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

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If a person has a medical abortion and engages in unprotected intercourse within four weeks, there is still a possibility of becoming pregnant?


If you took the second dose of the abortion medication on May 29 and had unprotected intercourse with ejaculation inside on June 23, there is a possibility of becoming pregnant.
If you are still experiencing light bleeding, taking emergency contraception may still be effective, but it is advisable to consult with a healthcare provider for personalized guidance.
If you decide to take emergency contraception, you do not necessarily have to wait until your next menstrual period to start; it can be taken as soon as possible after unprotected intercourse.

Niming, 20~29 year old female. Ask Date: 2024/07/06

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you did not use complete contraception, it is advisable to take emergency contraceptive pills just in case.
For regular birth control pills, you should wait for your period to start and then begin taking them on the fifth day.
Wishing you good health.

Reply Date: 2024/07/06

More Info


After a medication abortion, it is indeed possible to become pregnant again if you have unprotected intercourse. The timeline for fertility can vary from person to person, but ovulation can occur as soon as two weeks after the abortion, which means that if you had intercourse on June 23, there is a possibility of pregnancy.

Regarding your question about the potential impact of taking emergency contraception (often referred to as the "morning-after pill") after a medication abortion, it is generally considered safe to use. Emergency contraception works primarily by delaying ovulation, and it is effective as long as it is taken within the appropriate time frame after unprotected intercourse. If you are still experiencing light bleeding from the abortion, it should not affect the efficacy of the emergency contraception.

As for when to start taking emergency contraception, it is important to follow the instructions provided with the medication. Most emergency contraceptive pills can be taken at any time in your cycle, regardless of whether you are still bleeding or not. However, if you are prescribed a specific regimen or if you have any concerns, it is always best to consult with your healthcare provider for personalized advice.

In terms of your menstrual cycle, after a medication abortion, it may take some time for your periods to return to their normal pattern. Some women may experience irregular cycles or changes in flow for a few months following the procedure. Therefore, it is not necessary to wait until your next period to start taking emergency contraception if you have had unprotected intercourse.

It is also worth noting that if you have any ongoing concerns about your reproductive health or if you experience any unusual symptoms after the abortion, such as severe pain or heavy bleeding, you should seek medical attention promptly. Your healthcare provider can offer guidance tailored to your specific situation and help you navigate any concerns regarding future pregnancies.

In summary, yes, you can become pregnant after a medication abortion if you have unprotected intercourse. Taking emergency contraception is a safe option, and you do not need to wait for your next period to start it. Always consult with your healthcare provider for the best course of action based on your individual health needs.

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Dr. Zhang Kunmin reply Obstetrics and Gynecology
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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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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, there is still a chance. It is recommended to take emergency contraception. Wishing you good health.

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