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Making the decision to go through with an abortion it is often a stressful one.
There are many reasons why that decision is made whether it’s due to the health of the mother, learning about the health of the baby, and also that it’s just not the right time to bring a child into the world.
Whatever the situation is, it’s not one for others to judge, that is your decision and whatever you choose to do, it’s right for you.
Because it’s a stressful situation, there could be an effect on your upcoming menstrual cycle.
As explored in previous articles, stress can delay your period because your body is trying to regulate everything else (and it’s been said that delaying ovulation helps to prevent a pregnancy during a stressful time based on history).
Some women see their periods return quickly, within 4-8 weeks, while others may not see it as soon.
Let’s take a look at the basics of an abortion, different types, and then we can discuss how it can affect your next cycle (or two).
Abortion – General Information
An abortion is when pregnancy is ended at an early stage through an outside intervention. While there is a term, spontaneous abortion, it’s sort of a misnomer. It’s essential to note that this is a miscarriage.
This was not a pregnancy where the parents decided to terminate it, it’s when the body did it naturally [1].
The body, once a woman is pregnant, starts creating pregnancy hormones and preparing all the organs for sustaining a new life.
This means that during the time before and even after the abortion for a period of time, the woman can still experience some pregnancy symptoms such as morning sickness and sensitivity to smells.
The body must go back to normal and let those hormones regulate in order for you to start feeling yourself again and so that you start having a cycle again.
When you make the decision to get an abortion you’ll want to go to a trained medical practitioner. Going to a place that isn’t can risk your health and your future fertility.
There are two types of abortion, a medical abortion, and a surgical abortion.
No matter which you choose an early abortion will not impair your fertility or result in complications later in pregnancies.
Both medical and surgical method can be used to induce abortion throughout the pregnancy. The choice of method used depends on factors such as pre-existing medical conditions, preference of women and availability of surgeon.
Medical Abortion
The medical abortion is as it states, it’s done with medicine and one of the most common medications used for this is mifepristone, a progesterone receptor modulator. Since progesterone is required to maintain pregnant uterus in quiescent state, mifepristone will bring about uterine contractions and result in expulsion of fetus.
This is followed by prostaglandin analogue misoprostol, which can now be administered in lower doses, and brings about strong contractions to expel products of conception.
This is something you must get from a doctor and is not an over-the-counter medication. The name may change depending on where you are located however they all do the same thing.
Surgical Abortion
As the name states, this is an abortion done surgically where the doctor will do either a manual vacuum aspiration (MVA) or a dilation and evacuation (D&E).
The former is generally done within the first 12 weeks and the second can be done after the first month [3].
What About your Menstrual Cycle after an Abortion
When you terminate a pregnancy during the first trimester, your period should return in four to eight weeks [4].
Generally, the earlier in the pregnancy you have the abortion, the sooner your cycle will return.
However, that does also depend on what type of birth control you are using (as some can delay or lighten your period, even stop it completely.
No matter what type of method you are using, if you don’t see your period return within the eight weeks, it’s advised to contact your doctor to check for pregnancy or any underlying conditions.
Right after the abortion, your body is going to prioritize expelling all the remnants from the lost pregnancy.
This includes fetal tissue in addition to other debris from your uterus, and it’s characterized by heavy bleeding.
Essentially, this is your first period because it is the beginning of your cycle, getting your body ready to ovulate once again.
The first period after an abortion might not be what you usually anticipate. It could be lighter than your normal one and might not last for the length of time that is normal for you.
That next period could even be heavier than you normally would expect as well. However, if your period is exceptionally heavy and long (filling more than one pad every two hours), you’ll want to contact your doctor.
What Could Change?
When it does come to that next period, as stated above, it might not be what you would normally expect. It could be different in multiple aspects than what your periods were like before your abortion.
One change could be the flow. If you had a surgical abortion, it could result in a lighter period than normal, and with a medical abortion, it could be heavier than normal [5].
You might also find that you have more PMS and other symptoms such as back pain and cramping for the first few cycles. This is normal and should eventually even out to what you experienced before [6].
One reason that the period after a medical abortion is heavier is that the body is still expelling all pregnancy-related tissues [7].
A surgical abortion removes the products of conception and endometrial lining, which results in lighter periods.
Pregnancy Test After Abortion
After an abortion, many want to see if it was successful and taking a pregnancy test is a sure way to determine that. Right?
Well, not necessarily depending on when you take it. A pregnancy test measures the levels of human chorionic gonadotrophin (hCG) in the urine which is the pregnancy hormone as we’ll call it.
While the hormone does decrease very quickly after an abortion, there is still some in the body for up to four weeks after having an abortion [8].
After this point, it’s safe to take a test and determine that you are in fact no longer pregnant. Before that, you may get a false positive because your body hasn’t fully cleared the hormones from your system.
A blood test is a bit different because they can see the actual levels of the hormone. A test can be taken just before the abortion and then about five days post-abortion. If the levels have decreased, then the abortion is successful [9].
Getting Pregnant After Abortion
In that timeframe between the abortion and your next period, you may ovulate. However, this time can vary for different women and depends on how far the pregnancy was when the abortion happened.
Generally, this happens before the second cycle, the first cycle is when the body is still clearing out the pregnancy hormones and such and getting back to being regular again [10].
Because you will not know if you are ovulating yet, it’s recommended that you take precautions to prevent another pregnancy. Either you or your partner could investigate different methods of birth control.
In addition to not wanting to go through another abortion, your body will need time to heal from the loss of a pregnancy so another one is not recommended until at least a few months when it is Fully recovered.
This is very true for those who have had a surgical abortion where the cervix needs to heal from an actual surgery.
Final Thoughts
Again, having an abortion is an extremely personal decision and one that will affect you not only physically but also mentally as well.
Take care after your procedure to care for yourself, whatever that entails. It could be seeing a therapist, taking some yoga classes and meditation (once cleared by your doctor), getting a massage or a spa day, etc. It’s up to you.
Each person will handle it differently but treat your body with respect afterward and when you are ready to start your family, you will still be able to.
Do you have a question about your menstrual cycle, pregnancy, abortion or any other related topic? Check out our Frequently Asked Questions page.
References
- Visit https://www.webmd.com/women/abortion-procedures#1
- See https://www.nps.org.au/australian-prescriber/articles/mifepristone
- See above #1
- Planned Parenthood. What can I expect After Having an In-Clinic Abortion? [link]
- Aliya Khan via First Cry Parenting. Period After Abortion – Symptoms, Changes and Self Care Tips. [link]
- See above #5
- New Kids-Center. What’s Period After Abortion Like When to Worry? [link]
- Women Help Women. Was My Abortion Successful? [link]
- see above #8
- see above #7
Hi. I did an abortion with m pills on 18 th Sep and my bleeding started same day n ended after 5th day. Ultrasound showed it was clear. Then we did sex with protection till 9 October on 9th without protection. Will I be again pregnant? Till date 18th Oct my menstrual not started what should I do. Please suggest pls, pls.
Hello. Please refer to our FAQ link (Question 6) http://womanjunction.com/faq-frequently-asked-questions-menstrual-cycle-pregnancy-ovulation-abortion/ for the answers. Read the three posts under question 6.
I Had An Abortion On 24 Of September 2015, Have Unprotected Sex On 26th September Till 4th October, Because My Boy Friend Is Not Aware. Can I Be Pregnant
I had an abortion on 26 of September, I saw my period on 1st of October and my period has not stopped till now.. what do you think is wrong?
Hi Brandy, Bleeding following a surgical abortion is not a period; periods don’t return to normal for 4 – 6 weeks after your treatment. Bleeding following your treatment will be due to your womb contracting and returning back to its non-pregnant state. If you are having fever or cramps visit your doctor.
I had an abortion about 4 months ago now and I have today 16/10/15 received what I think is a period..it’s brown almost black..I haven’t had a proper period..please help…
Hi Denise,The color of vaginal blood is usually expected to be a bright to dark red and a brown vaginal bleed may be concerning since it is not the norm. Brown vaginal blood, either light or dark in color, usually indicates that the blood is not fresh and has been contained in the vagina or uterus for a period of time before being expelled. This is usually called old blood which is quite normal your body will soon return to normal.
Hi. My last period was on 15th July and I got pregnant I had an abortion on 20th Aug and after that I didn’t have a sex but my period still not started again, is that a major issue or its normal and what will you suggest to start my periods again. Thanks and regards.
Kiran
Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.
Hi.. I had an abortion in july 23 and i had my first period 8.10. and it last for a week or less and again, today 13.10. I notice something like brown discharge. I’m using birth control since i was told. Is everything ok with me?
Hi Kiki,Brown vaginal discharge can be one of the side effects of birth control pills. brown discharge could be just a signal of some hormonal changes developed by birth control pills. In most cases brown discharge is usually old blood.
I had an abortion September 8th 2015 and I still didn’t get my period, not understanding why or when it will come.
Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.
I had an abortion on the 9th of Sept and the flow stayed till the 21st Then I had sex on the 25th and 26th using the withdrawal method. I haven’t seen my period again. Can I be pregnant?
Hi. Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.
I had my d&c last July 11, 2015 but until now no period. My OB gave me Provera for 5 days but it did not work. After, she prescribe Premarin for 11 days and Provera again for 10 days. It’s been 3 months now since my d&c procedure and still no period. Doctor said it’s because of hormonal imbalance. 🙁 I hope I get better sooner or later.
Hello. A hormone imbalance can really throw your cycle off and create other issues. Continue to take your doctor’s advice you. Good luck!
Thanks, Dear! I hope everything will be okay soonest.
I rainbow sorry to hear about what’s going on with you. I am also having the same problems. it’s been 6months since and i haven’t seen my period either PLEASE let me know if yours came thanks
I am still taking provera now. 3 days more it will be finished. The doctor said I need i wait for another 1-2 weeks before my expected period. The thing is, I am currently experiencing severe cramps. Like cramps in normal period, but the difference is no blood at all. I had the same experience last month. I hope everything will be okay soonest. I am so worried. Thanks! All the Best.
Hi There,If you haven’t had your period yet or you’ve missed a few periods you may have Amenorrhea which is the absent or no period at all. This can be cause by many factors such has Ovary problem,Changes in weight,Changes in weight,Obesity,Polycystic Ovary Syndrome (PCOS),Exercise and many more.
Luckily these can be fix with the help of birth control pills or other types of hormonal medication and Estrogen replacement therapy (ERT).
Hello. I really need some help. I had an abortion two weeks ago. I had unprotected sex a week ago but bleeding was not that heavy. It was more or a brown discharge. All discharge stopped about two days ago, then started up again today. Could I be pregnant again? ????
It is very important that you give yourself time to heal both emotionally and physically before you try to conceive again. Physical recovery after a miscarriage is quick and takes only a few days. After about a month, your body will be working normally and your menstrual cycles will begin once again. It is possible to become pregnant during your first menstrual cycle after your miscarriage or abortion. You may not be pregnant by having sex one week after the procedure but you need to monitor your body.
Hi! I had abortion last august 24, I havent had my period until now and I had sex last october 5 everyday until today. Is it possible that i could be pregnant? Are there any harms on the baby ?
Physical recovery after a miscarriage is quick and takes only a few days. After about a month, your body will be working normally and your menstrual cycles will begin once again. It is possible to become pregnant during your first menstrual cycle after your miscarriage or abortion.
Hello Gel, It is very possible to become pregnant again right after an abortion if you do not want to become pregnant consider a birth control method.
Hi.. I had an abortion last july 23 .. and I had sex using the withdrawal method on my ovulation day.. is it possible that I could get pregnant?
Hi, I had a medical abortion last Aug 22 after a week I decided to have a dc to clean up inside of mine since I was paranoid if it was successful or not. By Sep 3 I got sick – I got German measles and I slightly bleed for just one day on Sep 3. Now it’s been 6 weeks and I had some lower back pain and lower abdomen pain for almost 1 week. And still I got no period. My pt result is negative. Does it mean that this slight pain I feel is a symptom that my period will come? Pls help me. Feeling so worried.
Hi. The effects of an abortion include bleeding, cramps or a vaginal discharge. If these symptoms are excessive and you have a high fever then you must see a doctor. Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.
Hello, my misses had an abortion on 11th of Sept. this year by a doctor through pills…and four three days the clots were discharged heavily and till today for last 25 days the menses were out though not in heavy but very, very little amount making very irritating so what we may except it could have …kindly help sir I am in too stress..
Hi. The effects of an abortion include bleeding, cramps or a vaginal discharge. If these symptoms are excessive and you have a high fever then you must see a doctor. Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.
I had an abortion on the 3rd of august and I had an heavy bleeding for 3days and after then little blood do come but I have not seen my period am I good to go?
Hello. Don’t worry about your delayed period – in most instances, a menstrual cycle is expected within 4 to 8 weeks after an abortion.