Menstrual Cycle and Pregnancy Testing After Abortion

After an abortion

Hello, doctor.
I would like to ask, if I had a surgical abortion on February 23, when can I expect my menstrual period to return? If I have unprotected intercourse afterward, how long should I wait before taking a pregnancy test?

Jasmine, 20~29 year old female. Ask Date: 2016/03/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, after an abortion, menstruation typically returns in 30 to 60 days.
Generally, a pregnancy test should be taken at least 12 days after conception to yield accurate results.
Wishing you good health.

Reply Date: 2016/03/22

More Info

After an abortion, the menstrual cycle can take some time to return to its normal rhythm. Generally, most women can expect their first period to occur within 4 to 6 weeks after the procedure. However, this can vary based on individual factors such as hormonal balance, the regularity of the menstrual cycle prior to the abortion, and overall health. It’s important to note that some women may experience irregular cycles or changes in flow for a few months following an abortion.

Regarding pregnancy testing after an abortion, it is advisable to wait at least two weeks after having unprotected intercourse to take a home pregnancy test. This is because it typically takes time for the hormone hCG (human chorionic gonadotropin) to return to undetectable levels after an abortion. If you test too early, you may receive a false negative result, as the hormone may still be present in your system from the recent pregnancy.

If you have unprotected sex after your abortion and are concerned about the possibility of becoming pregnant again, it’s crucial to consider contraceptive options. Many healthcare providers recommend discussing birth control methods during your follow-up appointment after the abortion to prevent unintended pregnancies.

In addition, if you do not get your period within 6 weeks after the abortion, or if you experience any unusual symptoms such as severe pain, heavy bleeding, or fever, it is essential to consult your healthcare provider. These could be signs of complications, such as retained products of conception or infection.

In summary, expect your first period within 4 to 6 weeks after an abortion, and wait at least two weeks after unprotected intercourse to take a pregnancy test. If you have any concerns or experience irregularities, do not hesitate to reach out to your healthcare provider for guidance and support.

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