Can You Get Pregnant After Medical Abortion and Intercourse? - Obstetrics and Gynecology

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Medication abortion issues


I would like to ask if having sexual intercourse two weeks after a medical abortion, while experiencing some vaginal bleeding, and with a small amount of pre-ejaculate fluid entering the vagina, increases the likelihood of pregnancy.
Thank you.

Leo, 20~29 year old female. Ask Date: 2023/07/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the probability should be low, but it's still important to stay vigilant.
Wishing you good health.

Reply Date: 2023/07/19

More Info


After a medical abortion, it is indeed possible to conceive again relatively quickly, as the body can return to its fertile state soon after the procedure. Typically, ovulation can occur as soon as two weeks after the abortion, which means that if you engage in unprotected intercourse during this time, there is a chance of becoming pregnant.

In your case, you mentioned that you had a medical abortion and then engaged in sexual intercourse two weeks later, during which you experienced some vaginal bleeding. It's important to note that light bleeding can be normal after an abortion, as the body is still in the process of healing. However, the presence of bleeding does not necessarily indicate that you are not fertile; ovulation can still occur even if you are experiencing some post-abortion bleeding.

Regarding the likelihood of pregnancy, if there was ejaculation (even if it was just pre-ejaculate fluid) inside the vagina during intercourse, there is a possibility of sperm being present. Sperm can survive in the female reproductive tract for several days, so if you ovulated shortly after the intercourse, there is a chance that you could conceive.

From a medical standpoint, it is generally recommended to wait for at least one menstrual cycle after a medical abortion before trying to conceive again. This allows your body to fully recover and ensures that your next pregnancy can be monitored more effectively. However, if you are in a situation where you are considering becoming pregnant again soon after an abortion, it is crucial to consult with your healthcare provider. They can provide personalized advice based on your health history and current condition.

Additionally, if you are experiencing any unusual symptoms, such as heavy bleeding, severe pain, or signs of infection (like fever or foul-smelling discharge), it is essential to seek medical attention promptly. These could be signs of complications from the abortion that need to be addressed.

In summary, while it is possible to become pregnant shortly after a medical abortion, it is advisable to consult with a healthcare professional for guidance tailored to your specific situation. They can help assess your readiness for another pregnancy and provide recommendations to ensure your health and the health of any future pregnancies.

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Dr. Wu Xianghui reply Obstetrics and Gynecology
1. Theoretically, it should not happen. 2. For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse.

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Hello, there is still a chance. It is recommended to take emergency contraception. Wishing you good health.

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Hello, based on your description, the chances of pregnancy are low, but it is not impossible. I recommend that you still take post-coital contraceptive measures. If your period is delayed, you should take a urine test to check for pregnancy. Thank you! Wishing you peace and healt...

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