Struggling to Conceive: Concerns After Past Abortion and Lifestyle Choices

I really want to get pregnant?

Hello, doctor.
I would like to ask about something.
When I was 17 and didn't understand things well, I became pregnant, but due to my parents' opposition, I had no choice but to undergo a dilation and curettage (D&C) procedure, even though the baby had a heartbeat.
Now, I have been married for almost two years, but I still have not conceived, and I am really worried that the D&C procedure may have caused my current inability to get pregnant.
It makes me very sad.
Additionally, I occasionally drink alcohol and smoke.
Will this affect my ability to conceive? I would also like to know if my body can be treated with Western medicine.
I really want to ask the doctor if there are any suggestions to help me resolve my current worries and to identify where the problem might be.
My husband is an only child, and I feel a lot of pressure.
😨 Please, doctor, give me a good solution.
Thank you.

Qingqing, 20~29 year old female. Ask Date: 2016/05/06

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the general definition of infertility is the inability to conceive after one year of regular sexual intercourse.
In cases of infertility, both partners should undergo examinations at a gynecology clinic, including semen analysis, hysterosalpingography, ovulation testing, and hormone blood tests, among others.
The previous induction of labor typically does not have an impact.
If there are still concerns, it is advisable to consult with your regular gynecologist.
Wishing you good health.

Reply Date: 2016/05/06

More Info

It sounds like you're going through a very challenging time, and I want to acknowledge the emotional weight of your concerns regarding past experiences and current struggles with conception. It's completely understandable to feel anxious about your fertility, especially after having undergone a procedure like an abortion at a young age. However, it's important to remember that many factors can influence fertility, and it's not solely determined by past events.

Firstly, regarding your past abortion, research indicates that a single abortion, particularly when performed safely and legally, typically does not lead to long-term fertility issues. However, complications can arise from any surgical procedure, so if you experienced any complications during the procedure, that could potentially affect your fertility. It would be beneficial to discuss your medical history with a healthcare provider who can evaluate any potential impacts on your reproductive health.

As for your lifestyle choices, both smoking and excessive alcohol consumption can negatively affect fertility in both men and women. Smoking can lead to reduced fertility by affecting hormone levels and damaging the fallopian tubes, which are crucial for conception. Alcohol can also impact ovulation and hormone levels, making it more difficult to conceive. If you're trying to conceive, it would be wise to consider reducing or eliminating these habits to improve your chances of pregnancy.

In terms of medical assistance, consulting with a reproductive endocrinologist or a fertility specialist would be a good step. They can conduct a thorough evaluation, including blood tests to check hormone levels, and possibly imaging studies to assess your reproductive organs. They can also provide guidance on lifestyle modifications that may enhance your fertility.

Additionally, if you're feeling overwhelmed by the pressure of trying to conceive, it might be helpful to seek support from a mental health professional. Fertility struggles can be emotionally taxing, and having someone to talk to can provide relief and coping strategies.

In summary, while your past abortion may weigh heavily on your mind, it is essential to focus on the present and seek professional guidance. Lifestyle changes, such as reducing alcohol and quitting smoking, can significantly improve your chances of conception. Consulting with a fertility specialist will provide you with tailored advice and support. Remember, you are not alone in this journey, and there are resources available to help you navigate your concerns.

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