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After treatment

Aftercare and follow-up

Care does not end when treatment does. Aftercare means knowing what to expect, having someone to ask, and being checked to make sure you are recovering well.

A clinician resting a reassuring hand on a patient's arm across a deskIllustrative photograph

At a glance

  • Clear instructions on what is and is not normal
  • A way to reach us with questions
  • Follow-up to confirm you are recovering well
  • Contraception and emotional support, if you want them

Why aftercare matters

The World Health Organization describes comprehensive abortion care as including three things: information, the management of the abortion itself, and post-abortion care. Aftercare is not an optional extra. It is part of doing this properly.

What to expect physically

Some bleeding and cramping after an abortion is expected, and the pattern differs depending on whether you had a medical or a surgical abortion and on how far along the pregnancy was. Because of that, the most reliable guide is the specific advice your clinician gives you, not a general timeline.

You will be told what is normal for you, how to manage discomfort, and what to avoid while you recover.

Looking after yourself

Give yourself permission to rest. Eat and drink normally, follow the instructions you were given about pain relief, and arrange support at home if you can. If you would rather nobody knew, tell us — we can plan your follow-up contact around that.

Emotional wellbeing

There is no correct way to feel. Counselling in South Africa is offered on a non-mandatory, non-directive basis before and after a termination, which means it is available if you want it and is not there to judge your decision.

Your follow-up

Follow-up confirms that treatment is complete and gives you a chance to raise anything on your mind. If you were cared for by telehealth, your clinician may ask you to attend in person if anything needs a closer look.

Contraception

If you want to avoid another pregnancy, contraception can be discussed as part of your care. See family planning and contraception.

When to get medical help

Your clinician will tell you exactly what to expect and what is not normal for your situation. As a general guide, contact a healthcare professional promptly if, after an abortion, you have:

  • very heavy bleeding, or bleeding that is much heavier than you were told to expect
  • a fever or chills that do not settle
  • severe pain that is not eased by the pain relief you were advised to take
  • vaginal discharge that smells unpleasant or unusual
  • dizziness, fainting, or feeling very unwell
  • signs that you may still be pregnant in the weeks afterwards

If it feels like an emergency, do not wait. Call 112 from a mobile phone or 10177 for an ambulance, or go to your nearest emergency unit. For anything else, call us on +27 65 503 9462.

The process

What aftercare includes

This is the general sequence. Your clinician will adapt it to your situation and tell you what to expect at each stage.

  1. Before you leave, or before treatment starts

    You are given instructions specific to you: what to expect, how to look after yourself and when to get in touch.

  2. In the days afterwards

    You can contact us with questions, however small. If something worries you, we would rather hear from you.

  3. Follow-up check

    Your clinician confirms that the treatment is complete and that you are recovering as expected.

  4. Looking ahead

    If you would like, we can talk about contraception and any other reproductive health questions you have.

Frequently asked questions

Questions about aftercare & follow-up

How will I know if my recovery is normal?

Your clinician will describe what to expect in your case. If your experience is different from what you were told, or you are simply unsure, contact us. You do not need to be certain something is wrong before asking.

I did not have my abortion with MedStar. Can I still ask for help?

If you are worried about your health after an abortion, speak to a healthcare professional regardless of where or how it happened. You should be treated without judgement. In an emergency, go to your nearest emergency unit.

Is it normal to feel emotional afterwards?

People feel many different things after an abortion, including relief, sadness, or a mixture that changes over time. All of these are common. If your feelings are hard to manage, tell us or speak to a healthcare professional you trust.

When can I start contraception?

This depends on the method and on your treatment. It is something your clinician can advise on during your care or at follow-up.

More frequently asked questions

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