnant baby, the mother will have to take a number of necessary, useful measures in advance. It is necessary to undergo an examination to find out the stage of development of the disease and receive treatment:

• broad-spectrum antibiotics: sparfloxacin, gentamicin, metronidazole, amoxicillin (pregnancy after chronic endometritis not treated with drugs of this series may either not occur or pose a threat to the baby);
• hormonal therapy (if required);
• general strengthening agents: actovegin, riboxin, ascorbic acid, vitamin E;
• immunomodulators: interferon, viferon;
• physiotherapeutic procedures: electrophoresis, UHF, pulsed ultrasound therapy, magnetotherapy, which reduce endometrial swelling, improve blood circulation, stimulate the immunological reaction;
• herbal medicine: herbal infusions.

All these measures will lead to the infection subsiding for some time. And if you don’t wake her up, the question of whether it’s possible to get pregnant with endometritis won’t even arise. When a chronic disease is detected in the laboratory, therapy is prescribed, during which the endometrium is almost completely restored. At the same time, it is forbidden to self-medicate and get carried away with herbal remedies, which can only be used as aids.

If everything is done correctly, according to the instructions and recommendations of the doctor, pregnancy after treatment for chronic endometritis will not take long. It’s another matter if the disease is in the acute stage.

Endometritis during pregnancy

It also happens that infection of the uterus occurs already during pregnancy, and the doctor is forced to diagnose endometritis. To prevent this from happening, a woman needs to avoid dangerous factors that provoke the development of this disease. If this does happen, you will need to undergo a course of treatment prescribed by your doctor.

Causes

• Bacterial and viral infections, pathogenic fungi;
• natural decrease in immunity;
• improper gynecological examinations;
• neglect of personal hygiene;
• hereditary predisposition;
• undergoing hysteroscopy and hysterosalpingography;
• diagnostic curettage of the uterine cavity;
• endometrial biopsy;
• bacterial vaginosis or candidiasis;
• previous STDs: gonorrhea, trichomoniasis, mycoplasmosis, chlamydia;
• infection with genital herpes, cytomegalovirus;
• submucosal uterine fibroids;
• polyps.

Treatment

• physiotherapy;
• herbal preparations;
• antibiotics.

Despite the harm that antibiotics have on the intrauterine formation and development of the fetus, treatment of endometritis during pregnancy without them will be ineffective, since no herbal medicine can cope with such a serious infection. Expectant mothers should understand that if they refuse these medications, endometritis will cause even more harm to the child.

Consequences

• the threat of miscarriage, which at any moment can turn into spontaneous abortion;
• placental insufficiency, which will lead to placental abruption, fetal death and massive blood loss of the mother;
• impaired blood circulation in the fetus with the subsequent development of hypoxia, which in the future can lead to delayed mental or physical development for the child;
• inability to carry a pregnancy to term;
• postpartum hemorrhage that threatens the woman’s life.

The consequences of endometritis for mother and baby are too serious to neglect treatment of the disease. It is much easier to try to prevent infection of the uterus during pregnancy. To do this, you need to take care of your health and follow all the necessary hygiene rules.

Unfortunately, there are often cases when a woman successfully reaches a happy ending, knowing nothing about such a dangerous infection, and then in the first days she is diagnosed with acute postpartum endometritis, the causes of which can be a cesarean section or the introduction of pathogenic organisms during the birth of the baby. light.