OK after frozen. Frozen pregnancy: treatment and planning of pregnancy Pregnancy after a missed pregnancy

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Frozen pregnancy: treatment and pregnancy planning

A missed pregnancy is the death of a fetus before 20 weeks of gestation. Read about the causes of a missed pregnancy, its symptoms and diagnostic methods in the first part: A frozen pregnancy: causes and symptoms.

Treatment of missed pregnancy

Frozen pregnancy in the early stages sooner or later ends in spontaneous abortion. However, it may take several weeks from the moment the embryo dies to its rejection from the uterine cavity. During this time, inflammation, bleeding and other unpleasant complications can develop. That is why most doctors do not recommend waiting until a miscarriage occurs, but prefer to curettage the uterine cavity and remove the dead embryo immediately after the diagnosis of a missed pregnancy has been finally confirmed.

Scraping (cleaning) during a frozen pregnancy is performed under general anesthesia, and the whole procedure lasts no more than 30-40 minutes. Sometimes vacuum aspiration is used to remove a dead embryo. Do not confuse cleaning after a missed pregnancy with an abortion, even if the methods are the same. Abortion is the termination of a normal pregnancy with a viable embryo. With a frozen pregnancy, there is nothing to interrupt, since the death of the embryo has already occurred. You should not blame yourself for the fact that you had an abortion during a missed pregnancy, since it was not an abortion, but a treatment after a tragedy that had already happened.

After scraping, the gynecologist sends the material obtained for a special histological examination. Histology with a missed pregnancy helps to understand the causes of what happened.

What will happen after cleaning with a frozen pregnancy?

Recovery after curettage during a frozen pregnancy can take several weeks.

In the first days after curettage:

If everything is fine with you, then you will be discharged from the hospital on the same day. The doctor will prescribe antibiotics to prevent inflammation and pain medication, as the pain after cleaning can be quite intense.

Returning home, keep bed rest during the day. Intense physical activity in the first days after curettage can lead to bleeding.

Pain in the lower abdomen after curettage during a missed pregnancy can persist for several days. No need to endure pain if it is expressed. You can take painkillers. Usually, Ibuprofen helps to cope with these pains.

Allocations after curettage during a frozen pregnancy can be quite intense and last from several days to 2 weeks. For the duration of these secretions, use pads, but not tampons. Using tampons in this situation can cause dangerous inflammation.

In the first weeks after scraping:

Gynecologists recommend abstaining from sex for at least 2 weeks after scraping. If after this time you still have spotting, then you should wait for their complete cessation. Depending on your situation, your doctor may make other recommendations.

If you resume sexual activity, then take care of contraceptive methods. Pregnancy after curettage of a missed pregnancy can occur in the first weeks, so you should not practice unprotected sex until your doctor tells you that you can start planning a pregnancy again.

The next period after a missed pregnancy can come 2-6 weeks after scraping.

Contact your gynecologist immediately if, after scraping:

Body temperature rose to 38C and above
Bleeding has increased and you have to change the pad every hour or more
Bleeding (“period”) continues for more than 2 weeks in a row
Severe pain in the lower abdomen does not go away when taking painkillers
Vaginal discharge has an unpleasant odor

Examination after a frozen pregnancy

Many couples ask themselves the question “what to do after a frozen pregnancy, do we need to be examined?” There is no single answer to this question, since everyone is individual.

In most cases, a miscarriage is due to "accidental" mistakes in the early stages of embryo development, so gynecologists usually do not prescribe thorough examinations after the first miscarriage. This makes no sense, since there is simply no “guilt” on the part of a woman or her partner. A missed pregnancy can happen to an absolutely healthy couple, and in this case, the chances of a successful pregnancy in the future are very high.

Tests after a frozen pregnancy are usually prescribed if this is not the first time this has happened. Most gynecologists recommend being examined after the second missed pregnancy, and in Western countries, tests are often prescribed only after the third missed pregnancy.

So, what tests should be taken after a frozen pregnancy? It all depends on how long it occurred, what histological data were obtained after curettage, what reason your doctor suspects. The most common examinations after a frozen pregnancy are:

General blood analysis

When can you get pregnant after a missed pregnancy

Pregnancy after a frozen pregnancy - is it necessary to prepare for it somehow in a special way in order to prevent a recurrence of the situation? What problems can arise in the process of bearing a child?

This situation is viewed differently by domestic and foreign doctors. So, in the USA, pregnancy is allowed 2, 3, 4 months after a missed pregnancy, or even immediately. And in Russia and the CIS countries, hormonal drugs are usually prescribed for several months for the purpose of contraception, they conduct an examination to identify the causes of what happened, and numerous tests are required after a missed pregnancy.

They are especially necessary for those women who have not previously taken them or handed them over, but not in full. For example, it is absolutely certain that you need to be tested for TORCH infections - rubella, herpes, toxoplasmosis and cytomegalovirus. If, according to the results of the analysis, it is clear that a woman has recently become infected with one of these infections, presumably during pregnancy, then it is she who is usually considered the culprit for the death of the embryo. And you need to wait until the body develops immunity against infection. After a few months, control tests are scheduled. If everything is clean, examinations do not show deviations, then when it is possible to become pregnant after a missed pregnancy, the woman herself decides. There is no point in postponing conception. If a woman has no problems with the reproductive system, for example, a polyp in the uterine cavity or submucosal fibroids that would interfere with the introduction and development of a fertilized egg, the ovaries and thyroid gland work well, the partner in the ejaculate has a normal amount of live, mobile spermatozoa - conception will occur in the next months in case of refusal of contraception and regular sexual activity.

It is not necessary to postpone pregnancy planning after a frozen one if the cause of this trouble was a chromosomal pathology in the embryo. Unfortunately, this can happen even in genetically healthy parents. And the older the partners, the greater the likelihood of such an “accident”. If pregnancy is planned after curettage of a missed pregnancy, some doctors recommend taking hormonal contraceptives for up to three months to restore the endometrium. This is also optional. The procedure did not affect the hormonal background in any way, but the endometrium will grow new in the next menstrual cycle.

The question remains open - how to maintain a pregnancy after a frozen one, is it possible to prevent a recurrence of the situation? In a sense, yes. It is necessary to start taking folic acid before conception and continue until at least 12 weeks. This is a very important trace element for expectant mothers. It is necessary to take measures to prevent infection with various infections, including acute respiratory infections. Well-being in the genital area, namely the normal microflora of the vagina, is a guarantee of protection against bacterial vaginosis - an unpleasant disease that, in the case of an acute course, can lead to endometritis, and as a result, pregnancy loss.

If uterine hypertonicity is fixed, and even more so if bloody discharge has appeared, there is a threat of miscarriage - progesterone is necessary.

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I want to try after a frozen pregnancy again in a month ...

Girls help advice! 1. 3 years planned then drank 3 months. Ok, and in the first month of cancellation, pregnancy occurred, but at 4-5 weeks, ST came, they did a cleaning, the analysis showed that it was for genetic reasons. After cleaning, they made an injection of Rh, since I have 2 group Rh - and my husband has 1 group +. A month has passed, the body has recovered as I feel physical. Preparation)) today is the first day of menstruation, I don’t want to drink hormones, but just rest and try for 2 months. What do you think?

I got pregnant after 4 months and didn’t drink ok (after the ST). Everything went perfectly. And after the laparo in a month, there was again a ST for a long time, the Doctor said that it was impossible to get pregnant so quickly after a course of antibiotics (I had a month passed). Because after antibiotics, the body recovers for 2-3 months.

I advise you to drink about 3 months or 6 ... the body is under stress after cleansing ... you need to rest ... any experienced doctor will tell you the same

I believe that you should not listen to anyone, but do as your heart tells you.

Khristin, I think that the body needs rest, but everything worked out spontaneously for me. On May 3, they cleaned me - ZB, and a month ago I found out that I was B again, and the period was already 8 weeks. By ultrasound. This means that I'm zab. One week after cleaning. And this is when taking Yarina! We are now 12 weeks old.

Kristin, my mother was generally told not to give birth to rhesus with dad + - nothing of us 3. the author has another, as far as I understand, and she does not have a miscarriage, but a dead B.

Khristin, well, I realized that after cleaning ... I am also negative ...

Kriska, the injection was already after cleaning.

Khristin, why did they introduce globulin to you? he is useless at such times ... usually it is administered after 12 weeks, when the fetus may already have a conflict. Well, about ZaB right away ...? I wouldn't… of course, it's up to you… take at least basic tests. In general, as God wills. Good luck and Faith, everything will definitely come, and as practice shows, when you don’t expect it and don’t go crazy, but just live and turn off your brain, live and enjoy life. And here's another thing, most importantly, if you are an Orthodox person, then go to church, 40 days after the purge ... confess, take communion and let the priest bless you, because this is an involuntary sin for us ... a special prayer is read.

I also had a cleaning 2 weeks ago. The fetus froze at 9 weeks. They cleaned it at 9. I haven't even been to the gynecologist yet. On Monday I'll go to the ultrasound to check first. Has it been cleaned well? In general, I have about 7 months of TT 37-37.2 ° C, but I do not get sick. Donated blood and urine everything is fine. The therapist said to go first to the gynecologist and then to all sorts of detailed tests. But I suddenly became pregnant, although we tried for 1.5 years. Now I think maybe there is some kind of bad thing in me and not just the matter of the wisdom tooth. Plan to start ready even yesterday! But now until I find out everything about my body I will refrain. And of course you decide whether you are ready. If all the tests are normal, wait at least a month more and then again into battle! Good luck to you!

Khristin, I didn't drink after the frozen cook. I thought about planning right away, but there were complications, and then it didn’t work out by itself. There is an opinion that cook just affects genetics and after them you just need to wait from 2 months to six months. Drinking for six months and then planning is a standard scheme for all cases ... Whoever does it in his own way has his own way ... I wish to do what the heart, mind and intuition advise ... ;-)

A frozen pregnancy is grief for a pregnant woman, as well as for her loved ones themselves. This is a big psychological trauma. But do not despair, leave in the past the desire to have a baby.

A frozen pregnancy is one of the types of miscarriage, the fetus stops developing and dies. This happens at the very beginning of pregnancy - in the first trimester of pregnancy. At this time, the egg reaches the uterus, is implanted in it. Symptoms of a missed pregnancy? Often a pregnant woman may not notice a frozen pregnancy for a long time. She is doing well, has a good appetite. Toxicosis does not hurt. Fatigue, drowsiness, nausea, suddenly disappear, then the pregnant woman needs to be alert, get advice from her doctor. Frozen pregnancy is diagnosed only by conducting a routine examination.

When you are planning a new pregnancy after a missed pregnancy, you should take it seriously. There are pregnant women who are afraid to become pregnant again after being frozen, deny themselves the joy of motherhood, although this is not the right approach. It is possible to conceive and bear a child in most cases, even if there was a missed pregnancy.

Pregnancy after a missed pregnancy

It is imperative to plan the next pregnancy, in which case you can prevent this from happening a second time. After scraping, women are weakened, but menstruation comes after 1-2 months, there is ovulation, theoretically, you can become pregnant again. There are also delays after a missed pregnancy, which are due to experienced hormonal stress, since such an interruption of the life of the fetus injures the female body.

Recurrence of a missed pregnancy is possible if, after a frozen pregnancy, you become pregnant again without examination, preparation. If there was a frozen pregnancy, then contraception is needed. It is recommended to get pregnant no earlier than 6-12 months after the incident.

Oral contraceptives are usually prescribed. Planning for pregnancy after a frozen one should begin with a visit to the gynecologist. Doctors send the results of curettage for histological examination. The cause of death of the embryo is most often the presence of malformations in it, which are incompatible with life.

The cause may be an infectious disease, as well as genetic abnormalities. If you become pregnant immediately after a missed pregnancy, do not cure infections, if any, then you will expose the second baby to the same danger.

If the cause of a missed pregnancy is a genetic anomaly, then only a geneticist can predict the recurrence of the pathology during a consultation.

Examinations after a frozen pregnancy: ultrasound of the pelvic organs, consultation with a urologist, examination for sexual infections, examination of the hormonal background of a woman: sex hormones and thyroid hormones, Rh-conflict and blood type of parents.

Preparing for pregnancy after a missed pregnancy - strengthening the health of the expectant mother, treating chronic diseases. If a progesterone deficiency is detected, then duphaston, utrozhestan are prescribed, with AFLS hormones will help prevent missed pregnancy, provide the child with ideal conditions for development.

Conception after a frozen pregnancy should be postponed for six months, spend this time usefully - for examination, for vitamin prophylaxis (taking vitamin E, folic acid), healing the body with good nutrition, playing sports, strengthening the immune system.

Restoring the body after a frozen pregnancy is difficult, the harder it is, the longer the period during which the development of the fetus was frozen. The death of the fetus in the second trimester for the mother is a more difficult test than in the first weeks of pregnancy. It happens that pregnancy may not occur even after six months, since the hormonal system and the general condition of the body suffer very much.

BabyBoom! First month after childbirth

You should not try to get pregnant a month after the frozen one, even earlier. For the unborn child, this is dangerous, since the reasons for which the misfortune happened to the first child have not been eliminated, repeated miscarriage in such cases is not uncommon.

If you have 2 or 3 missed pregnancies in a row, doctors will already talk about pathology - miscarriage, which can be treated with great difficulty. A repeated frozen pregnancy forms a plan for an unsuccessful pregnancy in the woman's body. Pregnancy after two missed pregnancies can be interrupted, as the mother's body is set up for this.

If nothing is found with your husband after the examination, an accidental embryonic death is diagnosed, then you still need to pay attention to the correct lifestyle. Quit smoking, alcohol, proper nutrition - preparation for the next conception. There are a lot of those who successfully gave birth to a healthy baby, do not despair, and everything will be fine.

Pregnancy after a frozen pregnancy - reviews

Blondina writes that she had a frozen pregnancy at 8 weeks (at 12 they scraped it), the doctors said that this was a hormonal cause. On the recommendation of a doctor, she drank Regulon. After 2 years, she decided to get pregnant again. I didn’t think about the bad, I enjoyed the pregnancy, I imagined how the child was growing in my stomach. The threat was the whole pregnancy, but reassured herself that rarely is a perfect pregnancy.

Mamaru writes that in 2008 she was frozen at 8 weeks, it turned out at 12 weeks. I came for an ultrasound, the doctor looked for a long time and said - there is no heartbeat. Horror and sobbing, cleaning, examination. She received treatment, became pregnant again in August, but at week 5 she again had an irregularly shaped fetal egg, at week 7 there was no heartbeat, at the end of September she was again cleaned, they did a chromosomal analysis - there are problems. There would still be a bunch of examinations ahead if she had not become pregnant in months. I ran ultrasound every two weeks, the doctors swore. All tests were excellent, not a single problem, she gave birth to a 4 kg baby in August.

Macrosomia (0) Macrosomia is a large body in Latin. If you find that your belly circumference is extremely large in

Got pregnant 2 months after miscarriage

Liza | 08/14/2013, 21:12:44

Girls, 2 cycles after cleansing, due to a missed pregnancy, I again find out that I am pregnant. Now I am 16 weeks old. I pray and wait.

What surprises you, don't you understand? Eggs mature every month in women.

3. | 15.08.2013, 00:56:36
Well, I didn’t have a cold, but I just had a miscarriage, it started from no one knows what at 9 weeks, the bleeding was strong, they cleaned it. I got pregnant after 2.5 months, pregnancy and childbirth are just wonderful) And I wish you the same!!!
4. | 15.08.2013, 10:03:49
very many have a first frozen and a second healthy pregnancy, and if you have been tested for infections and you don’t have them, then most likely everything will be fine. it would just be nice to know the cause of the first ST. healthy baby))
5. | 15.08.2013, 10:06:03
You are already 16 weeks old, so everything will be fine! Try to put thoughts of the past pregnancy out of your head and calm down!! Think only about the good and take care of the baby, which is already growing inside to the fullest!!) I was frozen at 9 weeks, and the next pah pah without any complications, even threats never it didn’t arise! Tune in only for the best, you can go to church, you will immediately feel better! Good luck to you !!
Liza
Who was, tell us how the pregnancy went?

I heard about such cases. Normal children were born! Moreover, you are already 16 weeks old, the most dangerous period is behind you. And for half a year they are advised not to get pregnant usually, in order to check what caused STD, and, if necessary, to be treated. If you have an accidental failure, and not a chronic infection or a problem with hormones, you don’t have to worry, pregnancy is the same as if there was no STD in the past.

9. | 15.08.2013, 16:16:54
10. | 15.08.2013, 18:14:01
the guest
So you first write the reason why the development stopped. What does other people's stories have to do with it, what will they give you? Who had poor hemostasis, who did not have enough progesterone, whose thyroid gland failed, who had other hormones dancing. What did you have? And what does the 2-month break between pregnancies have to do with it, it’s not clear, it doesn’t matter at all.
This is just as important.
Kate
For the smartest, half a year is given in order for the endometrium of the uterus to recover, so that next. pregnancy, the fetus is firmly attached, and of course for treatment and recovery! If you did it so quickly, it's just happiness! Have a good pregnancy and easy delivery to you!!!

For the illiterate or living in the outback without a chance to receive information from modern medicine. Half a year was given in the last century, when there were no ultrasounds and hormones. Now you can get pregnant through a cycle, and it depends only on the endometrium, which recovers quickly, which is easily determined by ultrasound monitoring. With the help of the same OK, the hormonal background is regulated in a month. Now no one is waiting for more than 2 months for a new pregnancy, there is no such need. The best and freshest endometrium is the one that is saturated with blood vessels, which is favorable for the embryo, therefore it is recommended not to delay, but to get pregnant quickly. And it is unlikely that the author would not be protected if she did not want to fly in unexpectedly.
Liza
Frozen It was most likely due to the fact that I caught a cold at week 7. I also fell in the hospital, lost consciousness, sprained my leg, maybe from this. They didn’t let me find out the reason. and that's it. They said that the first pregnancy often happens. Yes, half a year is needed for everything to recover and heal there. For this, the doctors have been pecking at me for 4 months already. Everyone is constantly screaming, they say, how could you.

Change your doctors. “The first pregnancy often happens” is a blatant lie and the laziness of your doctors to find out the reason. About 4 months is also unthinkable nonsense, losers work there, it’s as obvious as daylight, they should have perfectly seen the thickness and stratification of the endometrium in your very first days of ultrasound delay. What did they peck for? What ultrasound results did you have for these pecks? Have you ever been referred during pregnancy for d-dimmers, hemostasis, lupus, for a pack of hormones, thyroid examinations, and so on? Have you been referred for these tests this time?! A broken leg is not the cause at all. Colds too, as 99% of women catch a cold due to a decrease in immunity at this time. I recommend that you take these tests immediately, so as not to jeopardize the further development of pregnancy.

Women who are faced with curettage for a missed pregnancy need to undergo a rehabilitation course. Which includes a set of examinations that can reveal hidden infections and various pathologies, subsequent treatment of identified problems.

An important role in restoring the body after a frozen pregnancy is also played by the intake of oral contraceptives, vitamins, physiotherapy procedures, and lifestyle changes.

Medicines

Immediately after the curettage procedure, patients are prescribed broad-spectrum antibiotics (Gentamicin, Doxycycline, etc.). The duration of the course usually does not exceed 10 days. There is an alternative to such long-term medication.

In the line of antibiotics from the aminoglycoside group, a new long-acting drug has appeared - Netromycin. Many experts consider this drug the most convenient in the prevention of infectious and inflammatory diseases after a frozen pregnancy and cleansing. Enter Netromycin once at a dosage of up to 400 mg.

In addition to antibiotics, it is mandatory to take Metronidazole, an antiprotozoal drug. Analogs are:

Trichopolum.
Klion-D.
Metrogyl.
Gynocaps.
Rumizol.
Metrovagin and others.

Preparations containing metronidazole actively cope with many secretly occurring sexual infections that are the causes of missed pregnancy (trichomonas, gardnerella, etc.). In addition, Metronidazole is a drug that is always prescribed for the prevention of postoperative complications in the pelvic and abdominal organs.

At the end of the course of antibiotics, it is strongly recommended to drink prebiotics and probiotics (Linex, Vagilak, etc.). This will normalize or restore the natural microflora of the intestines and vagina.

Pregnancy protection. After cleaning for a non-developing pregnancy, it is not recommended to plan a new conception for at least 6 months. There are several reasons for this. First of all, a woman needs to recover psychologically and physiologically, since a frozen pregnancy is a very strong stress.

Then it is necessary to undergo an examination to identify the reason why such a pathology occurred. In addition, the mucous layer of the uterus (endometrium) after the cleaning needs to be restored, and this takes a lot of time.

Normalization of hormonal balance and restoration of the endometrium. The use of OK after cleansing allows you to establish the correct functioning of the hypothalamus - pituitary gland - ovaries. Which, in turn, will lead to the elimination of hormonal imbalance and accelerate the recovery of the body.

OK

Many women are interested in whether it is necessary to drink oral contraceptives after a missed pregnancy? The answer is yes. OK must be taken to speed up the recovery of the body after the pathology of pregnancy.

It is necessary to take OK after the appointment of a specialist and at least 3 menstrual cycles (not rarely 6 cycles). The following drugs may be prescribed:

Jess.
Marvelon.
Janine.
Yarina.
Regulon.
Novinet.
Three - regul.
Qlaira.
Triquilar.
Microgynon and others.

The choice of drug depends on the individual criteria of the woman's body.

In addition, for better restoration of the endometrium, the attending physician may prescribe progesterone preparations. For example, Duphaston, which is prescribed from the 15th-16th day of the cycle to the 25th-26th day. Dosage 10 mg per day (dose may vary).

This drug can be prescribed both instead of OK, and in combination with combined oral contraceptives. Duphaston activates the regenerative function of the cells of the mucous membrane of the uterine layer, thereby helping to build up a thin endometrium, a common problem after curettage.

When an antiphospholipid syndrome is detected in women during a survey, Duphaston becomes simply irreplaceable. In this case, change the intake and dosage of the drug. Assign it from 11 to 25 days of the menstrual cycle, twice a day, 10 mg.

It is important to remember that oral contraceptives and progesterone are taken only with a doctor's prescription. Unauthorized choice and taking of medicines, as well as changing the dosage can only harm the body.

vitamins

To maintain immunity, normalize metabolic processes and hormonal levels, vitamin complexes, iodine preparations, and folic acid are prescribed.

Folic acid. Refers to B vitamins. Sometimes labeled as B9. Taking folic acid will help avoid fetal malformations (a common cause of pregnancy fading), improve blood circulation, enhance the ability of cells to divide and regenerate, and much more.

You need to start taking the drug 1-2 months before conception and within 2-3 months during pregnancy. The largest amount of folic acid is found in bananas, cereals, greens.

Vitamin C. Or vitamin C, a fairly well-known and sought-after vitamin. Ascorbic acid is a strong antioxidant that strengthens the circulatory system. During the treatment of anemia, taking vitamin C improves iron absorption. With food, it can be obtained from sauerkraut, citrus fruits, black and red currants, and onions.

Vitamin E. Is a true female vitamin. A sufficient amount of this vitamin in the body allows a woman to maintain elastic skin, strong and shiny hair, healthy nails.

After curettage for a missed pregnancy, taking vitamin E will speed up the restoration of hormonal balance and strengthen immunity. A lot of vitamin E is found in vegetable oils (linseed, olive, sunflower, etc.), in germinated wheat grains.

Iodomarin. Replenishes the lack of iodine in the body. Taking iodine preparations allows you to establish metabolic processes in the body, the work of the central and peripheral nervous systems, the functioning of the reproductive organs. You can make up for the lack of iodine with food: seaweed, marine fish and seafood.

Vitamin and mineral complexes. For example, Elevit Pronatal, which is designed specifically for the period of planning and carrying a pregnancy. The drug contains vitamins (A, group B, D, PP, E), calcium, magnesium, phosphorus, zinc, manganese, copper, folic acid. It is able to compensate for the lack of useful vitamins and minerals, normalize metabolic processes and hormonal balance.

However, treatment is not limited to the listed means, but can be expanded after the completion of the examination. About a month after the curettage for a missed pregnancy, a woman and her husband need to be examined. During which doctors will be able to determine the main reason why the pregnancy stopped developing. According to the results, the main treatment will be prescribed.

Physiotherapy

After cleaning the ZB, physiotherapy procedures are shown that improve and accelerate the recovery processes of the body. Mud applications or pelotherapy, radon and / or hydrogen sulfide baths, vaginal tampons with propolis, ultrasound, leeches (hirudotherapy) show the greatest effect.

Why do we need physiotherapy after a frozen pregnancy and cleansing? This question is not difficult to answer. The range of physiotherapeutic effects on the body is very wide:

Prevention of the development of adhesions after scraping.
The build-up of a thin endometrium after the cleaning of a missed pregnancy.
Prevention of the development of inflammatory processes and postoperative complications (curettage is also an operation).
Improving lymph flow and blood supply to the pelvic organs.
Normalization of the functioning of the ovaries.
Elimination of pain syndrome.

In general, all physiotherapy procedures are aimed at accelerated recovery of the body and prevention of complications.

The types, frequency and duration of physiotherapy are prescribed by the attending physician. Only he can prescribe a suitable course of procedures, since it is the treating specialist who knows all the features of the patient's body and the need for certain methods of treatment.

On average, the course lasts from 10 to 30 procedures. And you need to start on the 5th day of the menstrual cycle.

Folk methods

The use of alternative methods of recovery after a frozen pregnancy must be discussed with your doctor. Many herbs, such as hogweed or red brush, are not allowed to be taken with oral contraceptives. In addition, an individual reaction (allergy) may occur to herbs, so care should be taken when using decoctions and infusions.

Boron mother. Helps eliminate inflammatory diseases of the genitourinary system, benign neoplasms (fibromyoma, myoma), endometriosis, polycystic disease and many other pathologies. Women who experience problems with conception for a long time speak of the upland uterus as a remedy that can cope with infertility.

Red brush. It is able to cope with polycystic disease, female and male infertility, regulate the menstrual cycle, restore male potency. The ability of the red brush to increase immunity is urgently needed during the recovery period after cleaning the ST.

Collections of medicinal herbs. Herbs such as lemon balm, juniper and thuja fruits, birch buds, raspberry leaf can saturate the body with vitamins and microelements. They have a blood-purifying effect.

Plantain seeds. A decoction of this raw material has a beneficial effect on the mucous layer of the uterus (endometrium).

After two weeks, if the general condition of the body allows, you can make small runs and perform simple exercises. You should refrain from lifting weights and increased physical activity for about 1 month, that is, until the first menstruation.

At the end of the first menstruation, you can return to the gym and continue fitness classes. Many experts even recommend exercise for recovery after a miscarriage cleansing.

First of all, playing sports helps to distract a woman from worries about a failed pregnancy. In addition, sports have a beneficial effect on the body. Strengthen the immune system, improve blood circulation in the pelvic organs, saturate the blood with oxygen.

It is important to remember that moderation is very important during the recovery period. Therefore, it is not necessary to overload the body with physical exercises.

Sex. You can return to having sex after the first menstruation. Such a long abstinence from sexual intercourse (about 4-5 weeks) is necessary to prevent the development of inflammation and bleeding after curettage of a missed pregnancy.

It is important to avoid pregnancy for at least six months. To do this, you can use barrier methods of contraception (condom) or oral contraceptives, which are almost always prescribed after cleaning a missed pregnancy.

Life after STD and psychological recovery. To date, the most important action is considered to be the provision of psychological assistance to women who have experienced an undeveloped pregnancy.

Loss of pregnancy can give rise to a complex inferiority complex. The woman begins to blame herself and the medical staff, closes in on herself. Many women tend to try to conceive again as soon as possible or, on the contrary, do not want to even think about a new pregnancy.

A competent and qualified psychologist is able to help at this time, which will help a woman understand the fallacy of her judgments and believe in herself again. The woman herself needs to understand that she is not to blame for the loss of pregnancy. This is a combination of circumstances and all sorts of unfavorable factors. The task of close people and psychologists is to accept the situation by a woman, to stop cultivating a sense of guilt.

During this period, it is important for women to realize that the next pregnancy, with a proper recovery period, will proceed normally and will end in the birth of a healthy baby. Life after a frozen pregnancy does not stop, but continues.

Relatives should talk about this with a woman. And for the period of psychological recovery, it is better to limit or exclude her communication with pregnant women and young children. The best help will be playing sports, a favorite hobby, or a change of scenery (for example, a trip to another city).

In the same period, it is important to do examinations that will help identify the cause that caused the fetal development to stop, and the necessary treatment. Also, a woman needs to radically change her lifestyle.

Diet. You should adhere to the principles of rational nutrition, which will provide the body with the necessary substances, fiber and trace elements. The menu must contain fresh vegetables and fruits, a lot of various greens (lettuce, spinach, parsley, basil, etc.), cereals and cereals. Lean meat, fish and seafood, dairy products (yogurt, kefir, cottage cheese, cheeses), chicken eggs and nuts should be introduced into the diet.

Confectionery products (cakes, buns, etc.), fatty and fried foods, semi-finished products, strong drinks (coffee, black tea, strong alcohol) should be excluded or limited as much as possible.

Lifestyle. Getting rid of bad habits (smoking) and proper sleep and rest will normalize the functioning of the nervous and cardiovascular systems, strengthen immunity and eliminate hormonal imbalances. Regular exercise is essential for a healthy body.

It is necessary to deal with the elimination of stress factors that have a pronounced detrimental effect on the female body. If the profession is associated with exposure to harmful factors (chemical or radioactive substances, hard physical labor, etc.), it is necessary to arrange a transfer to another position or change the type of activity.

Restoring physical health and mental balance is the key to successful conception and the birth of a healthy child. Everything that happened is already in the past, and there is no return. Mental torment cannot correct the situation, and clear confidence and actions to restore health are the path to long-awaited motherhood.

anonymous , Woman, 25

I am 25 years old, my husband is 27. We have a common child (6 years old). I got pregnant by accident (1 time they didn’t use protection and it turned out right away). The pregnancy went perfectly (I didn’t even do an ultrasound, I wrote refusals, my parents advised me, like you’re 19, you’re healthy, why should the child be irradiated), the birth went perfectly, no breaks, no complications. My daughter is healthy. During this time, and even before pregnancy, I had no illnesses, except for periodic thrush, and before pregnancy, erosion was frozen and erosion was cauterized immediately after pregnancy. And now, 5 years after the first child, we carefully protected ourselves with condoms and never got pregnant. We decided to have a second one. I went to the gynecologist, I thought about taking some tests before planning, maybe doing an ultrasound, drinking some vitamins. My doctor sent me home and said that I didn’t need to take anything, everything was fine with my smear, so keep trying! On the third cycle, I managed to get pregnant, but the pregnancy stopped at 5 weeks, and I found out about it only at 7 full weeks. They gave me a vacuum. In histology it is written: secretory endometrial dysplasia, endometritis. And nothing was prescribed, neither anti-inflammatory, nor ok, nothing. The smear has handed over - all in norm or rate. Ultrasound was done the next day after the vacuum - everything is also clean. After my long attempts to get at least something from the doctor, she told me that if I wanted, I could get tested for infections. The question is: what is written in the histology should not be treated? I don't want a repeat. What do you usually prescribe to women in similar cases? I am especially interested in the first 3 months, during the recovery period. It's too early to take tests. But just in case, advise and what tests to pass. And another question: why is ok prescribed after a frozen pregnancy? I was not prescribed, the doctor said to use condoms. Ok appoint or nominate only for protection or and under any other indications?

Pregnancy or spontaneous miscarriage (up to 22 weeks) - can be due to many reasons: genetic factors; sexually transmitted infections; endocrine disorders; immune factors; uterine fibroids; adenomyosis; anomalies in the development of the uterus, chronic endometritis, etc. To identify the cause of miscarriage or spontaneous abortion, it is advisable to conduct a series of studies at the stage of preparation for pregnancy: Determination of the hormonal profile - FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin, Estradiol, 17-OH- progesterone, Androstenedione, Androstenediol glucuronide, DHEA sulfate (dehydroepiandrosterone sulfate), Testosterone total, Testosterone free, Dihydrotestosterone, SHBG (sex hormone binding globulin) Determination of thyroid hormones - TSH (thyroid stimulating hormone), T4 (thyroxine), T3 ( triiodothyronine), Anti-TG (antibodies to thyroglobulin), Anti-TPO (antibodies to microsomal thyroperoxidase), Thyroglobulin Examination for vaginal biocenosis and seeding on the flora of discharge from the genital organs with the determination of sensitivity to the main spectrum of antibiotics and bacteriophages Sexually transmitted infections ( chlamydia, mycoplasmosis, ureaplasmosis, trich homoniasis, gonorrhea, herpes, etc.) Indicators of hemostasis Fibrinogen, Prothrombin, Thrombin time, APTT, Antithrombin III, Lupus, D-dimer, Protein-C Investigation of the TORCH-complex phospholipids: cardiolipin, phosphatidylserine, phosphatidylinositol, phosphatidylic acid). Typing of HLA class II genes - DRB1, DQA1, DQB1 genes - study for a couple Genetic risk factors for thrombosis and folate cycle disorders, increased homocysteine levels - F2, F5, MTHFR, MTRR, MTR Violation of most of these parameters can contribute to impaired sensitivity of the uterine mucosa to implantation of the embryo and, accordingly, further lead to miscarriage. The exact range of necessary studies is determined depending on the specific clinical situation. The tactics of therapy should be determined after the examination.

If the pregnancy came earlier (for example, a month after the missed pregnancy), then the chances of its successful bearing will be quite high. However, you should consult with your gynecologist: your doctor may recommend special treatment in order to reduce the risk of another miscarriage or early miscarriage.

How to avoid missed pregnancy?

The following tips from gynecologists will help reduce the risk of a miscarriage:

When planning a pregnancy, consult a doctor and take all the necessary tests (, analysis for,). If all the tests are in order and the gynecologist allows the pregnancy, then the risk of its termination will be lower, since you are healthy according to the main “gynecological parameters”.

When planning a pregnancy, start taking. Gynecologists recommend doing this at least 1 month before conception (and even better 3 months). Taking folic acid several times reduces the risk that can cause a miscarriage in the early stages.

Stop smoking and drinking alcohol at the stage of pregnancy planning or as soon as you find out that you are pregnant. Cm. .

Be aware that some medications may increase the risk of miscarriage. So, for example, during pregnancy it is not recommended to take aspirin and preparations containing it. Paracetamol can be taken to bring down a high fever or ease a headache.

These tips will help reduce the risk of miscarriage, but do not guarantee that you will never experience this problem again. Most miscarriages are out of our control. However, don't lose hope. Even after several missed pregnancies in a row, a woman still has a great chance for a successful pregnancy and childbirth.

Bimka, about this bug in great detail:

Congenital toxoplasmosis and toxoplasmosis in pregnant women
Are there frequent cases of congenital toxoplasmosis? According to Professor Kazantsev A.P. 1 case per 1000 - 8000 births. Is it a lot or a little? Given the fact that we are talking about children and their parents, it is certainly enough for scientists to pay attention to this problem. For the first time, congenital toxoplasmosis was described in 1923 by the Czech ophthalmologist I. Janku, and in 1942 Sabin gave a detailed description of this variant of the disease. Somewhat later, German scientists (H. Essbach and J. Rose) described the sequence of development of changes in the body of a child with congenital toxoplasmosis.

In what case can the disease develop?
During pregnancy, about 1% of women become infected with toxoplasma. Of these, 1/4 - 1/5 is the transmission of infection to the fetus (through the placenta). These are average numbers.

It must be remembered that the probability of the birth of a sick child appears only when infected with Toxoplasma after the onset of pregnancy. Infection before pregnancy usually results in early miscarriage (before 12 weeks) as a result of exposure to the placenta.

The probability of developing the disease is higher than at a later stage of pregnancy there was an infection with toxoplasma.

What is the probability of such transmission of infection at different stages of pregnancy?
In the first trimester, the permeability of the placenta for the pathogen is quite low. Infection occurs in about 15% of cases. In the second trimester, the permeability of the placenta increases, the frequency of transmission of the infection also, so the probability of fetal damage rises to 20%. When infected in the last 3 months of pregnancy, the probability of transmission reaches 50-65%.

When do the most severe fetal lesions develop?
The shorter the gestational age, the more complex changes occur in the developing fetus. And zanchit and susceptibility to various influences during this period is higher. That is why the most severe consequences of toxoplasma infection occur in the first trimester of pregnancy. But, the reader already knows that during this period the probability of transmission of the pathogen through the placenta is the lowest. The severity of violations is associated with the lack of defense systems in the embryo. In this situation, pregnancy most often ends in an early miscarriage, very rarely - the birth of a child (with significant developmental disorders).

How is the disease progressing?
The reader is already familiar with the basic terms and classification of toxoplasmosis from previous publications. Therefore, we will not repeat everything again.

The more formed the fetus, the greater its ability to protect and resistance to negative influences. In such cases, the acute phase of the disease (acute congenital toxoplasmosis) proceeds and ends in the womb. After birth, the disease proceeds in the form of a chronic latent or manifest form (with or without residual phenomena). At the same time, it is possible to give birth to a child with clinical manifestations of acute septic toxoplasmosis (meningoencephalitis, hepatitis, eye damage, rash), if the infection occurred at the end of pregnancy, and the fetal immune system was unable to protect.

The most frequently observed chronic latent form of congenital toxoplasmosis. In this case, the newborn does not show significant disorders. Such children may develop normally, and signs of intrauterine infection are detected later. Sometimes when examined by an ophthalmologist at the age of six months, when visual impairment or changes in the fundus are detected). The disease can manifest itself in adolescence against the background of age-related hormonal changes (10-12 years).

According to foreign experts, the latent form of congenital toxoplasmosis becomes manifest during the first 15 years of life in about 60% of cases.

Toxoplasmosis in pregnant women.
As already mentioned, if infection with toxoplasma occurred more than 3 months before pregnancy, then the transmission of the pathogen through the placenta with the development of congenital toxoplasmosis is practically excluded.

In the event that the first child was born with congenital toxoplasmosis, parents can be absolutely sure that congenital toxoplasmosis is impossible in subsequent pregnancies.

If the expectant mother is sick with chronic overt toxoplasmosis, then there is no transmission of the infection from the mother to the fetus. Prevention of congenital toxoplasmosis in this case is not necessary. Treatment is indicated to prevent miscarriage and is carried out by completely different methods.

If a pregnant woman already has a chronic latent form of toxoplasmosis (there are antibodies), then one should not be afraid of the development of congenital toxoplasmosis. No observation and treatment and examination is required.

The detection of antibodies to toxoplasma and even proven infection during pregnancy is not a basis for artificial termination of pregnancy. Although an abortion in this situation can be performed at the request of the woman. What is definitely needed is repeated special studies (there will be a story about them later).

What to do if infection occurs during pregnancy?
In this case, it is necessary to contact specialists (start from your place of residence) in order to accurately diagnose the condition, prescribe treatment for the prevention of congenital toxoplasmosis. "Import specialists" claim that the correct treatment reduces the possibility of developing the disease by 2 times.

A little about recommendations.
Once again, I would like to emphasize, remind and warn - there is no need to associate with toxoplasmosis various "... well, absolutely similar" symptoms found in children at different ages. There are other reasons for this as well. For example, congenital rubella can also occur with signs of a violation of the central nervous system (meningoencephalitis) and vision (cataract).

The diagnosis of congenital toxoplasmosis must be confirmed by special studies.

Let me remind you of another common truth - congenital toxoplasmosis is much easier to prevent than to treat. Treatment can reduce the severity of the manifestations of the disease, prevent death, but in most cases it cannot prevent the development of residual effects after the disease.

Therefore, it is advisable to conduct a full examination even before pregnancy.

If a manifest form of the disease is detected before pregnancy, you should contact a specialist.

Infection should be prevented during the entire period of pregnancy. It's not as difficult as it might seem. Limit contact with cats, do not try raw minced meat, wash your hands before eating, etc. So personal hygiene comes first.

During pregnancy, if possible, it is reasonable to undergo repeated examinations for toxoplasmosis at intervals of 2-3 months. This will allow you not to miss the fact of accidental infection. It is better to take tests always in the same laboratory.

Particular attention should be paid to cases where miscarriage or infertility has previously been observed.

In those rare cases when the latent form becomes manifest during pregnancy, treatment is usually prescribed to prevent miscarriage. In these cases, antibiotics and chemotherapy are not used.

Sergei Zakharenko

Just don't be scared, you just need to know your enemies by sight!