According to your description, the fetal sac has been discharged, vaginal bleeding has stopped and the positive reaction has disappeared. So congratulations first! The drug flow is successful, and the side effects are small!
Because the current dosage of mifepristone is only 1/4 ~ 1/3 of the initial dosage, the side effects are not obvious, mainly aggravating early pregnancy reaction and fatigue. The side effects of prostaglandin are mainly gastrointestinal reactions, such as nausea, vomiting, diarrhea and lower abdominal pain caused by uterine contraction. Some people have symptoms such as fever, dizziness, flushing and numbness. In order to prevent or treat gastrointestinal side effects, compound phenytoin sodium or metoclopramide can be taken before and after medication, and dolantin or atropine can be given to patients with severe abdominal pain. However, the use of indomethacin, flumiphene ester or salicylic acid against prostaglandin should be avoided.
Although the chorionic embryo sac has been discharged during drug abortion, the decidual tissue in the uterus is discharged slowly, so the bleeding time is longer, with an average of 18 ~ 20 days. Some women will have anemia or complicated endometritis and pelvic inflammatory disease due to long-term excessive bleeding. There should be no such side effects for you! I hope it is useful to you and I wish you a speedy recovery. )
Matters needing attention after drug abortion
1, no matter how much postoperative bleeding, sexual life is forbidden before menstruation. Because the cervical orifice is in a relaxed state during drug abortion, the effect of tissue bacteria entering the uterine cavity is weakened. At the same time, the blood sinus is open after the embryonic tissue falls off, which is easy to be infected by bacteria.
2, within one month after drug abortion, don't take a bath, don't do vaginal washing, no swimming.
3, sanitary napkins, toilet paper to choose qualified products; Sanitary napkins should be changed frequently; Underwear without chemical fiber fabric; Change underwear every day.
4. When vaginal bleeding exceeds 7 days, you should take antibiotics under the guidance of a doctor to prevent infection. If the bleeding lasts for more than two weeks, they should go to the hospital to find out the reason and have curettage if necessary.
5. Anyone who curettage due to medical abortion failure or incomplete abortion or bleeding must take antibiotics after operation.
6. Pay attention to rest after drug abortion to avoid fatigue. Motherwort cream and other drugs for promoting blood circulation and removing blood stasis can be taken to promote uterine contraction, expel embryonic tissues, reduce vaginal bleeding and shorten bleeding time.
7. Pay attention to diet. Eat more high-quality protein to strengthen your physique, but don't overeat greasy food, so as not to disturb your stomach.
It is necessary to do B-ultrasound before medical abortion, which can provide accurate basis for medical abortion and improve the safety and success rate of medical abortion.
The appropriate time for drug abortion is within 49 days of pregnancy. In the adaptation period, its effect is inversely proportional to the number of days of pregnancy, that is, the more days of pregnancy, the worse the abortion effect; The fewer days, the better the effect. B-ultrasound can show fetal sac to estimate pregnancy time. The average diameter of fetal sac is less than 20 mm, indicating that the menopause time is less than 49 days, and the effect of drug abortion is better. If the fetal sac is too large, the effect of drug abortion is not good and the risk increases.
In addition, early pregnancy is diagnosed only by clinical manifestations and positive pregnancy test, and a few ectopic pregnancies, hydatidiform moles or uterine malformations are difficult to find, which may easily lead to misdiagnosis. If it is treated as early pregnancy, it will delay the discovery of real diseases, or even more serious, such as ectopic pregnancy, which will lead to rupture of gestational sac and massive bleeding, which may be life-threatening. Therefore, B-ultrasound should be done before drug abortion. Some women don't want to do this test. It's dangerous to take abortion pills by themselves.