Could I Be Pregnant After Abortion and IUD Insertion?

Induced abortion

Hello, doctor.
On February 20, I underwent a vacuum aspiration procedure and had an intrauterine device (IUD) inserted (the copper type).
During my follow-up appointment on February 22, the doctor said everything was fine.
I had sexual intercourse on February 28 and 29.
On March 9 and this morning (March 10), I have been experiencing burping and slight nausea on an empty stomach, and I am having difficulty eating.
Could this condition possibly indicate pregnancy, or is it just gastroesophageal reflux (I have a history of gastroesophageal reflux disease)?

Guo, 20~29 year old female. Ask Date: 2021/03/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy should be low; just monitor the situation.
Wishing you good health.

Reply Date: 2021/03/10

More Info

After an abortion and the insertion of an intrauterine device (IUD), it is understandable to have concerns about the possibility of becoming pregnant again. The IUD is a highly effective form of contraception, with a failure rate of less than 1% when used correctly. However, no contraceptive method is 100% effective, and there is still a small chance of pregnancy even with an IUD in place.

In your case, you underwent a vacuum aspiration procedure on February 20 and had an IUD inserted at the same time. You mentioned having sexual intercourse on February 28 and 29. If the IUD was properly placed and functioning, the likelihood of becoming pregnant from those encounters is very low. However, it is important to note that the IUD may take a few days to become fully effective, and if you had unprotected intercourse shortly after the insertion, there is a slight chance of pregnancy.

Regarding your symptoms of belching and mild nausea, these could be attributed to several factors. It is possible that they are related to gastrointestinal issues, such as gastroesophageal reflux disease (GERD), especially since you have a history of this condition. Stress and anxiety about the possibility of pregnancy can also lead to physical symptoms, including digestive discomfort.

To determine whether you might be pregnant, it is advisable to take a home pregnancy test. These tests are generally reliable and can provide you with a quick answer. If the test is positive, or if you continue to experience symptoms that concern you, it is essential to consult your healthcare provider for further evaluation. They may recommend a blood test or an ultrasound to confirm pregnancy and assess the position of the IUD.

If you are indeed pregnant and the IUD is still in place, it is crucial to seek medical advice promptly. In some cases, the IUD can be removed safely during early pregnancy, but this should be done under the guidance of a healthcare professional. There is a risk of miscarriage associated with IUD removal, so the decision should be made carefully.

In summary, while the chances of becoming pregnant after an abortion and IUD insertion are low, it is not impossible. Your symptoms could be related to various factors, including your previous gastrointestinal issues. Taking a home pregnancy test and consulting with your healthcare provider will give you the best course of action to determine your status and address any concerns you may have. Remember, open communication with your healthcare provider is key to managing your reproductive health effectively.

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