Patient's question:
I am a 22-year-old newly married girl. I had an abortion a year and a half ago. Last month, I got pregnant again due to a failed contraception (condom slipped off, Yuting failed). I have a few questions to ask you:1. If I want this child, will the birth control pill affect the child?
2. If I have an abortion, will it affect future fertility?
3. What issues should I pay attention to after an abortion?
Doctor's answer:
Hello: Based on your situation, it is difficult to determine whether there will be an impact. Taking medication before or after pregnancy can have a certain effect on the fetus, but the specific impact cannot be determined.After an induced abortion, you should pay attention to the following:
（1） Rest is important after an induced abortion. During pregnancy, the uterus enlarges. After the procedure, the fetus is expelled from the uterus, and the uterus needs to return to its original size. The endometrium, which has been stripped away, must regenerate and heal, and the cervix, which has been dilated, must close. Therefore, proper rest, avoiding heavy physical labor, and strengthening nutrition are essential for a smooth recovery.
（2） Pay attention to hygiene after an induced abortion. First, maintain cleanliness of the external genitalia to prevent the invasion of external bacteria. Avoid bathing for 2 weeks. Do not have sexual intercourse for one month, as the cervix has not yet closed, making it easy for bacteria to enter the uterus and cause infection.
（3） After an induced abortion, you should rest in bed for 2 hours immediately and monitor the amount of uterine bleeding. Mild abdominal pain, lower abdominal distension, and slight vaginal bleeding are normal. However, if the abdominal pain is severe, the bleeding is heavy, and it persists for more than 10 days, you should seek medical attention promptly.
（4） Pay attention to contraception after an induced abortion. After the procedure, the ovaries and uterus recover their original functions relatively quickly. If contraception is not used, pregnancy can occur again soon. Therefore, avoid sexual activity for one month after the procedure. It is best to use an intrauterine device (IUD) for contraception at the same time as the induced abortion or to use condoms for contraception.