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20 April 2009 @ 10:33 am
Sex after abortion  
Hi again,

I was reading through the site and noticed a lot of postings saying after an abortion you have to wait 2 weeks, or more before you can resume intercourse.  After my abortion 6 days ago, I was told by one of the nurses I could resume sex again when I felt okay to do so-no time frame was really given, she did say I probably wouldn't want to initially due to the blood.

Well, last night I had sex with my boyfriend for the first time with a condom, I have a scheduled appointment in two weeks for an IUD insertion, so we had to use a condom.  It felt right, and there was really not much bleeding, but now I am freaking out b/c I read you may be more fertile after an abortion, is this true?  Even though we used a condom, I am frantic, b/c I do not want to get pregnant again!!  I have been taking the antibiotics and everything, and I have no pain or signs of infection, everything seems to be okay in that respect.

So my question is...

Are you MORE fertile after an abortion?

Is it possible to get pregnant 5 days after an abortion, with bleeding still present?

When would someone typically ovulate after an abortion?  Two weeks?

Thanks!
 
 
( 16 comments — Leave a comment )
cjmiller83cjmiller83 on April 20th, 2009 03:22 pm (UTC)
My understanding is you can get pregnant anytime after an abortion. Everyone is different which is why it's so hard to pin down an exact time when you could be ovulating. Typically though I think it should be right around 2 weeks. (but I am not a Dr. either LOL)

I wouldn't worry TOO much about it, but if you really feel that bad about it, perhaps taking Plan B would ease your mind. I'm not sure if they gave you an RX for it, but they gave me a RX for a year for it. I don't really know much about it though.

Glad to hear you are feeling so good after your abortion though!!!
eyelideyelid on April 20th, 2009 03:49 pm (UTC)
Typically though I think it should be right around 2 weeks.

In the "textbook" menstrual cycle (28 days) the woman would be ovulating app. 2 weeks after the first day of her last period. But a pregnancy/abortion/miscarriage of course may (and often does) throw a woman's cycle off for a bit. I would say it's more common for a woman to take a bit more time to ovulate after an abortion, but that's just anecdotally based.

joey1414 on April 20th, 2009 03:53 pm (UTC)
That makes sense, I am being paranoid, but I can't help it.

joey1414 on April 20th, 2009 03:50 pm (UTC)
Thanks for the response, I would think two weeks as well, but it's so annoying that there really is no clear cut answer given when you google this question.


It seems there is no scientific evidence supporting the theory that you are more fertile, but a lot of people say you are, I wish there were some facts on the subject!

I do have Plan B, they actaully gave it to me after the abortion, but I took it once in high school and was puking all night from it. I think I may have not followed the directions well, but I don't want to be sick, then again, I may take it. Ughhh, I can't wait for the IUD.
Sarahindigodye on April 20th, 2009 03:51 pm (UTC)
It is true that fertility is higher right after an abortion. Did you guys check the condom for holes afterwards?
joey1414 on April 20th, 2009 03:56 pm (UTC)
No we did not check the condom...he put it in the trash after...it was messy. I mean, I feel like it was probably fine, but all I can picture in my head is this one cartoon sperm jumping out and landing in an egg and laughing...

I am thinking of every possible scenario, it's crazy.
Sarahindigodye on April 20th, 2009 03:59 pm (UTC)
unless you definitely know there is a hole in the condom, I would just operate under the assumption that you are fine. I know it's scary, and your hormones aren't making things any better. Just take it one day at a time.
Julietmydocuments on April 20th, 2009 04:52 pm (UTC)
This is untrue. Abortions do not affect your future fertility, either in the short term or long term.
Sarahindigodye on April 20th, 2009 04:53 pm (UTC)
No, I'm not meaning future fertility, over months or years - I'm talking about the immediate days afterwards.
Julietmydocuments on April 20th, 2009 05:14 pm (UTC)
Yes, which is why I stated my comment to include both short term and long term fertility.

After some extensive Google Scholaring, just to be sure, there is no link between an abortion, either spontaneous or induced, and an immediate spike in fertility. After an abortion, your ovulation will continue to be one egg/per month (generally, a body may occasionally put out two eggs, such as in the case of fraternal twins), and nor will those eggs be Super!Eggs. They're just plain, old, every day eggs.

There is some evidence to suggest that initial ovulation may occur more quickly than expected, because the hCG still in the body takes about 40 days to return to pre-pregnancy levels. And hCG is very similar, clinically, to LH, which, along with FSH, is what lets the body know when and if to ovulate that month.

So no, you don't have an increased likelihood of pregnancy following an abortion. However, because it's so difficult to know when you have ovulated, it is probably not the best idea to rely on a method of contraception such as FAM until you're *very* sure that your cycles have normalized.
joey1414 on April 20th, 2009 05:35 pm (UTC)
What does FAM, FSH, and LH mean?

I'm not too good with acronyms..:)
Julietmydocuments on April 20th, 2009 05:47 pm (UTC)
=)

FAM: "Fertility Awareness Method." Also known as the rhythm method and as natural family planning. FAM is a method of contraception whereby you avoid unprotected sex during certain times of the month, either by withdrawal, condom use, or abstinence from PIV sex.

FSH: "Follicle Stimulating Hormone." Pretty much what it sounds like. It's the hormone that stimulates your ovarian follicles to ripen an immature egg.

LH: "Luteinizing Hormone." This is the hormone that stimulates ovulation. Called "Luteinizing" because it triggers the conversion of the follicle to a corpus luteum, which in turn releases progesterone that thickens the endometrium in preparation to implant a fertilized egg.
eyelideyelid on April 20th, 2009 04:02 pm (UTC)
you are not pregnant.

1) you only had an abortion 5 days before you had sex. While anything is possible in an infinite universe, realistically there is no way you have ovulated yet. you cannot get pregnant unless you are close to ovulation or have just ovulated.

2) you used a condom.


When would someone typically ovulate after an abortion? Two weeks?

Most women ovulate between 1 1/2 and 2 1/2 weeks after the first day of their last period. A pregnancy, no matter how it ends, is likely to delay that cycle somewhat as your body resets.

I would say (completely anecdotally based, no science behind this) that most commonly a woman ovulates app. 4 weeks after her abortion (leading to a period 6 weeks after her abortion), but a woman may ovulate as soon as 1 1/2 weeks after (if she's got a short cycle and resets immediately) or it may take months.


Are you MORE fertile after an abortion?

There is an old wives' tale around the internets that you are more fertile right after an abortion or miscarriage. There is no actual evidence I have ever found that anyone is more fertile after an abortion or miscarriage. There is also physical reason that I know of why you would be.

This myth probably started because after an abortion/miscarriage, it's difficult to know when you will ovulate; the pregnancy/abortion/miscarriage throws off your cycle. so a woman is less likely to know when she is going to be fertile, and consequently is more likely to make a mistake (assuming she doesn't want to get pregnant) and have sex during a fertile time.
Punim: blue r/hrshyshutterbug on April 20th, 2009 09:32 pm (UTC)
Strictly speaking, no, you are not more fertile after an abortion. Your eggs are not any more likely to be fertilized, and your hormones are not manipulated in such a way as to make conception more likely. However, because ovulation/resumption of a genuine menstrual cycle is unpredictable after the end of a pregnancy (the first menstrual period can be anywhere from three to eight weeks post-AB), and because it's impossible to know how long it will take for your cervix to close (i.e. easier for sperm to swim higher and cause a pregnancy), I can certainly see the justification for you being more likely to conceive at this time. However, the odds of you ovulating after five days are practically nil, and so I'd find it highly unlikely for you to have conceived again. Infection caused by vaginal activity would be a definite concern, but pregnancy? Not likely.
gracie40 on April 23rd, 2009 03:02 am (UTC)
IUD insertion
Hey there,

I noticed that you said you were having an IUD inserted soon. I had a surgical abortion on March 5 and had a Paragard IUD inserted about 8 days after that. I am an athlete and am always getting kicked/scraped/injured so I consider myself to have a relatively high threshold for pain. The actual abortion wasn't painful for me at all (with no pain meds). BUT -- the IUD insertion was another story. I wasn't prepared for how much it would hurt. I feel like I would have been better off had I been able to expect the pain. I am NOT trying to scare you - you just might want to up the recommended "pre-procedure" ibuprofen recommendation.

I was able to drive myself home after the surgical abortion but I almost fainted while driving after the IUD insertion and my friend had to pick me up in a parking lot!

If you have any specific questions then I am happy to answer them. I am so happy with the IUD now - but insertion was a doozie!

Best wishes!
joey1414 on April 23rd, 2009 12:43 pm (UTC)
Re: IUD insertion
Thank you so much for telling me! I have a pretty low threshold for pain-I actually asked if I could be put under for it!

I will take your advice, I was assuming it would probably be painful because it is opening the cervix-like in a an abortion and that is painful as well.

I really appreciate your comment, thank you.
( 16 comments — Leave a comment )