Concerns About Pregnancy After Medication Abortion and Hormonal Treatment

Three weeks after medical abortion, ejaculation outside the body?

I apologize for the inquiry.
On August 9, I had a RU (medical abortion), and on August 11, I took the second dose.
During my follow-up on August 17, there was a small amount of blood.
The doctor prescribed some hormonal medications (Remexin and Shiton, one tablet each in the morning and evening), but I forgot to take them until August 29.
Later, I found out online that these medications are related to abortion and can induce or delay menstruation.
I did not have any bleeding after August 18.
On August 29 and 30, I engaged in sexual intercourse with withdrawal method.

1.
I would like to ask if this situation makes it easy to get pregnant, as I am planning to get an IUD and have already scheduled an appointment at the clinic.
I am very concerned about the possibility of becoming pregnant again.

2.
Will starting the medications prescribed by the doctor too late have any impact on the recovery of my uterus or cause early ovulation, potentially leading to pregnancy? Thank you.
🙏

riri, 20~29 year old female. Ask Date: 2022/09/02

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is still advisable to take contraceptive measures for safety.
If ejaculation occurs inside, it is recommended to take emergency contraception.
If it is external, it should be fine.
You can consider getting an intrauterine device (IUD) after your period, once you confirm everything is okay.
Wishing you good health.

Reply Date: 2022/09/02

More Info

When considering the concerns about pregnancy after a medication abortion and hormonal treatment, it's important to understand the implications of both the medication used and the timing of any subsequent actions, such as engaging in sexual activity or starting contraceptive methods.

1. Easiness of Conceiving After Medication Abortion: After a medication abortion, it is indeed possible to conceive again relatively quickly. The body can return to its normal ovulatory cycle within a few weeks following the abortion. If you had your medication abortion on August 9 and did not experience significant bleeding afterward, your body may have already started to prepare for ovulation again. Engaging in sexual activity, even with withdrawal (pull-out method), can lead to pregnancy if ovulation occurs. Therefore, if you are not ready for another pregnancy, it is crucial to use effective contraception as soon as possible.

2. Impact of Delayed Hormonal Treatment: The hormonal medications prescribed (Remexin and Shiton) are typically used to help regulate the menstrual cycle and support the recovery of the uterine lining after an abortion. Taking these medications late may not have the intended effect on your cycle or recovery. However, it is unlikely that delaying the start of these medications by a few days will cause significant harm or lead to premature ovulation. The primary concern with hormonal treatments is ensuring they are taken as directed to support your body’s recovery process. If you have missed doses, it is advisable to consult your healthcare provider for guidance on how to proceed.

3. Contraceptive Options: Since you are considering an intrauterine device (IUD) for contraception, this is a highly effective method for preventing pregnancy. IUDs can be inserted shortly after an abortion, and they provide long-term contraception without the need for daily attention. If you are concerned about the timing of your IUD insertion, discuss this with your healthcare provider. They can provide you with the best timing based on your individual recovery and menstrual cycle.

4. Monitoring Your Cycle: After a medication abortion, it is essential to monitor your menstrual cycle. If you do not have a period within 4-6 weeks, or if you experience any unusual symptoms (such as severe pain or heavy bleeding), you should contact your healthcare provider. They may want to perform an ultrasound or other evaluations to ensure that your uterus is healing properly.

5. Emotional and Psychological Considerations: It’s also important to consider the emotional aspects of experiencing a medication abortion and the desire for future pregnancies. It’s normal to have mixed feelings about these events. Seeking support from a counselor or a support group can be beneficial as you navigate these feelings and make decisions about your reproductive health.

In summary, while it is possible to conceive shortly after a medication abortion, using effective contraception is crucial if you wish to avoid another pregnancy. Delaying hormonal treatment may not significantly impact your recovery, but it’s best to follow up with your healthcare provider for personalized advice. Lastly, consider your emotional well-being during this time, and don’t hesitate to seek support if needed.

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