Does Early Intercourse After Medication Abortion Increase Pregnancy Risk? - Obstetrics and Gynecology

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Does having intercourse too soon after a medical abortion increase the likelihood of becoming pregnant?


I would like to ask the doctor, I took medication for a miscarriage on December 7, and I had bleeding until December 14, which I consider to be cleared out.
I had sexual intercourse on the 21st, 22nd, 25th, 26th, and 29th, but my husband used the withdrawal method.
What is the likelihood of getting pregnant? When can I expect my period to come? Thank you for your response, doctor.

s91023493, 30~39 year old female. Ask Date: 2020/01/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm.
After a medical abortion, menstruation may be delayed and irregular.
It is recommended to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2020/01/03

More Info


After a medication abortion, it is important to understand the implications of early intercourse and the potential for subsequent pregnancy. The timeline you provided indicates that you had a medication abortion on December 7 and experienced bleeding until December 14. Engaging in sexual intercourse shortly after this procedure raises several considerations regarding the risk of pregnancy and the timing of your next menstrual cycle.

Firstly, it is essential to recognize that after a medication abortion, the body undergoes a process of recovery. The bleeding you experienced is a normal part of this process, indicating that the uterus is expelling its contents. Typically, it can take a few weeks for your menstrual cycle to return to its regular rhythm after an abortion. For many women, ovulation can occur as soon as two weeks after the procedure, which means that if you had unprotected intercourse during this time, there is a possibility of becoming pregnant.

Regarding the specific days you mentioned (December 21, 22, 25, 26, and 29), if you had unprotected intercourse on these days and ovulation occurred, the chances of pregnancy could be significant. However, since you mentioned that your husband used the withdrawal method (pulling out), it is important to note that while this method can reduce the likelihood of pregnancy, it is not foolproof. Pre-ejaculate fluid can contain sperm, and if any sperm were to enter the vagina, there is still a risk of pregnancy.

As for when you can expect your next menstrual period, it varies from person to person. After a medication abortion, some women may experience their next period within four to six weeks. However, it can be influenced by various factors, including hormonal changes and individual body responses. If you do not have a period within six weeks of the abortion, it is advisable to take a pregnancy test to determine if you are pregnant.

In summary, while early intercourse after a medication abortion does carry a risk of pregnancy, the actual likelihood depends on various factors, including timing of ovulation and the effectiveness of the withdrawal method. If you are concerned about the possibility of pregnancy or have questions about your menstrual cycle, it is best to consult with your healthcare provider. They can provide personalized advice and support based on your specific situation. Additionally, if you wish to avoid unintended pregnancy in the future, discussing contraceptive options with your healthcare provider may be beneficial.

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