Patient's question:
Doctor, I would like to ask:1: Tubal inflammation obstruction, cervical and uterine adhesion, amenorrhea (If these three conditions occur after an induced abortion, is there still a treatment method?)
2: If you had an induced abortion 3 months ago and are pregnant again now (please ask, should you choose medication abortion or induced abortion? Which one is better?)
Doctor's answer:
Hello: If a woman does not conceive without any contraceptive measures one year after an induced abortion, it is considered secondary infertility. Some women may experience infertility after an induced abortion. The reasons for infertility caused by induced abortion include:(1) Tubal inflammation and obstruction
Due to severe cervical inflammation in the patient or poor sterilization during the procedure, bacteria may be introduced into the uterine cavity, leading to tubal inflammation and subsequent obstruction. This hinders the meeting and fertilization of sperm and eggs.
(2) Cervical and uterine cavity adhesion
During an induced abortion, excessive suction or scraping may damage the cervical canal and endometrium, resulting in cervical adhesion obstruction or uterine cavity adhesion shrinkage. This prevents sperm from passing through the cervical canal into the uterine cavity or hinders the implantation and development of the fertilized egg.
(3) Amenorrhea
During excessive suction or scraping, the basal layer of the endometrium may be completely removed, or the scraping tool may excessively irritate the endometrium, preventing its regeneration. This leads to long-term amenorrhea, leaving no place for the fertilized egg to implant.
Induced abortion, especially multiple procedures in a short period, can easily cause tubal inflammation, cervical and uterine cavity adhesion, and amenorrhea, thereby leading to infertility. Therefore, induced abortion should not be performed frequently, and contraceptive measures should be consistently followed.