Am I at Risk of Pregnancy After Medication Abortion?

Can I get pregnant?

On September 26, I discovered I was pregnant and went for a medical abortion on the same day, using the first dose of medication.
On September 28, I took three pills as instructed.
The doctor also prescribed me a three-day supply of medication, which I have been taking normally.
Today, on October 4, I had intercourse with my boyfriend.
We did not use a condom for the first three minutes, but we did use one afterward.
I also rinsed afterward.
Should I take emergency contraception, or is there a chance I could become pregnant? Currently, I am still experiencing a little bit of bleeding from the medical abortion.
Could there be any issues with this?

Dian Dian, 20~29 year old female. Ask Date: 2022/10/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the probability should be low.
If you're still concerned, you might consider taking emergency contraception.
Wishing you good health.

Reply Date: 2022/10/04

More Info

After undergoing a medication abortion, it is understandable to have concerns about the risk of becoming pregnant again, especially after engaging in unprotected intercourse. Let's break down the situation and address your concerns.

Firstly, it is important to understand that a medication abortion typically involves taking two different medications: mifepristone and misoprostol. These medications work together to terminate a pregnancy. After taking these medications, it is common for individuals to experience bleeding, similar to a menstrual period, which can last for several days to a few weeks. The bleeding you are experiencing is likely a normal part of the process following the abortion.

Regarding the risk of becoming pregnant after a medication abortion, it is crucial to note that ovulation can occur as soon as two weeks after the abortion. This means that if you engage in unprotected intercourse during this time, there is a possibility of becoming pregnant again. In your case, since you had unprotected intercourse on October 4, which is only a few days after your abortion, there is a risk of pregnancy.

Using emergency contraception (the "morning-after pill") can help reduce the risk of pregnancy after unprotected intercourse. The effectiveness of emergency contraception is highest when taken as soon as possible after the unprotected sex, ideally within 72 hours, but some types can be taken up to 5 days after. Given that you had unprotected intercourse shortly after your abortion, it would be advisable to consider taking emergency contraception if you have not done so already.

Additionally, it is important to consult with your healthcare provider regarding your current situation. They can provide personalized advice based on your medical history and the specifics of your recent abortion. They may also want to monitor your recovery from the abortion to ensure that everything is progressing normally and that there are no complications.

As for the bleeding you are experiencing, it is generally expected after a medication abortion. However, if you notice any signs of heavy bleeding (soaking through two or more pads in an hour for two consecutive hours), severe pain, fever, or any other concerning symptoms, you should seek medical attention immediately.

In summary, while there is a risk of becoming pregnant after a medication abortion, taking emergency contraception can help mitigate that risk. It is also essential to keep an open line of communication with your healthcare provider to ensure that you are recovering well and to discuss any concerns you may have about your reproductive health moving forward. Always prioritize your health and well-being, and do not hesitate to reach out for professional guidance.

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