Starting Birth Control After an Abortion

By OBOS Abortion Contributors | March 28, 2014

The following chart indicates the appropriate starting point for contraception, depending on the type of abortion procedure. Most contraceptive methods can be started immediately following the abortion.

Your abortion provider can discuss with you the different types of contraception available and give you a prescription before you leave the clinic. Remember, condoms are the only method of birth control that also protect against sexually transmitted infections (STIs).

Type of
Birth Control

Aspiration, D&E or Induction Abortion

Medication Abortion

Birth control pills, patch, vaginal ring, implant, Depo-Provera

Start on the day of the abortion, or within five days after the abortion.

Start on the day of misoprostol use, or within five days after.

With heavy bleeding, you may wish to wait two to three days to use the vaginal ring.

IUD

Start immediately after the abortion or at a follow-up visit.

Expulsion rate may be higher if IUD is inserted immediately after a second trimester abortion.

Start anytime after a follow-up visit confirming the passage of the pregnancy.

Diaphragms, cervical caps, spermicides

You can be fitted for a diaphragm immediately after a first trimester abortion. You can be fitted for a cap when you resume sexual intercourse.

After a second-trimester abortion, wait four weeks to be fitted for either.

As soon as you resume vaginal intercourse.

Condoms

As soon as you resume vaginal intercourse.

As soon as you resume vaginal intercourse.

Fertility Awareness Method

Wait three cycles to be sure your normal pattern has resumed, and use a backup method until then.

Wait three cycles to be sure your normal pattern has resumed, and use a backup method until then.

Sterilization

Anytime after you have made your decision.

Anytime after you have made your decision.

For more information, see Health Topics: Birth Control