Can an Abortion Cause Infertility?

 While there are many controversial elements to the abortion issue, from a strictly clinical point of view, an abortion performed by a medical professional under proper sanitary conditions is a safe and straightforward procedure, especially if done during the early weeks of a pregnancy. There is no scientific evidence which establishes that an abortion performed under these circumstances poses any notable risk to a woman’s future fertility.

Millions of women who have had abortions have gone on to have one or more successful full-term pregnancies and deliveries. However, as with any medical procedure, there are certain risks involved. In the majority of cases where abortion has impacted fertility, this is been the result of post-operative infection, usually following illegal terminations that were not done in appropriate medical environments. When women have access to safe, legal abortions performed by health care professionals, they experience no significant risk to their fertility.

Surgical & Medical Abortion & Infertility

Abortions can be performed either surgically or medically. Surgical abortion is a relatively simple outpatient procedure, most commonly using vacuum aspiration (during the first 6-12 weeks of pregnancy) or dilation and curettage (12-15 weeks). When a termination is done under proper conditions there should be no damage to the cervix or uterus and no impact on future attempts to get pregnant. After she goes home, a woman who has had a surgical abortion should monitor her temperature and bleeding to ensure there’s no post-operative infection and notify her health care practitioner immediately if anything seems wrong.

A medical abortion involves taking a combination of two oral medications to terminate an early-term pregnancy. A health care provider gives a woman mifepristone, a hormone blocker which cuts off the progesterone the body needs to maintain a pregnancy; then, 24-72 hours later, on her own she takes a prescribed dose of misoprostol, which brings on uterine contractions that result in a miscarriage several hours later. A follow-up exam makes sure that the procedure was completed successfully and that no infection is present.

A study published in 2007 in theNew England Journal of Medicinefound that medical abortion “is at least as safe as surgical abortion with respect to the risks of ectopic pregnancy, spontaneous abortion, low birth weight, and preterm birth in the first subsequent pregnancy.” Earlier studies cited in this report had already determined that there was no significant impact on future pregnancy for women who’d had either a medical or surgical abortion. Similarly, a 2004 study in theAmerican Journal of Epidemiologydetermined that medical abortion was safe and would not have an effect on later pregnancies.

Abortion and Infertility

Any medical procedure carries some degree of risk, and abortion is no exception. The most serious problems occur in those rare instances when a post-operative infection develops. But if a woman has had a significant number of abortions, scar tissue might develop at the top of the cervix or inside the uterus. If this interferes with later attempts to get pregnant, it is often possible to repair this medically. A woman who has had more than one abortion may also have a weakened cervix, due to repeated dilations during the earlier procedures; this could cause difficulty sustaining a pregnancy later on, as the cervix could dilate (open) prematurely. In many cases a weakened or incompetent cervix can be sutured closed for the duration of a pregnancy.

Additionally, an abortion can be an emotionally challenging experience for a woman, and this in turn might have an indirect effect on fertility, if she retreats from sexual contact out of feelings of guilt or conflict.


Average: 3.3 (50 votes)


By Christyjohnson Johnson on 12/05/16 at 12:47 am

This Guide helps me get pregnant w  ...

By Abey Kelly on 12/05/16 at 12:43 am

This is my testimony about the good work of a man who helped me....My name is Abey Kelly ... My life is back!!! After 8 years of marriage, my husband le  ...

By jeniferolivia on 07/19/16 at 5:05 am

In rare cases it happens, actually when a women terminate her pregnancy frequently then the chances of infertility increases. But hcg pregnyl 5000 iu is  ...

Today on JustMommies

Best Bottles for Nursing Babies

f you’re in the market for baby bottles, you have particular needs if you’re a breastfeeding mom. You want to look for a bottle that mimics the motion, flow and feeling of breastfeeding to avoid “nipple confusion”.

Best Last Names for First Names

Giving a child a family name has long been a popular tradition. Often boys are named after their fathers or girls after a grandmother or aunt. However, new parents create different trends.

Gender Identity: Raising a Transgender Youth

According to a report by the BBC, "the number of children aged 10 and under who have been referred [for] support services to help deal with transgender feelings has more than quadrupled in the last six years."

When Parents Aren't on the Same Page

Think back to the time before you became a parent: Maybe you talked with your partner about having children. Yet, your “parenting styles” may not have entered the conversation.

From The Message Boards

Trying to Conceive

Update Finally

So sorry that I disapeared. I got married on the 13th, approved for a house instead of renting, we'r...

Trying to Conceive

So frustrated!

I was on an online support group for infertility (because I really could use some support) and I joi...

Trying to Conceive

On to month 29.

So af is not here yet but will be soon. Tested again today and not even a faint line. I got frustrat...

Trying to Conceive

Took a test just because

I stopped bleeding from my loss on the 5th... Tested postive on the 6th. Faint Positive on the 15th....

Am I Pregnant

Tww. Need a boost please!

Can anyone tell me if you've experienced these and got your bfp?On and off since 5dpo, I've been hav...