When Can I Start Taking Birth Control After Abortion? - Obstetrics and Gynecology

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When can I start taking pre-conception contraceptives after an abortion?


Hello doctor, I underwent a medical abortion on May 25th.
The doctor mentioned that if I want to take pre-emptive contraceptive pills, I should start taking them when my next period arrives (around the end of June).
My period has started, and I would like to know how many days into my period I should wait before taking them, or does it not make a difference?

Lu, 20~29 year old female. Ask Date: 2016/06/25

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should start taking the contraceptive pill on the fifth day of your menstrual period.
If taken consistently, it will be effective for contraception.
If you forget to take a pill on a particular day, you can take the missed pill the following day.
Wishing you good health!

Reply Date: 2016/06/25

More Info


After undergoing an abortion, it is essential to consider the timing of starting birth control to ensure both effectiveness and safety. Generally, healthcare providers recommend that you can start taking birth control pills immediately after an abortion, regardless of whether it was a medical or surgical procedure. This is because the hormonal changes that occur during pregnancy and the subsequent abortion can lead to a return of fertility quite quickly.
In your case, since you had an abortion on May 25 and your doctor advised you to start taking birth control pills with your next menstrual cycle, which you expect around the end of June, you can begin taking the pills as soon as your period starts. There is no specific number of days you need to wait after your period begins; you can start the birth control pills on the first day of your menstrual bleeding.
If you choose to start taking the pills after your period has begun, it is advisable to take them consistently at the same time each day to maintain their effectiveness. If you start the pills within the first five days of your menstrual cycle, you will be protected against pregnancy right away. However, if you start taking them later in your cycle, it is recommended to use a backup method of contraception, such as condoms, for the first seven days of taking the pills.

It is also important to note that if you experience any irregularities in your menstrual cycle following the abortion, such as delayed periods or unexpected bleeding, you should consult your healthcare provider. They can help determine if these changes are normal or if further evaluation is needed.

In addition to hormonal birth control, there are other contraceptive options available, including intrauterine devices (IUDs), implants, and barrier methods. Each method has its own set of benefits and potential side effects, so discussing these options with your healthcare provider can help you make an informed decision that aligns with your health needs and lifestyle.

Lastly, it is crucial to maintain regular follow-up appointments with your healthcare provider after an abortion to monitor your recovery and discuss any concerns regarding contraception or reproductive health. This proactive approach can help ensure that you are taking the right steps for your health and well-being.

In summary, you can start taking birth control pills as soon as your next menstrual cycle begins, specifically on the first day of your period. Consistency in taking the pills is key to their effectiveness, and if you have any questions or concerns, do not hesitate to reach out to your healthcare provider for personalized guidance.

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