User:Nhituta/sandbox

Contraception
At the time of medical abortion, education regarding contraception must be provided by the abortion clinic per 2018 National Abortion Federation guidelines. According to a 2011 study of 27 women who underwent a medical abortion with oral mifepristone 200mg and vaginal misoprostol 800mcg, average time-to-ovulation was about 3 weeks (20.6 days).

A contraceptive implant may be placed with no difference in success of medical abortion on the day of administration of mifepristone. In addition, a contraceptive pill, patch, or vaginal ring may be started on the same day of medical abortion without the need to confirm the completion of the abortion. In a 1999 study, oral contraceptive pills taken immediately after a medical abortion was shown to have no difference in duration of bleeding or completion of abortion rate compared to placebo. The use of a depot medroxyprogesterone acetate injection as a form of contraception at the time of medical abortion was shown, however, to increase the risk of ongoing pregnancy following the medical abortion. An IUD placed early (within 5-9 days of mifepristone) or delayed (3-4 weeks after mifepristone) had no significant difference in terms of IUD expulsion or medical abortion complications, thus an IUD may be placed once confirmation of the medical abortion is complete, which is typically about a week.