Can You Get Pregnant After a Medical Abortion? Risks and Options

Q: Can You Get Pregnant After a Medical Abortion? Risks and Options

Hello Miss Jean： Regarding your questions, 1. The likelihood is low. 2. It is suitable. 3. Not necessarily; if the pain persists, please visit the outpatient clinic for an examination. The Hualien Hospital of the Ministry of Health and Welfare cares about

The possibility of becoming pregnant after engaging in sexual intercourse following an abortion?

Hello, I underwent a medical abortion on January 22, with a gestational age of less than 4 weeks.
On February 13, I had another procedure due to retained tissue in the uterus.
On February 21, I had unprotected sexual intercourse with my boyfriend, and he did not ejaculate.
The next day, I felt some mild pain in my lower abdomen.
I would like to ask about the possibility of becoming pregnant again.
Is it appropriate to take emergency contraception within 72 hours in this situation? I apologize for the trouble and thank you for your response!

Jean, 20~29 year old female. Ask Date: 2018/02/22

Dr. Lin Manying reply Obstetrics and Gynecology

Hello Miss Jean: Regarding your questions, 1.
The likelihood is low.
2.
It is suitable.
3.
Not necessarily; if the pain persists, please visit the outpatient clinic for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/02/22

More Info

After undergoing a medical abortion, it is indeed possible to become pregnant again relatively quickly. The body can return to its normal ovulatory cycle within a few weeks after the procedure, which means that ovulation can occur as soon as two weeks post-abortion. Given that you had a medical abortion on January 22 and then had a surgical procedure on February 13 due to retained tissue, your body may still be in the process of recovery, but it is still capable of ovulating.

Regarding your sexual encounter on February 21, if you engaged in unprotected intercourse and are concerned about the possibility of becoming pregnant again, it is advisable to consider emergency contraception. The emergency contraceptive pill (ECP) is most effective when taken within 72 hours after unprotected intercourse, but some types can be taken up to 5 days after. Since you mentioned that you experienced some lower abdominal pain, it is important to monitor this symptom, as it could indicate various conditions, including potential complications from the abortion or a new pregnancy.

In your case, taking emergency contraception within the recommended time frame could help prevent an unintended pregnancy. The sooner you take it after unprotected intercourse, the more effective it will be. If you are within the 72-hour window, I would recommend that you take the emergency contraceptive pill as soon as possible.

It is also crucial to follow up with your healthcare provider after an abortion, especially if you experience any unusual symptoms such as severe abdominal pain, heavy bleeding, or fever. These could be signs of complications that need medical attention.

In summary, while it is possible to become pregnant shortly after a medical abortion, using emergency contraception can help reduce the risk of an unintended pregnancy following unprotected intercourse. Always consult with your healthcare provider for personalized advice and to ensure that you are taking the appropriate steps for your reproductive health.

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