the Use of Contraceptives After Medical Abortion: A Patient's Inquiry

Medication Consultation

Hello Doctor: I underwent a medical abortion in February of this year, and I completely stopped bleeding on March 18, with a subsequent pregnancy test showing a negative result.
(As of April 5, I have not had my period since March 18.) On March 31, I returned to my original obstetrician for an ultrasound to confirm that the abortion was complete, and the doctor stated that there were no remaining products in the uterus.
However, the doctor prescribed Bayer's "Yasmin" for me, advising me to take it and wait for my period to come.
I researched Yasmin and found that it is a contraceptive pill, and I am unsure of the purpose of this medication.
Thank you for taking the time to answer my question.
Thank you.

Niming, 20~29 year old female. Ask Date: 2017/04/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I had a medical abortion in February of this year, and I completely stopped bleeding on March 18, with a negative pregnancy test result.
(As of April 5, I have not had my period since March 18.) On March 31, I returned to my original obstetrician-gynecologist for an ultrasound to confirm that the abortion was complete, and the doctor stated that there were no remaining products in the uterus.
However, the doctor prescribed Bayer's "Yasmin" (a contraceptive pill) for me to take, and advised me to wait for my period to return afterward.
I researched Yasmin and found that it is a contraceptive medication, and I am unsure of the purpose of the doctor prescribing this medication to me.

Answer: Taking Yasmin and then waiting for your period allows the endometrium to rest and recover adequately.

Reply Date: 2017/04/05

More Info

After undergoing a medical abortion, it is common for patients to have questions regarding their reproductive health and the use of contraceptives. In your case, you mentioned that you had a medical abortion in February, and by March 18, you had stopped bleeding and confirmed a negative pregnancy test. You also noted that you had an ultrasound on March 31, which indicated that there were no retained products in the uterus. Following this, your physician prescribed a contraceptive pill, specifically Bayer's "Yasmin" (known as "欣無妊" in Chinese), and advised you to take it until your menstrual cycle returns.

The prescription of a contraceptive pill after a medical abortion serves several purposes:
1. Preventing Unintended Pregnancy: After an abortion, the body can return to fertility quite quickly. By prescribing a contraceptive, the physician aims to prevent any unintended pregnancies that could occur shortly after the abortion. This is particularly important as the emotional and physical recovery from an abortion can be significant, and many patients may not be ready for another pregnancy immediately.

2. Regulating Menstrual Cycles: Hormonal contraceptives like Yasmin can help regulate menstrual cycles. After an abortion, it is not uncommon for women to experience irregularities in their menstrual cycles. The contraceptive pill can help stabilize hormone levels and promote a more regular cycle, which can be reassuring for patients who may be anxious about their reproductive health post-abortion.

3. Managing Symptoms: Some women experience symptoms such as heavy bleeding or painful cramps after an abortion. Hormonal contraceptives can help alleviate these symptoms by regulating the menstrual cycle and reducing the severity of menstrual cramps.

4. Providing a Sense of Control: After a medical abortion, many women may feel a loss of control over their reproductive health. By prescribing a contraceptive, the physician empowers the patient to take charge of their reproductive choices moving forward.

It is important to note that the use of contraceptives after an abortion is a common practice and is generally considered safe. If you have concerns about the specific contraceptive prescribed or its effects, it is advisable to discuss these with your healthcare provider. They can provide personalized information based on your medical history and current health status.

Regarding your concern about not having your period yet, it is not unusual for menstrual cycles to take some time to return to normal after an abortion. Factors such as hormonal changes, stress, and individual variations in recovery can all play a role in the timing of your next period. If you do not have your period within a few months or if you experience any unusual symptoms, it would be prudent to follow up with your healthcare provider for further evaluation.

In summary, the prescription of a contraceptive pill after a medical abortion is a proactive measure to prevent unintended pregnancies, regulate menstrual cycles, and manage any post-abortion symptoms. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for clarification and support.

Similar Q&A

Understanding Pregnancy Risks After Medical Abortion and Contraception

Doctor, I took RU486 on July 25 and have been attending follow-up appointments, taking the uterine contraction medication prescribed by my doctor. I haven't had any bleeding. I would like to ask: I had sexual intercourse on August 3, using a condom throughout. After the medi...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, using a condom should be sufficient. Wishing you good health.

Can You Have Sex After Medical Abortion? Understanding the Risks

On July 25-27, I took 1-3 doses of medication for a medical abortion, and the bleeding decreased to about the amount of a normal period over 4.5 days. On July 29, I had sexual intercourse at noon with a condom, and one hour later, the bleeding increased. Will the medical abortion...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the patient must return for follow-up within one to two weeks after taking the abortion medication. Clinical examination, β-HCG measurement, and ultrasound scanning are necessary to confirm whether the embryo has been completely expelled. Thank you! Wishing you peace and h...

Concerns About Pregnancy After Medical Abortion and Unprotected Sex

Hello, I used RU486 (mifepristone) for a medical abortion from September 1st. I took the third dose of medication on September 3rd, and after about three hours, I experienced bleeding that lasted until September 7th. Later, on September 14th, I had sexual intercourse and purchase...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse. 2. The menstrual cycle can be influenced by various psychological and physiological factors. If your period...

Can You Take Emergency Contraceptive Pills After Medical Abortion?

Hello, doctor. I would like to ask about the situation regarding medication after a miscarriage. I took the last dose of uterotonics on September 18, and since then, the bleeding has been very minimal, almost just a few drops, and it has been decreasing to nearly none. On October...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. Emergency contraception can be used. 2. It may cause irregular menstrual cycles. (There is a risk of intrauterine adhesions with surgical abortion.) 3. Use as directed for a higher chance of success. 4. Regular contraceptive pills can be used.