Future Reproductive
Health

Future Reproductive Health

(After an abortion)

Future Pre-term Deliveries

  • “At least 49 studies have demonstrated a statistically significant increase in premature births or low birth weight risk in women with prior induced abortions.”1
  • “A previous induced abortion was an independent risk factor [for future pre-term birth].” Relative risk of future pre-term deliveries increases 21.4% (AOR=1.25) after and induced abortion.”2
  • Abortion may cause cervical incompetence, leading to a higher risk of preterm delivery.9

Pelvic Inflammatory Disease and STIs

  • “The presence of Chlamydia in the cervical canal at the time of abortion in asymptomatic women increases the risk of postabortal PED.”3
  • Of patients who have a Chlamydia infection at the time of abortion, 23% will develop PID within 4 weeks.3,4
  • “PID can lead to serious consequences inducing infertility, ectopic pregnancy (a pregnancy in the fallopian tube or elsewhere outside the womb), abscess formation, and chronic pelvic pain.”4

Mental Health

  • “Women who had undergone an abortion experienced an 81% increased risk of mental health problems, and nearly 10% of the incidence of mental health problems was shown to be attributed to abortion.”5

Sexual Dysfunction

Some women experience sexual dysfunction after an abortion.6 Tell your doctor if you experience any of the following normal symptoms:

  • Increased vaginal dryness
  • Decreased sexual desire
  • Loss of orgasm ability
  • Dyspareunia (painful intercourse)

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1 Rooney B, Calhoun BC (2003). “Induced abortion and risk of later premature births.” JPandS, 8(2): 46-9.
2 Freak-Poli R, Chan A, Tucker G, Street J (2009). “Previous abortion and risk of pre-term birth: a population study.” J Matern-Fetal Neo M, 22(1): 1-7.
3 Westergaard L, Phillipsen T, Scheibel J (1982). “Significance of cervical Chlamydia trachomatis infection in postabortal pelvic inflammatory disease.” Obstetrics and Gynecology, 68(5): 668-90.
4 Ovigstad E, et al. (1983). “Pelvic inflammatory disease associated with Chlamydia trachomatis infection after therapeutic abortion.” Br J Vener Dis, 59: 189-92; Duthie SJ, et al. (1987). “Morbidity after termination of pregnancy in first trimester.” Genitourin Med, 63(3): 182-7; Stray-Pedersen B, et al. (1991). “Induced abortion: Microbiological screening and medical complications.” Infection 19(5): 305-8; Heisterberg L, et al. (1987). “The role of vaginal secretory immunoglobulin a, gardnerella vaginalis, anaerobes, and Chlamydia trachomatis in post abortal pelvic inflammatory disease.” Acta Obstetricia etGynecologica Scandinavica, 66(2): 99-102.

Coleman, PK (2011). “Abortion and mental health: quantitative synthesis and analysis of research published 1995-2009.” Br J Psych, 199: 180-6.Brind J, Chinchilli VM, Severs WB, Summy-Long J (1996). “Induced abortion as an independent risk factor for breast cancer: a comprehensive review and meta-analysis.” J Epidemiol Community Health, 50(5):481-96.

6 Bianchi-Demicheli F, Ortigue S (2007). Insight of women’s sexual function and intimate relationships after termination of pregnancy: A review of recent findings and future perspectives. Curr Womens Health Rev 3(1):31-41; Bianchi-Demicheli F, Perrin E, Ludicke F, Bianchi PG, Chatton D, Campana A (2002). Termination of pregnancy and women’s sexuality. Gynecol Obstet Invest 53(1):48-53; Fok WY, Siu SN, Lau TK (2005). Sexual dysfunction after a first trimester induced abortion in a Chinese population. Eur J Obstet Gyn R B 126(2):255-8.

7 Moreau C, Kaminski M, Ancel PY, Bouyer J, Escande B, Thiriez G, Boulot P, et al. (2005). Previous induced abortions and the risk of very preterm delivery: results of the EPIPAGE study. Brit J Obstet Gynaec 112(4):430-7.