Can You Have Sex After Medical Abortion? the Risks

Engaging in sexual intercourse 5 days after a medical abortion?

On July 25-27, I took 1-3 doses of medication for a medical abortion, and the bleeding decreased to about the amount of a normal period over 4.5 days.
On July 29, I had sexual intercourse at noon with a condom, and one hour later, the bleeding increased.
Will the medical abortion still be completed successfully?

Lin Jie, 20~29 year old female. Ask Date: 2022/07/29

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the patient must return for follow-up within one to two weeks after taking the abortion medication.
Clinical examination, β-HCG measurement, and ultrasound scanning are necessary to confirm whether the embryo has been completely expelled.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/07/29

More Info

After a medical abortion, it is generally advised to wait for a period of time before resuming sexual activity. This recommendation is primarily due to the need for the body to heal and to reduce the risk of infection. In your case, you mentioned that you underwent a medical abortion between July 25 and 27, and then had sexual intercourse on July 29 while using a condom.
The fact that you used a condom significantly reduces the risk of sexually transmitted infections (STIs) and unintended pregnancy. However, it is important to consider a few factors regarding your situation:
1. Timing and Healing: After a medical abortion, the uterus needs time to heal. Engaging in sexual intercourse too soon can increase the risk of complications, such as infection or retained products of conception. It is typically recommended to wait at least two weeks after a medical abortion before having sex, but this can vary based on individual circumstances and the advice of your healthcare provider.

2. Increased Bleeding: You noted that your bleeding increased about an hour after intercourse. It is not uncommon for some women to experience increased bleeding after sexual activity following an abortion. This can be due to various factors, including the physical activity involved in sex or the sensitivity of the uterus as it heals. If the bleeding is heavy or accompanied by severe pain, it is important to contact your healthcare provider for further evaluation.

3. Monitoring Your Symptoms: After a medical abortion, it is crucial to monitor your symptoms. If you experience heavy bleeding (soaking through a pad in an hour), severe abdominal pain, fever, or any other concerning symptoms, you should seek medical attention promptly. These could be signs of complications such as infection or retained tissue.

4. Follow-Up Care: It is essential to have a follow-up appointment with your healthcare provider after a medical abortion, typically within a week or two. This appointment allows your provider to ensure that the abortion was complete and that your body is healing properly. If you have any concerns about your bleeding or any other symptoms, do not hesitate to bring them up during this visit.

5. Emotional Considerations: It is also important to consider the emotional aspect of resuming sexual activity after an abortion. Many women experience a range of emotions, including relief, sadness, or anxiety. It is perfectly normal to feel uncertain about intimacy after such a significant event. Open communication with your partner about your feelings and comfort levels is crucial.

In summary, while having sex after a medical abortion is possible, it is advisable to wait for a period of time to allow your body to heal properly. Since you experienced increased bleeding after intercourse, it would be wise to monitor your symptoms closely and consult with your healthcare provider if you have any concerns. They can provide personalized advice based on your specific situation and ensure that you are recovering well.

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