When you find out you are pregnant and do not want to have children, abortion is the remedy after contraception has failed. You should try to have an abortion within 10 weeks. Because the larger the month of pregnancy, the more surgical complications, so do not wait until the month of pregnancy is large before performing abortion or inducing abortion. The time of abortion should be within 6-8 weeks of pregnancy. If the pregnancy is too short, because the embryo is too small, the abortion will be incomplete; while if the pregnancy is too long and the fetus is too big, the operation will take longer, bleeding will increase and the trauma to the patient will be significantly increased. The thickness of the endometrium directly affects the implantation of the pregnant egg, which means that without a fertile soil, the pregnant egg cannot be implanted in the uterus even if other conditions meet the requirements for pregnancy, so experts point out that the thickness of the endometrium can affect pregnancy. Let’s learn more about the uterus.
Understanding the uterus
The uterus is the organ that produces menstruation and nurtures the fetus and is located in the central part of the female pelvis. It is normal for about 80% of women to have an anterior uterus and only 20% to have a posterior uterus. The uterus is artificially divided into four parts: the fundus, the corpus, the isthmus and the cervix. The body of the uterus is mainly composed of smooth muscle, with three layers of plasma membrane, myometrium and mucosa (i.e. endometrium) from outside to inside. The mucosa is divided into two parts: the functional layer and the basal layer. From puberty, the functional layer undergoes cyclic changes (proliferation, secretion and shedding) under the influence of ovarian hormones, resulting in menstrual flow. The basal layer, on the other hand, has no cyclic changes. Myometrium: Myometrium is the thickest layer, only 20px thick when non-pregnant; after pregnancy, myofibers proliferate and the uterine wall thickens up to 2~62.5px. It is divided into three layers: inner, middle and outer. The outer layer is longitudinal and the inner layer is circumferential. The middle layer of muscle fibers is interwoven like a net, and there are blood vessels in the middle of the muscle; contraction after delivery can compress the blood vessels that run through it and play a role in hemostasis. Uterine plasma layer is the peritoneum covering the surface of the uterus. It tightly covers the uterine fundus and uterine body, in front of the lower boundary of the equivalent isthmus folded towards the bladder, forming the uterine bladder fold. The plasma membrane loosely covers the isthmus, and during lower uterine cesarean section and hysterectomy, the peritoneum is incised here and the bladder is pushed away to expose the lower uterine segment and the neck.
The uterus is inverted pear-shaped, flattened in front and slightly protruding at the back, the adult uterus is about 7-200 px long, 4-125 px wide, 2-75 px thick, and the uterine cavity is about 5 ml. The upper part of the uterus is wider, called the uterine body, and the part of its upper end that rises and protrudes is called the uterine floor, which is flanked by the uterine horns and connected to the fallopian tubes. The lower part of the uterus is narrower and cylindrical and is called the cervix.
The dangers of multiple abortions
So what exactly are the dangers of frequent abortions? Let’s start with human pregnancy. Human pregnancy seems to be simple, but in fact it is a very complex physiological change process. First of all, it is endocrine: in order to adapt to the body’s need for pregnancy, the secretion of luteinizing hormone increases, the endometrium thickens, and the breasts increase in size, thus laying the foundation for the conception of a fetus. However, after the abortion, the endocrine secretion will change suddenly and temporarily lose the balance, the body has to readjust, if not yet adjusted, and then the second worker abortion, which will cause endocrine disruption, affecting the normal function of the endocrine system, resulting in a “hidden damage” to the human body. On the other hand, abortion is dangerous and not as simple and safe as people think, because this procedure is mostly performed in a simple consultation room by a gynecologist with his own experience and feeling, using instruments to suck out or scrape off the fetus in the uterus. If the patient is in a small month of pregnancy, she will suffer less pain, but if she is 3 months or more pregnant, she will suffer more than others. That’s why some doctors say that abortion is like a “cleaning” in the uterus. However, if each time this surgical “cleaning” is not clean, the residual flesh and blood is prone to bacterial infections and inflammatory diseases, which can cause serious consequences. Some women tend to leave in a hurry less than an hour after the operation, thinking that nothing is wrong, but in fact the body has already planted the “root of the problem”.
This is because every time you do an abortion, more or less scrape some endometrium, which is undoubtedly a strong stimulus to the uterus, scraping the number of times, the endometrium is subject to serious “visible damage” (the most dangerous when the uterus perforation), so that when you get pregnant again, it is easy to happen placenta placement, adhesion, resulting in obstructed labor and placenta retention. Repeated abortions can also cause uterine bleeding, endometrial infections, urinary tract infections, infertility and other diseases. Medical clinical practice proves that the more abortions are performed, the more chances of inducing these diseases. If the “hidden damage” and “explicit damage” of a woman’s body form a vicious circle, all the functions of the body, including immune function, will decline prematurely. Some people say that “abortion is too frequent, the red face is easy to die”, is not alarming. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
Therefore, abortion must be used with caution. Married women and girls seeking “freedom” are especially advised not to underestimate the dangers of abortion and to insist on contraception for whatever reason they do not want to have children, and not to rely on abortion to terminate a pregnancy, which could cause irreparable lifelong suffering.
Types of abortion
Pyramidal abortion: abortion is performed under the guidance of a doctor.
Advantages: no artificial device intervention, avoiding damage or infection to the genitals.
Disadvantages: medical abortion is prone to incomplete cases, and the residual fetal membrane tissue will cause a hemorrhage, requiring scraping and cleaning, otherwise it will be life-threatening, therefore, doctors generally do not recommend women to use medical abortion.
Ordinary abortion: abortion requires scraping the uterus to detach the tissue of the sac attached to the uterine wall, and then aspirate the sac with a negative pressure aspirator.
Advantages: higher success rate, less cases of incomplete abortions; the procedure can be resuscitated at any time in case of accidents, and the patient can be discharged after observation for a while after the procedure.
Disadvantages: strong pain, weak women may go into shock during the operation; if the instruments are not sterilized properly during the abortion, it will easily cause reproductive infection.
Visual painless abortion: Using advanced endoscopic technology, the doctor can clearly see the woman’s uterus throughout the procedure, accurately locate the pregnancy sac, and is not prone to missed or empty suction.
The thickness of the endometrium directly affects the implantation of the pregnant egg, which means that without a fertile soil, the pregnant egg cannot be implanted in the uterus even if other conditions meet the requirements for pregnancy, so experts point out that the thickness of the endometrium also affects pregnancy.
Multiple miscarriages are more harmful, causing damage to the endometrium, leading to placenta praevia, placental adhesions, postpartum hemorrhage, endocrine disorders, menstrual disorders, and even amenorrhea. After abortion, it is easy to cause infections, such as pelvic inflammatory disease, tubal inflammatory disease and secondary infertility, as well as vascular embolism, habitual abortion, endometriosis, uterine perforation and so on. But it is not absolute. If the operation is standardized, the anti-infection is thorough, the uterus and ovaries recover well after the operation, and the doctor’s instructions are followed for regular review at the hospital, there will be no effect. If you are not planning to get pregnant, it is recommended to use safe and effective contraception when having sex.
Uterine lining
Generally speaking, there is a normal value for the thickness of the endometrium, but after an abortion, the thickness of the endometrium will become thinner. The endometrial thickness will become thinner after abortion because the number of scrapings is too many, or if the scraping procedure is too heavy, the endometrial lining will be damaged, which is one of the main reasons for the decrease of menstrual flow after abortion. The thickness of the endometrium varies at different times of a woman’s menstrual cycle, mainly due to the influence of hormonal secretion at different times.
Causes of thin endometrium
Endocrine imbalance. Women’s emotions have a great impact on the endometrium. Long-term stressful and worried psychology often leads to endocrine disorders, which affect the thickness of the endometrium.
Damage to the endometrium caused by abortion and curettage. The endometrium is divided into three layers, the top layer is peeled off every month, the middle layer and the bottom layer are not peeled off, if the middle layer is damaged, the effect is not too big, if the bottom layer is damaged, then the consequences will be more serious.
Endometrial lesions. Such as endometrial polyps, endometrial cancer, etc.
Treatment of thin endometrium: estrogen supplementation. The endometrium grows under estrogen stimulation. Most of the methods currently used to improve endometrial thickness use estrogen; however, Western estrogen has a disruptive effect on endocrine secretion. If medication supplementation is needed, it can be improved by Chinese medicine, which takes compound drugs with relatively few side effects. Relaxation. Relaxation is actually one of the most effective ways to regulate endocrine secretion, which is very important. In addition, the thickness of the endometrium is supposed to change at different times of the month, such as during ovulation and menstruation. It just keeps going back and forth from very thin to slowly thickening, then shedding during menstruation, and then starting to thicken again from very thin. If you rule out congenital endometrial thinness, then it should be an endocrine disorder, the doctor can increase estrogen to thicken it, or drink Chinese medicine to regulate. If the menstruation has been abnormal, ovulation is not normal and the phenomenon of thin endometrium will occur, so it is not easy to get pregnant.
The reason for the thick endometrium: the endometrium is based on the cyclical secretion of ovarian hormones throughout the menstrual cycle, with corresponding cyclical changes. The cause of thick endometrium is mainly due to excessive estrogen stimulation of the endometrium.
You should pay more attention to the diet
Milk and related foods: mainly milk, goat milk, milk powder, cheese, yogurt, etc.
Bean products: the calcium content of legumes is also very high, especially tofu, in addition to soy milk, beans, fava beans, etc.
Meat and eggs: we usually eat pork, lamb, chicken, eggs, duck eggs and goose eggs.
Vegetables and fruits: especially celery, radish, parsley, lemon, apple, peanuts, melon seeds, etc.
Pay more attention in life
Get more sunlight. Sunlight can promote the synthesis of vitamins A and D in the body and promote the absorption of calcium in the body. Feel the warmth of the sun will also make people happy.
Moderate amount of exercise. Experiments have proven that moderate physical activity has a good promotion effect on calcium supplementation, and can effectively prevent calcium loss in the human body.
Blanch foods containing oxalic acid in boiling water before consumption. This kind of food is best blanched with boiling water before consumption, which will make oxalic acid inactive.
To sum up.
1, multiple abortions damage the endometrium and can cause adhesions between the uterine cavity and the cervical canal, leading to amenorrhea or dysmenorrhea; in some cases, it can also cause endometriosis.
2, the number of abortions, increasing the chance of infection, easy to get endometritis or pelvic inflammatory disease, affecting future fertility. If an unmarried woman has had multiple abortions, she may have a habitual abortion after marriage.
3, multiple abortions of women who give birth, but also increase obstetric complications, such as placental adhesion, postpartum hemorrhage, etc..
The uterus is the basic soil for embryonic growth and development, and multiple abortions are likely to cause thin endometrium, endocrine disruption and irregular menstruation, which can affect late pregnancy. If you want to get pregnant, you should prepare for pregnancy and undergo a comprehensive test, such as ultrasound test to see the condition of the uterus, ovulation, sex hormone test and tubal imaging test.