Does medication abortion affect fertility?

Patient's question:

Hello, I have been on medication for an abortion for 15 days. An ultrasound showed that the endometrium is heterogeneous and thickened by about 1.4 cm, with unclear boundaries. Could this be due to having sex with my husband? Will it affect fertility?

Doctor's answer:

Medical abortion, also known as medication abortion, refers to the use of Mifepristone tablets (known as RU-486) combined with Misoprostol for oral administration to terminate early pregnancy. It has been widely used in clinical practice in recent years and is a highly popular medication for preventing early pregnancy.
After a medical abortion, it is recommended to rest for 1-2 weeks to avoid a weakened immune system, which could lead to other illnesses. Personal hygiene should be maintained, with frequent changes of clothing and regular bathing, but it is advisable to avoid tub baths or swimming. Special attention should be paid to vaginal hygiene to prevent bacterial infections. A balanced diet should be chosen, and sexual activity should be avoided.
Advice: The risks of medical abortion:
Medical abortion can disrupt a woman's endocrine system and cause certain damage to the ovaries. The side effects of the medication are significant. Abortion drugs may also impair the immune system and liver function. Additionally, many side effects have yet to be discovered.
Risk of infection: After medical abortion, vaginal bleeding may last for an extended period, ranging from a few days to over a month. During this time, the entire reproductive tract is highly susceptible to infection, potentially leading to various conditions such as vaginitis, cervicitis, pelvic inflammatory disease, and adnexitis.

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