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Termination of pregnancy (abortion) Q&As

Published by Bupa's health information team, August 2008.

Answers to questions about termination of pregnancy (abortion)

This section contains answers to common questions about this topic. Questions have been suggested by health professionals, website feedback and requests via email.

 

Why shouldn't I use tampons after a surgical termination?

After surgical termination you are at an increased risk of getting a uterus (womb) infection. Tampons can provide a good environment for bacteria to grow in and possibly a route for bacteria to get into your vagina.

Explanation

During surgical termination your cervix (neck of the womb) is dilated (opened) and tissue from the lining of your womb is removed. This means that your womb is vulnerable to infection.

It's not really understood how tampons increase your risk of infection. Its possible bacteria could be carried from the outside into your vagina during insertion.

Tampons that are left in the vagina over several hours may provide the right conditions for bacteria to grow. The bacteria can travel through the dilated cervix into the womb and cause an infection.

You shouldn't use tampons for at least one month after having a surgical termination. You will have some vaginal bleeding for the first two weeks after a surgical termination. Use sanitary towels instead and change them regularly.

Further information

Sources

  • Toxic shock syndrome (TSS). Merck Manuals. www.merck.com, accessed 29 April 2008
  • Dilation and curettage. The American College of Obstetricians & Gynecologists. www.acog.org, accessed 28 April 2008
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I feel guilty after having a termination - is this normal?

Yes, it's normal to experience emotional reactions, including feelings of relief, guilt, sadness and a sense of loss after having a termination (abortion).

Explanation

Whatever your reasons for ending a pregnancy, it is a deeply personal experience that affects everyone differently. You may feel a sense of relief followed by guilt, sadness and a sense of loss. You may even feel anger.

It helps to write down your feelings about the pregnancy and about the termination whenever you feel upset about it. This will help you to better understand your feelings about the experience.

You should also discuss your concerns and feelings with someone close whom you can trust. It may help to talk to a professional counsellor. Depending on your circumstances, you may also want to discuss your feelings with your partner.

Further information

Sources

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When will I have my next period after a surgical termination?

After a surgical termination (abortion), your next period may be earlier or later than usual but it should be in four to six weeks time.

Explanation

During surgical termination the lining of your womb is scraped and removed. You will have some vaginal bleeding for the first two weeks. Occasionally, the bleeding and discharge continue for up to a month.

Your will usually have your next period in four to six weeks time. Ovulation occurs before this, so you will be fertile and should use contraception if you don't want to become pregnant.

Ask your doctor for advice about suitable contraception. Condoms are a good choice as they can help protect you from sexually transmitted infections as well as pregnancy. It's also worth considering having an intrauterine system (IUS) fitted immediately after a termination.

Further information

Sources

  • About abortion care: what you need to know. Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk, accessed 1 May 2008
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What if my doctor refuses to give me a termination?

Your doctor has the right to refuse to take part in a termination (abortion), but he or she should always refer you to another doctor or nurse who will help.

Explanation

The General Medical Council's Duties of a Doctor states that doctors must make sure that their "personal beliefs don't prejudice patient care". However, your doctor has the right to refuse to take part in a termination on the grounds of conscience, but he or she should always refer you to another doctor or nurse who will help.

If you feel uncomfortable about seeing your GP to discuss a termination, you can visit a family planning clinic or your local hospital. The clinic or hospital where you have a termination isn't required to tell your GP, but some places prefer to do this so that your GP can provide appropriate follow-up care. You should tell the staff not to contact your GP if you don't want the GP to know about the termination.

Further information

  • Bpas (British Pregnancy Advisory Service)
    O8457 304030
    www.bpas.org

Sources

  • About abortion care: what you need to know. Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk, accessed 1 May 2008
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Related topics

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This information was published by Bupa's health information team and is based on reputable sources of medical evidence. It has been peer reviewed Mr Robin Crawford, MD, FRCS, FRCOG, Consultant Gynaecologist, and by Bupa doctors. The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.

Publication date: August 2008

 

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