Postabortal and postpartum contraception

Efficacy of early induced medical abortion with mifepristone when beginning progestin‐only contraception on the same day

“…In one study, ovulation occurred on average 3 weeks after an induced abortion [14] and a previous study estimated that up to 15% of patients resumed sexual intercourse within 1 week of taking mifepristone for early abortion [15]. Where offered, individuals increasingly opt to complete a medical abortion at home.…”

Comparison of copper intrauterine device with levonorgestrel‐bearing intrauterine system for post‐abortion contraception

“…8 Long-acting reversible contraceptives (IUD, IUS, implants) are non-user dependent, safe and effective methods of contraception that can be initiated immediately after abortion. 9 Post-abortion IUD insertion is advantageous because the cervix is open immediately after abortion and the patient will have pain control due to the local anesthetic applied for the surgical procedure. The major barrier to immediate post-abortion IUD or IUS insertion is the service providers' misperception about the increased risk of perforation, infection and expulsion rates related to post-abortion use in comparison with interval insertion.…”

State of Family Planning

“…Because more than half of women will resume intercourse within 2 weeks after an abortion, 32 and women can ovulate as early as 8 days after abortion, 33 initiation of contraception at the time of abortion reduces the risk of repeat pregnancy and abortion. The World Health Organization (WHO) supports initiation of any method of contraception immediately after surgical or medical abortion, reducing barriers to postabortion uptake and utilization of contraception.…”