After an abortion

Termination of an unwanted pregnancy is the most frequent gynaecological intervention worldwide. The cause of an unwanted pregnancy is generally poor use of contraception, out of ignorance or fear of “being unable to tolerate” safer methods of contraception. From experience, most women who have an unwanted pregnancy had either not been using any contraception, were “counting their days”, “being careful” or using condoms or “forgot to take the pill”. Often women only think about the reliability of the contraceptive method they had been using when it comes to having to terminate an unwanted pregnancy. Afterwards, they usually opt for more effective and more convenient methods.

With a surgical abortion, the hormonal coil can be fitted immediately, so that reliable contraceptive protection is in place immediately after the abortion. The Mirena® can also be fitted during one of the woman’s subsequent periods, but the woman/couple will then need to use effective contraception in the meantime.

Following a medical abortion, a hormonal coil can be fitted at the woman’s next period (about 4-5 weeks after the abortion). It is important to use contraception immediately after an abortion, because a new egg is released straight away – a woman can get pregnant again just 2-3 weeks after having an abortion. A contraceptive patch or a hormonal contraceptive ring can be used to provide protection between having the abortion and having the coil fitted.