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| The influence of different mode of termination of early pregnancy of women on their ovary, fallopian tube, endometrium, and the next pregnancy |
| Qujing Maternal and Child Health Care Hospital,Yunan Province, 655000 |
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Abstract Objective: To study the influence of different mode of termination of early pregnancy of women on their ovary, fallopian tube, endometrium, and the next pregnancy. Methods: 200 women who wanted to terminate their early pregnancy were included in this study and were divided in group A (women experienced medical abortion) and in group B (women experienced surgical abortion) from January 2016 to January 2018. The ovarian function, fallopian tube function, endometrial thickness, and clinical outcomes of next pregnancy of women were compared between the two groups. Logistic regression was used to analyze the related factors of spontaneous abortion. Results: The amount of bleeding and menarche recovery time of women in group B were significant more than those of women in group A (P<0.05). The incidence of fallopian tube obstruction of women in group B was significant lower than that of women in group A, the endometrial thickness of women in group B in 2 weeks, 3 month or 6 month after abortion, or 1 week after menstruating was significant lower than that of women in group A. The levels of LH, E2 and FSH, and antral follicle count of women in group B in 1 month after abortion were significant less than those of women in group A (P<0.05). The levels of LH, E2 and FSH, and antral follicle count (AFC) of women in group B in 6 month after abortion had no significant different from those of women in group A (P>0.05). The proportion of high-quality embryos and number of infertility of women in group B were significant higher than those of women in group A, and the rates of spontaneous abortion and abnormal pregnancy of women in group B were significant lower than those of women in group A (P<0.05). There were no significant different in neonatal weight and Apgar score between the two groups (P>0.05). Logistic regression showed that the levels of LH, E2 and FSH, AFC, and mode of abortion were the
correlated effect factors, which were significantly correlated with infertile patients by Pearson correlation analysis (P<0.05). Conclusion: Surgical abortion could more likely to cause spontaneous abortion and infertility. After medical abortion, the recovery time is shorter compared to that after surgical abortion, but the incidence of relative fallopian tube blockage is higher, so different abortion mode should be chosen in clinical practice.
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