Had an induced abortion or ectopic pregnancy with fetal death in the womb, will it affect future fertility?

Patient's question:

During pregnancy, it's always particularly uncomfortable, and morning sickness is also very severe. I wonder if having an induced abortion or ectopic pregnancy with fetal death in the abdomen affects future fertility.

Doctor's answer:

The main reasons for embryonic arrest mainly include four aspects. The first is related to reproductive endocrinology. During the early development of the embryo, three important hormone levels are required: estrogen, progesterone, and human chorionic gonadotropin (hCG). If the mother's endogenous hormone levels are insufficient, it can lead to embryonic arrest. The second is related to reproductive immunity. If the body has certain antibodies, they may resist the development of the embryo. The third is related to uterine issues. If the uterine environment is poor or if there is a malformation, the embryo will not develop. The fourth is related to chromosomal issues. If testing is conducted, a detailed examination should be performed on all four aspects, and both partners should be included. Additionally, external factors such as pollution and radiation also play a role.

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