Contraception After a Surgical Abortion, Explained
In Singapore, an abortion has to be performed at an authorised abortion clinic. Under the hands of an experienced
gynaecologist, an abortion procedure is generally considered very safe and established.
In the two weeks following an abortion, the patient is advised to abstain from sexual intercourse in order to fully recover. Depending on each individual, ovulation may resume as soon as within two weeks. This also means that a woman can get pregnant immediately again, before her period resumes.
To avoid subsequent unwanted pregnancies, the use of contraception is typically recommended to the patient,
depending on what is most suitable to meet the needs of the patient.
Once the patient feels comfortable enough and has been cleared by her doctor during a follow-up check, she can choose to resume sexual intercourse.
There are plenty of contraceptive options available, with the most effective and longer-term ones being:
- Contraceptive Implant – A thin, flexible tube implanted into the upper arm’s skin. It works by slowly releasing a hormone called progestogen, which prevents ovulation and thickens the cervical mucus to prevent sperm from reaching the egg. The implant is more than 99% effective and can last for up to 5 years.
- IUD – An intrauterine device (IUD) is a T-shaped device that is inserted into the uterus. It works by preventing the sperm from reaching and fertilising the egg. Some IUDs also contain hormones that prevent the egg from implanting itself into the womb. An IUD is more than 99% effective and can last up to 10 years.
- Contraceptive Injection – This works by releasing progestogen directly into the bloodstream to prevent pregnancy. This shot is also more than 99% effective and lasts 8 to 13 weeks.
Other contraceptive methods rely on the patient remembering to take/use them, such as contraceptive pills and barrier methods such as condoms and diaphragms.
For patients who prefer a permanent solution, a tubal ligation may be discussed with your gynaecologist.