- Period-like bleeding or spotting can last 1–2 weeks.
- Most people return to normal activities the next day.
- Ovulation can return within 2 weeks; plan contraception right away.
- Fever, pain not relieved by painkillers or very heavy bleeding need urgent assessment.
The first hours and first day
After the procedure, cramps similar to period pain and light to moderate bleeding are expected. If you had sedation, rest for the day, do not drive for 24 hours and avoid making important decisions.
For cramps you can take the painkiller your doctor recommends (usually a non-steroidal anti-inflammatory such as ibuprofen). A hot water bottle on your tummy also helps.
How long does bleeding last?
Bleeding varies: some people bleed lightly for a few days, others have on-and-off spotting for 1–2 weeks. Bleeding may stop for a few days and start again; this is usually normal. Your next period usually comes within 4–6 weeks.
Use pads rather than tampons while you are bleeding.
Normal, call us, or emergency?
| Normal | Call us | Seek urgent care |
|---|---|---|
| Period-like bleeding or spotting for 1–2 weeks Cramps relieved by painkillers Tiredness for a few days | Bleeding lasting more than 2 weeks Pregnancy symptoms (nausea, breast tenderness) lasting more than 1 week Mild temperature below 38°C | Soaking 2 large pads an hour for 2 hours in a row Fever of 38°C or more, or chills Severe abdominal pain not relieved by painkillers Foul-smelling discharge Dizziness or fainting |
Showering, exercise, sex: when?
- Shower: the same day or the next day.
- Baths, swimming pools, the sea: best avoided until bleeding settles, or for as long as your doctor advises (usually about a week).
- Work or study: most people return the next day.
- Flying: if you had sedation, avoid flying on the same day.
- Exercise: gentle walking straight away; strenuous exercise when you feel ready.
- Sex: when you feel ready; to reduce the risk of infection, waiting until bleeding settles is usually advised. Remember contraception.
Fertility and contraception
Ovulation can return within two weeks of the procedure, even before your first period, so a new pregnancy is possible very quickly. The World Health Organization notes that contraception can be started on the same day as the procedure, and an IUD (coil) can be fitted during it. Talk to your doctor about the method that suits you.
When will a pregnancy test turn negative?
The pregnancy hormone (hCG) falls gradually after the procedure, and urine tests can stay positive for 3–4 weeks. An early home test may therefore be misleading. If pregnancy symptoms continue, or a test is still positive after 4 weeks, contact us.
Emotional wellbeing
Feeling relief, sadness or mixed emotions after an abortion is completely normal. Research shows that, for most women who end an unwanted pregnancy, long-term mental health is not adversely affected. If your feelings stay difficult for a long time, do not hesitate to seek support from a mental health professional.
Frequently asked questions
How long does bleeding last after an abortion?
It varies; usually from a few days to 2 weeks, becoming lighter over time. Contact us if bleeding lasts more than 2 weeks.
When can I have sex after an abortion?
When you feel ready; to reduce the risk of infection, waiting until bleeding settles is usually advised. Ovulation can return within 2 weeks, so use contraception.
When will my period come back?
Your first period usually comes within 4–6 weeks. Contact us if it has been more than 8 weeks.
Do I need a follow-up appointment?
A routine check is not always needed after an uncomplicated vacuum aspiration, but your doctor will arrange one if necessary. You can always contact us if any symptom worries you.
Sources
- World Health Organization. Abortion care guideline. Geneva: WHO; 2022.
- National Institute for Health and Care Excellence. Abortion care (NG140). London; 2019.
- Royal College of Obstetricians and Gynaecologists. Best practice in abortion care. London; 2022.
- American Psychological Association, Task Force on Mental Health and Abortion. Report. Washington, DC; 2008.