Patient's question:
Hello! I had a medication-induced abortion about half a year ago, and about 10 days after the surgery, I underwent a uterine clearance procedure. However, I have now discovered that I am pregnant again. Due to taking certain drugs that affect the fetus without knowing, I must have another abortion. I am wondering whether to choose medication abortion or surgical abortion, and what impact it will have on my future fertility. I am very distressed. What should I pay attention to?Doctor's answer:
Hello: Based on your situation, you can undergo medication abortion within 49 days of pregnancy. What you should be clear about is that multiple abortions can lead to infertility. If you do not want to get pregnant too early, it is essential to take proper contraceptive measures.Post-abortion precautions:
1. Maintain a regular lifestyle: Even if the abortion procedure is successful, irregular postoperative life can worsen bleeding or leave behind sequelae. You can rest at the hospital for one day after the surgery or return home. In the following days, you should continue to receive observation and treatment at the hospital and ensure adequate rest.
2. Wear loose clothing and avoid tight-fitting garments.
3. Do not drink alcohol during this period, and do not bathe without medical permission, as bathing may sometimes lead to infection.
4. You can resume sexual activity only after bleeding has completely stopped 10 days to 2 weeks after the surgery.
5. To ensure the health of your body, do not get pregnant immediately after the surgery, as the uterus may be damaged during the procedure, making pregnancy dangerous at this time. Safe contraceptive measures must be taken.
6. If you choose medication abortion, you must undergo medical observation to ensure the medication is effective and that the abortion is complete.
7. From the second day after the surgery, avoid overexertion and strenuous exercise.
Following these precautions generally prevents infertility and sequelae. Abortion should be avoided unless absolutely necessary, as medical evidence shows that the risk of infertility and sequelae increases with the number of abortions.