the Chances of Pregnancy After Medical Abortion

The probability of pregnancy after a medical abortion?

I took RU486 (medical abortion) on October 22 for the first dose and on October 24 for the second dose.
On November 20, I was confirmed to have expelled all blood clots and received a blood replenishment injection.
On November 21, there was an accidental ejaculation inside me.
I would like to ask the doctor: 1.
Should I take emergency contraception as soon as possible? 2.
If I continue to bleed, do I need to return for a follow-up appointment? 3.
If I do not take emergency contraception, is there a chance I could become pregnant? 4.
Why do I feel movement in my uterus? 5.
After expelling the blood clots, should I start taking herbal tonics or foods that are nourishing?

V, 20~29 year old female. Ask Date: 2019/11/21

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On October 22, RU486 (medical abortion) was taken as the first dose, and on October 24, the second dose was taken.
On November 20, it was confirmed that the uterine contents were cleared, and a blood replenishment injection was administered.
On November 21, there was an accidental ejaculation inside.

1.
Should emergency contraception be taken as soon as possible? Answer: Yes.

2.
If there is continued bleeding, is a follow-up visit necessary? Answer: No.

3.
If emergency contraception is not taken, is there a chance of pregnancy? Answer: Yes, there is a possibility.

4.
Why does it feel like there is movement inside the uterus? Answer: It is just a sensation.

5.
After passing the blood clots, should I start taking herbal tonics or nourishing foods? Answer: After two weeks.

Reply Date: 2019/11/21

More Info

After a medical abortion using RU486, it is essential to understand the implications of subsequent sexual activity and the potential for pregnancy. Here’s a detailed response to your questions based on medical knowledge and practices.

1. Should you take emergency contraception?
Yes, if you had unprotected intercourse after your medical abortion, it is advisable to take emergency contraception (commonly referred to as the "morning-after pill") as soon as possible. Emergency contraceptive pills are most effective when taken within 72 hours after unprotected sex, but some types can be taken up to 5 days later. The sooner you take it, the better the chances of preventing an unintended pregnancy.

2. Should you return for a follow-up if bleeding continues?
Yes, if you continue to experience bleeding beyond what is considered normal after a medical abortion, it is crucial to return for a follow-up appointment. While some bleeding can be expected as part of the process, heavy bleeding, passing large clots, or prolonged bleeding could indicate retained products of conception or other complications that may require medical attention.

3. Is there a chance of pregnancy if you do not take emergency contraception?
Yes, if you do not take emergency contraception after having unprotected intercourse, there is a possibility of becoming pregnant. The timing of ovulation varies, but it can occur as soon as two weeks after an abortion, depending on your individual cycle. If you are ovulating, sperm can fertilize an egg, leading to a potential pregnancy.

4. Why do you feel movement in your uterus?
Feeling sensations in your uterus after an abortion can be attributed to several factors. It could be due to the uterus contracting as it returns to its pre-pregnancy size, which is a normal part of the healing process. Additionally, hormonal changes following an abortion can also cause various sensations. However, if these sensations are painful or accompanied by heavy bleeding, it is advisable to consult a healthcare provider.

5. Should you start taking herbal remedies or supplements after passing blood clots?
After a medical abortion, it is essential to focus on recovery. While some women may choose to take herbal remedies or supplements like "shenghua tang" (a traditional Chinese medicine for postpartum recovery), it is crucial to consult with a healthcare provider before starting any new supplements. Your body has just undergone a significant change, and ensuring that you are healing properly should be the priority. A balanced diet rich in iron and nutrients can help replenish your body, especially if you experienced significant blood loss.

In summary, after a medical abortion, it is vital to monitor your body’s response and seek medical advice when necessary. If you have any concerns about your recovery, potential pregnancy, or any unusual symptoms, do not hesitate to reach out to your healthcare provider for personalized guidance.

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