Does induced abortion lead to infertility?

Patient's question:

Review, according to the ultrasound it was uneven, then took another course of medication, the check-up was fine last year

Doctor's answer:

Analysis of the condition: One year after artificial abortion, if pregnancy does not occur without any contraceptive measures, it is considered secondary infertility. In some cases, women may experience infertility after artificial abortion. The reasons for infertility caused by artificial abortion include: 1. Tubal inflammation and obstruction: Due to severe cervical inflammation or poor sterilization during the procedure, bacteria may be introduced into the uterine cavity, leading to tubal inflammation and obstruction. This hinders the meeting and fertilization of sperm and eggs. 2. Cervical and uterine cavity adhesion: During artificial 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 basal layer may be excessively scraped, preventing the regeneration of the endometrium and causing long-term amenorrhea. This makes it impossible for the fertilized egg to implant.
Advice: Hello, artificial abortion, especially multiple abortions in a short period, can easily cause tubal inflammation, cervical and uterine cavity adhesion, and amenorrhea, leading to infertility. Therefore, artificial abortion should not be performed frequently, and contraceptive measures should be consistently followed.

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