Menstrual Cycle and Pregnancy Chances After Medication Abortion

Menstrual Cycle and Pregnancy Probability After Medical Abortion

Hello, doctor.
My menstrual cycle is not very regular, approximately 33-38 days.
I would like to ask if the information I found states that the average time to the next period after a medical abortion is 4-6 weeks, can I estimate that it would be 5-7 weeks for me since my cycle is longer? Additionally, I would like to ask, 18 days after the medical abortion, if the glans covered with pre-ejaculate fluid was pressed against the vaginal opening for ten seconds and then immediately removed, what is the likelihood of pregnancy? (When I returned for an ultrasound that day, the doctor prescribed three days of uterotonics and said that if I don't have any bleeding after taking them, I don't need to return for a follow-up.) Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2020/08/23

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I have replied to your question.
Wishing you good health.

Reply Date: 2020/08/23

More Info

After a medication abortion, it is common for women to experience changes in their menstrual cycle as their body adjusts. The average time for the next menstrual period to arrive is typically between 4 to 6 weeks, but this can vary based on individual factors, including the regularity of your menstrual cycle prior to the abortion. Given that your cycle is usually longer, ranging from 33 to 38 days, it is reasonable to estimate that your next period may arrive in the range of 5 to 7 weeks post-abortion. However, it is essential to remember that every woman's body is different, and some may experience variations in timing.

Regarding your concern about the potential for pregnancy after the incident you described, it is important to understand how pregnancy occurs. Sperm can survive in the female reproductive tract for several days, but for pregnancy to occur, sperm must be present in the vagina during ovulation. If you had a brief contact with pre-ejaculate fluid (pre-cum) on the day you mentioned, the likelihood of pregnancy is generally low, especially since you indicated that the contact was very brief and did not involve ejaculation. However, it is not impossible, as pre-ejaculate can contain sperm, albeit in smaller quantities.

If you are concerned about the possibility of pregnancy, it may be beneficial to monitor for any signs of pregnancy, such as a missed period or other symptoms. If your next period does not arrive within the expected timeframe, consider taking a home pregnancy test for confirmation.
Additionally, it is important to follow your healthcare provider's advice regarding the use of medications post-abortion. The uterine contraction medication prescribed to you is likely intended to help your body return to its normal state and ensure that the abortion process is complete. If you experience any unusual symptoms or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further guidance.

In summary, while it is possible to estimate when your next period may arrive based on your cycle history, individual variations can occur. The likelihood of pregnancy from the brief contact you described is low, but monitoring your body and consulting with your healthcare provider will provide you with the best information and support during your recovery.

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