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Potential Complications Following Abortion
Abortion, whether medical or surgical, carries a risk of certain complications. Understanding these potential issues is vital for informed decision-making.Heavy Bleeding
both medical and surgical abortions can result in important bleeding. Dr. Follow Sharma, a gynecologist, reproductive endocrinologist, and infertility specialist, and a medical advisor at Bird&Be, notes that excessive bleeding is a more common concern with medical abortions. In some instances, this heavy bleeding might necessitate medication to manage it or, in rare cases, a blood transfusion, according to dr. Feinberg. While alarming, this type of bleeding typically does not impact a person’s fertility, as explained by Robles.
Incomplete Abortion
Occasionally, not all pregnancy tissue is expelled or removed from the uterus after an abortion, a condition known as an incomplete abortion. This may require a subsequent procedure, such as a dilation and evacuation, to ensure all remaining tissue is cleared, states Robles. Generally, an incomplete abortion itself does not affect fertility. Though, undergoing multiple procedures can increase the likelihood of uterine scarring, which could possibly hinder future conception, he adds.
Asherman’s Syndrome
Asherman’s syndrome is an uncommon condition characterized by the formation of scar tissue within the uterus. This is more probable following surgical interventions like dilation and curettage (D&C), or if multiple procedures are required, according to Robles. The syndrome can disrupt the menstrual cycle and make it more difficult for a fertilized egg to implant in the uterine lining, a crucial step for pregnancy continuation, Robles explains. It can also elevate the risk of miscarriage. Fortunately,Asherman’s syndrome can often be treated surgically.
Uterine Perforation
During a surgical abortion, there is a small chance of accidentally creating a hole in the uterine wall, a complication known as uterine perforation. This is a rare occurrence,according to Feinberg.most uterine perforations heal without lasting effects. However, if the perforation involves blood vessels within the uterus, it can lead to significant bleeding and may necessitate emergency surgery, potentially including a hysterectomy, she notes. Dr.Sharma points out that a uterine perforation can also weaken the uterine muscle. This weakness could lead to complications in future pregnancies, such as uterine rupture (a tear in the uterus) or issues with the placenta, the organ responsible for nourishing the developing baby.
