Ovulation After Abortion: Key Questions Answered

How long after an abortion does ovulation occur?

After an abortion, ovulation is typically considered to begin once the bleeding has stopped.
However, it can vary from person to person.
If you took mifepristone (RU486) on September 7 and continued to bleed until September 18, ovulation may occur shortly after the bleeding stops, but it is not guaranteed.
If you had unprotected intercourse after the bleeding stopped, there is a possibility of becoming pregnant.
It is advisable to consider taking emergency contraception if the unprotected intercourse occurred within the appropriate time frame.

Niming, 20~29 year old female. Ask Date: 2017/09/26

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
Does ovulation start counting from the time the bleeding stops after an abortion, or does it start counting from the day the medication is taken? Answer: Ovulation is counted from the time the bleeding stops, indicating that menstruation has cleared, and then ovulation can be calculated.
2.
If I took RU486 on September 7 and did not stop bleeding until September 18, but then had unprotected intercourse afterward, is there a chance of becoming pregnant? Should I take emergency contraception? Answer: Yes, there is a chance of becoming pregnant, and you should take emergency contraception.

Reply Date: 2017/09/26

More Info

After an abortion, understanding the timeline for ovulation and the potential for pregnancy is crucial for anyone considering their reproductive health. Ovulation typically occurs about 14 days before the start of your next menstrual period. However, the timing can vary significantly after an abortion, depending on several factors, including the type of abortion (medical or surgical), individual hormonal balance, and overall health.

1. When Does Ovulation Resume After Abortion?
After a medical abortion using mifepristone (RU486), ovulation can resume relatively quickly. While some women may experience a delay, ovulation can occur as soon as two weeks after the procedure, even if bleeding is still present. The bleeding you experience after an abortion is not a reliable indicator of when ovulation will occur. Therefore, it is not accurate to say that ovulation starts counting from when the bleeding stops; rather, it can happen before that.

2. Understanding the Risk of Pregnancy:
If you had unprotected intercourse after taking RU486 and before your next period, there is a possibility of becoming pregnant. Since ovulation can occur before the bleeding stops, sperm can survive in the female reproductive tract for up to five days, meaning that if you ovulate shortly after having unprotected sex, fertilization can occur.

3. Emergency Contraception:
If you are concerned about the risk of pregnancy after unprotected intercourse, taking emergency contraception (like Plan B or ulipristal acetate) can be an option. Emergency contraception is most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but some forms can be taken up to 120 hours after. It works primarily by delaying ovulation, so if you have already ovulated, it may not be effective.

4. Monitoring Your Cycle:
After an abortion, it is essential to monitor your menstrual cycle as it may take some time to regulate. You may experience irregular periods for a few cycles, which is normal. Keeping track of your cycle can help you better understand when you are ovulating and when to expect your next period.

5. Consulting Healthcare Providers:
If you have concerns about your menstrual cycle, ovulation, or the possibility of pregnancy after an abortion, it is advisable to consult with a healthcare provider. They can provide personalized advice based on your health history and current situation. They can also discuss options for contraception if you wish to avoid pregnancy in the near future.

In summary, ovulation can occur soon after an abortion, and bleeding does not necessarily indicate that ovulation has not resumed. If you have had unprotected sex during this time, there is a risk of pregnancy, and considering emergency contraception may be a prudent step. Always consult with a healthcare provider for tailored advice and support regarding your reproductive health.

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