Can You Get Pregnant After Medical Abortion? Key Considerations

Can I get pregnant after having a medical abortion and engaging in sexual intercourse?

On February 8, I took the first dose of RU486, and on February 10, I took the second dose.
After that, I experienced some expulsion, but it hasn't been completely cleared.
During my follow-up appointment on February 21, there was only a small amount of brown discharge, sometimes present and sometimes not, but the doctor noted that there was still a little residual tissue that hadn't been expelled.
That night, on February 21, I had unprotected intercourse, 12 days after the medical abortion.
Do I need to take emergency contraception? If I don't take it, is there a risk of pregnancy? If I take it, could it have any negative effects?

Lili, 30~39 year old female. Ask Date: 2022/02/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to take emergency contraception just in case.
It is advised to use contraceptive measures during this period.
Wishing you good health.

Reply Date: 2022/02/22

More Info

After a medical abortion, it is indeed possible to become pregnant again relatively quickly. The timeline for fertility can vary from person to person, but generally, ovulation can occur as soon as two weeks after the procedure. This means that if you engage in unprotected intercourse, there is a risk of becoming pregnant again.

In your specific case, you mentioned that you had a medical abortion using RU486, and after the procedure, you experienced some residual tissue that had not yet expelled. It's important to note that having leftover tissue can sometimes complicate the situation. If there is still tissue in the uterus, it may lead to complications such as infection or prolonged bleeding. Therefore, it is crucial to follow up with your healthcare provider to ensure that your uterus is clear and that you are healing properly.

Regarding your question about emergency contraception, if you had unprotected intercourse after your medical abortion, taking emergency contraception (like Plan B) is a consideration. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but it can be taken up to 5 days after. However, its effectiveness decreases the longer you wait.
If you are concerned about the possibility of becoming pregnant after your medical abortion, taking emergency contraception can help reduce that risk. However, it is essential to consult with your healthcare provider before taking any medication, especially after a medical abortion. They can provide personalized advice based on your specific health situation and the status of your recovery.

Taking emergency contraception after a medical abortion is generally considered safe and should not have adverse effects on your recovery from the abortion itself. However, it is always best to discuss any concerns with your healthcare provider to ensure that you are making the best decision for your health.

In summary, yes, you can get pregnant after a medical abortion, and if you had unprotected intercourse shortly after, it is advisable to consider emergency contraception. Additionally, ensure that you have a follow-up appointment with your healthcare provider to confirm that your uterus is clear of any remaining tissue and to discuss your options moving forward.

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