Monthly Archives: May 2017

Is It normal to have a positive pregnancy test after abortion?

This is because….

HCG is a hormone that is released during pregnancy. You can buy pregtest card to detect through your urine whether you are pregnant or not. Once you have aborted, that doesn’t mean that the level of pregnancy hormone (hCG) in your body goes down fully and without delay. Instead, it can take up to 2 months for the hCG levels to fall to below 25mlU/ml which is the lowest detectable level.

Normally, if you take a pregnancy test within the first 2 months after the abortion, there is a possibility that you will get a positive pregnancy test result. More often it is described as a false positive result and the level of hCG hormone in your body is still noticeable. Therefore for your peace of mind, take a pregnancy test only after one month following the pregnancy termination.

Can you be pregnant again?

The answer is yes. Even after ending your pregnancy, ovulation can take place even a week after the procedure, and if you are having unprotected intercourse, there are chances that you can get pregnant right away.

If you think that you may be pregnant again, order two pregnancy test cards online, 1 week apart to be sure. If the amount of hCG in the second test is lower, then possibly you are not pregnant, and the pregnancy hormone levels after the abortion are withdrawing. If you have positive pregnancy test following abortion shows that hCG amounts are higher, that means again you are pregnant.

Could your abortion fail?

It is very rare to get abortion failure. But, due to some circumstances, it might fail and you may get a positive test. If you are still unsure, do the following:

Get an ultrasound: – This is the most certain way to decide whether the fetus was expelled. But, you must wait for at least 2 weeks before having a scan. Medical pregnancy termination takes up to a number of weeks to be completed.
Have a blood pregnancy test: – This is a good option for an ultrasound. Follow the one-week apart process as discussed earlier in the urine pregnancy test.

What if you get pregnant right after abortion?

In case, if there is positive pregnancy test after abortion, it may mean that you are pregnant again. But you need not have to worry, it is absolutely safe to either carry on with the pregnancy or end it. There is no inference on fertility problems in future. Carrying the pregnancy to term is still safe for you and the child.

How soon after abortion can you have intercourse?

Due to the risk of infection, physicians advise that patients who have terminated pregnancy must stay away from sexual intercourse. Do not make use of tampons and sex toys for up to 3 weeks after the pregnancy termination or until a doctor recommends you. It is also advisable not to have bathtubs, hot tubs, and swimming pools.

Begin using birth control immediately if you resume intercourse. Keep in mind it is more likely to get pregnant soon after an abortion. So, do not wait for either the bleeding to stop or your menses to begin. Or else, you might soon find out that you are pregnant.

How to use NuvaRing contraceptive?

Get a prescription for NuvaRing from your doctor:

If you go to your doctor, he/she will perhaps do a standard pelvic exam in order to examine your vagina, ovaries, cervix, and uterus. The exam will only last a few minutes and the whole appointment will perhaps be less than an hour. You can buy NuvaRing online or at local drug store. The rings are one-size, and thus it fits all.

Ask your physician about whether NuvaRing is likely to fit your lifestyle, birth control needs, and budget. If you have health concerns, or are worried about side effects, or are taking other medications, discuss them with your doctor.
You must store the rings at room temperature and should not expose to direct sunlight. Avoid the usage of expired rings.

Start the NuvaRing during the first five days of your period:

This will enable the ring to protect you immediately. If you begin later in your cycle, you will require a backup method of contraceptive for the first 7 days of using the ring.

Spermicide and Condoms can be used as backup methods with the ring.
Diaphragms, sponges, and cervical caps must not be used because they can be hard to place correctly.
You need to keep the ring inside your vagina for 3 weeks and afterward, you can start using a new one. If you have high blood clots or while breastfeeding, in such case consult your doctor about what is best for you.

Choose a position that is comfortable for you:

NuvaRing birth control can be inserted very easily, so you will perhaps have the easiest time if you use the same position. You can do it while.

The best method for you if you are nervous is lying on your back in bed.
Sitting on a chair or the toilet.
Standing with one leg up, like as on the toilet seat. Few females find this method easiest while starting.
You can make use of an empty tampon to insert the ring, then remove a tampon from the applicator and then use the empty applicator to insert the NuvaRing.

Prepare the NuvaRing:

Firstly, wash your hands thoroughly before you open the NuvaRing package.

Try to open it with the help of notches. Tear gently as you will keep the foil.
Keep the resealable foil packaging so you can use it to dispose of the ring when you are done with it.
Pinch the sides of the ring flat between your index finger and thumb, such that it makes a long loop. Now you are ready to insert it.

Slide the folded ring into your vagina:

Use your index finger to push it in.
If it feels uncomfortable, you may not have a place in far enough.
It does not have to be in a specific position in order for its effectiveness. You might occasionally feel it if it moves a little bit and may be aware of it, however, it must not hurt.
If you have pain, or cannot find it again inside your vagina, consult your physician. Sporadically females have inserted it into their bladder.

Women should remove the NuvaRing vaginal ring exactly at the same time they had inserted it and exactly 3 weeks later.

Management of missed abortion with Misoprostol

Diagnoses of missed abortion

The diagnosis of early pregnancy failure may be suspected on symptoms and signs [vaginal bleeding, dilation of the cervix, cramping in lower abdomen] but is typically completed by transvaginal ultrasound and/or symptoms and serial beta-human chorionic gonadotropin [BhCG] levels. Women with missed abortion may also be asymptomatic.

The term spontaneous abortion – includes complete, incomplete, inevitable abortion, an embryonic pregnancy, and fetal/ embryo demise.

Complete abortion – in this case, the patient has a positive result on a pregnancy test, and experienced vaginal bleeding with the expulsion of tissues and has closed cervical os.
Incomplete abortion – patients has a positive pregnancy test, vaginal bleeding, and also a closed cervical os.

The missed abortion is diagnosed with vaginal bleeding with the expulsion of conception parts, a pregnancy test with positive results and an open cervical os.

Medical Management of missed abortion

Medical management if one of the safest and effective alternatives than expectant/ surgical management of EPF. Medical management allows a woman to avoid surgery/ anesthesia [surgical option] and waiting for the embryonic tissues to expel itself [i.e. expectant]. Several medications have been studied for EPF management.

Abortion pills – Mifepristone has also been tried in combo with Misoprostol, but they had conflicting results.

On the other had Misoprostol [cytolog]– misoprostol’s brand version] had effective results? It is a prostaglandin analog that is embolic in nature – causes uterine contractions and expels the pregnancy tissues. It can be administered buccal as well as vaginally.

Many doctors prescribe Misoprostol pills with buccal or vaginal administration – it’s usually given in 600 mcg to 800 mcg dosage as per the patients’ requirement.

Medical evidence says, that repeated dosage/ administration of misoprostol is much more effective than a single dose. 800 mg multiple doses of Misoprostol through vaginal administration is the most used method in completely emptying the uterus.