Can an Abortion Really Lead to Infertility?




This girl is concerned abortion could cause infertility.

Abortion Risks

As with all medical procedures, there are potential risks and side effects involved with abortion procedures. Some of the most common risks and side effects include heavy bleeding with blood clots, fever, nausea, and vomiting. Some of the less common, but still relevant, side effects include damage to the uterus or pelvic inflammatory disease (PID), which can both lead to infertility. If you are still uncertain, let’s look at how this can happen. First, we need to understand the abortion procedure in order to realize how these side effects can occur.

Surgical Abortions

There are two different types of surgical abortions: Dilation and Curettage (D&C) abortion and Dilation and Evacuation (D&E) abortion. The basic process of the D&C abortion is as follows: the woman’s cervix is dilated and then a vacuum aspirator is inserted into the woman’s uterus, which then vacuums out the fetus. During a D&E abortion, a woman’s cervix is dilated and then instruments are inserted into her uterus to pull the fetus out piece by piece. With both procedures, after the above steps are complete, a curette (a metal, spoon-shaped instrument) is used to scrape the lining of the woman’s uterus to remove any remaining tissue.

Infertility Possibilities

The above procedures can lead to infertility in a number of ways. First, dilating the cervix and inserting instruments into a woman’s uterus can allow bacteria and infections to enter the woman’s body. This can lead to pelvic inflammatory disease (PID). Sadly, PID can lead to the inability to become pregnant or to carry a pregnancy to full term.

Also, the vacuum aspirator or the curette can cause damage to a woman’s uterus. If a woman’s uterine lining is damaged or there are worse side effects from these instruments such as, punctures in the uterus, this too can affect her ability to become pregnant or carry a pregnancy to full term. Finally, an incomplete abortion can also lead to problems with fertility. Unfortunately, there have been cases when women become ill following an abortion because a piece of the fetus was left behind, leading to infection. An infection in the female reproductive system can also cause infertility.

What Should You Do?

If you just found out you are pregnant and this was not expected, you have the right to full disclosure regarding all of your options.

At Your Options Medical, we can provide you with the pregnancy testing, ultrasound, and pregnancy options counseling you need! Each patient is treated with respect, dignity, and compassion. Because we do not financially benefit from your decision, there is no pressure to decide while you’re in our clinic. We allow you time to ask questions and process the information received.

 

Schedule an appointment today!


78 responses to “Can an Abortion Really Lead to Infertility?

  1. I had an abortion fall of 2021. Then had two “pregnancy in the unknown”/ miscarriages back to back. Could this be due to the abortion? This is scary.

    1. Hello Mar,
      Thank you for reaching out to Your Options Medical with your concern.
      Both the medical and surgical abortion procedures have risks involved with them. These risks include hemorrhage, infection, incomplete emptying requiring additional procedures, and damage to the cervix and the uterus. Uterine scarring alone can make it more difficult to get pregnant.
      If you are concerned that there is damage done as a result of an abortion, you can consult with your gynecologist to see if there is a physical reason you are having miscarriages.

      Best regards,
      Barbara, RN

  2. After I had a my son I became pregnant right after. I had a c section with my son and my doctor told me it was too early to get pregnant again. I had went to get the medical abortion and since I am anemic they didn’t believe me and gave it to me and I bled out a lot. I was then sent to the ER to get the surgical abortion done as well. After undergoing both of those precedures I thought everything was fine. Now 7 months later I’m trying to have a baby again and every test is negative . Is there a way that I became infertile after having to undergo both?

    1. Hi Brooke,
      Thank you for reaching out to Your Options Medical!
      It is hard to know exactly if your medical history would lead to infertility. At this point, you may want to consider speaking with your doctor about infertility testing or hormone testing. This way your doctor can evaluate symptoms and provide a further assessment.
      At Your Options Medical, we provide free telehealth calls with a nurse, pregnancy testing, ultrasound, and pregnancy options counseling. To schedule your confidential appointment, please call or text 508-251-9022.
      Thank you, again for reaching out and please do not hesitate to contact us in the future if we can be of any further help.
      Best Regards,
      Nancy, RN

  3. i’m 22 i had a surgical abortion July 1st 2021 i’ve been trying to get pregnant since october of 2021 & have been getting negative tests since then it’s been a year since the surgical procedure should i be worried that i’m infertile?

    1. Hello Lele,
      Thank you for reaching out to Your Options Medical with your concern.

      Surgery of any kind can have complications. Surgical abortion does have risks which include infection, hemorrhaging, uterine or cervical damage or uterine scarring. I cannot say if any of these issues are why you have not gotten pregnant.

      I would advise that you speak with your doctor about this. He/she may want to perform tests to see if there is a physical reason for not getting pregnant.

      Best regards,

      Barbara, RN

  4. hi.. I’ve had an abortion last 2019… after that i have been taking contraceptive pills for 2 years and stopped taking it last june2022 coz i want to have a baby… but why am I not getting pregnant? did my abortion affected my fertility? thank you

    1. Hello Shane,
      Thank you for reaching out to Your Options Medical with your question.

      There are risks associated with abortion, such as infection, hemorrhaging, and damage to your uterus or cervix, which can affect fertility. However, I cannot say that your abortion caused infertility.

      You report stopping your birth control in June of 2022. That is not that long ago. There is no set time for being able to get pregnant after stopping birth control. I would try to be patient as stress can sometimes affect fertility as well. If you feel there is a physical issue prohibiting you from getting pregnant, consult with your OB/GYN.

      Best regards,
      Barbara RN

  5. I have an abortion 2019 after I gave birth to my baby boy 2017. But since I did abortion I have been trying to get pregnant but nothing. I used home remedies for my abortion. Now does this affect my fertility?

    1. Hello Nancy,

      Thank you for reaching out to Your Options Medical with your question.

      There are risks associated with any type of abortion, however, I cannot say that the abortion you had affected your fertility. I suggest you consult with your OB/GYN, they may want to run some tests to determine if there are any issues making it difficult for you to get pregnant.

      Best regards,
      Barbara, RN

  6. Hello, I had an arbotion on May 2022 but still felt pregnant and I consulted my doctor, he said the sac of the baby didn’t come out that’s why I was feeling that way. I continued having sex and did another arbotion July to clean off the remains, then the sac came out, but I still have cramps and feel constipated so I don’t know if I’m pregnant again from the sex I’ve been having.

    1. Hello Lihle
      Thank you for reaching out to Your Options Medical with your concern.
      Abortion procedures carry risks with them that include infection, hemorrhage, and damage to the cervix or uterus. If you are still experiencing discomfort and problems since your second procedure, you need to see your medical doctor sooner rather than later. Please contact your doctor ASAP and discuss your symptoms with him/her.
      If you develop a temperature, heavy bleeding, shortness of breath, chest pain, abdominal or pelvic pain, or any other symptom that concerns you, get immediate medical attention.
      While it seems possible that you could get pregnant, you would want to be cleared of the possibility of complications resulting from the abortion, or any other medical issues, as you move ahead with determining if you are pregnant.
      Typically, we recommend the best time to take a pregnancy test is one week after you are due to start your period. Also, the best time to test is first thing in the morning. If the test reads negative, we recommend testing again in about one week. You may want to consider requesting a blood pregnancy test from your primary care physician or OB/GYN as these tests are more accurate at detecting pregnancy than urine tests. This way if pregnancy is ruled out, your doctor can further assess your symptoms.

      If your blood test comes back positive, the next step would be to have an ultrasound to determine if you are definitely pregnant. You would want to ensure the person performing the ultrasound confirms the following four things: 1). If the pregnancy is in the uterus. 2). Measure to determine the dating of your pregnancy (how far along you are). 3). If there is a detectable heartbeat. 4). If there are multiple babies or just one.

      At Your Options Medical, we provide free pregnancy testing, ultrasound, and pregnancy options counseling. To schedule your confidential appointment, please call or text 508-251-9022.

      Thank you, again for reaching out and please do not hesitate to contact us in the future if we can be of any further help.

      Best Regards,

      Barbara, RN

  7. Hi

    I have had an abortion because I got such a fright and didn’t think it through..,it’s been 2 days and the guilt is real I want my baby back how soon after abortion does ovulation come back I need my baby

    1. Hello Sarah,
      Thank you for reaching out to Your Options Medical with your concern.

      I am sorry that you are going through this difficult time. I’m not sure where you live, but please reach out to Your Options Medical if you decide that you would like to receive post-abortive support. Many post-abortive women have been helped by this service. I’ve listed our link below and you can contact us there if you so choose.
      https://youroptionsma.org/

      The time frame for ovulation to return after an abortion can vary depending on how far along you were and what type of abortion was performed. Some other things to consider are whether you are emotionally, physically, and mentally ready to get pregnant again. You may want to discuss these issues with your doctor.

      Again, my heart goes out to you. You are not alone, there are women out there who have gone through similar situations and are willing to help see you through this difficult time.

      Best regards,
      Barbara RN

  8. I got pregnant 2020. Took some pills to terminate e pregnancy. Started bleeding so went to the hospital and I was asked to let e abortion process take place on its own. During that process something huge lk an egg came out of me. Was wondering if they are my ovaries n I’m scared to do an ultrasound

    1. Hello Baby,

      Thank you for reaching out to Your Options Medical with your concern.

      It is not possible for me to say exactly what the “egg” like matter was that was a product of your abortion. You don’t say exactly how far along you were, but my thought is that it probably was the fetus in the gestational sac that was expelled during the process. I highly doubt it was your ovary.

      I believe it would have been prudent for the medical professionals involved with your health care to encourage you to schedule a follow-up appointment when your bleeding stopped. This would not only be for your health and safety, assuring the success of the abortion with no parts remaining in the uterus, which can lead to serious complications; but would also have calmed your fear about having expulsed your ovaries.

      If you have continued concern about your reproductive health since your abortion, I suggest you consult with your doctor to put your fears to rest.

      Best Regards,
      Barbara, RN

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