Post-Medication Abortion: Concerns About Sexual Activity and Pregnancy Risks

Sexual intercourse after a medical abortion?

I would like to inquire about my situation.
On February 2nd, an ultrasound showed an embryo approximately 1 week and 5 days old.
I took the first dose of RU486 on February 2nd, and started bleeding on February 3rd, although it wasn't heavy.
The bleeding continued until around February 10th.
Between the 10th and 20th, I had ongoing bleeding and visited my obstetrician for ultrasound examinations, during which I was also prescribed uterine contraction medication.
Starting on the 11th, I began to notice brown discharge.
On the 18th, I returned to my obstetrician for another ultrasound, which indicated that there was still pregnancy tissue present.
That evening, there was external ejaculation, but the brown discharge persisted until around the 20th.
On the 22nd, I went back for another ultrasound, and there was still some tissue that had not been expelled.
However, the doctor prescribed antibiotics and contraction medication, stating that if there were no issues after completing the medication, everything would be fine.

1.
I would like to ask the doctor if there is still a possibility of pregnancy in this situation.

2.
Should I seek ultrasound examination at another hospital, or is it sufficient to let the body expel the tissue naturally?

Y, 20~29 year old female. Ask Date: 2023/02/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on the situation you described, I recommend that you consult a physician to examine and address the issue of this miscarriage, in order to prevent complications such as bleeding or infection.
Thank you! Wishing you safety and good health.
Dr.
Chang

Reply Date: 2023/02/28

More Info

When it comes to post-medication abortion and the concerns surrounding sexual activity and pregnancy risks, it's essential to understand the implications of the medications used, the body's response, and the potential for future pregnancies.

1. Possibility of Pregnancy After Medication Abortion: After taking RU486 (mifepristone) and experiencing bleeding, there is still a possibility of remaining pregnancy tissue in the uterus, as indicated by your ultrasound results. If there is retained tissue, it can lead to complications such as infection or continued bleeding. Engaging in sexual activity during this time, especially with the presence of any bleeding or discharge, can increase the risk of infection. It is crucial to follow your healthcare provider's advice regarding sexual activity and to monitor any symptoms that may arise.

2. Need for Further Ultrasound: Given that your ultrasound indicated the presence of remaining pregnancy tissue, it is advisable to follow up with your healthcare provider. They may recommend additional ultrasounds to ensure that the tissue is expelled completely. If the tissue does not pass naturally, further medical intervention may be necessary, which could include additional medication or a surgical procedure. It is essential to ensure that your uterus is clear to prevent complications in future pregnancies.

3. Risks of Sexual Activity Post-Abortion: Engaging in sexual activity after a medication abortion, especially when there is ongoing bleeding or discharge, can pose risks. The cervix may still be open, and the risk of infection is heightened. It is generally recommended to wait until you have been cleared by your healthcare provider before resuming sexual activity. This waiting period allows your body to heal and reduces the risk of complications.

4. Future Pregnancy Considerations: If you are considering future pregnancies, it is crucial to allow your body adequate time to recover after an abortion. The menstrual cycle may take some time to regulate, and it is advisable to consult with your healthcare provider about when it is safe to attempt conception again. They can provide personalized guidance based on your health history and the specifics of your recent abortion.

5. Emotional and Psychological Considerations: The experience of undergoing a medication abortion can be emotionally taxing. It is essential to take care of your mental health during this time. If you find yourself struggling with feelings of sadness, anxiety, or guilt, consider reaching out to a mental health professional or support group.

In summary, after a medication abortion, it is crucial to monitor your health closely, follow up with your healthcare provider for any retained tissue, and be cautious about resuming sexual activity. Always prioritize your health and well-being, and do not hesitate to seek medical advice if you have concerns about your recovery or future pregnancies.

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