{"id":351,"date":"2018-11-27T15:06:19","date_gmt":"2018-11-27T14:06:19","guid":{"rendered":"https:\/\/www.coparentalys.com\/blog\/?p=351"},"modified":"2018-11-27T15:06:19","modified_gmt":"2018-11-27T14:06:19","slug":"tomber-enceinte-apres-une-ivg","status":"publish","type":"post","link":"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/tomber-enceinte-apres-une-ivg\/","title":{"rendered":"Tomber enceinte apr\u00e8s une IVG"},"content":{"rendered":"<h1><span style=\"color: #ff9900;\">TOMBER ENCEINTE APR\u00c8S UNE IVG<\/span><\/h1>\n<p>Il est tout \u00e0 fait possible de tomber enceinte apr\u00e8s une IVG. Le cycle menstruel revenant tr\u00e8s vite, il est important de s\u2019y pr\u00e9parer et d\u2019anticiper, que vous envisagiez une nouvelle grossesse, ou au contraire la mise en place d\u2019une contraception.<br \/>\nPour rappel, l\u2019\u2019IVG est le droit pour toute femme enceinte, majeure ou mineure, de d\u00e9cider d\u2019une Interruption Volontaire de Grossesse pour des raisons qui lui sont propres.<\/p>\n<h2><span style=\"color: #339966;\">COMMENT SE D\u00c9ROULE UNE IVG ?<\/span><\/h2>\n<p>Avant toute IVG, il est n\u00e9cessaire de r\u00e9aliser deux consultations m\u00e9dicales et un entretien psycho-social (obligatoire si vous \u00eates mineure).<\/p>\n<p><strong>Il existe deux m\u00e9thodes afin de mettre un terme \u00e0 une grossesse non d\u00e9sir\u00e9e :<\/strong><\/p>\n<p><strong>La m\u00e9thode m\u00e9dicamenteuse<\/strong> :<br \/>\nL\u2019IVG m\u00e9dicamenteuse peut \u00eatre mise en place par un professionnel de sant\u00e9 (m\u00e9decin, sage femme\u2026), dans un \u00e9tablissement de soins ou \u00e0 domicile sans hospitalisation. Son taux de succ\u00e8s et d\u2019environ 95 % et ne n\u00e9cessite pas de pr\u00e9paration m\u00e9dicale particuli\u00e8re (anesth\u00e9sie ou intervention chirurgicale).<\/p>\n<p>Le principe repose sur la prise de deux comprim\u00e9s diff\u00e9rents par voie orale \u00e0 24 h et 48 h d\u2019intervalle, suivi d\u2019une visite de contr\u00f4le 14 \u00e0 21 jours plus tard, visant \u00e0 v\u00e9rifier l\u2019interruption de la grossesse et l\u2019absence de complications, gr\u00e2ce \u00e0 un contr\u00f4le m\u00e9dical et une \u00e9chographie.<\/p>\n<p>L\u2019IVG m\u00e9dicamenteuse peut \u00eatre envisag\u00e9e dans un d\u00e9lai plus restreint que l\u2019IVG chirurgicale ( maximum 5 semaines de grossesse (c\u2019est \u00e0 dire 7 semaines apr\u00e8s le d\u00e9but du dernier cycle menstruel). Ce d\u00e9lai peut \u00eatre allong\u00e9 de deux semaines si la proc\u00e9dure est r\u00e9alis\u00e9e dans le cadre d\u2019une hospitalisation dans un \u00e9tablissement de sant\u00e9.<\/p>\n<p><strong>La m\u00e9thode chirurgicale<\/strong> :<br \/>\nL\u2019IVG chirurgicale (ou par aspiration), quant \u00e0 elle, peut \u00eatre r\u00e9alis\u00e9e avec un d\u00e9lai suppl\u00e9mentaire (grossesse de 12 semaine c\u2019est \u00e0 dire 14 semaines apr\u00e8s le d\u00e9but du dernier cycle menstruel). Elle est obligatoirement pratiqu\u00e9e dans un \u00e9tablissement de soins autoris\u00e9 \u00e0 pratiquer les avortements, par un m\u00e9decin sp\u00e9cialis\u00e9.<\/p>\n<p>Son principe repose sur la dilatation du col de l\u2019ut\u00e9rus afin d\u2019aspirer l\u2019\u0153uf via une canule par syst\u00e8me d\u2019aspiration. L\u2019intervention se pratique en bloc op\u00e9ratoire sous anesth\u00e9sie et dure environ une quinzaine de minutes. Le choix de l\u2019anesth\u00e9sie (locale ou g\u00e9n\u00e9rale) est \u00e9tudi\u00e9 avec la patiente en amont de fa\u00e7on \u00e0 adapter au mieux le proc\u00e9d\u00e9 \u00e0 son cas personnel.<\/p>\n<p>G\u00e9n\u00e9ralement, l\u2019hospitalisation ne dure pas plus d\u2019une demi-journ\u00e9e et les patientes peuvent esp\u00e9rer un retour \u00e0 domicile apr\u00e8s quelques heures.<br \/>\nUne consultation m\u00e9dicale est pr\u00e9vue dans les suites afin de s\u2019assurer de la r\u00e9ussite de l\u2019intervention.<\/p>\n<h2><span style=\"color: #339966;\">EXISTE T-IL DES RISQUES SUR LA FERTILIT\u00c9 ?<\/span><\/h2>\n<p>L\u2019IVG, qu\u2019elle soit m\u00e9dicamenteuse ou chirurgicale, ne pr\u00e9sente aucun risque sur la fertilit\u00e9 et ne pose aucun probl\u00e8me quant aux futures grossesses. Lorsqu\u2019elle est pratiqu\u00e9e dans un cadre m\u00e9dical et un milieu s\u00fbr, elle ne met pas en danger la vie de la patiente, ni leur capacit\u00e9 \u00e0 concevoir.<\/p>\n<p>On ne note donc pas d\u2019effet n\u00e9gatif sur les ovaires, les hormones de grossesse ou l\u2019ut\u00e9rus.<br \/>\nEn revanche, les interruptions de grossesses r\u00e9alis\u00e9es ill\u00e9galement ou dans de mauvaises conditions peuvent mettre en p\u00e9ril la fertilit\u00e9 ou la vie des patientes (ce qui repr\u00e9sente, selon l\u2019OMS, 25 millions d\u2019avortements non s\u00e9curis\u00e9s soit 45 % de l\u2019ensemble des avortements r\u00e9alis\u00e9s dans le monde).<\/p>\n<p>Toutefois certaines patientes per\u00e7oivent des difficult\u00e9s \u00e0 concevoir. Dans ce cas, d\u2019autres pistes seront \u00e0 explorer afin de d\u00e9terminer les causes de cette infertilit\u00e9 (Stress ? Endom\u00e9triose ? IST ? ge ? etc..<\/p>\n<h2><span style=\"color: #339966;\">EST-IL POSSIBLE DE TOMBER ENCEINTE APR\u00c8S UNE IVG ?<\/span><\/h2>\n<p>Un nouveau cycle hormonal s\u2019installe rapidement apr\u00e8s une IVG.<br \/>\nDans le cadre d\u2019une grossesse d\u00e9sir\u00e9e, vos possibilit\u00e9s de concevoir sont donc effectives tr\u00e8s rapidement. Cependant selon Gynmed, on recommande un d\u00e9lai d\u2019environ deux mois avant d\u2019envisager une relation sexuelle afin de limiter le risque d\u2019infection.<\/p>\n<p>Dans le cas contraire, si vous souhaitez vous prot\u00e9ger d\u2019une \u00e9ventuelle grossesse, il est important de mettre en place rapidement un moyen contraceptif (pilule contraceptive, st\u00e9rilet, etc.).<br \/>\nLa contraception hormonale (pilule, patch ou implant), \u0153stroprogestative ou progestative, peut-\u00eatre prescrite le jour m\u00eame ou d\u00e8s le lendemain de l\u2019IVG chirurgicale, ou \u00e0 la seconde prise de comprim\u00e9 dans le cadre d\u2019une IVG m\u00e9dicamenteuse.<\/p>\n<p>Le st\u00e9rilet au cuivre ou \u00e0 la progest\u00e9rone (dispositif intra-ut\u00e9rin ou DIU), peut \u00eatre pos\u00e9 dans le m\u00eame temps que l\u2019IVG chirurgicale, en fin de proc\u00e9dure, si aucune infection n\u2019est not\u00e9e.<br \/>\nL\u2019anneau vaginal n\u2019est cependant pas recommand\u00e9 imm\u00e9diatement apr\u00e8s l\u2019IVG, et durant le retour du premier cycle.<\/p>\n<h2><span style=\"color: #339966;\">L\u2019IVG EN FRANCE :<\/span><\/h2>\n<p>Selon le site de l\u2019assurance-maladie www.Ameli.fr, le nombre d\u2019interruptions volontaires de grossesse (IVG) en France est en baisse en 2016 pour la troisi\u00e8me ann\u00e9e cons\u00e9cutive. On d\u00e9nombre 211 900 interventions.<br \/>\nSon taux de recours varie en fonction de l\u2019\u00e2ge (plus \u00e9lev\u00e9 chez les 20-24 ans, en baisse chez les moins de 20 ans), et des r\u00e9gions (En France m\u00e9tropolitaine, le taux de recours \u00e0 l\u2019IVG varie entre 10,3 IVG et 15 IVG pour 1000 femmes \u00e2g\u00e9es entre 15 et 49 ans ; ce taux est plus \u00e9lev\u00e9 dans les d\u00e9partements d\u2019outre-mer ou il s\u2019\u00e9l\u00e8ve \u00e0 25 IVG pour 1000 femmes.).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TOMBER ENCEINTE APR\u00c8S UNE IVG Il est tout \u00e0 fait possible de tomber enceinte apr\u00e8s une IVG. Le cycle menstruel<\/p>\n","protected":false},"author":1,"featured_media":366,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tomber enceinte apr\u00e8s une IVG - Blog CoparentaLys<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/tomber-enceinte-apres-une-ivg\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tomber enceinte apr\u00e8s une IVG - Blog CoparentaLys\" \/>\n<meta property=\"og:description\" content=\"TOMBER ENCEINTE APR\u00c8S UNE IVG Il est tout \u00e0 fait possible de tomber enceinte apr\u00e8s une IVG. 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