Before, During, and After an Abortion: When to Call a Doctor
If you think you may be pregnant, see a doctor for a pregnancy test, examination, and pregnancy counseling as soon as possible. If you are considering ending the pregnancy, this is an important time for learning as much as you can about your options. The earlier you take measures to end a pregnancy, the more medical choices you are likely to have and the less your risk of complications will be.
Who to see
Surgical abortions are minor surgeries that require a health professional with specialized training. If a medical abortion is not successful, a surgical abortion must be done as follow-up. This is necessary to prevent infection and blood loss and to end the pregnancy, because medical abortion medicines cause birth defects. The following health professionals can perform abortions:
- Reference Gynecologist Opens New Window
- Reference Family medicine doctor Opens New Window who has special training
- Reference Certified nurse-midwife Opens New Window
- Reference Nurse-practitioner Opens New Window who has special training
- Reference Physician assistant Opens New Window who has special training
Some health professionals offer medical abortion only and recommend another health professional if a Reference vacuum aspiration Opens New Window becomes necessary. Other health professionals offer medical abortion and manual vacuum extraction (MVA) if needed. MVA is a simple and effective procedure. Fewer health professionals offer medical, MVA, and surgical abortion services.
Your health professional will give you information about what to expect after an abortion. Normal symptoms that most women experience include:
- Irregular bleeding or spotting for as long as the first 3 weeks.
- Cramping for the first 2 weeks. Some women have cramping (like menstrual cramps) for as long as 6 weeks.
- Reference Emotional reactions for 2 to 3 weeks.
The hospital or surgery center may send you instructions on how to get ready for your surgery. Or a nurse may call you with instructions before your surgery.
Right after surgery, you will be taken to a recovery area where nurses will care for and observe you. You will probably stay in the recovery area for a period of time and then you will go home. In addition to any special instructions from your doctor, your nurse will explain information to help you in your recovery. You will go home with a page of care instructions including who to contact if a problem arises.
Signs of complications
Less than 1 out of 100 women who have an abortion have serious problems afterward.Reference 2
Call your doctor immediately if you have any of these symptoms after an abortion:
- Severe bleeding. Both medical and surgical
abortions usually cause bleeding that is different from a normal menstrual
period. Severe bleeding can mean:
- Passing clots that are bigger than a golf ball, lasting 2 or more hours.
- Soaking more than 2 large pads in an hour, for 2 hours in a row.
- Bleeding heavily for 12 hours in a row.
- Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever.
- Severe pain in the belly that is not relieved by pain medicine, rest, or heat
- Hot flushes or a fever of 100.4°F (38°C) or higher that lasts longer than 4 hours
- Vomiting lasting more than 4 to 6 hours
- Sudden belly swelling or rapid heart rate
- Vaginal discharge that has increased in amount or smells bad
- Pain, swelling, or redness in the genital area
Call your doctor for an appointment if you have had any of these symptoms after a recent abortion:
- Bleeding (not spotting) for longer than 2 weeks
- New, unexplained symptoms that may be caused by medicines used in your treatment
- No menstrual period within 6 weeks after the procedure
- Signs and symptoms of Reference depression Opens New Window. Hormonal changes after a pregnancy can cause depression that requires treatment.
Your ability to become pregnant in the future
Medical abortion and vacuum aspiration do not affect your ability to become pregnant in the future.Reference 1 It is possible to become pregnant in the weeks right after an abortion procedure.
- Avoid sexual intercourse until your body has fully recovered, for at least 1 to 3 weeks.
- To prevent infection and pregnancy, it is important to Reference use condoms as directed by your doctor when you start to have intercourse again. This is a good time to also start a highly effective birth control method that fits your lifestyle. For more information, see the topic Reference Birth Control.