How should irregular menstruation after an abortion be treated?

Patient's question:

I have had two abortions, with a relatively short interval between them, about three and a half months. However, after the second abortion, I had bleeding for a week. I didn't rest well after the procedure. When I went to the hospital for a thorough check-up, they said there was a blood clot that wasn't completely removed, and after taking the prescribed medication, it improved. But during my first period after the abortion, I experienced sharp abdominal pain. It has been more than a year since then, and occasionally after sexual intercourse, I feel mild sharp pain. However, when I went to the hospital for a detailed examination, including an ultrasound and a vaginal discharge test, everything was normal. I once had cervical erosion, and I want to know if this could lead to infertility? I am very concerned about this issue. I want to know if this could affect my ability to get pregnant in the future.

Doctor's answer:

According to careful clinical diagnosis, some secondary or improper induced abortions can have a significant impact on a woman's fertility. This includes conditions such as endometritis caused by induced abortion, adhesions of the endometrium, thinning of the endometrium, pelvic adnexal inflammation, and fallopian tube blockage, among others. In your current situation, the main issue to consider is inflammation. It is recommended to pay close attention to the condition of the pelvic adnexa. If there is inflammation, it can affect the patency of the fallopian tubes, thereby impacting fertility. Although your current condition has not yet been proven to affect fertility, it is important to pay attention to it regularly, which will be beneficial to you. Wishing you good health!

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