The consequences of medical termination of pregnancy are less dangerous than surgical ones, but in the absence of qualified assistance they can lead to infertility and even death. Taking pills is not difficult, however, despite the apparent simplicity of the procedure, it causes serious changes in the body: a large dose of hormones affects the reproductive system and disrupts the natural processes of preparation for bearing a fetus.
Headaches, menstrual irregularities, difficulties with conception - these are the main complaints of women after a medical abortion. The risk of complications is lower, and the effectiveness of the termination procedure is higher when it is carried out by a qualified specialist who can accurately calculate the dosage of drugs.
- Bleeding
- Menstrual irregularities
Indications for pills that terminate early pregnancy
Medical abortion is considered less dangerous than surgical termination of pregnancy. This is due to the high risk of cervical injury during surgery. In most cases, a woman who chooses this method will not be able to become pregnant in the future and bear a healthy child.
During a medical abortion, the pregnant woman is asked to take special medications that cause rejection of the fetus in the uterus. This procedure does not require surgery. It's painless.
The laws of the Russian Federation indicate 3 conditions for termination of pregnancy:
- woman's desire (gestational age less than 12 weeks);
- financial or social status;
- medical indications.
In the case of the latter option, the pregnant woman must sign a document of voluntary consent to an abortion. In 2019, in several regions it was prohibited to terminate a pregnancy within a week at the request of a woman. This was due to the low birth rate and the demonstration of the public position of government authorities against causing miscarriages. Social indicators for the use of drugs that interrupt gestation are:
- birth and upbringing of 3 or more children;
- disability of the spouse (1-2 groups);
- restriction or deprivation of parental rights;
- absence of a registered marriage;
- death of a spouse during pregnancy;
- granting refugee status to a pregnant woman;
- the presence of the expectant mother or her husband in prison;
- rape.
Sometimes gynecologists are forced to resort to termination of pregnancy in the early stages if the woman’s health is in poor condition. This may be caused by congenital or chronic diseases caused by a difficult birth.
Medical abortion is indicated for certain types of infections, the presence of cancer, diseases of the blood and genitourinary system, dementia, severe heart defects, chromosomal abnormalities, and so on.
Before the procedure, women must undergo examination:
- blood test to determine hCG levels;
- ultrasonography;
- flora smear;
- examination and consultation with a gynecologist-obstetrician.
The method of medical termination of pregnancy is not used after the 7th week of gestation. After this period, doctors perform an abortion using surgical intervention. When the operation should be performed, the gynecologist decides based on the results of the examination of the patient.
Vacuum aspiration (mini-abortion)
This abortion procedure is used in the early stages. The method involves the doctor using a special device to cleanse the uterus. Under the influence of a vacuum, the attached fertilized egg is torn off and removed from the body. It is recommended to carry out the procedure for periods of 4 to 12 weeks. Later is unsafe, earlier - the egg is too small to suck out.
During the procedure, the doctor inserts a thin tube connected to a pump into the uterine cavity. Sometimes patients are given general anesthesia, but more often they are treated with local anesthesia. Among the advantages of vacuum aspiration are:
- the procedure lasts 10 minutes, rarely longer than 20-25 minutes;
- guarantee of complete abortion, no repeat procedure required;
- minimal trauma compared to the instrumental technique.
However, this method of termination of pregnancy has its drawbacks. Thus, the risk of damage to the uterus remains, and some women have a difficult time accepting an abortion from a psychological point of view.
Methodology
In order for the abortion to be successful and for the woman not to face dangerous consequences, the procedure must be followed impeccably:
- 2 days before the abortion, the woman takes Mifepristone as prescribed by the doctor, this is necessary to soften the cervix.
- An antibiotic is given 2 hours before the procedure to protect against infection.
- Next, the patient sits on a gynecological chair, and the doctor treats the vagina and cervix with an antiseptic.
- They give an injection of local anesthesia and begin the procedure.
- In some cases, additional preparation is required - expansion of the cervical canal.
- A plastic cannula connected to a suction syringe is inserted into the uterus.
- The pump is turned on, the doctor cleans the uterine cavity well, and then the instrument is removed.
The woman remains in the hospital for another 2-3 hours, after which she can go home. It is important that tissue obtained from the uterus be sent for careful examination to confirm a complete abortion.
Advantages and disadvantages of using drugs to induce miscarriage
The main advantage of using abortifacient pills is the absence of surgical intervention, the painlessness of the procedure, and the minimal risk of secondary infertility. However, along with the advantages, this method has its disadvantages, which are worth paying attention to before using abortifacient drugs:
- a large list of contraindications;
- pregnancy period up to 6 weeks;
- hormonal imbalance;
- possible complications (remnants of the fertilized egg).
Questions
Hello. I am 28 years old. My menstrual cycle has always been irregular. My last period was on December 7, 2010. I thought there was a delay, as always, and on January 20, 2011 I started taking Norkolut, 1 tablet (5 mg) for 9 days. My period hasn't started. The pregnancy test is positive. An ultrasound on February 7 confirmed a 4-5 week pregnancy. Fertilized egg 20 mm, CTR - 4.4 mm, SB +. In the right ovary there is a corpus luteum - 21. I am very worried, I am ready to continue the pregnancy. What effect can Norkolut have on the fetus? The duration of taking the drug was approximately the 3rd week. Is it worth continuing the pregnancy? I'm waiting for another ultrasound in 1.5 weeks. I would really like to hear the opinion of a specialist.
In this case, there is no reason to terminate the pregnancy.
I read that Norkolut can have an androgenic effect. Is it so? and what should be the dose? Is this dangerous for the fetus in my case? Will the next ultrasound (7 weeks) show possible pathologies?
For the fetus, long-term use of this drug (more than a month) is primarily dangerous. You should undergo a repeat ultrasound; most likely, the results will be completely normal.
I found out that Norkolut helps to tame pregnancy, I took it for a week, first 3 tablets 1 day, then 2 tablets. 2 days, and 1 tablet. 4 days, but the fruit did not come out. Now I am already 8 weeks pregnant, I decided to keep the baby. Is it worth continuing the pregnancy? Can Norkolut affect the fetus?
Norkolut is a drug from the group of hormone-containing drugs; it is not used to terminate pregnancy. This drug does not have a damaging effect on the fetus, however, given that the therapeutic dosage is exceeded, you can make a decision about the possibility of continuing the pregnancy in your case only after examination by a gynecologist and ultrasound diagnostics. You can read more about pregnancy in our section of the same name: Pregnancy.
Hello, my cycle was disrupted, my last M was on 12/26/12, they still haven’t arrived, the ultrasound showed that the layer is not that small... but I would like more, that if my periods are scanty, the doctor prescribed me to drink Norkolut 1t. 10 days, and asked if I was planning a pregnancy, I said yes, I really want a baby, so on the 10th day of the cycle I said to do another ultrasound and come to her again. Will pregnancy be possible during the days of taking the drug and if pregnancy occurs, then cancel will the drug stop it? I really want a baby!)
If pregnancy occurs while taking this drug, it can be saved, since Norkolut does not cause chromosomal abnormalities. In addition, you do not need to worry about interrupting the intake, since the prescribed course of the drug is usually sufficient, and its cancellation does not cause termination of pregnancy. You can learn more about this from the thematic section of our website: Norkolut. Try to follow all the recommendations of your gynecologist, and if your condition changes, notify your doctor in a timely manner.
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Means for medical abortion
The method of drug termination of gestation is based on the use of drugs from different groups - synthetic derivatives of prostaglandins and progesterone antagonists. They increase the contractility of the uterus and affect the function of the corpus luteum. To determine the effect of the drug, you need to undergo an ultrasound examination. This procedure will determine the outcome of the abortion pill.
Each drug has its own characteristics. What are the names of the drugs that provoke uterine contractions to terminate gestation in the early stages? How much do they cost? Can I buy them without a doctor's prescription? The answers to these questions can be found in the table below.
| Name | Approximate cost | Peculiarities |
| Mifepristone | 3500–4000 rubles | Used only in combination with Misoprostol, used only up to the 9th week of gestation. |
| Mifegin | 3000-3500 rubles | The drug should not be used after 9 weeks of pregnancy. |
| Postinor | 350-450 rubles | The drug is used for emergency termination of gestation within 3 days after unprotected sexual intercourse. It is the most popular among women, as it is sold in any pharmacy and is available without a doctor's prescription. Cannot be used in late gestation. |
| Mifeprex | 450-900 rubles | The drug may cause discharge immediately after taking it. It is used after unprotected sex. |
Synthetic derivatives of prostaglandins
Misoprostol or Mirolut are representatives of this group of drugs that provoke early miscarriage. They are available in tablets; their dosage regimen and dosage must be prescribed by a doctor. How do these drugs affect the body? They cause contractions of the uterus and ensure full and rapid dilatation of the cervix. The result of using the tablets is the expulsion of the fertilized egg. Mirolut and Misoprostol have the same effect on the body as oxytocin used during natural childbirth.
Progesterone antagonists (antiprogestins)
Antiprogestins include drugs in which mifepristone is the active ingredient. They reduce the level of progesterone in the blood and have a destructive effect on the corpus luteum. This causes uterine contractions and bleeding similar to menstrual flow. This is how medical abortion occurs. Names of means for terminating an unwanted pregnancy:
- Mifeprex;
- Mytholian;
- Mifepristone;
- Mifegin;
- Pencrofton.
Prevention of complications after medical abortion
To prevent complications, several simple conditions must be observed:
- abstain from sexual intercourse until the onset of your first menstruation (at least four weeks);
- refuse to visit the solarium, swimming pool, bathhouse and sauna, as well as take baths;
- prevent colds;
- Empty the rectum and bladder in a timely manner;
- carefully observe personal hygiene;
- It is mandatory to visit a doctor after a medical termination of pregnancy and undergo an ultrasound examination.
complications after medical abortion
How and when to take the pills?
Pills to terminate early pregnancy should be taken only after consulting a gynecologist. After the examination, he will answer in detail all questions about how to properly induce a miscarriage so as not to harm yourself; how to take abortifacient drugs; which pills to choose for emergency termination of gestation (from 5 weeks to 9). After the lecture, the patient must sign an informed consent form for abortion. After this, the woman will be given the first anti-pregnancy pill. It should be taken under the supervision of a doctor. Two days later, you should take the second dose at home.
The main task of the drug that causes a miscarriage is to help remove the fertilized egg from the uterus, so after 2-3 hours spotting appears. The next day after bleeding stops, you should visit a gynecologist. With the help of an examination, he will determine the effectiveness of the procedure - whether the pills against pregnancy helped.
During the procedure, it is not recommended to visit public swimming pools, baths, and saunas. Any physical activity and sex should be avoided. If all recommendations are not followed, complications may arise.
Misoprostol
Misoprostol (Cytotec) is a drug that intensifies contractions that lead to miscarriage. Such termination of pregnancy is recommended up to 9 weeks.
In addition, as directed by the manufacturer, this drug can be used to induce labor. For example, in case of intrauterine fetal death, for dilatation of the cervix before surgery for up to 12 weeks, to enhance the effects of prostaglandins at 13–22 weeks.
This remedy must be used exclusively in specialized medical institutions, after a thorough examination and consultation with a qualified specialist. After using the prescribed dose, the patient remains under the supervision of doctors for at least 2 hours. An ultrasound is often performed 36 to 48 hours later.
Adverse reactions and complications
According to the survey, the majority of women who used abortion drugs had no adverse reactions or complications. If the anti-pregnancy drug is used correctly, the risks in the form of complications are minimal. However, in some patients they appear. The most dangerous complication is the remains of the fertilized egg in the uterine cavity. In this case, if the curettage operation is not performed, inflammation will appear, which negatively affects the possibility of conceiving a child. In difficult situations, this can lead to infertility.
Another dangerous complication is severe pain in the lower abdomen. This indicates the presence of an ectopic pregnancy. You should immediately call a doctor, since medical care not provided on time can lead to the death of the patient. After a woman takes pills to terminate gestation, you need to pay attention to the amount of bleeding. If the frequency of changing pads increases and exceeds 1 per hour, you must call an ambulance. The norm is considered to be a discharge lasting 7-10 days, and its volume should gradually decrease.
After inducing a miscarriage, adverse reactions may appear: nausea, diarrhea, vomiting, dizziness, weakness. To alleviate the condition, the woman is allowed to take the necessary medications.
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Contraindications for use
Postcoital contraception:
- age up to 16 years;
- severe liver failure;
- lactase deficiency;
- intolerance to components;
- pregnancy.
Medical abortion:
- hepatic and renal dysfunction;
- ectopic pregnancy;
- age over 35 years of infection;
- inflammation of the gastrointestinal tract;
- smoking;
- lactation period;
- porphyria;
- anemia.
Is Norkolut a hormonal drug or not?
Norkolut's composition contains the progestogen component norethisterone, which transforms the uterine mucosa from the proliferation phase to the secretory phase. This leads to blocking the secretion of gonadotropin by the pituitary gland, preventing the maturation of follicles and the onset of ovulation. The hormonal drug is well absorbed from the stomach and undergoes intensive primary metabolism by the liver and intestinal wall.
The bioavailability of the active component is 50-77%. Half an hour after taking the drug dose, it reaches maximum serum concentration. Metabolites are excreted by the kidneys and intestines in the form of conjugates with glucuronic acid. The half-life of the first phase is 2.5 hours, the final half-life is 8 hours. 80% of all metabolites are excreted by the kidneys.
Drug interactions
It is also useful to study the drug interaction section in the instructions. Some combinations are prohibited:
- Inducers of liver enzymes can speed up the metabolism of norethisterone.
- The drug is combined with caution with hypoglycemic drugs, glucocorticosteroids, and oral anticoagulants.
- Prohibited combinations: with Cimetidine, barbiturates, Rifampicin, Phenytoin, and other drugs that affect the process of microsomal oxidation in the liver.
Early abortion drug
What pills can be used to terminate a pregnancy, and how safe it is, we will try to figure it out below.
To get rid of an unwanted pregnancy with medication, the antiprogestagen Mifepreston will help. This drug has many other names.
- Pencrofton.
- Mifeprex.
- Mifegen.
This drug may also help with emergency contraception. But the dosage in this case is different and the name of this medication is Ginepriston.
Abortion with drugs can be fraught with side effects, the main one being a blood clotting disorder, which can lead to bleeding. Various tumors and inflammations may develop, and there is no one hundred percent guarantee that the pregnancy will disappear.
Side effects
In case of an overdose of the drug, symptoms of nausea, vaginal bleeding, and vomiting are possible. Symptomatic treatment is prescribed. Side effects of Norkolut:
- headache;
- thrombosis, thromboembolism;
- breast tension;
- dyspepsia, vomiting, nausea;
- paresthesia;
- acyclic bleeding from the vagina;
- weight gain;
- increased fatigue;
- peripheral edema;
- skin rash, allergies, itching.
Indications for use
The drug can be used in different situations. Indications for use, according to the instructions, are:
- premenstrual syndrome (PMS);
- cessation, prevention of lactation;
- anovulatory metrorrhagia;
- diagnostic progesterone test;
- dysmenorrhea due to a shortening of the secretory phase;
- endometrial hyperplasia;
- endometriosis;
- mammalgia;
- uterine fibroids.
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List of medications
To avoid having to undergo an abortion using any methods, you can use emergency contraception using pills after unprotected sexual intercourse.
- Postinor. A drug that helps against unwanted pregnancy. The package contains two tablets. The first tablet should be taken immediately within seventy-four hours. The next tablet is taken twelve hours after the first. This process will help you urgently protect yourself from pregnancy. The guarantee is 85%.
- Pencrofton. This medication can be used as an emergency contraceptive. It is also used to terminate an already existing pregnancy at a short term. This remedy is recommended for women who have not given birth.
- Mytholian. To get rid of a pregnancy that does not exceed six weeks, you can use these pills. They are also used as a means to induce labor.
- Mifepristone. Helps end pregnancy for no more than six weeks. To do this, you need to use three tablets at once.
- Mifeprex. A medicine that is very effective in ending pregnancy. It is also quite easy to carry.
- Mifegin. A very good product, distinguished by its reliability. Used in the first trimester of pregnancy.
Analogs
To replace the product, you can select drugs with a similar composition or effect. These include:
- Primolut-nor is a hormonal tablet preparation containing norethisterone.
- Orgametril - progestogen tablets based on linestrenol.
- Pregnin is an ovulation stimulator in the form of a solution containing ethisterone and progestogen.
Composition and release form
Norkolut is produced in the format of flat round white tablets, packaged in aluminum blisters of 10 pieces. The pack with instructions for use contains 2 blisters. Composition of the medicine:
| Active ingredient | Norethisterone (5 mg per piece) |
| Excipients | Lactose monohydrate, potato starch, corn starch, magnesium stearate, talc, colloidal silicon dioxide, talc, gelatin |
Reviews
Last year, my husband and I agreed to have an abortion. I bought Chinese pills for home abortion, because I still have two small children in my arms, and my husband went on a flight. At first I felt very sick, later bleeding with huge clots began. When it got really bad, a neighbor called an ambulance. In the hospital they performed curettage and kept me there for 6 days. I was convinced that this procedure was serious and should only be performed by a doctor.
Irina, 38 years old (Russia)
When I was in the gynecology department, my neighbor was a young woman who had been pregnant more than once, but could not carry it to term. It turns out that she previously terminated an unwanted pregnancy with Chinese pills. There were no complications then, but now there are constant miscarriages.
Olga, 27 years old (Russia)
My colleague and at the same time friend decided to terminate the pregnancy on her own. She said that she had heard a lot of good reviews about Chinese drugs. The pills didn't help, I lost a lot of blood. When her condition improved, she went to the gynecologist, he sent her for an ultrasound. They said that the embryo was preserved, but the child might be born with problems. Very worried.
Anna, 32 years old (Russia)
What are Chinese pills
Medicines produced in China have a composition identical to pharmaceuticals for termination of unwanted pregnancies produced by domestic companies. This is a synthetic hormonal drug that contains the active ingredient mifepristone. The tablet contains 200 mg of the active compound.
You cannot use abortion drugs on your own. Most often they do not have instructions in Russian. The woman does not have the opportunity to become familiar with possible problems. Usually, with incomplete rejection of the embryo, an inflammatory process develops. Doctors cannot provide assistance without surgical intervention.
What is this procedure?
It is carried out in a hospital in several stages.
- The patient is given two tablets of the drug, after which the woman remains under the supervision of medical staff in the hospital for a certain period of time (from two to four hours). How a medical abortion works should be assessed by a doctor. In the absence of side effects, drug rejection (vomiting) and complications, the patient goes home the same day. The drug (Mifepristone) helps to terminate pregnancy. It prepares the uterus for expulsion of the embryo. It softens, the tone increases, a process occurs as before the onset of menstruation.
- After two days, the client returns to the clinic to undergo the next stage. She receives another type of drug (Misoprostol) that helps the body rid itself of the fetus. The patient is under the supervision of medical staff for at least two hours from the moment the procedure begins (medical abortion). How the process goes should be assessed by a specialist. After the examination, the patient can go home. At this stage, the fetus is expelled, which may be accompanied by bleeding and pain.
