An elective medical abortion does not appear to affect future pregnancies, as long as it is done under the guidance of a professional health care team. Abortion by pills is a low-risk procedure. The later in pregnancy a woman takes abortion pills, the greater is the risk for complications. Abortion pills that a doctor at any of the safe abortion clinics in Chennai may prescribe, often depends on gestational age and its safety and effectiveness for the number of weeks the woman is into her pregnancy. That is why millions of women have used abortion pills safely and has become the most common and safe way to have an abortion. Abortion Pill medications are not considered harmful to future fertility or cause problems for future pregnancies, unless there is a rare and serious complication that has not been treated.
Abortion complications can affect future pregnancies
Taking abortion pills will not usually cause side effects that alter the chances of becoming pregnant and having normal pregnancies in the future. Though it is very unlikely that complications will occur after having abortion by abortion pills, anything that causes inflammation in the uterus has the potential to affect future fertility. Potential complications associated with abortion that can affect fertility include:
- Bleeding experienced after an abortion can be so extreme that blood loss becomes a medical problem. unstable vitals and heavy bleeding with abnormal haemoglobin can be significant signs of heavy blood loss. Anaemia due to excess bleeding during abortion if ignored and left untreated can lead to problems in subsequent pregnancy.
- Incomplete abortion is more likely when a woman takes abortion pills without a doctor’s guidance or does not confirm the abortion process to be complete through a follow up. When an incomplete abortion happens, tissue or other products of conception may remain in the uterus, and an individual may need a D&C to remove the remaining tissue. Incomplete abortions after 12 weeks have a 3.4% increased risk of unfavourable outcomes including sterility secondary to the increases in the foetus size, blood supply, and uterine size. The risk for incomplete abortions is more likely with abortion pills taken for an abortion of a later pregnancy. Complications include severe haemorrhage or sepsis from an incomplete abortion.
- There is a very small risk to fertility and future pregnancies in case of a womb infection that has not been treated promptly. Infection that spreads to fallopian tubes and ovaries can lead to pelvic inflammatory disease (PID). There is increased risk of infertility or ectopic pregnancy where an egg implants itself outside the womb. PID needs to be treated before they reach this stage so as to reduce the risk of infection before conception. Specialist advice should be taken from the best abortion clinic in Chennai as soon as possible on experiencing any signs of infection that include severe abdominal pain, high temperature or smelly vaginal discharge.
Other factors that can affect future pregnancies
Abortion pill does not increase the risks for pregnancy complications if chosen to get pregnant again. However, doctors recommend that the woman uses the best possible type of birth control immediately after abortion because it is possible that ovulation can start soon and the woman can get pregnant again. It is also recommended that a woman refrain from sexual intercourse until bleeding stops to prevent infection and also till such time after an abortion to provide the body the required time to heal. Since a past abortion is unlikely to cause problems conceiving, difficulty in getting pregnant after an abortion would mean that other factors that could potentially affect fertility should be considered. These factors may be:
- Fertility decreases with age, especially for women older than 35 years of age.
- Lifestyle habits, such as smoking and drug use among the couple can affect fertility.
- Medical history of sexually transmitted infections (STIs), such as chlamydia or gonorrhoea can impact the ability to get pregnant. Chronic diseases such as diabetes, autoimmune disorders and hormonal disorders can also increase the chances of infertility.
- Fertility parameters of the partner such as semen quality can affect a woman’s ability to get pregnant. Having achieved pregnancy earlier, lifestyle habits and aging may affect partner’s fertility, changing the ability to be fertile for natural conception anymore.
A woman considering an abortion may wonder about any effects of the abortion she had had, on future pregnancies. A woman experiencing problems getting pregnant should seek medical advice and follow lifestyle measures that may help in getting pregnant. Fertility specialist can help identify potential underlying causes for inability to get pregnant and plan possible treatment options.
Take away on using safe abortion pills
A medical abortion occurs when a woman takes abortion pills to induce abortion. Medical abortions by abortion pills are more common during early pregnancy and that reduces the risk of complications. A medical abortion is the method used during the first trimester, where it involves taking a combination of medication, that gives a success rate of up to 99%. Sometimes, a woman may have to take abortion pills because she has experienced a miscarriage. The pills help to ensure all products of conception are passed to avoid infection and so that a woman can conceive again in the future. Having an abortion by abortion pills is relatively safe, and it does not increase the risk of future pregnancy complications, such as preterm birth, low birth weight, pregnancy loss or ectopic pregnancy. However, a woman who presents with complications during the abortion will need emergency obstetric evaluation and possible intervention. Obstetric consultation at the private abortion clinic in Chennai will offer help to manage and secure close follow-up also for abortion care in stable patients. It is always advisable that the patient has a follow up for checking repeated quantitative HCG levels and if needed, avail further medical or surgical treatment to avoid complications that may otherwise interfere with future pregnancies. Contraception following an abortion is also an important aspect of obstetric follow up.