Can You Get Pregnant After Abortion? Risks and Emergency Contraception - Obstetrics and Gynecology

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After an abortion


If you had a surgical abortion on November 1 and experienced bleeding until November 8, and then had sexual intercourse on November 9 with withdrawal method, is there still a possibility of becoming pregnant in such a short time? Do you need to take emergency contraception?

Niming, 20~29 year old female. Ask Date: 2012/11/09

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: Based on what you've said, the chances of pregnancy are low.
However, if there are no plans for marriage and childbearing, it is still advisable to practice effective contraception to avoid a life filled with anxiety.
Thank you!

Reply Date: 2012/11/09

More Info


After an abortion, it is indeed possible to become pregnant again quite quickly. The menstrual cycle can resume shortly after the procedure, and ovulation can occur as early as two weeks post-abortion. In your case, since you had an abortion on November 1 and had unprotected intercourse on November 9, there is a possibility of pregnancy, especially if you ovulated during that time.


Understanding Risks and Emergency Contraception
1. Risk of Pregnancy: After an abortion, the body can return to its normal reproductive cycle relatively quickly. If you had unprotected intercourse shortly after your abortion, there is a chance that sperm could fertilize an egg if ovulation occurred. The timing of ovulation varies from person to person, but it typically occurs about 14 days before the next expected period. If you are unsure about your ovulation timing, it is advisable to consider the possibility of pregnancy.

2. Emergency Contraception: If you are concerned about the risk of pregnancy after having unprotected sex, emergency contraception (EC) can be an option. EC is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some forms can be taken up to 5 days after. There are two main types of emergency contraception:
- Levonorgestrel (Plan B): This is available over-the-counter and is most effective within 72 hours.

- Ulipristal Acetate (Ella): This prescription medication can be taken up to 120 hours after unprotected intercourse and is effective throughout that time frame.

3. Considerations for Future Pregnancies: If you are considering future pregnancies after an abortion, it is essential to consult with your healthcare provider. They can provide guidance on when it is safe to try to conceive again and discuss any potential risks based on your medical history and the circumstances surrounding your abortion. Generally, it is recommended to wait until you have had at least one normal menstrual cycle before trying to conceive again, as this allows your body to recover and helps in dating a future pregnancy accurately.

4. Monitoring Your Health: After an abortion, it is crucial to monitor your health for any signs of complications, such as excessive bleeding, severe pain, or signs of infection. If you experience any concerning symptoms, seek medical attention promptly.

5. Emotional Considerations: The emotional impact of an abortion can also affect your readiness for future pregnancies. It is essential to take the time to process your feelings and discuss any concerns with a healthcare provider or a mental health professional if needed.

In summary, yes, you can get pregnant shortly after an abortion, and there is a possibility of pregnancy if you had unprotected intercourse shortly after the procedure. If you are concerned about this, consider taking emergency contraception as soon as possible. Always consult with your healthcare provider for personalized advice and to discuss your reproductive health moving forward.

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