Recovery after a termination: what to watch for
What to expect in the first days, the rules that protect against infection, the warning signs that need urgent attention, and how quickly fertility returns.
Recovery after a termination is usually quick, but medical advice needs to be followed closely during this period so that the inside of the womb heals and infection is avoided. Most women can return to their usual activities within a few days; even so, certain rules matter for full recovery.
The first days
Mild cramping — similar to period pain — and light vaginal bleeding or spotting in the first few days after the procedure are medically expected.
- Pain relief. Unless your doctor advises otherwise, simple painkillers such as ibuprofen or paracetamol can be used to ease the cramps.
- Rest. Resting for the first 24 hours is advised, but prolonged bed rest is not necessary; most people return to their usual activities once they feel well.
Protecting against infection: pelvic rest
Because the cervix remains slightly open for a while after the procedure, the womb is more exposed to infection. Medical sources therefore recommend pelvic rest for 2 to 3 weeks. During that time:
- Nothing should be placed inside the vagina. For bleeding or spotting, use sanitary pads rather than tampons.
- Douching — washing inside the vagina with water or soap — must not be done.
- Avoid baths, swimming in the sea or a pool, and sitting in a hot bath. A standing shower does not expose you to infection and is safe.
When to seek help without delay
The risk of a serious complication after a termination is below 1%. But if any of the following warning signs occur, seek medical assessment without delay:
- Heavy bleeding. Bleeding heavy enough to soak more than one large sanitary pad an hour for two hours without stopping, or passing large clots.
- High temperature. A body temperature of 38 °C or above.
- Severe pain. Abdominal or pelvic pain that does not settle with simple painkillers and is getting worse.
- Foul-smelling discharge. Vaginal discharge that smells unpleasant or is an unusual colour, which can be a sign of infection.
Sex and contraception afterwards
To minimise the risk of infection and allow the tissue to heal, abstaining from sex for at least 2 weeks after the procedure — or until your doctor confirms otherwise — is a medical requirement.
One of the most important points to remember is that fertility returns very quickly. On the medical evidence, a woman can ovulate and become pregnant again as soon as 10 to 14 days after the procedure, before her first period. For that reason, if a new pregnancy is not planned, a suitable method of contraception — the contraceptive pill, an intrauterine device or another method — should be started at the same time as the procedure or immediately afterwards.
The emotional side, and the follow-up appointment
Because of the sudden hormonal changes and the nature of the experience, shifts in mood — sadness, relief, or fluctuating feelings — are entirely normal. Getting psychological support or talking about how you feel will help your recovery.
A routine follow-up appointment about 2 to 4 weeks after the procedure is advised, to confirm physical healing, assess the state of the womb and plan contraception.
This page is for information only; for diagnosis and treatment always consult your doctor.
Frequently asked questions
- When does a period return after a termination? Usually within 4-8 weeks.
- When can pregnancy occur again? Ovulation can return within 10-14 days.
- Can I shower afterwards? A standing shower is safe; baths and pools are ruled out for 2-3 weeks.
See also termination of pregnancy.