Can You Get Pregnant After Normal Ultrasound Post-Abortion?

Is it possible to be pregnant after a normal ultrasound following an abortion?

Doctor, I apologize for asking again.
On the early morning of September 19, I noticed what seemed to be a little bit of menstrual bleeding, which was brown in color and very light in amount.
However, after waking up, it was gone, and then I experienced a little more brown discharge in the evening, along with the typical cramping sensation associated with menstruation.
Is it still possible that I could be pregnant? Regarding my previous issue, I underwent a dilation and curettage (D&C) procedure on August 11, and I have been attending follow-up appointments.
I also had sexual intercourse, and the doctor confirmed via ultrasound that everything was normal and that my uterus was clear.
However, as of September 19, my period has not yet arrived.
Is there a possibility of pregnancy?
Answer: Yes, there is a possibility of pregnancy, and there may also be a risk of Asherman syndrome.
If your period has not arrived by October 31, please return for a follow-up appointment.

Qiao An, 20~29 year old female. Ask Date: 2017/09/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On the early morning of September 19th, I noticed what seemed to be a small amount of menstrual flow that was brown in color.
The amount was very minimal, and after waking up, it was gone until the evening when I noticed a little more brown discharge.
I also felt some cramping similar to menstrual cramps.
Is it still possible that I could be pregnant? Answer: The likelihood of pregnancy is low.

Reply Date: 2017/09/20

More Info

After an abortion, the possibility of becoming pregnant again is certainly present, especially if you have had a normal ultrasound indicating that your uterus is clear and there are no complications. In your case, you mentioned that you had a surgical abortion on August 11 and have been monitored with follow-up visits, which is a good practice to ensure that everything is healing properly.
The presence of brown discharge or light bleeding, as you described on September 19, can be concerning, especially if it is accompanied by cramping. However, it is important to note that light spotting can occur for various reasons after an abortion, including hormonal changes as your body returns to its pre-pregnancy state. It is also possible that this could be an early sign of a new pregnancy, particularly if you have engaged in unprotected sexual intercourse since your abortion.

To address your concerns:
1. Possibility of Pregnancy: Yes, it is possible to become pregnant shortly after an abortion, especially if you have resumed sexual activity. The menstrual cycle can take some time to regulate, but ovulation can occur as early as two weeks post-abortion. If you had unprotected intercourse during your fertile window, there is a chance of conception.

2. Signs of Pregnancy: The brown discharge you are experiencing could be implantation bleeding if you are pregnant. However, it could also be leftover blood from your previous abortion or simply a sign that your menstrual cycle is starting to normalize.
3. Asherman Syndrome: This condition, characterized by the formation of scar tissue in the uterus, can occur after surgical procedures like an abortion. It can lead to irregular menstrual cycles and complications with future pregnancies. If you continue to experience abnormal bleeding or if your period does not return by October 31, it would be wise to consult your healthcare provider for further evaluation.

4. Follow-Up Care: Since you are still within a few months post-abortion, regular follow-up appointments are crucial. If your menstrual cycle does not resume or if you have any concerning symptoms (such as heavy bleeding, severe pain, or signs of infection), you should seek medical advice promptly.

5. Testing for Pregnancy: If you suspect you might be pregnant, consider taking a home pregnancy test. These tests are generally reliable and can provide you with quick answers. If the test is positive, you should schedule an appointment with your healthcare provider to confirm the pregnancy and discuss your options moving forward.

In conclusion, while it is possible to become pregnant after a normal ultrasound post-abortion, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide personalized advice based on your medical history and current situation. If you have any further concerns or questions, do not hesitate to reach out to your doctor for guidance.

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