Patient's question:
I am 25 years old. This past six months, I have unexpectedly become pregnant three times. This time, I still want a medication-induced abortion. Is this better than a painless abortion? What will be the impact on me if I have three abortions in a row?Doctor's answer:
Whether it is surgical abortion or medication abortion, both can cause significant harm to women. The advantage of medication abortion is that it does not damage the uterine lining. However, the disadvantage is that it may not be completely effective, leaving behind residual tissue or blood clots, requiring a follow-up Dilation and Curettage (D&C) procedure, which is essentially another surgical abortion. Repeated abortions can lead to habitual abortion, making it easier to develop conditions such as placenta previa or placenta accreta, which may cause severe postpartum hemorrhage, endocrine disorders, menstrual irregularities, or even amenorrhea. Post-abortion infections are common, such as pelvic inflammatory disease or salpingitis, which can result in infertility. Therefore, whether it is medication abortion or surgical abortion, it is essential to have the procedure done in a hospital and follow medical advice, ensuring adequate rest.