Patient's question:
I had a child before, but later when I wanted another one, I couldn't have it no matter what.Doctor's answer:
(1) Artificial abortion, medication abortion: Induced abortion and medication abortion are the main culprits leading to secondary infertility. As the number and frequency of artificial abortions increase, the number of women suffering from secondary infertility also rises. Induced abortion has become one of the primary causes of secondary infertility. The psychological pain caused by secondary infertility to patients is no less than the physical pain from the abortion surgery. Induced abortion may damage the endometrium, leading to amenorrhea or reduced menstrual flow, or it may cause endometritis, preventing the fertilized egg from implanting and resulting in secondary infertility. Induced abortion can also cause adnexitis, leading to blocked fallopian tubes or fluid accumulation, which may result in secondary infertility.(2) Immunological infertility: Individuals with a history of pregnancy and induced abortion are more prone to produce antisperm antibodies and anti-endometrial antibodies, which can lead to immunological infertility.