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Other adverse effects may include nausea, vomiting, fever, chills, diarrhea, headache, dizziness, warmth or hot flashes. [50] [43] [20] When used inside the vagina, misoprostol tends to have fewer gastrointestinal side effects. [6] Nonsteroidal anti-inflammatory medications such as ibuprofen reduce pain with medication abortion.
Misoprostol is recommended due to its cost, effectiveness, stability, and low rate of side effects. [50] Oxytocin must also be given by injection, while misprostol can be given orally or rectally for this use, making it much more useful in areas where nurses and physicians are less available. [51]
Other less common side effects included nausea, vomiting, diarrhea, dizziness, fatigue, and fever. [37] Pelvic inflammatory disease is a very rare but serious complication. [ 38 ] Excessive bleeding and incomplete termination of a pregnancy require further intervention by a doctor (such as a repeat dose of misoprostol or a vacuum aspiration ).
Instillation abortion is performed by injecting a chemical solution consisting of either saline, urea, or prostaglandin through the abdomen and into the amniotic sac.The cervix is dilated prior to the injection, and the chemical solution induces uterine contractions which expel the fetus. [1]
In fetal surgery, without inhibition of uterine contractions, uterine irritability and premature labor are complications that occur very frequently in of hysterotomy cases. [21] It can be inhibited by anti-contraction medications. [22] Preterm birth and early membrane rupture (PPROM) are common risks for fetal therapies.
Finally, misoprostol encourages the production of bicarbonate, which is a base that counteracts stomach acid. [7] The medication can also protect against stomach ulcers in people who take NSAIDs such as ibuprofen on a daily basis. [21] Misoprostol can cause nausea, nausea, stomach pain, and stomach cramps. [22]
Duration of the hysteroscopy procedure. Women in fertile age are at increased risk of resultant hyponatremic encephalopathy, likely because of increased level of estrogens. [13] The overall complication rate for diagnostic and operative hysteroscopy was 2% with serious complications occurring in less than 1% of cases using older methods. [1]
The picture is significantly different for hysterectomy performed for malignant reasons; the procedure is often more radical with substantial side effects. [ 26 ] [ 27 ] A proportion of patients who undergo a hysterectomy for chronic pelvic pain continue to have pelvic pain after a hysterectomy and develop dyspareunia (painful sexual intercourse).