Am I Pregnant? Risks After Abortion and Contraception

Can I get pregnant?

Hello doctor, I had a surgical abortion on June 9th and had sexual intercourse with my boyfriend on June 19th.
He used a condom, but some sperm accidentally spilled out when he pulled out.
I'm not sure if I could get pregnant.
I also took emergency contraception.
Will I become pregnant?

B, 20~29 year old female. Ask Date: 2016/06/24

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the effectiveness of emergency contraceptive pills is about 90%, so the chance of pregnancy is low.
It is best to use preventive measures beforehand.
If your period is more than a week late, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/06/24

More Info

It sounds like you have a lot of concerns regarding your recent experiences with contraception, potential pregnancy, and the implications of these events. Let's break down your situation and address your questions.

First, regarding the possibility of pregnancy after your abortion and subsequent sexual activity: While using condoms is a reliable method of contraception, they are not infallible. If the condom slipped or broke, or if there was any spillage of semen, there is a risk of pregnancy. Taking emergency contraception (the "morning-after pill") can significantly reduce the risk of pregnancy if taken within the recommended time frame after unprotected intercourse. However, it is important to note that emergency contraception is not 100% effective, and its efficacy decreases the longer you wait to take it after the incident.

Given that you had an abortion on June 9 and had sexual intercourse on June 19, if you took the emergency contraception promptly, it would have been your best option to prevent pregnancy. However, if you are experiencing any signs of pregnancy, such as a missed period, nausea, or breast tenderness, it would be wise to take a home pregnancy test or consult with a healthcare provider for a blood test to confirm whether you are pregnant.

Now, regarding your concerns about drinking alcohol if you are pregnant: If you are indeed pregnant, consuming alcohol, especially in the early stages of pregnancy, can pose risks to the developing fetus. Alcohol consumption during pregnancy is associated with a range of developmental issues, collectively known as Fetal Alcohol Spectrum Disorders (FASD). These can include physical, behavioral, and learning problems that can last a lifetime. The safest approach is to avoid alcohol entirely during pregnancy.

If you find out that you are pregnant, it is crucial to seek prenatal care as soon as possible. Your healthcare provider can guide you on the best practices for a healthy pregnancy and address any concerns you may have regarding your health and the health of your baby.

In summary, while there is a possibility of pregnancy given the circumstances you described, taking emergency contraception was a proactive step. If you have any doubts or symptoms, please take a pregnancy test or consult a healthcare professional. Additionally, if you are pregnant, it is advisable to avoid alcohol and seek prenatal care to ensure the best outcomes for you and your baby. Remember, open communication with your healthcare provider is key to navigating these concerns effectively.

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