Is It Safe to Have Sex After Abortion? the Risks - Obstetrics and Gynecology

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Hello, Dr.
Lu! I would like to ask you about my girlfriend.
She had an abortion on the 15th, and we had sexual intercourse on the 29th, with brief vaginal penetration followed by ejaculation outside.
Is this risky?

Xiao Gui, 20~29 year old female. Ask Date: 2005/08/30

Dr. Lü Lizheng reply Obstetrics and Gynecology


It is unlikely that ovulation will resume that quickly, and pregnancy is not very probable at this time.
However, it is not absolutely impossible.
If menstruation is significantly delayed, it is still advisable to take a pregnancy test.
Regards, Lu Lizheng.

Reply Date: 2005/08/30

More Info


After an abortion, it's crucial to understand the body's recovery process and the associated risks of engaging in sexual activity. Your question regarding the safety of having sex after your girlfriend's abortion on the 15th and then having intercourse on the 29th, albeit briefly and with external ejaculation, raises several important points.

Firstly, after an abortion, whether it is a medical or surgical procedure, the body requires time to heal. The typical recommendation is to wait at least two weeks before resuming sexual intercourse. This waiting period allows the cervix to close and reduces the risk of infection. Engaging in sexual activity too soon can lead to complications such as infections or increased bleeding.

In your case, having sex on the 29th, which is just two weeks post-abortion, is relatively close to the recommended waiting period. While the risk of pregnancy is low since you mentioned that ejaculation occurred externally, it is not entirely absent. Pre-ejaculate fluid can contain sperm, and if any sperm were to enter the vagina, there is a possibility of conception. However, the likelihood is significantly reduced compared to full penetration with ejaculation inside.

Moreover, it is essential to consider the emotional and physical state of your girlfriend post-abortion. Many women experience hormonal changes, emotional fluctuations, and physical discomfort after an abortion. It's important to communicate openly with your partner about her feelings and comfort level regarding sexual activity during this recovery phase.

In terms of health risks, if your girlfriend experiences any unusual symptoms such as severe pain, heavy bleeding, fever, or foul-smelling discharge after having sex, it is crucial to seek medical attention immediately. These could be signs of complications such as infection or retained tissue.

Additionally, if you are concerned about the possibility of pregnancy, it is advisable for your girlfriend to take a pregnancy test if her next menstrual period is delayed. This will provide clarity and peace of mind.

In summary, while having sex two weeks after an abortion is not without risks, the specific circumstances you described—brief penetration and external ejaculation—reduce the likelihood of pregnancy. However, it is always best to err on the side of caution and wait a little longer to ensure complete healing. Open communication with your partner and monitoring for any concerning symptoms are key to navigating this period safely. If there are any doubts or concerns, consulting with a healthcare provider for personalized advice is always a wise choice.

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