Pregnancy Chances After First Period Post-Medical Abortion - Obstetrics and Gynecology

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The likelihood of becoming pregnant during the first menstrual cycle after a medical abortion?


I would like to ask the doctor: After taking medication for a miscarriage, if I have intercourse within two days after my first menstrual period, what is the likelihood of becoming pregnant? Is there a possibility of pregnancy? Can I determine my ovulation period or safe period? If I take emergency contraception, can it completely prevent pregnancy? I took the medication on January 27, had a follow-up appointment on February 9 to confirm everything was cleared, and got my period on March 9.

Xiao You, 10~19 year old female. Ask Date: 2021/03/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low, so there's no need to worry.
Wishing you good health.

Reply Date: 2021/03/16

More Info


After a medical abortion, the chances of becoming pregnant after your first menstrual period can vary based on several factors, including your individual health, the timing of ovulation, and the effectiveness of any contraceptive methods used.
Typically, after a medical abortion, your menstrual cycle may take some time to regulate. In your case, you mentioned that you had your first period on March 9, which is about six weeks after the abortion. This is a normal timeframe, as it can take anywhere from a few weeks to a couple of months for your cycle to return to its usual rhythm.
Regarding the likelihood of becoming pregnant shortly after your first period, it is essential to understand that ovulation can occur as soon as two weeks after the abortion, which means that if you had unprotected intercourse within a couple of days after your period, there is a possibility of becoming pregnant. Sperm can survive in the female reproductive tract for up to five days, so if you ovulate soon after having sex, conception could occur.

To determine your ovulation period, you can track your menstrual cycle. Ovulation typically occurs about 14 days before your next expected period. For example, if your cycle is around 28 days, you would likely ovulate around day 14. However, cycles can vary, and factors such as stress, hormonal changes, and health conditions can affect ovulation timing.
If you are looking to avoid pregnancy, it is crucial to use effective contraception. Emergency contraceptive pills (often referred to as "morning-after pills") can be taken after unprotected intercourse to reduce the risk of pregnancy, but they are most effective when taken as soon as possible after the event. If you are considering using emergency contraception, consult with your healthcare provider for guidance on the best options for you.

In summary, while there is a possibility of becoming pregnant after your first period post-abortion, the exact chances depend on your ovulation timing and whether you engaged in unprotected intercourse. If you are concerned about pregnancy or wish to avoid it, consider discussing contraceptive options with your healthcare provider to find a method that suits your needs. Additionally, if you have any lingering concerns about your menstrual cycle or reproductive health after the abortion, it is advisable to follow up with your healthcare provider for further evaluation and guidance.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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