Aspiration biopsy of the endometrium: how it is performed, indications. Vacuum aspiration (mini-abortion): indications, performance Manual vacuum aspiration

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Manual vacuum aspirator Ipas MVA Plus (MVA Plus)

Manual Vacuum Aspiration (MVA)- a method of uterine evacuation, in which the contents of the uterus are removed through a cannula under the action of a vacuum.

MVA is a simple, safe and effective method for performing abortions and obtaining endometrial samples.

Introduced by the international non-profit organization IPAS, whose work is aimed at improving the lives of women through the preservation of their reproductive health, the MVA method has been used since 1974.

For 30 years, it has become widespread in dozens of countries around the world and has gained recognition from organizations such as the World Health Organization (WHO) and the International Federation of Obstetricians and Gynecologists (IFAG), as well as many well-known gynecologists.

Advantages of the MVA method:

• Reliability and efficiency. The tests carried out have demonstrated an efficiency of more than 99%.
• High quality. ISO 9002 quality certificate.
• Ease of use. The unique double lock valve allows you to create a vacuum before the procedure. The syringe holds the collected tissue, facilitating examination.
• Noiselessness. Noiseless 60cc Portable Syringe see Suction force as electric pump (26"Hg)
• Versatility. The device can be used both in clinics and outpatient settings.
• Reasonable cost. Does not require large initial costs. The MVA Plus syringe is reusable, which significantly reduces the cost of each application. The syringe withstands the most affordable way sterilization - steam autoclaving or boiling.
• Ease of processing, sterilization. The MVA syringe is subjected only to chemical sterilization and deep disinfection. The syringe MVA-Plus is subjected to autoclaving, steaming and also chemical sterilization and deep disinfection.

Syringe kit:

• Manual vacuum aspirator Ipas MVA Plus
• Adapters for Karman's cannulas (separate adapters are not required for Easy Grip cannulas, they are sold with cannulas)
• Silicone Grease

To perform the techniqueMBAyou will needSyringe MVA-Plus60 ml and flexible sterile or different calibers (outer diameters): 3, 4, 5, 6, 7, 8, 9, 10 and 12 mm. Cannulas are not included with the aspirator and must be purchased separately.
Small cannulas (3-7 mm) have two oppositely located offset holes, large ones (8-12 mm) have one.

Aspirator IPAS MVA Plus®creates a vacuum of 24-26 inches or 609.6 - 660.4 mmHg. Art.

The syringe consists of the following parts:

• valve with two vacuum control buttons, cap and removable sleeve;
• piston with handle and sealing ring;
• cylinder with a capacity of 60 ml, where the contents of the uterine cavity enter, with a clamp for a cuff latch, and a cuff latch.

Brief overview of reprocessing methods for Ipas MVA Plus®, ® aspirators

In gynecology and obstetrics, manual vacuum aspiration remains the simplest and most effective method for endometrial biopsy and removal of uterine contents. The device for this method is a portable silent aspirator with a capacity of 60 cm2, with a special shut-off valve. The purpose of this device is to create a vacuum before the procedure begins. In this procedure, the creation of a vacuum is equivalent to electrical vacuum aspiration (26 mm Hg). Thanks to soft flexible cannulas with a diameter of 4-12 mm, the contents of the uterus are removed gently, without damaging the endometrium. Holding the removed tissue with an aspirator greatly simplifies its further examination. This eliminates the need for a traumatic procedure of control curettage of the uterus. Scientists note that the efficiency of manual vacuum aspiration is at least 99%. It is also effective for disorders menstrual cycle and early termination of pregnancy, treatment of dysfunctional bleeding from the uterus, spontaneous and incomplete abortion. If we compare this method with the operation associated with curettage of the uterine cavity, then manual vacuum aspiration (MVA) requires less investment, less equipment, fewer complications, and the ability to use the aspirator more than once significantly reduces the cost of each procedure. Manual vacuum aspiration can be performed in hospitals, antenatal clinics, medical centers, primary care offices.

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Indications for the use of manual vacuum aspiration

The MVA method in gynecology has a fairly wide scope. The passage of manual vacuum aspiration is necessary in the following situations:

to terminate an unwanted pregnancy in first trimester,

with cystic drift,

pathological and non-developing pregnancy up to 12 weeks,

during medical or surgical abortion,

incomplete spontaneous miscarriage,

hematometer,

the presence of remnants of placental tissue after caesarean section and childbirth

dysfunctional uterine bleeding.

Among the indications is also noted the need to study the biocenosis of the uterine cavity, serometer, endometrial biopsy.

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Before starting the vacuum aspiration procedure, the patient is prescribed a number of tests (including allergy to anesthesia), an ultrasound examination to determine the placement of the fetus in the uterus and clarify the gestational age itself. Manual vacuum aspiration can be used up to 12, and sometimes even up to 16 weeks.

Among the advantages of manual vacuum aspiration, gynecologists note the minimal risk of perforation of the cervix and the organ itself, and after the operation itself, complications very rarely occur. The conditions for performing and preparing for aspiration do not have a severe psychological effect on the patient. After an abortion performed by this method, the woman retains the opportunity to have children in the future. In addition, the procedure itself may well be performed on an outpatient basis, because inpatient treatment and follow-up are usually not needed. Recovery after the operation takes from one to four hours, much depends on individual physiological characteristics.

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Postoperative period and possible complications

After termination of pregnancy by manual vacuum aspiration, minor bloody issues and cramps in the lower abdomen. As a rule, these symptoms disappear after two weeks. Among the advantages of MVA, many women note the comfort of the operation and the ability to return to their usual way of life immediately after an abortion. Special attention women will have to pay attention to contraceptive methods, because after MVA pregnancy can occur even during menstruation. 2-3 weeks after the operation, it is advisable for the patient to come for an examination to her doctor.

In principle, there are almost no contraindications for such a method as manual vacuum aspiration. However, before the final appointment, the woman is advised to discuss everything with the attending gynecologist. Especially if she has a history of intolerance to anesthesia or some serious illness.

Manual vacuum aspiration as such virtually eliminates complications. But if the operation is performed poorly or by an incompetent doctor, unpleasant consequences can occur. The first of these may be an incomplete abortion, when not the entire fetus, but only part of it, is cleaned out of the uterine cavity. Therefore, 2-3 weeks after an abortion, a woman is strongly recommended to visit a gynecologist to ensure the success of MA. It is possible that she will have to do another ultrasound. Also, if the patient had prolonged cutting pains in the abdomen, severe bleeding occurred, which requires the use of more than 2 hygienic bags within 2 hours, there were purulent discharge with an unpleasant odor, there is a strong temperature, chills, severe weakness, difficulty breathing or fainting, you should immediately consult a doctor.

The method of manual vacuum aspiration stands out from its predecessors. Among its most significant advantages, there is low trauma (due to the use of flexible cannulas) and the ability to visually assess the removed tissues immediately after the procedure.

The basal layer of the endometrium remains intact due to the soft edges of the cannula openings, and the risk of uterine perforation is eliminated due to the fact that the instrument is plastic. The size of the cannula is selected individually - based on the degree of opening of the cervical canal. With a gestational age of up to 8 weeks, the doctor does not need to artificially expand the cervix, which eliminates unpleasant consequences in the form of the development of cervical insufficiency.

Today, cleaning the uterus for a woman is prescribed quite often. Almost always this species surgery causes a woman: fear, panic attacks, unreasonable feelings. The negative state is associated with many different rumors that circulate about this type of surgery in gynecology, which is prescribed in order to cleanse the uterus from an unplanned pregnancy or from medical pathologies. Fright is a consequence of not knowing what this gynecological procedure is. This is an operation, which is otherwise called curettage of the uterine cavity and is prescribed for a variety of medical indicators, and we will talk about this in more detail.

What is cleaning in gynecology

Gynecological cleaning of the uterine cavity is a mini operation that is performed under anesthesia, as the procedure is not pleasant and causes pain. Cleaning the uterus can be of 2 types: therapeutic and diagnostic. Therapeutic cleaning is prescribed for medical reasons.

It's running:

• With an abortion;
• Ectopic pregnancy;
• Miscarriage;
• endometritis;
• uterine fibroids;
• Removal of polyps.

Women are always cleaned only in a good hospital or maternity hospital. Diagnostic cleansing is used when it is precisely necessary to identify the causes of negative symptoms, which indicate that the patient's reproductive system is not functioning properly. The material taken after the diagnosis is sent to the laboratory for examination.

The procedure is performed mainly before menstruation should begin.

However, sometimes the procedure can be carried out in emergency cases, for example, with bleeding. This is required in order not to damage the intervention of the biorhythm of the body of women. In addition, a procedure such as hysteroscopy is prescribed, which allows the doctor, upon completion of the manipulations with the help of a hysteroscope, to examine the results of the work. This device also improves control over the actions of a specialist during the operation.

The operation goes like this:

1. It begins with the expansion of the cervix when using instruments or medications.
2. As soon as the cervical canal is able to pass the curette, the uterine mucosa is cleaned.
3. At the final stage, the dilators are removed, and the entire surgical field is treated with an antiseptic. The drug is selected by the doctor.

In order not to hurt, they do anesthesia. Ice is placed on the abdomen to stop the bleeding. While they go bleeding the woman must lie down. When the effect of anesthesia wears off, the patient can begin her normal life with few physical limitations. She can go home. But for control, a doctor’s supervision is necessary for the postoperative period, because the cervix will be slightly ajar for about 30 days. How long does uterine lavage last? The operation does not take long, in general, the procedure takes no more than half an hour.

Mandatory cleansing after childbirth

What could be these prerequisites for cleaning after childbirth? Immediately after the baby was born, manual cleansing of the uterus in the department can be assigned. The procedure is prescribed if, when examining the released placenta (afterbirth), the doctor doubts that it is intact. That is, the doctor has a suspicion that not all of the placenta came out, that there were pieces in the uterine cavity.

In this situation, the woman is given anesthesia, and the doctor, without any problems, cleans the organ from the remnants of the placenta.

By the way, such an operation is also performed if the afterbirth has not come out. This happens when it is tightly attached. And again, the doctor helps the woman in labor to complete the birth. The placenta is also manually separated during a caesarean section. What complications can there be after cleaning the organ, because the operation is traumatic? In fact, when it is carried out in the maternity ward, any negative symptoms, severe consequences do not often occur. Usually in the hospital, before a woman is discharged, an ultrasound is performed. And sometimes, if necessary, a regular or vacuum cleaning of the uterus is performed.

This is a completely standard operation, but it must take place in compliance with all conditions of sterility. It is considered the most not dangerous, while the internal pharynx is open, perform the procedure for cleansing the organ manually. This makes it more accurate. And the blood does not flow so much, as it happens when instrumental cleansing of the uterus is performed after delivery. But all women have remnants, blood clots in the uterus after childbirth, but not everyone does postpartum cleaning manually or with the help of tools. And it is right. In most maternity hospitals, absolutely all women who have given birth within 3 days after delivery are injected intramuscularly with oxytocin.

It's such a cure:

• Provokes the strongest uterine contractions;
• Helps her to quickly get rid of the remnants;
• Every clot comes out.

Sometimes therapy with this medication is prolonged. But just the strongest discharge after delivery is not always an indication for such a serious procedure as washing an organ, a vacuum is prescribed as a last resort. Normally, strong vaginal discharge occurs a week after childbirth. And then they subside. However, rarely discharge can persist for 8 weeks. As a woman, it is correct to contact a gynecologist and be observed by him.

Vacuum cleaning of the uterus: a reminder for women

Cleaning, which is carried out according to plan, and not urgently, requires a woman to follow a number of important rules.

Namely:

1. It is mandatory to examine the pelvic organs in order to detect any contraindications, and it is also necessary to pass all the necessary tests.
2. The groin area must be carefully shaved. Shave the perineum and pubis should not be in the hospital, but in advance in the evening, at home.
3. Under the gown you need to wear a long T-shirt, and in some clinics you also need to wear socks.
4. We must not forget about comfortable underwear, which will be needed after surgery, as well as sanitary pads. Tampons should not be used at all.
5. On the day of the cleaning, you can not eat sutra.
6. After the operation, it is necessary to follow all the instructions of the attending physician.

Sexual intercourse should be avoided for approximately 30 days after surgery. And there is no need to be afraid of infertility, which allegedly occurs after cleaning, this is a delusion. If the operation is performed professionally, there will be no complications in the uterine cavity. A woman can become pregnant already within 30 days, and the pregnancy will pass without pathologies.

Purging after a caesarean section

The rules of conduct for a woman in labor after cleaning provide for a serious attitude to her health, following the advice of the attending doctor.

• Means and methods for treating the vagina;
• Prohibition on the use of vaginal tampons;
• Douching ban.

Very hot baths should be avoided for a while. It is not recommended to go to the bath and sauna. Also, doctors advise to abandon excessive physical exertion (lifting heavy loads, fitness). It is also forbidden to have sexual intercourse - vaginal intercourse can cause the development of a repeated uterine blood flow or infection in the genitals of a woman.

Attention! If a woman takes No-shpu, Papaverine, and any other similar medicine then breastfeeding is prohibited. This is done because otherwise the toxic effects of this group will occur. medications on the baby's body.

The doctor always prescribes the duration of taking medications - control examinations are used to assess the condition of a woman, with a mandatory ultrasound of the pelvic organs. When recovery is underway, the doctor may prescribe light exercises to train the uterus. After cesarean, a revision of the uterine cavity is performed to make sure that the placenta has come out and not a single piece of the placenta has remained in the organ reproductive system. All this will help to avoid any complications.

In what cases is vacuum aspiration performed and its features

Vacuum aspiration, what is it, when is it performed, for what reasons, what consequences and complications can it have? This procedure, which is a method of obtaining the contents of the uterine cavity, is used to diagnose certain gynecological diseases, as medical procedure with complications after childbirth, miscarriage, as well as for termination of pregnancy in the first trimester. Let's take a closer look at all the appointments.

Abortion

This is a simple procedure performed in many public and private clinics. The main condition is that a vacuum abortion is performed in the early stages of pregnancy, up to 3 weeks of delayed menstruation. The maximum term is a week longer than that of medical abortion, and the procedure itself is significantly cheaper. Thousands of women have gone through this.

It is determined whether it is possible to terminate the pregnancy by vacuum aspiration (mini-abortion) after obtaining the results of smears on the flora, conducting an ultrasound study, which looks at the location of the fetal egg and its size. In some cases, more often if an abortion is performed in a hospital, blood tests may be required (general, biochemical, coagulogram, syphilis, HIV, viral hepatitis), urine, consultation of a therapist.

Before the procedure, the woman is given injections of a sedative, as a sedative, and an antispasmodic in order to relax the cervix. The procedure usually does not require dilation of the cervical canal, since the diameter of the catheter inserted into the uterus is no more than 6 millimeters. It all goes on for just a minute. The woman experiences moderate pain in the form of a spasm. After that, you need to lie down for 30-60 minutes on your stomach and you can go home if your health allows. The procedure is usually fairly easy. Vacuum aspiration rarely has consequences. Sometimes the abortion may be incomplete, then you will have to repeat the procedure or have a surgical abortion. Heavy bleeding after a mini-abortion almost never happens. There may be hormonal imbalances, but they are minor, since the pregnancy is terminated at an early stage.

Discharge after vacuum aspiration of the uterine cavity can continue like normal menstruation, sometimes it can be much shorter, go 2-3 days. Too bad there wasn't any blood. Perhaps there was a spasm of the cervix, and the blood simply cannot leave the uterus. And it threatens severe inflammatory process. In this case, you need to do an ultrasound and, if necessary, surgical curettage.

Menstruation after vacuum aspiration begins on time, that is, on average, 28-35 days from the day of the abortion. With a delay - you need to do a pregnancy test if you had unprotected intercourse after an abortion. Or wait a little. With prolonged amenorrhea, this is a delay in menstruation of one month or more, progesterone may be prescribed. On its cancellation, bleeding will begin.

It should be noted that the cycle will not fail if, immediately after the abortion, you start taking hormonal contraceptives which will also save you from unwanted pregnancy.

Medical reasons, for treatment

Often the procedure is carried out not at the request of the woman, but for medical necessity. For example, vacuum aspiration during a missed pregnancy. This is an opportunity to avoid cleaning the uterus, a much more "bloody" and unpleasant procedure. In case of a non-developing pregnancy, it is imperative to remove the fetal egg with membranes from the uterus, otherwise it will all begin to decompose and cause an inflammatory process, and perhaps even sepsis. Abroad, women with a missed pregnancy are usually given 2-3 weeks, during which a spontaneous miscarriage can occur. But in Russia it is customary to immediately do a vacuum aspiration or cleaning the uterus.

The same procedure can wait for women in the first days after the birth of a child. Not all women have a uterus that contracts well, and postpartum discharge (lochia) normally disappears. Sometimes they linger in the uterus for a long time, and this is fraught with an inflammatory process. In many European countries, vacuum aspiration is performed after childbirth if a lochiometer is diagnosed on ultrasound. In domestic hospitals, it is often suggested to start with Oxytocin, try to “start” uterine contractions, and then, perhaps, you won’t need to suck out the contents of the uterus, everything will come out naturally.

Diagnostics

Vacuum aspiration has indications not only directly related to pregnancy and childbirth, but also the diagnosis of gynecological diseases. So, it is often performed on women with suspected endometrial hyperplasia. Or if a myomectomy (removal of uterine fibroids) is planned. After all, without histological analysis no one will remove the endometrial neoplasm. In the case of a good result of an ultrasound examination, a young patient (up to 35 years old), curettage of the uterine cavity in order to simply obtain confirmation that there are no endometrial pathologies is not performed. It is replaced by a much more gentle procedure - vacuum aspiration of the endometrium, performed without anesthesia, and even in most cases without the use of local anesthesia. It is not required. Let us clarify that it is more correct to call this procedure a pipel biopsy or an aspiration biopsy. Under this name, it is indicated in the price lists of clinics. Also, a pipel biopsy is prescribed for prolonged infertility, in preparation for IVF.

So how is it going. First, a woman takes a regular smear on the flora. The doctor must make sure that there is no inflammation. Otherwise, during the procedure, pathogenic microorganisms can be introduced into the uterine cavity, and then acute endometritis will begin.

Depending on the purpose of the study, the day of the menstrual cycle for the pipel biopsy may be different. Knowing that the procedure, to put it mildly, is unpleasant, many women take painkillers and antispasmodics shortly before it (to avoid spasm of the cervical canal). This issue should be discussed with the gynecologist in advance. However, one should not immediately think that the procedure is unbearably painful. Women have different pain threshold. Another good pain reliever is lidocaine spray. If it is not available at the clinic, you can purchase it yourself and bring it to your appointment.

The woman lies down on a regular gynecological chair. The doctor installs a gynecological mirror and treats the cervix with alcohol (may pinch). After that, a thin catheter is inserted into the uterus. It should be noted that its diameter is 2-3 millimeters, which is 2 times less than with abortion. After all, there is no fetal egg in the uterus, under the diameter of which a catheter is selected. This means that it is much faster and easier to enter it. Literally within 30 seconds, the absorption of the endometrium from different parts of the uterus takes place. Then the catheter is taken out. Procedure completed. After it, soreness, like spasms, in the uterine region and small spotting may persist for some time.

Vacuum aspiration of the contents of the uterine cavity imposes small restrictions on sexual life after her. If everything goes without complications, then you need to refrain from sex for a period of 3-4 days. By the way, good news for those planning a pregnancy. There are statistics that prove that aspiration biopsy immediately get pregnant. Scientists do not yet know the exact reason for this. But most likely there is positive reaction endometrium for minor trauma.

vacuum aspiration is a method of obtaining the contents of the uterine cavity and terminating a pregnancy up to 5 weeks.

Indications for the procedure

This procedure is widely used in gynecology for diagnostic and therapeutic purposes.

Indications for carrying out:

• Termination of an unwanted pregnancy up to 5 weeks(up to 21 days of delayed menstruation) ;
• Termination of pregnancy during its or pathological development;
• Termination of pregnancy in the presence of contraindications to its further preservation;
• Retention of parts of the fetal egg after a previous surgical or medical abortion;
• Delay of placental tissue after natural childbirth or caesarean section;
• Incomplete;
• Dysfunctional uterine bleeding;
• Biopsy of the endometrium(for diagnostic purposes);
• Hematometer(accumulation in the uterus of blood);
• Serozometer(accumulation of fluid in the uterus).

Contraindications

Vacuum aspiration of the uterine cavity is not performed in the following situations:

• Pregnancy period over 5 weeks;
• Malformations of the uterus;
• Inflammatory diseases of the genital organs (acute or chronic in the acute stage);
• Infectious diseases any localization;
• Formations of the uterus, deforming its cavity (myoma);
• Severe maternal comorbidities;
• Time interval less than 6 months after the previous termination of pregnancy.

Types of vacuum aspiration

Exists two kinds this procedure:

1. Manual(manual) vacuum aspiration;
2. machine vacuum aspiration.

Preparation for the procedure

Before performing vacuum aspiration, a woman must undergo clinical and laboratory examination to exclude contraindications to its implementation:

1. Gynecological examination;
2. A smear of secretions from the genital tract on the flora;
3. Ultrasound of the pelvic organs;
4. Therapist's consultation;
5. General blood analysis;
6. Blood chemistry;
7. Coagulogram of venous blood;
8. Blood for syphilis, viral hepatitis, HIV infection.

information The procedure is performed on an outpatient basis (in a antenatal clinic) using local anesthesia: 30 minutes before the operation, a woman takes special drugs to relax the cervix and reduce pain (atropine, diphenhydramine,).

After vacuum aspiration, the patient should lie down for 30-60 minutes on her stomach and be under the supervision of medical personnel.

Vacuum aspiration technique

At the beginning of the operation, a thorough treatment of the external genitalia with a solution of any antiseptic is carried out, after which gynecological mirrors are inserted into the vagina. The cervix is ​​processed and fixed by the anterior lip with bullet forceps. A special probe is inserted into the uterine cavity to determine its length, after which it is replaced by an aspiration tube connected to a syringe or an electric aspirator (depending on the type of procedure). Then the doctor, constantly rotating and moving the suction catheter, removes the ovum or takes the material. Vacuum aspiration can be performed “blindly” or under ultrasound control (in this case, the procedure will be more effective).

Possible Complications

This procedure is a more gentle option for taking material from the uterine cavity and terminating the pregnancy, however, the occurrence of complications is also possible after vacuum aspiration.

Possible complications:

• Perforation of the cervix or body of the uterus;
• Incomplete aspiration after removal of the ovum;
• Inflammatory diseases of the genital organs;
• Hormonal disorders;
• Menstrual irregularities;
• Secondary infertility.

For a good run postoperative period and exceptions possible complications a woman must carefully observe doctor's advice:

1. Refusal of sexual activity within 1 month;
2. Avoid hypothermia and heavy physical exertion;
3. Refusal to visit, baths, pools;
4. Refusal to take hot(only warm shower);
5. Strict observance of sexual hygiene;
6. Reception antibacterial drugs for the prevention of infectious complications;
7. Taking hormonal contraceptives to restore hormonal levels and exclude the occurrence of a new pregnancy.

2 weeks after vacuum aspiration, you should definitely visit an obstetrician-gynecologist and do an ultrasound of the pelvic organs.

Menses after vacuum aspiration

On the 4-5th day after the operation, the woman has spotting, reminiscent of menstruation. In fact, these are menstrual-like discharges after vacuum aspiration, associated with hormonal changes in the body.

additionally True menstruation after vacuum aspiration begins after about 30 days and may be short and less abundant than usual, which is associated with some suppression of ovarian function. Menstruation in the next cycle should already take place regularly, no different from the menstrual cycle before pregnancy.

Pregnancy after the procedure

Despite the significant advantage of a vacuum over other methods of abortion, it is still a serious procedure and can cause reproductive system disorders.

Even with qualified vacuum aspiration, there is a risk of further development of serious problems with conceiving and bearing a child. It's connected for several reasons:

• Hormonal disorders. An abrupt termination of pregnancy leads to a serious change in the level of hormones, which adversely affects the menstrual cycle;
• Inflammatory processes in the genitals. Infectious diseases lead to the development of adhesions, obstruction of the fallopian tubes, inferiority of the endometrium and other conditions that reduce the chances of a natural birth of a child to a minimum;
• Injury to the cervix, which can subsequently cause the development of and .

Pregnancy after vacuum aspiration should be planned no earlier than after 6 months: its earlier onset can lead to spontaneous miscarriage or fading of embryo development.

Before conception, a woman should definitely contact an obstetrician-gynecologist and undergo a comprehensive examination to resolve the issue of the possibility of pregnancy at the moment.

Useful video

What is Manual Vacuum Aspiration?

MBA is a procedure whereby the contents of the uterine cavity are aspirated using negative pressure produced by a special syringe. For aspiration, flexible plastic cannulas of different sizes are used, depending on the gestational age. The method avoids injury to the cervix and endometrium.

Benefits of Manual Vacuum Aspiration:

• This method avoids injury to the cervix and endometrium: up to 7 weeks, the cannula can be inserted without dilatation of the cervix, and control curettage of the uterine cavity is not required.
• Immediate examination of the obtained aspirate (the fetal egg remains unchanged in the syringe) allows you to confirm the complete evacuation of the contents of the uterus and early diagnosis of ectopic pregnancy.
• The procedure takes a few minutes and can be performed under local anesthesia. In this case, the patient can leave the clinic after 15 minutes.
• The number of severe complications is lower with MBA than with curettage.

There are no contraindications for Manual Vacuum Aspiration before 12 weeks of gestation. The procedure should be used with caution in the following cases:

• Uterine anomalies
• Blood clotting disorders
• Acute pelvic infections
• Increased anxiety
• Any condition that results in medical instability for the patient

What should the patient know after Manual Vacuum Aspiration?

• After terminating a pregnancy within 2 weeks, it is normal for you to have cramping pains in your lower abdomen and some bleeding.
• Most women can return to their normal activities almost immediately after an MBA.
• If you have questions or feel uncomfortable, you can contact your doctor at any time after the abortion.

After the procedure, you need to see a doctor if:

• Severe pain in the abdomen
• You have a fever over 38°C or chills
• You bleed too much - large blood clots are released or you are forced to use 2-3 large pads for 1 hour, 2 hours in a row.
• Purulent or foul-smelling vaginal discharge
• You feel weak, faint (fainting), or have trouble breathing
• You have persistent vomiting or nausea

Contraception after an abortion

You can get pregnant right after an abortion. For these reasons, if pregnancy is not currently desired, intercourse should be protected. Modern contraceptives can effectively prevent unwanted pregnancies.

• Hormonal pills you can start taking immediately from the day of the abortion.
• The intrauterine device can also be applied immediately after the procedure is completed.
• Emergency contraception can be used up to 120 hours after unprotected intercourse
• Natural family planning or coitus interruptus is not effective and is not recommended.

Use modern and efficient