Does abortion pills cause infertility?

Written by Zhang Lu
Obstetrics
Updated on November 08, 2024
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In clinical practice, there are many types of abortion drugs. Their primary purpose is to kill the embryo or fetus and then promote uterine contractions to expel the fetus from the uterus. From the perspective of the drugs alone, abortion drugs do not cause infertility because the drugs are metabolized quickly. However, if abortions are performed repeatedly multiple times, this may potentially lead to infertility. The cause of infertility in such cases is not related to the drugs but due to the repeated abortions, which could affect the woman's endometrium, cervix, and fallopian tubes. Therefore, it is advisable for women to minimize unnecessary abortions to reduce the risk of infertility caused by the abortions.

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Can uterine bleeding cause infertility?

Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.

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Secondary infertility refers to a condition where a person is unable to become pregnant or carry a pregnancy to term following the birth of one or more biological children.

Infertility is divided into primary infertility and secondary infertility. Primary infertility refers to never having been pregnant before, which is called primary infertility. Secondary infertility generally occurs in individuals who have had children or a history of miscarriage and have been unable to conceive again after trying for a year, thus constituting secondary infertility. It is essential for those with secondary infertility to undergo relevant fertility tests at a hospital. Typically, the clinical evaluation includes a semen analysis for the male partner, and for the female partner, tests such as Mycoplasma and Chlamydia detection, endocrine examinations, immunological tests, and assessments for fallopian tube patency and related endocrine tests. Generally, through these tests, the cause of secondary infertility can be identified, and treatment can be tailored based on the results. In cases of secondary infertility, the vast majority can achieve conception through targeted treatment.

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Written by Zhao Min Ying
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What tests are done for infertility?

Couples who have lived together for more than a year and have regular sexual intercourse without using any contraception and still have not conceived are diagnosed with infertility. For men, it is referred to as sterility. Infertility requires couples to visit the reproductive medicine department for relevant infertility tests. The tests for men are simpler, primarily requiring abstinence from sexual activity for two to seven days before undergoing a semen analysis. For women, the tests vary depending on the condition but generally include the following aspects: First, blood tests related to endocrinology are conducted 2 to 4 days into menstruation. Second, from 3 to 7 days after menstruation ends, during which sexual intercourse should be avoided, tests can be conducted to check the patency of the fallopian tubes. Third, ovulation can be monitored by ultrasound from days 9 to 11 of the menstrual cycle until ovulation is confirmed. Additionally, routine gynecological examinations, including checks of the cervix and ultrasound examinations, are also conducted.

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What is infertility?

If a couple has been married for a year without using contraception, are not living separately, and have not conceived, or if there has been a history of abortion and no conception has occurred within six months of unprotected sexual activity, then this is considered infertility. Infertility can be due to female factors or male factors, with male infertility also accounting for a significant proportion. Male investigations are relatively simple, non-invasive, and also less expensive, so it is generally advisable to first conduct male tests, followed by female assessments, such as endocrine function, ovulation, uterine lining, fallopian tube examinations, or various biochemical tests, etc.

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Will taking melatonin cause infertility in women?

Taking melatonin daily will not cause infertility in women. Melatonin can help with sleep and regulate immune function, but for women around 30 years old experiencing poor sleep, it should not be taken frequently. Since it is a hormonal medication, long-term use can not only have adverse effects on the body but also lead to dependency. During this period, women should ensure proper rest, engage in appropriate daytime activities, and maintain a regular lifestyle to help improve sleep quality. Additionally, maintaining a good mood is important. If you feel particularly depressed, it is advisable to consult a psychologist.