Menstrual and Ovulation Timing After Medical Abortion

Consultation on the menstrual cycle and ovulation timing after medical abortion?

On October 21, I took the first dose of RU486 at an obstetrics and gynecology clinic, and two days later (October 23), I took the second dose, after which I experienced bleeding.
On November 1, I returned for a follow-up ultrasound, and the doctor said that no embryo was seen; however, since I was still bleeding, the doctor advised me to return for another check.
On November 7, during my second follow-up, I had another ultrasound and a urine test, which confirmed that the pregnancy had been expelled.
Later, on November 18, I had sexual intercourse using a condom, and there was external ejaculation, but I discovered that the condom had broken.
At that moment, I felt that the bleeding from the miscarriage had just ended, so I did not take emergency contraception.
However, now I am quite worried and would like to ask the doctor: 1.
Based on my situation, when is my next menstrual cycle likely to occur, and when might I ovulate? Is it possible that I ovulated on November 18? 2.
Typically, how long does it take for the ovaries to resume ovulatory function after a medical abortion?

Zhi, 20~29 year old female. Ask Date: 2016/12/02

Dr. Lü Lizheng reply Obstetrics and Gynecology

After a miscarriage, it typically takes about two to three weeks for ovulation to resume.
There is a possibility of ovulation on November 18, but it is not high.
If you are uncertain about being pregnant, you can take a home pregnancy test.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/12/02

More Info

After undergoing a medical abortion using RU486, it is understandable to have concerns about menstrual and ovulation timing. Let's break down your questions based on the timeline you've provided and general medical knowledge regarding post-abortion recovery.

1. Menstrual Cycle Resumption and Ovulation Timing: After a medical abortion, it is common for the menstrual cycle to take some time to return to its regular pattern. Typically, ovulation can occur as early as two weeks after the abortion, but this varies significantly among individuals. In your case, since you had your medical abortion on October 21 and confirmed the completion of the process by November 7, your body may start to prepare for ovulation shortly thereafter.
If we consider the average menstrual cycle length of about 28 days, you might expect your next menstrual period to arrive approximately four to six weeks after the abortion, depending on how your body responds. Therefore, if your cycle is regular, you could anticipate your next period around early to mid-December.
Regarding the possibility of ovulation on November 18, it is plausible, especially since ovulation can occur as early as two weeks post-abortion. However, the exact timing can vary based on individual hormonal levels and how quickly your body recovers from the abortion. If ovulation did occur around that time, there is a chance of conception if sperm was present, despite the use of a condom.

2. Recovery of Ovarian Function: The time it takes for ovarian function to resume after a medical abortion can vary. Generally, most women will ovulate within four to six weeks post-abortion. Factors such as your overall health, hormonal balance, and the regularity of your menstrual cycle before the abortion can influence this timeline.
It is also important to note that some women may experience irregular cycles or delayed ovulation following an abortion, which is not uncommon. If you do not see your period within six weeks after the abortion, it is advisable to consult with your healthcare provider to rule out any complications or to discuss your concerns regarding ovulation and fertility.

In summary, while it is possible that you could have ovulated around November 18, the timing of your next menstrual cycle will depend on how your body recovers from the abortion. If you have concerns about potential pregnancy due to the condom breaking, consider taking a home pregnancy test if your period does not arrive as expected. Additionally, if you are sexually active and not planning for pregnancy, discussing contraceptive options with your healthcare provider is a good idea to prevent unintended pregnancies in the future.
Always remember that each individual's body is different, and if you have any ongoing concerns or unusual symptoms, it is best to seek medical advice for personalized care.

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