How soon after an abortion can you get pregnant?

03/17/2023

How soon can I get pregnant after an abortion? Ovulation can occur as soon as 2 weeks after an abortion. This means that a woman may become pregnant again before her next period. However, menstrual cycles vary in length, and women with shorter cycles may ovulate sooner.

Another factor that influences the timing of ovulation is the duration of the pregnancy before the abortion. If a pregnancy was farther along, a woman may not ovulate for several weeks after the abortion. This can occur when pregnancy hormones linger in the body.

To avoid pregnancy soon after an abortion, use contraception. According to the American College of Obstetricians and Gynecologists, a woman can use any contraceptive method, including an intrauterine device, immediately after pregnancy ends.

Anyone who wonders whether they have become pregnant soon after an abortion should take a pregnancy test. If the result is positive, see a doctor, who can determine whether there is a new pregnancy, or whether leftover pregnancy hormones are present.

Safety and risks

Abortions are safest when they happen as early as possible in pregnancy. Complications are more likely when pregnancy is farther along, regardless of the method of abortion.

Serious complications are unlikely to result from either type of abortion. One study - of 54,911 abortions among 50,273 women - found that complications occurred in 2.1% of cases, and serious complications in 0.23% of cases.

If complications arise, further treatment may be necessary to reduce the risk of problems in the future. A doctor can advise each individual about the risks.

After either type of abortion, many doctors recommend waiting until the bleeding ends before having sex again. Bleeding from an abortion can last for 2 weeks or more.

Other doctors advise waiting until at least one menstrual period has come and gone. Delaying sex will help reduce the risk of infection.

In some cases, it is necessary to delay having sex for longer, especially if the abortion took place later in the pregnancy or if there were complications.

Does having an abortion make it harder to get pregnant?

No. The leading body of OB-GYNs, the American College of Obstetricians and Gynecologists (ACOG), is very clear: Abortions don't increase the risk of future infertility. And in 2018, after combing through all of the relevant research published after the year 2000, a National Academies of Sciences, Engineering, and Medicine (NASEM) panel affirmed ACOG's stance.

The onlysituations in which fertility issues could arise after an abortion are if there are complications, which are extremely rare. One 2021 study reported "major" complication rates (e.g., required hospitalization, surgery, blood transfusion) as low as 0.02% for abortion pills administered via telemedicine and 0.04% for abortion pills administered via in-person care. In a 2015 study, major adverse events occurred only .16% of the time after a vacuum aspiration, and 0.41% after a later abortion procedures.

Abortion procedures that were used more frequently in the past, like dilation and curettage (D&C), were more likely to cause complications like adhesions in the uterus. Since the 1970s, the much gentler vacuum aspiration has mostly replaced D&C as an abortion procedure (though it may still be used after miscarriage).

Although medication abortion is extremely safe, ACOG recommends people who've had abortions talk to their care provider if they experience severe pain that does not respond to pain medication, soak two pads an hour for at least two hours, or have foul-smelling discharge or a fever 24 hours after taking misoprostol to ensure that they do not require additional medical care.

Can you get pregnant in future after having abortion

Yes, you can get pregnant almost immediately after having an abortion—even if you're still bleeding from the procedure or haven't yet had your period. The amount of time that elapses between when you have an abortion and when you can get pregnant again depends on the length of your menstrual cycle (which impacts ovulation—or when the ovary releases an egg) and how many weeks pregnant you were before the abortion.

Prior to having an abortion, ovulation will have stopped due to pregnancy, however, after an abortion, your body will restart its menstrual cycle. Assuming that the cycle begins the day after the abortion, ovulation usually occurs within the next 2-3 weeks. (According to research, ovulation returned approximately 3 weeks following a medical abortion with the drugs mifepristone and misoprostol, on average.)

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