Can an abortion affect a future pregnancy?

Probably not. However, in rare cases, the aftereffects of an abortion — such as an infection or issues affecting the fallopian tubes — may create obstacles in achieving pregnancy. In some cases, there is also a risk of injury to the cervix, the endocervical canal, or the endometrial cavity.

Any procedure that dilates the cervix (a process required in most abortions) can potentially weaken the uterus. The hysteroscopy method, during which a very thin camera (5–6 mm) is inserted through the cervix to examine the uterine cavity, is a diagnostic procedure that can often provide both diagnosis and simultaneous treatment of endometrial abnormalities.

In addition, if you have had more than one abortion in the past and become pregnant, a possible injury to the cervix may have caused cervical insufficiency. This condition might need to be managed during pregnancy with a cervical cerclage to prevent premature birth.

In general, however, a single abortion in the past does not affect your ability to conceive a healthy baby in the future, unless complications occurred during the procedure that damaged the uterus. Today, since pregnancy terminations are performed in hospitals under proper antiseptic conditions, the risk is significantly lower, though not eliminated.

For this reason, proper prevention and contraception are always strongly recommended.

Dr. Panagiotis Polyzos MD PhD MSc

Obstetrician Gynaecologist
Doctor of Medicine, University of Athens Medical School

Panagiotis Polyzos, Gynaecologist Obstetrician, is active at the Institute of Life - IVF Unit of Iaso Maternity Hospital.