Can I Get Pregnant After Recent Abortion and Unprotected Sex?

Could you please clarify the situation so I can provide a more accurate response regarding the possibility of pregnancy?

Hello doctor, I found out that my child's genes are not good, so I underwent a medical abortion on March 30.
My menstrual period started on April 30 and ended on May 6.
After that, I had unprotected sexual intercourse on May 7, May 10, and May 14.
This morning, May 16, I took a pregnancy test and it showed one line.
Could you please tell me if I could be pregnant? Thank you.

Ms. Lin, 30~39 year old female. Ask Date: 2017/05/16

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On March 30, medication for abortion was taken.
The menstrual period started on April 30 and ended on May 6.
After that, unprotected sexual intercourse occurred on May 7, May 10, and May 14.
This morning, May 16, a pregnancy test showed one line.
Could I be pregnant? Answer: Check the pregnancy test again on June 1.

Reply Date: 2017/05/16

More Info

After an abortion, it is indeed possible to become pregnant again relatively quickly, as ovulation can resume shortly after the procedure. In your case, since you had your abortion on March 30 and your menstrual period returned on April 30, it indicates that your body has resumed its normal cycle. You mentioned that you had unprotected sex on May 7, 10, and 14, which places you in a window where conception could occur, especially if you were ovulating during that time.

To understand your situation better, let’s break down the timeline:
1. Abortion on March 30: After an abortion, it is common for the menstrual cycle to return within 4 to 6 weeks. Since your period returned on April 30, this aligns with typical recovery times.

2. Menstrual Cycle: You noted that your period ended on May 6. If your cycle is regular and averages around 28 to 30 days, ovulation typically occurs about 14 days before your next expected period. Given that your period started on April 30, you would likely ovulate around May 14 to May 16.

3. Unprotected Sex: Engaging in unprotected sex on May 7, 10, and 14 means that you had the potential to conceive, especially with the timing of your ovulation. Sperm can live inside the female reproductive tract for up to five days, so if you ovulated on May 14, having sex on May 10 could lead to pregnancy.

4. Pregnancy Test on May 16: You mentioned that you took a pregnancy test on May 16 and received a negative result (one line). It is important to note that pregnancy tests measure the hormone hCG (human chorionic gonadotropin), which is produced after a fertilized egg implants in the uterus. If you ovulated on May 14, it is possible that implantation had not yet occurred by May 16, which could lead to a false negative result.

In summary, while it is possible to become pregnant after an abortion, your negative pregnancy test on May 16 suggests that you are not pregnant at that time. However, if your period does not arrive as expected in the coming weeks, it would be advisable to take another pregnancy test or consult with a healthcare provider for further evaluation.

In conclusion, while the risk of pregnancy exists after an abortion, the timing of your sexual activity in relation to ovulation plays a crucial role. If you have any further concerns or if your menstrual cycle does not return to normal, it is always best to consult with a healthcare professional for personalized advice and guidance.

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