Abortion Risks and Pregnancy Testing After 10 Weeks

Abortion

Hello, doctor.
I would like to ask about my girlfriend, who has been determined to be 10 weeks pregnant.
The estimated date of conception is September 11, but we had intercourse on August 29 and September 14.
She also had relations with a colleague on September 2.
Does this mean that the likelihood of conception on September 2 is high? We are currently considering a paternity test, but she is already 10 weeks along.
If we wait for the results and then proceed with an abortion, will it be too late for an inpatient procedure? My girlfriend previously had an ectopic pregnancy and had one of her fallopian tubes removed.
Can she still conceive after undergoing a dilation and curettage (D&C) procedure? Additionally, what are the risks associated with surgery after 10 weeks? Thank you for your clarification.

Chang, 30~39 year old female. Ask Date: 2016/11/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if pregnancy is determined to be at 10 weeks, the likelihood of conception on September 2 is low.
It's generally acceptable before 12 weeks, but the risk of surgery increases after 12 weeks.
Wishing you good health.

Reply Date: 2016/11/08

More Info

When considering the situation regarding your girlfriend's pregnancy and the potential for abortion, it's essential to understand the medical implications and risks involved, especially given her history of ectopic pregnancy and the current gestational age of 10 weeks.

Firstly, regarding the conception date, if your girlfriend's estimated due date is based on a pregnancy that is 10 weeks along, it is likely that conception occurred around September 11. Given the timeline of sexual encounters, the likelihood of conception from the encounter on September 2 is indeed possible, but it is not the only possibility. Sperm can survive in the female reproductive tract for up to five days, which means that intercourse on August 29 could also have resulted in conception if ovulation occurred shortly after. Therefore, determining paternity through a DNA test is a reasonable step if there is uncertainty about the father.

As for the timing of an abortion, it is generally considered safer to undergo the procedure within the first trimester, ideally before 12 weeks of gestation. After 10 weeks, the risks associated with surgical abortion increase. These risks can include complications such as excessive bleeding, infection, or damage to the uterus or surrounding organs. If you are considering waiting for the results of a paternity test before proceeding with an abortion, it is crucial to consult with a healthcare provider about the timing and potential risks involved. They can provide guidance on whether it is still safe to perform the procedure and what options are available.

Regarding your girlfriend's history of ectopic pregnancy and the removal of one fallopian tube, it is important to note that while this can affect fertility, many women with one functioning fallopian tube can still conceive naturally. However, her medical history may also influence the type of care she receives during this pregnancy and any future pregnancies. If she has had complications in the past, it is essential for her to have close monitoring during this pregnancy to ensure her health and the health of the fetus.

In terms of abortion after 10 weeks, the procedure may involve more extensive measures, such as dilation and evacuation (D&E), which can carry higher risks than earlier methods like medication abortion or suction aspiration. The healthcare provider will assess her specific situation, including her medical history and any potential complications, to determine the safest approach.

Lastly, if she has experienced any unusual symptoms such as heavy bleeding or severe pain, it is crucial to seek medical attention immediately. These could be signs of complications that require prompt intervention.

In summary, while the situation is complex, it is vital to prioritize your girlfriend's health and well-being. Consulting with a healthcare provider who can offer personalized advice based on her medical history and current condition is essential. They can help navigate the options available, including the timing of any procedures and the implications of her past medical history on her current pregnancy.

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