Most women who have undergone a medical abortion for an unwanted pregnancy don’t plan or want a pregnancy in the near future. Other times, there medical indications to prevent pregnancy after an abortion. Thus, family planning is an integral part of the provision of comprehensive medical assistance in the implementation of medical abortion.
Women who have undergone an abortion in the early stages of pregnancy can conceive again almost immediately afterward. Ovulation can occur on the 10th day after an induced abortion in the first trimester of pregnancy. According to one study, within six weeks after an abortion, ovulation occurs in 78% of women.
Following the completion of an abortion using Cytotec, a woman can practice any common method of contraception. Questions about contraception should be discussed with the woman during a consultation before an abortion. Ideally, an effective contraceptive method should be made available to her immediately after the abortion.
Reception of combined oral contraceptives can begin on the day of Cytotec usage, when the fetal egg is usually expelled from the uterine cavity. The use of combined oral contraceptives immediately after medical abortion has been studied in two prospective, randomized, placebo-controlled trials.
Differences in the incidence of abortion, complications, and duration of bleeding were not observed. Oral contraceptives containing only progestogen genes often cause breakthrough bleeding, which can be mistaken for a manifestation of incomplete abortion.
The use of implanted contraceptives and medroxyprogesterone intramuscular injection are often accompanied by amenorrhea or irregular bleeding. In such a case, it is difficult to determine whether the pregnancy is interrupted or not. Thus, it is better to start using these methods of contraception after the termination of pregnancy is proven. The same goes for sterilization and intrauterine contraception.
Other methods, such as cervical caps; vaginal diaphragms; contraceptive sponges; and/or spermicides in the form of foams, gels, or vaginal tablets can be used when a woman resumes sexual activity, preferably after cessation of bloody discharge. The use of rhythmic methods of contraception is possible only after the restoration of the menstrual cycle.