Can abortion cause infertility? Doctor Speaks Up

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Whether you have undergone an abortion or are seeking one, the question, “Can abortion cause infertility?” is both relevant and significant, yet underexplored. Women who have had an abortion in the past and finding it difficult to conceive in the present look for the answer to help them learn if the fertility issues are related to a past abortion. The women who are looking forward to obtaining an abortion in India are on the lookout for the answer due to fear and anxiety if abortion is a safe abortion.

Well, we understand your situation. And hence, have come up with the information right from the doctor for abortion to help you with expert insights. And the abortion doctor says….

“There is no specific answer if abortion can cause infertility. It may or may not cause fertility issues depending on several things.”

This post will help you learn about those circumstances where abortion can cause infertility and where it is safe. In addition, the post intends to guide you towards safe abortion options. So, if you are seeking an abortion, you can access timely care to avoid it impacting your fertility.

Let’s begin!

When an abortion does not cause infertility?

A safe abortion is a procedure where the abortion doctor takes complete safety measures to prevent abortion risks and complications. Infertility is a big concern and hence, to ensure a safe procedure, the doctor first evaluates the patient’s medical condition. According to her pregnancy length, location and medical history, the doctor can prescribe the best abortion method which is not only safe but also legal.

Legally, abortion in India is easily available to both married as well as unmarried women for up to 20 weeks. One can visit any registered MTP centre or abortion hospital in India and get a legal abortion. Besides 20 weeks, abortion in India is permissible under some special circumstances.

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Although abortion is available for contraceptive failure for up to 20 weeks, the abortion methods vary according to the pregnancy length. There are three major abortion methods commonly used and also approved for pregnancy termination by the World Health Organization (WHO). These are:

1. Medical abortion with the help of safe and approved abortion pills.

2. Vacuum aspiration abortion or Suction abortion with the help of a suction device.

3.Surgical abortion involving Dilatation & Curettage (D&C) or Dilatation & Evacuation (D&E)

All the methods are safe if performed by qualified abortion doctors at registered premises using approved and sterile equipment, medicines and other necessary means.

Usually, such abortions are safe and carry minimal risk to the woman’s infertility. Only some unavoidable situations and patient-specific parameters can lead to unmanageable complications.

When can abortion cause infertility?

An unsafe abortion can cause infertility. You may not know about many facts that are often overlooked and talked less often. Many women or couples try to get rid of unwanted pregnancies, by self-abortions or DIY abortions or self-guided abortions without involving the healthcare provider. While some of them successfully obtained abortions, more than them are the ones who had to lose their reproductive health in one way or the other.

Not only this, some women had to pay the cost of abortion with their lives while some lost their ability to give birth to a new life. Unsafe abortions are the leading cause of maternal health complications, both short-term and in the long run.

“It may be hard for you to believe but such cases do show up with botched-up abortions in emergencies. Being an abortion doctor for a few decades, I have seen 2 to 3 cases showing up each other day after a self-abortion. I have seen their families and themselves in grieving states.

Indeed, I’ve seen young girls, especially unmarried women come drenched in a blood pool only to realize that they have made the biggest mistake of their life. And mind it, it is not getting into physical intimacy before marriage but for opting self-abortion.

The problems do not end here. We save lives as far as we can. But fertility, we try to save that too. However, in some situations to save the patient’s life, we have to take some immediate actions that can impact their reproductive futures. And here, I’m speaking of the ruptured pregnancies.”

Let’s listen to what the doctor for abortion has to say about ectopic pregnancies.

Heard about ectopic pregnancies? If yes, do you know, they can rupture if not immediately removed as soon as detected? Ectopic pregnancies are faulty pregnancies and can happen with any woman. The sperm can fertilize the ovum but the fertilized product, the embryo may not reach the destined location, the womb.

A woman’s ovary releases an egg every month. It stays in the fallopian tube for nearly 24 hours. It stays there waiting to be fertilized by the sperm. If it gets fertilized, the resulting embryo travels down the tube and reaches the womb. There, it gets implanted in the uterine lining, endometrium.

However, in some cases, due to some reasons, known and unknown, it can fail to reach the womb. It can stay in the fallopian tube. Or it can travel to a faulty location, such as the cervix lining or the abdominal cavity. In some rare cases, the embryo may also implant on the ovary itself or attach to the scar of a previous C-section. And if such a thing happens, the embryo can rupture and lead to internal bleeding (hemorrhage). It is a life-threatening situation and can prove fatal without immediate attention.

In such situations, emergency surgery becomes essential to save the patient’s life. However, the patient may lose her fertility, partial to complete. Most ectopic pregnancy cases are where the embryo implants in the fallopian tube itself. So, to save the patient’s life in such situations, the ruptured embryo and the tube along with the connecting ovary need to be removed. This reduces the probability of the woman to nearly half since only one of the ovaries may be available.

In some other serious conditions, the loss may be complete if the rupture has led to significant damage.

Can abortion pills cause infertility?

So, we have heard what the doctor for abortion told us about infertility due to ectopic pregnancy. Well, that’s how physiology works and can result in infertility. But, can abortion pills cause infertility? Let’s hear what the abortion doctor has to say in this regard.

“Abortion pills do not directly cause fertility loss. However, there are several complications with abortion pills that can result in infertility if you see it in the long run.”

Ectopic pregnancy:

“For instance, take the example of ectopic pregnancy as just mentioned above. If a woman has not undergone a scan to rule out if her pregnancy is ectopic takes abortion pills after a positive pregnancy test. The ectopic pregnancy can rupture leading to a similar situation as we discussed. So, this can result in infertility.

Well, this is one scenario with an ectopic pregnancy and abortion pills resulting in infertility. If a pregnancy is normal or intrauterine, then abortion pills are usually safe to use. However, self-administration may cause complications. And these complications can be a root cause for a woman struggling to conceive in the future.

With self-medication, women may not know if they need any dose adjustment. They also may not be aware if the pregnancy is less than 6 weeks or how to take the abortion pills. Additionally, some women may have certain medical conditions where abortion pills may not be a suitable abortion method. But they all may not lead to infertility as a complication.”

Unwanted pregnancy pills in UAE

Infections:

“Unmanaged complications such as heavy bleeding, resulting in infections can cause fertility. Infections such as Pelvic Inflammatory Disease (PID) wherein reproductive organs get inflamed can turn into chronic problems. Usually, a doctor can manage it with a combination of medicines and the patient feels fine. But the problem does not end. It can reoccur. And lead to a chronic disturbance which may recur several times.

When the reproductive tract is inflamed, it can cause difficulty in conceiving. For instance, an inflamed fallopian tube can obstruct the sperm from travelling towards to ovary. If fertilized, it can obstruct the embryo from travelling towards the uterus. In other instances, if it happens to implant successfully on the endometrium (uterine lining), infections can cause miscarriage.”

Incomplete abortion:

Abortion pills are 92-93% effective, meaning, they can result in an incomplete abortion. Now, for completing an incomplete abortion, one may need surgical intervention to complete the pregnancy termination. Sometimes, only suction can help.

Now, women who have taken abortion pills with the doctor’s prescription can safely undergo the abortion completion. Safe abortion can prevent any complications and would not impact a woman’s fertility.

But if the woman has taken abortion pills as self-administered pills, the probability of incomplete abortion is higher. Why? Because, no dose adjustment, no mode of administration channelized, no eligibility checked and several other things. So, if such a case results in an incomplete abortion, it comes to doctors like us in emergencies. Of course, we try and treat the things as per patient-specifics.

But, if a woman or her accompaniments decide not to reach out for help, she may face infections as a result of incomplete abortion. Unmanaged infections can also result in sepsis, again a fatal condition.

Or if they try to take help from a quack, it can result in further complications. Abortion may still not be complete. Or if complete, unsterile equipment or premises can result in infections, again the same as discussed. Also, the uterus shape may distort or sharp tools can cause internal injuries, impacting a woman’s reproductive tract. All of these can result in infertility after an abortion.

How to obtain a safe abortion?

A safe abortion must guarantee that you are physically, mentally as well as emotionally in a state of well-being. And that’s why the holistic abortion approach considers the well-being of the patient in all these aspects in addition to her right to privacy.

In this section, we are going to talk about how you can obtain a safe abortion in India for an unwanted pregnancy. The first thing you should know is that you do have a right to a safe, legal and confidential abortion. So, do not attempt any self-abortion or an unsafe abortion just for the sake of anonymity or cutting corners on the cost of abortion. Such attempts can result in several complications, including infertility.

Now, all the registered abortion clinics, hospitals or MTP centres are available across the length and breadth of the country. So, you can easily obtain a legal abortion at any such centre. However, there are certain parameters that you may want for abortion care, like no waiting period, privacy or a single-appointment procedure. These may not be available across all the MTP centres equally. So, here begins your priority listing.

The city for abortion in India:

First, select a city where you want an abortion. For instance, many patients prefer travelling to different cities for the want of complete privacy and even to avoid any acquaintance. For instance, Bangalore has emerged as one of the choicest cities for Comprehensive Abortion Care (CAC).

Patients have been travelling to Bangalore not only from different Indian cities from Kerala, Karnataka, Andhra Pradesh, Tamil Nadu, Goa and Maharashtra but also from abroad nations. Bangalore sees an influx of abortion care patients from Dubai, Abu Dhabi, Ajman, Al Ain, Ras Al Khaimah, Sharjah, Fujairah and others from the UAE. Additionally, patients are coming from Kuwait, Bahrain, Oman, Maldives, Qatar, Mauritius, Singapore, Sri Lanka, Indonesia, Bhutan and others.

Well, Bangalore is the choicest abortion centre for several reasons. Let’s see.

Connectivity:

Bangalore is very largely connected with domestic as well as international flights. This increases the patient’s convenience while travelling from a distant place. Additionally, the local commute is also very easy with cabs like Uber available in just a few clicks.

Homestays and Hotels:

Bangalore offers very good homestay options, including for patients travelling here for medical procedures. So, they can enjoy homely comfort during their stay in the country which can be adjusted according to the procedure needs. Also, the good homestays are available at affordable prices making homely comfort necessary for recovery without additional burden on the patient’s pocket.

Patients can even choose to stay at a hotel. Many good hotel options are available both near the airport as well as the hospital. This increases their convenience largely when it comes to local commutes within the city.

Medical infrastructure:

Since Bangalore is one of the most visited cities for medical tourism, there are plenty of advanced medical facilities available for diverse medical needs. For abortion care, the city is the home to a boutique abortion centre, American Hospital Bangalore (AHB). AHB has premiered abortion care for more than three decades and has been upgrading the medical tools, techniques and quality of patient care over the years.

Not only this, AHB has premiered abortion methods, known as Gentle Care abortion methods which are extremely efficient and comfortable. With abortion pills and other unsafe methods, there is no guarantee of a successful abortion. Whereas, Gentle Care abortions have a proven efficacy of nearly 100% with a short procedure. Not only this, Gentle Care abortion procedures are usually single-appointment abortions. This eliminates the waiting lines and period when a patient’s appointment is scheduled before walk-in.

Also, patients coming from distant cities and countries do not have to stay for long in the city. So, a short stay would mean they would not need to spend additional costs to stay in Bangalore for a longer duration.

Early procedure and early recovery potentially decrease the break time one may need for an abortion in India. One can resume routine earlier as compared with abortion pills, which involve a longer personal and professional break. With pills, the abortion period is stretched to almost a week. On the contrary, Gentle Care suction abortion gives the confidence of a complete abortion on the same appointment before the patient leaves the hospital. Same-day procedure allows for same-day discharge too.

Privacy and Confidentiality:

Moreover, abortion in India laws consider abortion as a personal decision. So, it is required of every hospital to maintain the confidentiality of patient records. However, in general hospitals, with a large patient pool, it may be difficult to hide from being spotted.

But, in a private boutique hospital, one can recover in a private room. There is no waiting area and therefore, no patient-to-patient interaction. Private consultation with the doctor, private examination and abortion room and private recovery room. So, a confidential and private abortion experience.

After the city, you need to figure out the abortion method.

Here is an overview of the approved abortion methods available in India. According to your pregnancy length and other specific factors that can impact the abortion method choice analysis by the abortion doctor, you can obtain an abortion.

abortion in India

The doctor can explain each abortion method and what to expect from it. Before discharge, you can obtain a post-abortion consultation. It will include the Do’s and Don’ts after the abortion for a rapid recovery. You can ask for dietary recommendations to follow during recovery. In addition, you can obtain a contraception consultation to prevent any future unwanted pregnancies.

Post Abortion Care and Recovery
Post Abortion Care and Recovery at American Hospital Bangalore

Many women also opt for Intrauterine Contraceptive Device (IUCD) implantation along with the abortion. If you too are willing to obtain it, you can discuss it during the pre-abortion consultation. So, the doctor can insert the IUCD just after removing the pregnancy from your womb. This can save additional appointments and discomfort.

Now, you can check out how to select the best abortion hospital by checking its online reviews and previous patient testimonials. It’s a great way to identify the red flags and also find the abortion clinic that aligns with your expectations and needs in abortion care.

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