Pregnancy probability!
I'm sorry to bother you, doctor.
I had an abortion on October 18, and the doctor prescribed pain medication.
During my follow-up appointment on October 21, I was given medication for uterine contractions.
On the night of October 25, while taking a shower, I suddenly experienced abdominal pain and bleeding.
I called the clinic, and they advised me to come in for a check-up.
The doctor said it was just due to inadequate uterine contractions and prescribed more medication for that.
On October 26, I had sexual intercourse with my boyfriend, and he ejaculated inside me.
Should I take emergency contraception? I'm sorry for being reckless and worrying about pregnancy.
I would appreciate your guidance.
Thank you.
Ci, 20~29 year old female. Ask Date: 2019/10/26
Dr. Huang Jianzhong reply Obstetrics and Gynecology
On October 18, I underwent an abortion, and the doctor prescribed pain medication.
During my follow-up appointment on October 21, I was given medication to help with uterine contractions.
On the evening of October 25, while taking a shower, I suddenly experienced abdominal pain and bleeding.
I called the clinic for advice, and they asked me to come in for a check-up.
The doctor said it was just due to insufficient uterine contractions and prescribed more medication for that.
On October 26, I had sexual intercourse with my boyfriend, and he ejaculated inside me.
Do I need to take emergency contraception? Answer: No, you do not need to take emergency contraception.
Reply Date: 2019/10/26
More Info
It’s understandable to feel anxious after experiencing an abortion, especially when it comes to concerns about future pregnancies and potential complications. Your recent experiences, including the abortion and subsequent symptoms, raise important questions about your reproductive health and the risks involved.
Firstly, after an abortion, it’s common for women to experience some degree of cramping and bleeding as the body adjusts. The medications prescribed by your doctor, such as pain relievers and uterine contraction medications, are typically aimed at helping your body recover. However, if you experience significant pain or heavy bleeding, it’s crucial to seek medical attention promptly, as these could be signs of complications.
Regarding your question about engaging in sexual intercourse shortly after an abortion, it’s generally advised to wait at least two weeks before resuming sexual activity. This waiting period allows your body to heal and reduces the risk of infection. Engaging in sexual activity too soon can lead to complications, including increased bleeding or infection.
Now, concerning your encounter with your boyfriend and the possibility of needing emergency contraception (the "morning-after pill"), it’s important to consider a few factors. If you had unprotected intercourse and are concerned about the risk of pregnancy, taking emergency contraception can be an option. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some forms can be effective up to 5 days later.
However, it’s also essential to consider your current health status. Since you recently had an abortion, your body is still recovering, and introducing hormones from emergency contraception may have varying effects. It’s advisable to consult with your healthcare provider before taking any medication, including emergency contraception, to ensure it’s safe for you at this time.
In terms of future pregnancies, it’s essential to discuss your reproductive plans with your healthcare provider. They can provide guidance on when it’s safe to try to conceive again and what steps you can take to ensure a healthy pregnancy. Factors such as your medical history, the reasons for your previous abortions, and any genetic concerns should be addressed during this discussion.
If you have a family history of genetic disorders, as mentioned in your previous questions, it may be beneficial to undergo genetic counseling. This can help assess any potential risks for future pregnancies, especially considering your partner's family background. Genetic counseling can provide valuable information and support as you navigate your reproductive health.
In summary, after an abortion, it’s crucial to prioritize your health and recovery. If you have concerns about potential pregnancy after unprotected intercourse, consider consulting your healthcare provider about emergency contraception. Additionally, discussing your reproductive plans and any genetic concerns with a healthcare professional can help you make informed decisions about future pregnancies. Remember, your health and well-being should always come first, and seeking professional guidance is the best way to ensure that.
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