Pregnancy Chances After Taking Abortion Pills: What You Need to Know - Obstetrics and Gynecology

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The likelihood of becoming pregnant after taking abortion pills?


I took RU486 on October 13, and I started bleeding on the 14th, which continued until the 27th or 28th before it stopped.
On November 7, I had unprotected intercourse with ejaculation.
In the days leading up to that, I noticed egg white-like cervical mucus, and I've been experiencing a lot of discharge recently.
If this situation indicates ovulation, do I need to take emergency contraception? Would taking emergency contraception after having taken an abortion pill have a significant impact on my health?

Niming, 10~19 year old female. Ask Date: 2016/11/08

Dr. Cao Guotao reply Obstetrics and Gynecology


If you are concerned, you may consider taking emergency contraception.
Generally, emergency contraceptive pills should be taken within 48 hours.
It is always 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: 2016/11/08

More Info


When considering the chances of pregnancy after taking abortion pills like RU486 (mifepristone), it is essential to understand the timeline and physiological changes that occur in the body following the use of these medications. RU486 is primarily used to terminate early pregnancies, and it works by blocking the hormone progesterone, which is necessary for maintaining a pregnancy. After taking RU486, it is common to experience bleeding, which can last for several days to weeks, as the body expels the pregnancy tissue.

In your case, you mentioned that you took RU486 on October 13 and experienced bleeding from October 14 until around October 27-28. This bleeding is a normal response to the medication and indicates that the abortion process is occurring. After this period, your body may begin to return to its pre-pregnancy state, including the resumption of ovulation.

You also mentioned having unprotected intercourse on November 7, which is a critical point to consider. The timing of ovulation can vary from person to person, but it typically occurs about 14 days before the start of your next menstrual period. Given that you experienced egg white cervical mucus (which is a sign of ovulation) in the days leading up to November 7, it is possible that you were indeed ovulating at that time. If ovulation occurred, there is a chance of becoming pregnant from the unprotected intercourse.

Regarding your question about emergency contraception (the "morning-after pill"), it is generally recommended to take it as soon as possible after unprotected intercourse to reduce the risk of pregnancy. The effectiveness of emergency contraception decreases the longer you wait, so taking it within 72 hours is ideal, although some types can be taken up to 5 days after intercourse.

As for the concern about taking emergency contraception after having taken abortion pills, it is important to note that there is no significant evidence suggesting that using emergency contraception after a medical abortion will have adverse effects on your health. However, it is always best to consult with a healthcare provider for personalized advice, especially considering your recent use of RU486.

In summary, if you suspect that you may have ovulated and are concerned about the possibility of pregnancy after unprotected intercourse, taking emergency contraception could be a prudent choice. It is advisable to do so as soon as possible and to follow up with a healthcare provider for further guidance and to discuss any potential implications of your recent abortion and subsequent sexual activity. They can provide you with the most accurate information based on your individual health history and current situation.

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