Pregnancy after abortion

The article is professionally consulted by Specialist Doctor Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

Abortion due to unintended pregnancy or intentional causes such as fetal malformations, medical conditions of the pregnant woman, when examined, are indicated to need to terminate the pregnancy. The issues of pregnancy after abortion are extremely important that pregnant women need to understand to actively protect their own reproductive health.

After 4 to 6 weeks of abortion, menstruation begins to appear again. This is explained by the fact that after an abortion, the hormones in a woman's body begin to work to return to their pre-pregnancy state. It takes four to six weeks for a woman's body to start reaching a hormonal balance. At this time, the lining of the uterus is gradually restored and can ovulate to create a period if the egg is not fertilized. When the lining of the uterus has recovered to the required thickness, menstruation begins to appear again.

For women who have an abortion, the ability to get pregnant can return immediately. That's why women need to be taught contraception right during the abortion procedure, so it is advisable to go to a medical facility to take measures to plan immediately.
Contraceptive methods that can be applied to people after abortion are similar to those of normal people: daily birth control pills, IUDs, rods, condoms...

According to obstetricians and gynecologists, if you do not see your period again 3 months after an abortion, you need to go to a specialist clinic to check if there is a problem with the uterus. There are also cases after abortion with uterine adhesions causing amenorrhea. In the case of partial uterine adhesions, dissection is simpler. If the uterus is completely attached, the rate of permanent infertility will be very high.
The phenomenon of uterine adhesions after abortion is often accompanied by symptoms of abdominal pain and amenorrhea. Due to the procedure of curettage and suction, the uterine wall muscle is damaged, the two anterior and posterior walls of the uterus stick together. If the re-examination shows that the uterine cavity is clean and menstruation has returned as before, this is not a phenomenon of uterine adhesions.

The best time to have sex again after an abortion is 1 month. Because the time of abortion is considered the beginning of a menstrual cycle. If within 2 weeks after the abortion has had sex again without using contraception, it is extremely easy to get pregnant again because this is the ovulatory period in the woman.

At least 4-6 months after the abortion, you should get pregnant again. If you want to continue having children, you should wait at least 6 months, this is the ideal time to get pregnant again.
Getting pregnant again right after an abortion is very dangerous. Experts advise that getting pregnant too soon after an abortion, that is, within three months of surgery, can be dangerous to a woman's health. In the case of medical abortion, the uterus is softened by the medication, causing contractions to expel the pregnancy, which will cause heavy bleeding. A surgical abortion performed through an aspiration curettage takes some time for the uterus to heal and the woman needs good medical care. So it is ideal to wait at least six months after an abortion if you want to get pregnant again.
Even if you have waited long enough for the uterus to heal, you still need to talk to a specialist before planning to become pregnant and have your next baby. Your doctor will conduct a number of diagnoses and tests that will give you information to see if you can get pregnant and if your uterus has healed enough to support a pregnancy during your pregnancy.

Women need to keep themselves a comfortable, gentle, psychologically stable mind to prepare for the next pregnancy.
The health check before pregnancy of both husband and wife has great significance for the health of the mother and the baby. Through a physical examination and finding out information about the medical history of both, the doctor will have an accurate assessment of the state of reproductive health, the ability to conceive and give birth, including the cases of pregnancy. the do's and don'ts of pregnancy, the cases that need to be monitored during pregnancy,... and the necessary counseling for successful conception.
Therefore, to prepare for a healthy pregnancy, especially for abortion cases, both husband and wife should check their reproductive health 3-5 months before pregnancy.
The wife should:
Get vaccinated before pregnancy (especially against rubella because rubella in pregnancy is extremely dangerous ) Genetic testing to screen for genetic diseases before pregnancy Check for secondary infections If you want to become pregnant (especially if you have never been pregnant), you will have to have a very detailed health check because pregnancy at this age often encounters problems. Topics: Ovarian failure, premature birth, higher risk of fetal malformations, placenta previa, preeclampsia. The husband should:
Check reproductive health, detect diseases of testicular atrophy, physiological weakness, weak sperm... Sexually transmitted diseases, especially those that cannot be cured, are extremely dangerous. Vinmec currently has many comprehensive health care programs for couples, pregnant mothers and their unborn babies, including basic pre-marital examination packages, advanced pre-marital examination packages, and maternity packages. . Vinmec has a team of experienced doctors in the fields of obstetrics and gynecology, IVF, stem cells, gene technology, capable of synchronously and comprehensively deploying the most advanced assisted reproductive techniques today.
For specific information about fertility and maternity packages at Vinmec, please contact the hospitals and clinics of Vinmec health system nationwide.
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