Abortion in the first pregnancy
Is it dangerous to have an abortion on my first pregnancy? And if so, what are the possible complications? Is infertility possible after my first abortion? Can I get pregnant after my first abortion? Is surgical abortion or medical abortion the best method to terminate the first pregnancy?
We will try to answer these frequent questions and many others in this article.
Indeed most of you women and girls have heard the expression that the first pregnancy must end in childbirth. Is it correct? Both yes and no. This message emerged during the instrumental abortion techniques heyday – in the 60s and 70s. What was the first pregnancy induced abortion high risk, especially at a young age (under 25)?
Let us list these factors:
- During pregnancy, there are global changes in the woman’s body at all levels and in all systems. An abrupt halt in the pregnancy progress can often lead to hormonal imbalances that are difficult to treat.
- An unborn young woman’s endometrium thickness (the uterus internal mucous membrane) is small, so during the curettage (cleaning) procedure, there is uterus damaging the more profound layers a risk, and this can subsequently prevent a normal pregnancy from proceeding.
- With instrumental abortion, there is always infection entering a risk uterine cavity, in which case an apparent or latent infectious inflammatory process starts after the procedure. The inadequate or no treatment infection is a severe post-abortion complication with a significant cause such as infertility.
These factors are still relevant today for an instrumental abortion technique such as a curettage (popularly called “cleaning”).
Time flies, and progress does not standstill. In the 70s, the vacuum aspiration method became widely used. In the early 90s, a genuinely revolutionary technique called Manual Vacuum Aspiration (MVA), which is essentially a simplified manual vacuum aspiration, emerged. Using a vacuum to extract the pregnancy products from the uterine cavity has dramatically reduced the risk of endometrial injury during an abortion and infection and inflammation.
The drug development to inhibit pregnancy development and the prostaglandin analogs used to induce uterine contractions have opened a new, safe page in abortion techniques. The page is called Medical Abortion. This method does not require any instrumental labor and excludes invading the endometrium or introducing pathogenic flora risk into the uterine cavity.
Thus, with the medical abortion (pharmacological, pills, and non-surgical) advent in gynecological practice, the phrase the first pregnancy has to end in childbirth is no longer applicable.
Indeed, any abortion is a tremendous hormonal load on the female body, all systems, the pregnancy termination without harm. Each couple needs to use reliable contraceptive methods. Stiсвя, if it is an unwanted pregnancy, especially if it is the first pregnancy on the account and the under 25 years of age, the choice method is medical abortion.
And now to answer all the questions presented at the article beginning.
Is it dangerous to have an abortion in a first pregnancy?
If a medical abortion is used, there is no correlation between the abortion complications and the number’ risks in the count.
And if dangerous, what complications are possible?
The complication rate is low, not exceeding 10-15%. Read more here.
Is infertility possible after my first abortion?
If no severe complications occur during and after the abortion, it is almost impossible. Serious complications occur in magnitude and order less than the total number mentioned in the paragraph above.
Can I get pregnant after my first abortion?
Of course, it is. Reproductive capacity is restored in most cases by the next menstrual cycle. What is the best method to terminate the first pregnancy? If you are less than nine weeks pregnant, medical abortion is the choice method, as it is the gentlest for the young body. But it is, of course, much better to avoid an unwanted pregnancy.
Can anyone know later on (doctors, loved ones) that there has been an abortion?
Suppose no instrumental dilation of the cervical canal was used during pregnancy termination, and the pregnancy is not older than nine weeks. In that case, no specialist or machine will be able to determine whether there is an abortion history.