Can You Get Pregnant After a Medical Abortion? Risks - Obstetrics and Gynecology

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Pregnancy probability


If pregnancy was confirmed on March 14 at 4 weeks, and the first dose of medication for abortion was taken on March 14, followed by the second dose of uterine contraction medication on March 16, and an ultrasound on March 21 confirmed no embryo was present, there is a possibility of becoming pregnant again if semen leaked from the condom during intercourse on April 4.
It is important to note that sperm can survive in the female reproductive tract for several days, so if ovulation occurs shortly after the abortion, there is a chance of conception.
It is advisable to consult with a healthcare provider for further guidance and to discuss contraceptive options.

Ms. Chen, 20~29 year old female. Ask Date: 2020/04/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, there is still a chance.
It is recommended to take emergency contraception.
Wishing you good health.

Reply Date: 2020/04/04

More Info


After undergoing a medical abortion, the possibility of becoming pregnant again is a topic of concern for many women. In your case, you discovered you were pregnant on March 14, took the first dose of medication for the abortion on the same day, followed by the second dose on March 16, and confirmed via ultrasound on March 21 that there was no embryo present. You then had unprotected intercourse on April 4, and you are wondering about the likelihood of becoming pregnant under these circumstances.

To address your question, it is indeed possible to become pregnant shortly after a medical abortion. The menstrual cycle can resume relatively quickly after the procedure, often within a few weeks. In many cases, ovulation can occur as soon as two weeks after the abortion, which means that if you had unprotected intercourse during your fertile window, there is a chance of conception.

Regarding the specifics of your situation, since you had a medical abortion and confirmed the absence of an embryo shortly thereafter, your body may have already started the process of returning to its pre-pregnancy state. If you had unprotected intercourse on April 4, and if ovulation occurred around that time, there is a possibility that sperm could fertilize an egg, leading to a new pregnancy. Sperm can live inside the female reproductive tract for up to five days, so if you ovulated shortly after your intercourse, conception could occur.

It is important to note that the use of a condom is generally an effective method of contraception, but if there was a failure (such as slippage or breakage), the risk of pregnancy increases. If you are concerned about the possibility of pregnancy, it may be advisable to take a home pregnancy test a few weeks after the date of intercourse or consult with your healthcare provider for further guidance.

In terms of health implications, if you were to become pregnant shortly after a medical abortion, it is essential to discuss this with your healthcare provider. They can provide you with information on the risks associated with early pregnancy following an abortion, including the potential for complications. Generally, if you are healthy and there are no underlying issues, many women go on to have healthy pregnancies after a medical abortion.

In summary, while it is possible to become pregnant shortly after a medical abortion, the likelihood depends on various factors, including the timing of ovulation and the effectiveness of contraception used. If you have concerns about your reproductive health or potential pregnancy, it is always best to consult with a healthcare professional who can provide personalized advice and support.

Similar Q&A

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Is it possible to get pregnant if unprotected intercourse occurs one week after a medical abortion?


Dr. Wu Xianghui reply Obstetrics and Gynecology
1. Theoretically, it should not happen. 2. For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse.

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I would like to ask if having sexual intercourse two weeks after a medical abortion, while experiencing some vaginal bleeding, and with a small amount of pre-ejaculate fluid entering the vagina, increases the likelihood of pregnancy. Thank you.


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the probability should be low, but it's still important to stay vigilant. Wishing you good health.

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Hello doctor, I would like to ask if having sexual intercourse after a medical abortion and before my next menstrual cycle could lead to pregnancy. The doctor mentioned that there are still small blood clots in the uterus. Will this have any impact?


Dr. Lü Lizheng reply Obstetrics and Gynecology
After a miscarriage, the ovaries may resume ovulation after some time, which could lead to another pregnancy. This may occur before the next menstrual period. If there are small blood clots remaining in the uterus, they usually pass naturally; otherwise, medical treatment may be ...

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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 ne...


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.

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