Is it harmful to the body to have two medical abortions in a year?

Patient's question:

After giving birth to my child, I didn't use contraception in time. I got pregnant twice within a year, and both times I had medication-induced abortions. The time between the two abortions was no more than six months. I want to ask if this is harmful to my body?

Doctor's answer:

Multiple miscarriages can be quite harmful, damaging the endometrium and leading to conditions such as placenta previa or placenta accreta in future pregnancies, which may cause severe postpartum hemorrhage, endocrine disorders, menstrual irregularities, or even amenorrhea. Post-abortion infections, such as pelvic inflammatory disease or tubal inflammation, can lead to infertility. It may also cause venous thrombosis, habitual abortion, endometriosis, uterine perforation, and other issues. However, this is not absolute. If the surgical procedure is performed properly, with thorough antiseptic measures and good postoperative recovery of the uterus and ovaries, and if follow-up check-ups are conducted regularly as advised by the doctor, it generally will not affect future fertility. If you do not plan to become pregnant, it is recommended to take effective and safe contraceptive measures during sexual activity.

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