Ovulation Pills: Concerns After Abortion and Menstrual Regulation

Ovulation medication issues?

Hello, I took abortion pills and everything cleared out.
On October 8th, I returned to the doctor, who said I needed to regulate my menstrual cycle, so I started taking ovulation medication.
On October 8th, I hadn't taken it yet and started bleeding.
I am currently on my third day of taking the medication, but I stopped bleeding on the night of the third day.
I had sexual intercourse on October 11th, using a condom throughout.
Why am I no longer bleeding? Am I pregnant?

Xiao Qian, 10~19 year old female. Ask Date: 2015/10/12

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
It is unlikely that you are pregnant, as it typically does not take such a short time to resume ovulation, and you have been using condoms.
2.
It may just be that the bleeding has stopped completely, which is why there is no further bleeding.
If you want to confirm, it is advisable to seek medical examination.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/10/12

More Info

After undergoing a medical abortion, it is common for women to have questions regarding their menstrual cycle and the use of ovulation pills. In your case, you mentioned that you took abortion medication and were advised by your doctor to take ovulation pills to help regulate your menstrual cycle. You also noted that you experienced bleeding before starting the ovulation pills, but the bleeding stopped after three days of taking the medication.

Firstly, it is important to understand that after an abortion, the body goes through a period of hormonal adjustment. This can lead to irregular bleeding patterns as the body works to return to its normal menstrual cycle. The bleeding you experienced before starting the ovulation pills may have been part of this adjustment process. The ovulation pills you are taking are likely designed to help stimulate your ovaries and regulate your menstrual cycle, but they may not immediately result in consistent bleeding.

Regarding your concern about the cessation of bleeding after three days of taking the ovulation pills, it is not uncommon for bleeding to stop or become irregular during this time. The hormonal changes induced by the pills can affect your menstrual flow. It is also important to note that the absence of bleeding does not necessarily indicate pregnancy, especially since you mentioned that you had unprotected intercourse on October 11, but used a condom. Condoms are generally effective at preventing pregnancy when used correctly, but no contraceptive method is 100% foolproof.

If you are concerned about the possibility of pregnancy, the best course of action is to take a home pregnancy test. These tests are designed to detect the hormone hCG, which is produced during pregnancy. If the test is negative and you still have concerns, or if you experience any unusual symptoms such as severe abdominal pain or prolonged bleeding, it is advisable to consult your healthcare provider for further evaluation.

In summary, the cessation of bleeding after starting ovulation pills can be attributed to hormonal changes in your body as it adjusts post-abortion. While the risk of pregnancy exists, especially after unprotected intercourse, using a condom significantly reduces that risk. If you have any doubts or experience concerning symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance. It is essential to prioritize your health and well-being during this time of recovery and adjustment.

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