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!


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

  1. I had an abortion last year July but I think the abortion was incomplete because I did not bleed too much now I am trying to get pregnant but I can’t, can I still take misoprostol? Note: I am in an Arab country and going to the hospital is difficult

    1. Hello Vivian,
      Thank you for reaching out to Your Options Medical with your concern.
      Incomplete abortions would most likely manifest itself with symptoms such as infection, abdominal pain, bleeding that lasts longer or is heavier than expected. If you did not have any of these symptoms, I would tend to doubt that the abortion was incomplete. Surgical abortions can cause scarring of the uterine wall or damage to the cervix and these complications can make getting pregnant more difficult.
      I would not suggest taking misoprostol, I am not sure why you would want to take that if you are trying to get pregnant?
      If you are trying to get pregnant, a good balanced diet, moderate regular exercise, stress reduction and a healthy lifestyle can help.
      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

  2. I just had an abortion m having cramps pain and I am still seeing blood I even treated infection and m still having serious cramp and pain is it incomplete and How can I be whole again

    1. Hello Susan,

      Thank you for reaching out to Your Options Medical with your concern. There are potential risks of infertility after an abortion, but it depends on the type of abortion you had (medical or surgical), the number of abortions and how far along you are in your pregnancy.

      If you have any concerns regarding this pregnancy, please seek medical care with your primary care doctor or your OB/GYN.

      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,
      Gladys, RN

    1. Hello Niffy,
      Thank you for reaching out to Your Options Medical with your concern.
      I hear your desire to get pregnant in your email. The best advice I can give you is to contact your Gynecologist or Primary care physician and consult with them about what you can do to promote getting pregnant. They should be able to advise as to what can help you prepare your body for successful pregnancy.
      If you are looking for support from the past abortions, please call 774-241-3446 and speak with Nancy.
      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

  3. I had an incomplete abortion it gave me an infection the doctors gave me antibiotics and I did a D&C . Will it affect my fertility ?

    1. Hello Aliza,
      Thank you for reaching out to Your Options Medical with your concern.
      I have attached a link to our website concerning infertility after abortion and infection.
      Abortion related infection can affect future pregnancy. Hopefully you received prompt medical attention and antibiotics to lessen the adverse effects of the incomplete abortion and subsequent infection.
      https://youroptionsma.org/can-an-abortion-really-lead-to-infertility/
      Your Options Medical offers post abortion support, if you are in need please call 774-241-3446 and ask to speak with Nancy.
      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 an abortion back in 2014. I’m trying to get pregnant but I feel like I can’t get pregnant because of the abortion. I just started trying this month. How do I know if I can’t get pregnant? I did get checked they they said my cervix and ovaries are good. So does that mean I can get pregnant?

    1. Hello Lisa,
      Thank you for reaching out to Your Options Medical with your concern.
      While it is possible for abortion to affect future pregnancy, It sounds like you took a right step when you consulted with your doctor. Since they said your cervix and ovaries were “good” you might want to confirm that your uterus is also “good” and healthy.
      Stress can be a deterrent to getting pregnant. If you are concerned about your history of abortion affecting your ability to get pregnant, post abortion support may be helpful to you. For post-abortion support, please call 774-241-3446 and ask to speak with Nancy.
      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

  5. I had 3 abortion the last one was with heavy bleeding and cramps and ever since then I am having issues with getting pregnant, could it be an incomplete abortion ?
    If so pls advice me on what to do

    1. Hi Favour,
      Thank you for your inquiry.
      First, I am so sorry for your loss and the difficulty you have been having.
      To answer your question, typically an incomplete abortion would lead to an infection which can cause symptoms including fever, abdominal pain/cramping, nausea, vomiting, irregular discharge, and bleeding.
      It is also possible that the previous abortions caused damage to your uterus. Symptoms may include bleeding, abdominal pain, and fever.
      You could contact your primary care physician or your OB/GYN to discuss your situation and receive their recommendations.
      I hope this information was helpful, if you need anything else please feel free to let us know. I wish you the best!
      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,
      Gladys, RN

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