Concerns After Abortion: Possible Pregnancy Symptoms Explained

Abortion

Doctor! I would like to ask you...
I had a surgical abortion on July 31, and at that time, I was less than a week pregnant, but there was evidence of implantation in the uterus.
After the procedure, I have been experiencing nausea, breast tenderness, changes in taste, and slight abdominal distension.
On August 7, my intimate area came into contact with semen...
Is there a possibility of conception? On August 18, I took a pregnancy test and saw a very faint second line that was hard to notice unless looked at closely.
However, I did come into contact with a little water.
I am still experiencing occasional nausea, and my abdomen still feels distended, almost like I am pregnant.
Additionally, I feel very warm, my appetite is not great, and I prefer stronger flavors.
Sometimes my lower back feels sore.
I have seen a doctor, and he said to wait a while longer as it is too early to tell.
I am very worried that I might be pregnant again.
I have read many articles stating that conception is possible only after two weeks, but given my physical symptoms, I am still very anxious.

YOYO, 20~29 year old female. Ask Date: 2008/08/27

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello! If you still experience symptoms of pregnancy after an abortion procedure, please come in for an examination.
Wishing you peace and health.

Reply Date: 2008/08/27

More Info

After an abortion, it is not uncommon for individuals to experience a range of physical and emotional symptoms. In your case, having undergone a surgical abortion on July 31, you are noticing symptoms that could be indicative of either residual effects from the procedure or a new pregnancy. Let's break down your concerns.

Firstly, it's important to understand that after an abortion, the body goes through a recovery process. Symptoms such as nausea, breast tenderness, and changes in appetite can occur as hormonal levels fluctuate. These symptoms can mimic those of early pregnancy due to the hormonal changes that happen in your body post-abortion. The presence of nausea and breast tenderness, along with a slight abdominal protrusion, could be attributed to these hormonal shifts rather than a new pregnancy.

Regarding your concern about potential pregnancy after the abortion, it is indeed possible to conceive shortly after an abortion, especially if you have unprotected intercourse. Sperm can survive in the female reproductive tract for up to five days, which means that if you had intercourse shortly after your abortion, there is a possibility of becoming pregnant again. The faint line you observed on the pregnancy test could indicate a new pregnancy, but it is also possible that it is a result of residual hCG (human chorionic gonadotropin) from your previous pregnancy.

It is generally recommended to wait at least two weeks after an abortion before taking a pregnancy test to allow for accurate results. If you are testing too soon, the results may not be reliable. If you continue to experience symptoms that are concerning or if the faint line on the pregnancy test persists, it would be advisable to follow up with your healthcare provider. They may recommend a blood test to measure your hCG levels, which can provide more definitive information about whether you are pregnant again.

Additionally, it is crucial to monitor your emotional well-being during this time. The experience of an abortion can lead to a range of emotions, including anxiety about future pregnancies. If you find yourself feeling overwhelmed or excessively worried, consider reaching out to a mental health professional or a support group. Talking about your feelings can be incredibly beneficial.

In summary, while your symptoms could be related to hormonal changes following your abortion, there is also a possibility of a new pregnancy if you had unprotected intercourse shortly after the procedure. It is essential to consult with your healthcare provider for further evaluation and to address any concerns you may have. They can provide guidance tailored to your specific situation and help you navigate this period of uncertainty. Remember, it is always better to seek professional advice when in doubt about your health.

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