Pregnancy After Abortion
Unwanted pregnancy after abortion
Many women are concerned about a risk of getting pregnant right after a termination of pregnancy. Many women do not understand that they can get pregnant right after an abortion, as soon as 7-10 days after the termination of pregnancy. You can get pregnant even if you are still bleeding. It is most important that a reliable form of birth control is used. Birth control is best started during the week after the termination of pregnancy. If birth control pills, a Depoprovera injection, a Nuvaring®, or birth control patch are started within one week of the abortion, they should be effective immediately. If unprotected sex occurs 8 or more days after an abortion, it is best to use Plan B.
Wanted pregnancy after abortion
Many women are also concerned that abortion may cause problems with fertility and want to make sure that they will be able to get pregnant when they are ready. Routine abortion does not cause problems with fertility. Infertility problems are caused by unusual scarring of the uterus after a D&C procedure (for abortion, management of miscarriage, or for incomplete abortion). It is thought that the scraping of the uterus (with a “curette” during a D&C procedure is responsible for scar tissues. In the extremely rare situation that scarring is extensive enough to cause fertility problems, it is called Asherman’s syndrome. There is no evidence that the Abortion Pill causes scarring. Theoretically Manual Vacuum Aspiration should diminish or eliminate the risk of scarring because there is no scraping, but there has been no research to confirm this. Theoretically, suction abortion without scraping (sometimes called “suction curettage”) should diminish or eliminate the risk of scarring, but there has been no research to confirm this.
Frequently Asked Questions about Pregnancy After Abortion:
How soon after conception does a pregnancy test turn positive?
Today, pregnancy tests can start to turn positive one week after conception. If the test is negative two weeks after conception, it is unlikely that pregnancy occurred.
Can I get pregnant after abortion?
Yes, definitely. Routine abortion does not cause infertility. You can get pregnant within weeks after an abortion, so it is important to practice prevention right away. There are rare risks of infertility after D&C abortions. If you get normal periods after an abortion, there should not be concern about future pregnancies.
How soon can I get pregnant after an abortion?
You are able to get pregnant right away after an abortion. Ovulation can occur at any time, even when you are bleeding. If you do not want to get pregnant again it is important to start on birth control. If you do want to get pregnant again and you had a very early medical abortion (RU486) or the Aspiration Procedure, you can conceive immediately. If you had a first trimester surgical abortion (D&C procedure) and are choosing to get pregnant, it is probably fine to conceive immediately, but you may want to wait one month to make sure the uterus is healed.
How do I know if I’m pregnant again after an abortion?
If you suspect pregnancy after abortion, it can be difficult to tell if you are pregnant. After an abortion, the pregnancy test can remain positive for over a month. One way to tell if you are pregnant again is to get a pack of two home pregnancy tests. Take one test at least one week after the day you think you conceived. Take the second test one week later and compare them. If the second test is darker than the first (more positive) it is probably a new pregnancy. If the second test is lighter than the first test, the positive pregnancy test is probably reading your hormones from the initial pregnancy.
I am pregnant right after an abortion. Is this a problem?
If you are pregnant right after an abortion, there are no concerns about either continuing the pregnancy or ending the pregnancy. If you decide to end the pregnancy, a second abortion is safe. There is no evidence that repeat abortions cause any problems for future fertility. If you decide to continue the pregnancy there is no reason to be concerned. If the uterus was ready to conceive, it should be ready to carry the pregnancy.