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How many abortions can cause infertility

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People seek out abortion procedures for a multitude of reasons because pregnancy can happen unexpectedly at the wrong time. Though every pregnancy is an important life event, it might lead to the decision of an abortion many of those times. Having had abortions in the past and preparing for one in the near future, couples would be wondering if many abortions can cause infertility. A history of abortions can undeniably cause concern about its impact on future pregnancies. However, multiple abortions do not cause infertility when performed by a medical professional under proper sanitary conditions and are safe and straightforward procedures. Abortion procedures at safe abortion clinic in Chennai, even when repeated, do not cause infertility issues or complications in subsequent pregnancies.

Even a single unsafe abortion can cause infertility

According to the World Health Organisation, it is estimated that 25 million unsafe abortions are performed worldwide each year. Unsafe abortions that are associated with complications could potentially impact future fertility. Unsafe abortions pose a massive risk to not only the mother’s fertility but also increase the risk of maternal mortality. Unsafe abortions can lead to permanent damage to reproductive organs and hence it is crucial to make sure that an adequately trained surgeon performs the procedure or advises on medications. Medical or surgical abortions performed in a professional, clinical setting have very few risks attached. But it is quite natural to think about fertility in the long run, especially when anyone has to terminate unintended pregnancy more number of times.

Medical abortion procedures do not cause infertility

The regime for a medication abortion consists of two pills to be taken to terminate a pregnancy that is up to 10 weeks’ duration. The first pill blocks the hormone progesterone, thereby stop the thickening of uterine lining that provides nourishment to the fertilized egg to grow. Progesterone, being a crucial hormone the body needs to continue the pregnancy, the first step in ending the pregnancy with medication is to block the hormone. To induce cramping, the second pill is taken 24 to 48 hours later and thus expel the contents of the uterus and pass the pregnancy. Medication abortion is usually chosen for certain advantages over the surgical counterpart. Medication abortion can make a woman feel comfortable being able to pass the pregnancy at home and it is a non-invasive procedure when compared to surgery. Even with a medication abortion as per legal abortion services in Chennai, certain pills need to be taken in the presence of a doctor and requires a follow-up to make sure the abortion was complete and successful without any of the tissues remaining in the uterus.

Surgical abortion procedures do not cause infertility 

Surgical abortion procedures can be performed in a few different ways. The commonly used procedure for first trimester abortion, which is till 13 weeks of pregnancy is suction curettage. During a suction curettage, a speculum is inserted into the vagina and a suction tube is passed through the cervix and dilated into the uterus. The other end of the tube has a suction or vacuum pump that works to remove the tissue from the pregnancy. The procedure requires sedatives or general anaesthesia beforehand and also a local anaesthesia given to reduce sensation in the cervix. Following a suction curettage, cramping for a day or two is usually experienced and some vaginal bleeding occurs up to two weeks.

Abortions for pregnancies beyond first trimester at safe abortion clinic in Chennai are commonly performed by dilation and evacuation (D&E), which is another method of surgical abortion. To reduce the risk of cervical trauma in an abortion past the first trimester, the cervix will be dilated for a D&E, often before the procedure. Post sedation and general or regional anaesthesia, the foetus is removed using forceps. It will be followed by suctioning using a tool to make sure all the tissues are removed. The effects to experience after a D&E are more or less similar to an abortion by suction curettage with post-abortion cramping for one or two days and bleeding that can last for up to two weeks.

Abortion complications that can affect fertility

Abortion procedures of any of the above methods by itself do not cause infertility. However, with any reproductive procedure, there are several other factors and possible complications that can impact fertility. Abortions done in a safe way under the guidance of a licensed abortion specialist, are very unlikely to lead to complications that can cause infertility. Certain complications can also be reversed or overcome if and when pregnancy is desired. Medical complications that might lead to difficulties getting pregnant in the future include uterine injury during the procedure, infection and severe bleeding that may require surgery. There are certain conditions of abortion complications that can affect future pregnancies such as:

  • Incompetent cervix is a condition that occurs from cervical trauma due to incompetency in performing the surgical abortion procedure. Incompetent cervix does not affect fertility directly but can make it harder to carry a pregnancy to term. If incompetent cervix may be detected during pregnancy, it is possible for surgical treatments or other methods that may help.
  • Asherman’s syndrome is another condition where the scar tissues from surgical procedures can cause the uterus and cervix to stick to each other, leaving less room in the uterus, adequate for a healthy pregnancy. Surgical removal of the scar tissue can help treat Asherman’s syndrome and allow for future pregnancies.

Medical and surgical abortions are both considered safe and effective medical procedures. Legal Abortion services in Chennai minimise the risk for complication that could lead to infertility to only 0.23%. Procedures during the second trimester or even later, the risk is only 0.41%. The risk of major complications that could lead to infertility is much higher with a pregnancy that goes to term and ends in either a vaginal delivery or a C-section. In fact, maternal mortality from giving birth to complicated pregnancies is 14 times greater than the risk of complications from early and safe abortions.