How long after a medication abortion can one resume sexual intercourse?

Medical abortion refers to the expulsion of the gestational sac from the uterus via oral medication. After a medical abortion, women are advised to abstain from sexual intercourse for at least one month. This is because the decidua requires time to shed completely; premature intercourse may lead to intrauterine infection and cause physical trauma to the uterus, which has not yet fully recovered, due to penile insertion.

Approximately three weeks after medical abortion, women should visit a hospital for gynecological ultrasound, sex hormone assays, and serum β-hCG testing to assess uterine recovery and rule out incomplete abortion.

Sexual intercourse should only resume once the uterus has fully recovered. If vaginal bleeding or lower abdominal pain/discomfort occurs during intercourse, prompt medical evaluation is required. Following medical abortion, the body is generally weakened; therefore, adequate rest is essential—avoid overexertion and ensure 8–10 hours of sleep daily. A nutrient-rich diet—including high-quality nourishing foods, as well as fresh vegetables and fruits—is recommended. A follow-up examination should be conducted one week after medical abortion to evaluate whether residual products of conception (e.g., gestational sac) have been completely expelled. If retained tissue remains in the uterus, blood-activating and stasis-resolving medications may be prescribed to promote uterine contraction, accelerate expulsion of embryonic tissue, and reduce vaginal bleeding.