Popular links under Toddler Toddler Month by Month. Baby Products. Bookmark BookmarkTick BookmarkAdd save. By Amy Stanford. Next on Your Reading List. Perforation of the uterus. This occurs when a surgical instrument pokes a hole in the uterus. This happens more often in women who were recently pregnant and in women who have gone through menopause.
Most perforations heal on their own. However, if a blood vessel or other organ is damaged, a second procedure might be needed to repair it. Scar tissue on the uterine wall. This can lead to unusual, absent or painful menstrual cycles, future miscarriages and infertility.
It can often be treated with surgery. Dilation and curettage can be done in a hospital, clinic or your provider's office, usually as an outpatient procedure. In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure. To promote dilation, your provider may use a medication called misoprostol Cytotec — given orally or vaginally — to soften the cervix.
Another dilation method is to insert a slender rod made of laminaria into your cervix. The laminaria gradually expands by absorbing fluid in your cervix, causing your cervix to open.
Jump to content. A device called a cervical osmotic dilator is often inserted in the cervix before the procedure to help slowly open dilate the cervix. Dilating the cervix reduces the risk of any injury to the cervix during the procedure. Misoprostol may also be given several hours before surgery.
This medicine can help soften the cervix. It is usually done in a hospital but does not require an overnight stay. It can also be done at a clinic where doctors are specially trained to perform abortion.
Ask your doctor if you can take acetaminophen such as Tylenol or ibuprofen such as Advil. They may help relieve cramping pain.
Be safe with medicines. Read and follow all instructions on the label. Call your doctor immediately if you have any of these symptoms after an abortion:. Call your doctor for an appointment if you have had any of these symptoms after a recent abortion:. Dilation and evacuation is a safe and effective method. It has become the standard treatment of care in the United States for an abortion in the second trimester of pregnancy. Risks are higher for surgical abortions done in the second trimester of pregnancy than for those done in the first trimester, particularly if they are done after 16 weeks of pregnancy.
A repeat vacuum aspiration and medicine to stop bleeding are used to treat retained products of conception or blood clots.
An abortion is unlikely to affect your fertility, so it is possible to become pregnant in the weeks right after the procedure. Avoid sexual intercourse until your body has fully recovered, for at least 1 week or as advised by your doctor. When you do start having intercourse again, use birth control, and use condoms to prevent infection.
Counseling for a second-trimester abortion may be more involved than for an early abortion because of the length of the pregnancy and the reason for the abortion. Should you have continuing emotional reactions after an abortion, seek counseling from a grief counselor or other licensed mental health professional.
Depression can be triggered when pregnancy hormones change after an abortion. If you have more than 2 weeks of symptoms of depression, such as fatigue, sleep or appetite change, or feelings of sadness, emptiness, anxiety, or irritability, see your doctor about treatment.
The hospital or surgery center may send you instructions on how to get ready for your surgery or a nurse may call you with instructions before your surgery. If you have an abortion in an outpatient center and there is a complication, you may be taken to a hospital. It is normal to have some spotting or light vaginal bleeding for a few days after the procedure. You may also have other restrictions on your activity, including no strenuous activity or heavy lifting.
Your next menstrual period may begin earlier or later than usual. Take a pain reliever for cramping or soreness as recommended by your doctor. Aspirin or certain other pain medications may increase the chance of bleeding. Be sure to take only recommended medications. Your doctor may give you additional or alternate instructions after the procedure, depending on your particular situation. The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your doctor.
Please consult your health care provider with any questions or concerns you may have regarding your condition. This page contains links to other websites with information about this procedure and related health conditions. We hope you find these sites helpful, but please remember we do not control or endorse the information presented on these websites, nor do these sites endorse the information contained here.
Health Home Treatments, Tests and Therapies. What are female pelvic organs? The organs and structures of the female pelvis are: Endometrium. This is the lining of the uterus. The external portion of the female genital organs.
The menstrual cycle With each menstrual cycle, the endometrium prepares itself to nourish a fetus, as increased levels of estrogen and progesterone help to thicken its walls. Risks of the procedure As with any surgical procedure, complications may occur. Before the procedure Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
You may want to bring a sanitary napkin to wear home after the procedure. Based on your medical condition, your doctor may request other specific preparation. You will be instructed to empty your bladder. An intravenous IV line may be started in your arm or hand.
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