Post-Abortion Concerns: Symptoms and Pregnancy Risks

Post-abortion issues?

My girlfriend had a medical abortion a little over two weeks ago.
We had intercourse while she was not bleeding, but I used a condom that did not break.
She took the medication on August 19, but she is experiencing abdominal pain and nausea.
Is there a possibility of pregnancy? What could be causing the abdominal pain and nausea?

You, 20~29 year old female. Ask Date: 2021/09/07

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear You,
May I ask if you will return for a follow-up examination in obstetrics and gynecology to check if everything has cleared out? Please make sure to visit the obstetrics and gynecology department to confirm the success of the medical abortion.

Dr.
Huang Zifei, Nantou Hospital, Department of Obstetrics and Gynecology

Reply Date: 2021/09/07

More Info

Post-abortion concerns are quite common, especially after a medical abortion (medication abortion). It’s important to understand the symptoms that can arise after the procedure and the potential risks associated with subsequent pregnancies.

Firstly, after a medical abortion, it is typical for individuals to experience a range of symptoms as their body adjusts. These can include abdominal pain, cramping, and nausea. The abdominal pain is often due to the uterus contracting as it expels the pregnancy tissue. This is a normal part of the process, but if the pain is severe or accompanied by heavy bleeding, it is crucial to seek medical attention.

Nausea can also occur due to hormonal changes following the abortion. The body has to readjust its hormone levels, which can lead to feelings of nausea and even vomiting in some cases. These symptoms are generally temporary and should subside as the body heals.

Regarding the risk of pregnancy after a medical abortion, it is important to note that ovulation can occur as soon as two weeks after the procedure. If your girlfriend had unprotected intercourse (even with a condom, there is a slight risk if it were to break), there is a possibility of pregnancy. However, if she is experiencing abdominal pain and nausea, these symptoms could be related to the recent abortion rather than a new pregnancy.

To confirm whether she is pregnant, it would be advisable for her to take a home pregnancy test about two weeks after the potential conception date. If she has any concerns about her symptoms or if they worsen, she should consult with her healthcare provider. They can perform an examination and possibly an ultrasound to ensure that the abortion was complete and that there are no complications, such as retained tissue, which can cause pain and other symptoms.

In summary, while it is possible to become pregnant shortly after an abortion, the symptoms your girlfriend is experiencing are likely related to the recent procedure rather than a new pregnancy. It is essential to monitor her symptoms and seek medical advice if they persist or worsen. Additionally, discussing contraception options with her healthcare provider can help prevent unintended pregnancies in the future.

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