Post-Abortion Contraception: When Can You Resume Sexual Activity?

Taking contraceptives after an abortion?

Hello doctor, I had a medical abortion on the morning of July 13.
At that time, I was four weeks pregnant.
Afterward, I went back for a follow-up appointment and asked the doctor when I could start taking oral contraceptives.
The doctor said I could start immediately, so I began taking my first pill on July 20.
During this time, my body has been recovering well without any issues.
I would like to know how soon I can engage in sexual intercourse.
Since I only see my boyfriend once a month and he prefers not to use condoms, can I still use emergency contraception just in case? Thank you, doctor.

Xi Xi, 20~29 year old female. Ask Date: 2022/07/24

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle.
If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of taking the pills.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2022/07/24

More Info

After undergoing an abortion, it is crucial to prioritize your health and well-being, both physically and emotionally. The question of when to resume sexual activity after an abortion is common, and there are several factors to consider.

Generally, healthcare providers recommend waiting at least two weeks after an abortion before resuming sexual intercourse. This waiting period allows your body to heal and reduces the risk of complications, such as infection. However, individual recovery times can vary based on personal health, the type of abortion procedure performed, and any potential complications that may have arisen.

In your case, since you had a medical abortion on July 13 and started taking oral contraceptives on July 20, you are on the right track for preventing future pregnancies. Oral contraceptives can be effective immediately if started during the first five days of your menstrual cycle, but since you began taking them after your abortion, it is advisable to use an additional form of contraception, such as condoms, for the first seven days of taking the pill. This is to ensure that the contraceptive is fully effective.

Regarding your question about resuming sexual activity, if you are feeling well and have no complications from the abortion, you could consider having sex after the two-week mark, which would be around July 27. However, it is essential to listen to your body and consult with your healthcare provider if you have any concerns or experience any unusual symptoms, such as pain or heavy bleeding.

As for the use of emergency contraception (commonly referred to as "Plan B" or "the morning-after pill"), it is designed to prevent pregnancy after unprotected intercourse. If you and your boyfriend decide to engage in sexual activity without a condom, and you are concerned about the risk of pregnancy, using emergency contraception can be an option. However, it is not intended for regular use and should not replace a reliable contraceptive method.

In summary, you can consider resuming sexual activity after about two weeks post-abortion, provided you feel physically ready and have consulted with your healthcare provider. Continue taking your oral contraceptives as directed, and consider using additional protection, such as condoms, especially in the initial days of starting the pill. If you have any doubts or experience any complications, do not hesitate to reach out to your healthcare provider for personalized advice and support. Your health and comfort should always come first.

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