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!


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

  1. Hi I have a question..a friend of mine did 3 abortions and she’s using family planning pills now the 3 were all surgical and her doctor told her she’s okay but she’s afraid she won’t be able to get pregnant again…can that affect her fertility? Can she get pregnant?

    1. Hi Bridgit,
      Thank you for reaching out to Your Options Medical with your question.
      To answer your question, as with any medical procedures there are always possible risks and side effects. According to the Mayo Clinic, a few of the risks of surgical abortion include: perforation of the uterus, damage to the cervix, and scar tissue on the uterine wall. If you’re friend is hoping to become pregnant in the future, she could contact a fertility specialist to see what options may be available to her.
      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,
      Barbara, RN

  2. Hi, I had an abortion 2 years ago. It wasn’t surgical because of the fear and stigma I was going to face I had to do it myself using local gin and mesoprostol, Since then I’ve been having my normal period but haven’t gotten pregnant, help please I’m just 22.

    1. Hi Zara,
      Thank you for reaching out to Your Options Medical with your question.
      I am so sorry to hear about your experience. At this point, I would encourage you to seek immediate medical attention. You could contact your primary doctor or OB/GYN to request a consultation. All abortion procedures (medical and surgical) have potential risks and side effects. According to the Mayo Clinic, a few of the risks of surgical abortion include: perforation of the uterus, damage to the cervix, and scar tissue on the uterine wall.
      I hope this information was helpful and I wish you the best!
      Best Regards,
      Barbara, RN

  3. Hi,
    In 2014 i had an abortion, 1st with oral pills n then with D&C. I recovered soon. From 2020 i have been trying for pregnancy, bt just not happening. Have been taking ovulation induction drugs, injections, even done with tvs, histerosulphingograph test which came normal. Only abnormality that my doc found was the size of the follicles. So to bring it to a size they suggested me ova-meal, lorozol, hmg inj(6), hcg on 13th day, progest in a full cycle for four months. 2 months gone bt no rupture is happening, my husband’s report is ok. So can there be any connection between this infertility with my past abortion? What should i do?

    1. Hello Deisa,
      Thank you for reaching out to Your Options Medical with your concern.
      I am so sorry to hear about your experience. I cannot tell you with any certainty that your difficulties in getting pregnant are related to your past abortion. There are risks with any type of abortion, some being injury to your uterus and/or cervix. By your report, it sounds like you are in the care of a fertility clinic. I defer to their knowledge and expertise. I can encourage you to try to not be overly anxious or stressed about your situation. This in itself can hinder getting pregnant. You could also research natural supplements that can help prepare your body for pregnancy, ( with the consent of your doctor). I wish you the best.
      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,
      Barbara, RN

  4. I had abortions more than twice, I have low menstruation flow and I need your help because I have failed to get pregnant after that

    1. Hello Mirriam,

      Thank you for reaching out to Your Options Medical with your concern.
      I am so sorry to hear about your experience. I cannot tell you with any certainty that your difficulties in getting pregnant are related to your past abortion. There are risks with any type of abortion, some being injury to your uterus and/or cervix. I can encourage you to try to not be overly anxious or stressed about your situation. This in itself can hinder getting pregnant. You could also research natural supplements that can help prepare your body for pregnancy, ( with the consent of your doctor). I wish you the best.
      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,
      Barbara, RN

  5. Hi,
    I just had an abortion last week,the bleeding has stopped but I’m currently having serious lower abdominal pain i took ibuprofen but it didn’t help.Does it mean i have bacterial infection?

    1. Hello Glory,
      Thank you for reaching out to Your Options Medical with your concern.
      It is possible that you could have an infection as this is one of the risks associated with abortions. I recommend you get immediate medical attention to rule out infection, retained fetal parts, and injury to your uterus or cervix. Please do not delay as this can lead to serious complications if any of these issues are present.
      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,
      Barbara, RN

    1. Hello Happiness,
      Thank you for reaching out to Your Options Medical with your concern.
      Abortion does have risks associated with it. Some being infection, hemorrhage, perforated uterus, scarring of the uterus, and damage to the cervix. I cannot say if any of these issues are what is causing you to not get pregnant. I suggest you see your doctor/gynecologist concerning possible reasons why you are not getting pregnant.
      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,
      Barbara, RN

  6. I had an abortion in January 2022,with misotrosol, pitchem ampiclox, postinor 2 and dry gin, during March I had to clean up my womb as directed by a doctor and I can’t still get pregnant please help me

    1. Hello Rhoda,
      Thank you for reaching out to Your Options Medical with your concern.
      I am not quite sure what your question is concerning pregnancy. Some of the information you have provided is unclear. Can I ask what you mean by having to ” clean up your womb” as your doctor directed? Also, I’m not sure if you now want to get pregnant and have not been able to or if you still have need to prevent pregnancy.
      Abortion can have risks of causing infertility. Actual physical damage can occur, as well as risk of infection and hemorrhage.
      I have grave concern over your use of these drugs and dry gin to precipitate an abortion. I strongly suggest you consult your doctor again and tell him of your concerns.
      Please reach out to us again with any questions or concerns you have. The phone number for our Sturbridge office is 1-774-241-3446.
      Best Regard,
      Barbara RN

  7. Hello
    I had an abortion once two years ago when it was 3 weeks, I used the pills from the clinic but after that my pregnancy test was still showing that I was pregnant so I had to go again to the clinic and I had a surgical abortion. Since then I think I can’t get pregnant because I may have plain sex but still I start my periods so am scared that I can’t get pregnant.

    1. Hello Lolyn,
      Thank you for reaching out to Your Options Medical with your concern.
      I am sorry to hear of the difficulty you are experiencing. Abortion does have certain risks associated with it, including damage to the cervix and/or uterus, hemorrhage and infection.
      At this time, I suggest that you consult with your doctor about your concerns. They may want to run some tests to determine if any physical issue is preventing you from getting pregnant. In the meantime, it wouldn’t hurt to start preparing your body for pregnancy. Type in “preparing my body for pregnancy” and lots of good information will pop up. I wish you the best!
      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,
      Barbara, RN

  8. Hello
    I had 3 abortion in 2019 and 2020 but I was having my normal period then but for the past 3months now my period has stop.please help me.

    1. Hello,
      Thank you for reaching out to Your Options Medical with your concern.
      I am sorry to hear of the difficulties you are experiencing. It is not possible to determine what the problem could be with the information you provided.
      Have you taken a home pregnancy test? This would be your first step.
      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.
      There are other factors that can affect your period. These include stress, medications, illness, age, and changes in your diet and/or exercise.
      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

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