Can having abortions affect fertility?

[Poppet13]

Exactly that, really.
I had an abortion at 16 (11 weeks) and (I'm ashamed to say) again, when I was 19/20. They were both surgical abortions.
I'm now a lot older, and me and my partner have moved into a new place ready to start thinking about children.
I just wanted to know really if it can affect later fertility, or if anyone has gone through the same thing they can offer some advice or kind words that it will be okay??
Thank you.
Ps - apologies I posted in here, seemed like the fertility page wasn't the right place for it.

[K8eee]

Apparently it does. I have no idea from experience, but I went to school with a girl who had three abortions, but then went on to have 2 healthy children! I think it all depends on how your body copes with that sort of trauma. how are your periods now?

[DulcetMoans]

If they were surgical and not medical then it could, I don't know the details but I know that way is riskier for later conception. Might have something to do with internal scaring? By no means impossible though! Just something to consider. If no luck after a year then go to docs and make sure you tell them.

[dixiedoodle]

Our fertility nurse said abortion wouldn't effect fertility unless there was infection or damage to the uterus - both which you would have known about at the time if they happened.
I am in similar position though and sincerely hope not.

[EugenesAxe]

It may well do, but if it gives you hope, I had one age 26 then conceived DCs aged 33 and 35 on first and second cycle respectively.

I think k8eee is right really - I hadn't been on the pill for years before TTC and my cycles were very regular.

[Poppet13]

Thank you :-)
Maybe I should see the doctor anyway, let him know we're trying and ask for advice. But there was no infection etc.
I'm completely off the pill now, periods are fairy regular although they are 5 weeks apart, not 4.
Thank you for the kind words! Xxx

[joanofarchitrave]

Very unlikely unless you already know that you had a complication at the time. NHS page on this

Apparently there may be a SLIGHTLY increased risk of miscarriage if the abortion was surgical.

A close relative has had absolutely no problem.

[LizCurly]

No.

That is a myth put about by Cura and the like. Their so-called impartial advice.

[Cariad007]

No, it doesn't affect your fertility. And there's no need to feel ashamed - you made the right decision at the time and now are in a place where you want children. Nothing to be ashamed of whatsoever.

[Pregnantberry]

"Induced abortion increases the risk of miscarriage 128% for up to 2 years

When comparing women who had had a previous pregnancy with primigravidae (first pregnancy), women whose 1 previous pregnancy ended in induced abortion, those whose 2 previous pregnancies ended in induced abortion, and those who had at least 1 induced abortion in their 3 or more previous pregnancies faced an increased risk of miscarriage (odds ratio = 1.41, 4.43, and 1.35, respectively). The researchers found the same risk when they adjusted for vaginal infection. Second trimester abortions were associated with an increased risk of first miscarriage (odds ratio = 4.63). Women whose last induced abortion occurred 12-24 months before the current pregnancy with no pregnancy in between the induced abortion and the current pregnancy faced an increased risk of miscarriage (odds ratio = 2.28). There was no increased risk of miscarriage when the induced abortion occurred at least 24 months before with no pregnancy in between the induced abortion and current pregnancy, suggesting that the uterus requires time to recover before successful future implantation.
www.ncbi.nlm.nih.gov/pubmed/8862989 "


Taken from sites.google.com/site/miscarriageresearch/miscarriage-general

[Pregnantberry]

Whoops, forgot to convert the links.

www.ncbi.nlm.nih.gov/pubmed/8862989 "

Taken from sites.google.com/site/miscarriageresearch/miscarriage-general

[Pregnantberry]

So, yes, but it sounds like you will be safe given the amount of time which has passed.

[RufousBartleby]

Its not a myth - this annoys me, like to suggest it happens makes you pro-life. I'm in this position at the moment, I'm going to an NHS fertility clinic and none of the doctors have seemed particularly surprised, so its obviouslynot just me! although there is precious little balanced discussion about it in real life or on the internet. The majority if people are obviously fine and Im sure you will be one of them. I believe problems are more likely after 12 weeks when the bone has hardened. I wish there was more open and less emotionally weighted discussion about this. I feel i was hugely under-informed about the risks.

[joanofarchitrave]

But - rufous, that's interesting about the bone hardening, is there more infomation about that?

Surely something like a third of women in the UK have had an abortion at some time in their lives. The proportion having fertility problems is smaller, but at least a third of women in fertility clinics will therefore have had an abortion, presumably. And in fact, there will be a higher proportion in fertility clinics who have had an abortion, because complications like infection at the time do have an impact on fertility, as discussed above. And also because those in fertility clinics presumably will be as a group older than average, and therefore more likely to have had an abortion just because they've lived more years. So i really don't see that if the team at a fertility clinic are used to encountering women who've had an abortion, that it proves that all the extensive information saying that there is no evidence of a link between straightforward abortion and reduced fertility, is therefore wrong.

[ThefutureMrsTatum]

I am not sure on the statistics, however from my own personal experience, had 2 surgical abortions aged 18 and 20, went on to conceive all 3 DC's within 2 months of "trying". So it didn't affect me. Good luck!

[RufousBartleby]

Joan - The percentage of abortions that take place after 12 weeks is tiny compared to the overall statistic, and the percentage of those carried out surgically is even smaller, and then there isnt guaranteed to be a problem, I think the number experiencing any type of problem, not necesarily fertility, is quoted as 4 in 1000. To be honest when I first went to the hospital I expected the staff to be sceptical that abortion could have caused the problem but they really werent, its a very large and I suppose as gynaec

[RufousBartleby]

sorry posted too soon, that should say that as gynaecologists theyve probably seen it all before. Anyway what Im getting at OP is thats its highly unlikely but not impossible as anyone who has ever been on the wrong side of the statistics will know.

[BalloonSlayer]

I do wonder if the link is more psychological, in that if you have had to have a termination, the pregnancy was most often unplanned, or caused by contraceptive failure. This leads women to think that they must be very fertile to have got pregnant just having that one day of unprotected sex, or despite being on the pill etc. When actually it was probably just chance.

They are left feeling that they will get pregnant immediately they have unprotected sex, or if their contraception is not 100% effective.

Fast forward a couple of years and they start trying for a baby but didn't conceive as quickly as they would have liked. They think "but the time I got pregnant when I had my termination: I wasn't even trying then! What has changed?" and therefore blame the termination when it isn't necessarily the cause.

I grew up with tales of abortions damaging fertility eg Marilyn Monroe, but she lived in a time where abortions were illegal and you had some dreadful people performing them.

I have never had an abortion but I have had 3 miscarriages, 2 of which required an ERPC, which I understand is a similar medical procedure. No one ever tried to tell me having an ERPC could affect future fertility. In fact, having just had a miscarriage, everyone took pains to reassure me that I would be able to have a baby. Funny that, eh?

[RufousBartleby]

Oh honestly balloon slayer. Im going to hide this thread. Perhaps you could pop over to conception next and tell a few people there that they just need to relax and maybe take a holiday...

[BalloonSlayer]

Sorry Rufous, I was actually trying to offer comfort to the OP. I am really sorry for upsetting you and for the problems you are having.

[mrsnec]

Hi, I had one at 12 weeks when I was 22. I didn't start ttc again until I was 31. It took 4 years to get pregnant for me but in the end my infertility was put down to my weight and I conceived after losing weight. That ended in an mc which I chose to go through naturally as my hospital ( not in the UK) were judgemental about my previous history I felt they treated me differently as a result. Having said that I don't over analyse what happened. My mc was one of the most traumatic things that's ever happened to me but it wasn't anyones fault it was just bad luck. A statistic nothing to do with my past. What I know now is that I shouldn't have waited so long and I should have figured out sooner that my weight was the problem. Op, what I'm saying is if you are both in the right frame of mind go for it. Everyone's experience is different.

[Writerwannabe83]

I had a termination when I was 16 (at 8 weeks pregnant) but went on to conceive on cycle #1 last year. Mine was also a surgical termination.

My sister had a surgical termination when she was younger too and has since gone on to have 2 children.

[juule]

Like balloonslayer I was reassured by health professionals that having an erpc would in no way affect my fertility or ability to carry a baby.

I've never had an abortion but I have the impression that the erpc procedure was similar and was very concerned at the time that it would be a problem for me. I have had several erpcs and several children.

So, I'm confused why an erpc would cause no problems but an abortion would.

[squizita]

It's the same operation as for missed miscarriages at that stage, and unless you have a complication such as asherman's syndrome, it should not cause problems.

Interesting how the pamphlets they give for a loss go on and on about this fact, but it appears the leaflets for terminations say the opposite. As another poster mentions, it may well be organisational bias.

[squizita]

...and my information is from top gynecologists specialising in recurrent loss and infertility. I was told this at the clinic by some of the top people in the country, not off the internet.

Good luck OP.