Abortion is a deeply personal and complex decision, and while much attention is often paid to the physical and emotional aspects of the process, other factors related to reproductive health, such as sexually transmitted infections (STIs), should also be considered during this time. Many people overlook this relationship before and after an abortion; however, it is a good opportunity to consider testing and have an open conversation with sexual partners. Doing so can help both physical and emotional health during a time that can already be challenging.
The Connection Between STIs and Abortion
Prior to an abortion, having an untreated sexually transmitted infection (STI) can increase the risk of complications. This is true both for a medication (pill) abortion and a surgical abortion, also known as manual vacuum aspiration. If infections such as chlamydia or gonorrhea are present, they can lead to pelvic inflammatory disease (PID), which affects the uterus and fallopian tubes. PID can then lead to long-term reproductive health issues such as infertility. While it is not required to be tested for STIs before an abortion, it is often highly recommended. Risk factors for STI include unprotected (condomless) sex, multiple sex partners, a new sex partner within 60 days, sex partners recently treated for an STI, and sexual contact with sex workers. If any of those risk factors are present, it is recommended to be tested for STIs and treated if any infections are present. Testing for STIs should not delay a person’s abortion; however, whenever possible, testing and treatment are best done prior to or during the abortion process to minimize risks. For persons undergoing medical (pill) abortion, antibiotics are not indicated unless an infection is identified. For persons undergoing surgical abortion, a single dose of antibiotic is typically given to lower the risk of infection associated with the procedure; however, it is not usually the dose required to treat a pre-existing infection. Once a person is ready to return to sexual activity after an abortion, the risk of STI can always be minimized with routine condom use.
Communication with Your Partner
Before having an abortion, it’s important to talk to your partner about each other’s sexual health, including any history of STIs. This isn’t just about being open and honest for the sake of transparency; it’s about protecting both your health and your partner’s. When you have clear conversations about STI testing, you reduce the risk of complications during abortion. You also ensure that all partners are on the same page about how to protect each other moving forward, such as using condoms or limiting sexual activities.
After an abortion, the conversation doesn’t end. In fact, it becomes even more important. If you’ve been tested and treated for STIs before the abortion, you’re likely in the clear, but it’s essential to continue regular check-ups and testing after the procedure. Re-infection can happen, especially if either partner has had multiple sexual partners. By continuing to communicate openly, all partners can make sure that they are in a safe and healthy space before resuming sexual activity.
How to Talk to Your Partner?
Talking about STIs might seem intimidating, especially when combined with the sensitive nature of an abortion. But with the right approach, these conversations can be both respectful and productive. First and foremost, it’s important to choose the right time and space to talk. A quiet, private setting where you can speak candidly is crucial. It’s not about accusing anyone of anything, but about being honest about your sexual health and how to keep each other safe moving forward.
When discussing STIs, it’s important to be clear, non-judgmental, and direct. You can explain that testing for STIs is a responsible and necessary step for all partners’ well-being. You could also talk about the benefits of using condoms or other protective measures to reduce the risk of STIs, particularly if any partners have not been recently tested. If you’ve already had an abortion, bringing up the subject of STI testing and protection afterward ensures that both of you remain committed to each other’s health and emotional safety. For example, imagine a situation where one partner is hesitant about the idea of getting tested after an abortion. It’s important to explain that this isn’t about mistrust but rather about protecting both parties.
After the abortion, the conversation should continue. Healing isn’t just physical—it’s emotional, too. Checking in with each other, asking about any concerns or fears, and ensuring that all partners feel supported is crucial. Taking the time to listen to your partner’s feelings and respecting their boundaries creates a healthier relationship moving forward.
Informed Choices for Better Health
Having open conversations about STIs, both before and after an abortion, is vital for maintaining a healthy, respectful, and safe relationship. The connection between STIs and abortion isn’t just about the physical health risks—it’s also about emotional well-being and trust between partners. By talking openly, setting expectations, and making decisions together, all partners can ensure that they are making responsible choices about their sexual health.
At HowToUseAbortionPill, we offer comprehensive resources covering topics like what to consider before using the abortion pill, safe usage instructions, what to expect during the process, and when to seek medical help. Operating globally, our website is available in 26 languages, helping individuals navigate abortion on their own terms with the support and knowledge they need.