How long after abortion can I take contraceptive pills?

Accidental pregnancy is a common accident that happens to women. After it happens, if you don’t want the child, you will definitely find a way to get rid of it. Most women choose to have an abortion because medical technology is now advanced and painless abortion is available. After an abortion, you should take care of your body to avoid being harmed by other viruses. However, some women start having sex after having an abortion. How long after an abortion can I take birth control pills?

Why do you need to take birth control pills after an abortion?

1. Use contraception early to prevent recurrence

Even after an abortion, a normal woman's fertility can be restored quickly. It has been reported that 83% of women can resume ovulation in the first cycle after abortion, and the earliest ovulation can be resumed on the 11th day after surgery. Although doctors recommend not having sex within one month, unexpected events still occur in clinical practice. Some people do not take proper contraceptive measures after surgery and get pregnant again, and have to undergo another surgery.

If improper contraceptive measures are taken after abortion, and repeated miscarriages occur within a short period of time, not only will the uterus be injured again, but the risk of cervical, uterine and pelvic infections will increase. The incidence of pelvic inflammatory disease and uterine and cervical adhesions after surgery will be higher, which will affect future fertility.

Among the general contraceptive measures after abortion, in addition to some women who have no plans to have children in the near future who may consider directly inserting an IUD, oral contraceptives can inhibit ovarian ovulation, change the endocrine mucus of the cervix, and prevent sperm and egg from combining to form a fertilized egg, thereby achieving the effect of contraception. Fertility can be restored after stopping the medication, which is relatively convenient and effective.

2. Helps repair the uterus after abortion

During the abortion procedure, instruments are repeatedly inserted into the uterine cavity through the vagina, which may damage the endometrium to varying degrees. In fact, in the hospital's gynecology outpatient clinic, there are many people who come for treatment due to reduced menstrual flow or uterine adhesions after abortion. The estrogen in oral contraceptives can promote the proliferation and repair of the endometrium and reduce post-abortion bleeding, while the progesterone can inhibit the proliferation of the endometrium, promote the atrophy, absorption and excretion of decidual tissue, and thus promote uterine repair.

In addition, oral contraceptives can inhibit the secretion of cervical cells and increase the viscosity of cervical mucus, thereby reducing the incidence of ascending infection of the lower reproductive tract after surgery and reducing the occurrence of postoperative intrauterine adhesions. For some women who have irregular menstruation before the operation, it can regulate the reproductive endocrine axis to achieve the effect of regulating menstruation.

3. You can prepare for pregnancy and have a child immediately after stopping the medication

Oral short-acting contraceptives have a short effect and are metabolized quickly, so they will not accumulate in the body. Reproductive function can be restored and pregnancy can be prepared in the first menstrual cycle after stopping the drug.

Think about taking oral contraceptives after abortion. It can not only promote the recovery of the endometrium, but also restore reproductive function after one month. Therefore, it is recommended to take contraceptives under the guidance of a doctor after abortion. In addition to the contraceptive effect, it also helps repair the endometrium and prevent adhesion and infection.

Things to note after abortion

1. There may be a low fever on the first day after painless abortion, mild, paroxysmal abdominal pain within 2 to 3 days after surgery and it tends to ease, a small amount of vaginal bleeding within one week after surgery, no menstruation about one month after surgery, and heavy menstruation within 2 to 3 months after surgery. These may be normal conditions after painless abortion.

2. After painless abortion, you should pay attention to vaginal bleeding to prevent the condition from getting worse. If there is no discomfort, you can follow the doctor's advice and go to the hospital for a vaginal B-ultrasound examination and routine secretion check two weeks or one month after your menstruation resumes to understand the postoperative recovery situation. If vaginal bleeding lasts for more than one week after an abortion, and is accompanied by symptoms such as lower abdominal pain, fever, turbid and smelly leucorrhea, you should go to the hospital for examination and treatment in time.

3. Pay attention to rest and strengthen nutrition. After outpatient surgery, you should rest in the observation room for 1 hour as instructed by the doctor and can return home only without special circumstances. After painless abortion, you should rest in bed for 2 to 3 days, and then you can get out of bed and move around, gradually increasing the activity time. Do not engage in heavy physical labor or work in cold water within half a month after the painless abortion to avoid catching cold; after the painless abortion, you should eat more protein-rich foods such as fish, meat, eggs, bean products and fresh vegetables rich in vitamins to speed up your body's recovery.

4. Keep the vulva clean and strictly prohibit sexual intercourse. After painless abortion, the cervix has not completely closed and the endometrium also has a repair process. During this period, special attention should be paid to keeping the vulva clean and hygienic, and sanitary napkins and other products and underwear used should be washed and changed frequently. Do not take a sitz bath within half a month after the operation to prevent dirty water from entering the vagina and causing infection. If you have sexual intercourse too early after painless abortion, it can easily cause acute endometritis, pelvic inflammatory disease, and may also lead to secondary infertility. Therefore, sexual intercourse is strictly prohibited within one month after painless abortion.

5. Adhere to contraception. After painless abortion, the ovarian and uterine functions gradually recovered and the ovaries produced eggs on schedule. If you don't stick to contraception, you will get pregnant again soon.

Therefore, after painless abortion, you should choose reliable contraceptive measures as soon as possible. Painless abortion can only be used as a remedial surgery as a last resort after contraceptive failure. Contraception must be the main method, and painless abortion cannot be used as a contraceptive measure.