Concerns About Fertility After Abortion: Ovarian Cysts and Fibroids

Want to get pregnant?

I discovered I was pregnant for over two months when I was 20 years old, about 14 years ago, and underwent an abortion.
Now, at 34 years old and recently married, I plan to conceive.
Two months ago, I found out I have a 4x4 cm chocolate cyst on my right ovary and a 2x2 cm fibroid in my uterus.
Further blood tests and X-rays ruled out malignant tumors, but I need to be monitored regularly.
My menstrual cycles have always been normal, but I am worried that my past abortion might affect my ability to conceive.
I haven't dared to mention my abortion to my husband, even though we both really want a baby.
When we discovered the chocolate cyst and fibroid, my husband was very supportive and reassured me that there is still a chance to conceive.
I feel anxious and uneasy, fearing that my past abortion is related to my current health issues.
Is there a connection? Thank you.

tery, 30~39 year old female. Ask Date: 2004/03/11

Dr. Wu Zongcheng reply Obstetrics and Gynecology

The Tainan Hospital of the Ministry of Health and Welfare, Dr.
Wu Tsung-Cheng from the Department of Obstetrics and Gynecology responds: (1) Having had an abortion does not affect fertility, so there is no need to feel anxious.
(2) Endometriomas may impact infertility and require monitoring.
(3) Please consult a fertility specialist for a detailed examination of the causes of infertility.
Tainan Hospital wishes you good health and all the best.

Reply Date: 2004/03/11

More Info

It's understandable to have concerns about fertility, especially after experiencing an abortion and discovering ovarian cysts and fibroids. Let's address your questions and provide some clarity on these issues.

Firstly, it's important to note that having had an abortion does not inherently affect your ability to conceive in the future. Many women who have undergone abortions go on to have healthy pregnancies later in life. Research indicates that the majority of women do not experience long-term fertility issues as a result of having an abortion, provided there were no complications during the procedure. Therefore, you can rest assured that your past abortion is unlikely to be a direct cause of your current fertility concerns.

Regarding the ovarian chocolate cysts (endometriomas) and uterine fibroids, these conditions can have varying impacts on fertility. Chocolate cysts are a type of endometriosis, which can sometimes lead to difficulties in conceiving. They are formed when endometrial tissue grows on the ovaries, leading to cyst formation. While many women with chocolate cysts can conceive naturally, the presence of these cysts can sometimes be associated with reduced fertility, particularly if they are large or if there is significant endometriosis present.

Fibroids, on the other hand, are non-cancerous growths in the uterus that can also affect fertility. Depending on their size and location, fibroids can interfere with implantation of the embryo or disrupt the uterine environment necessary for a successful pregnancy. In your case, the fibroid measuring 2x2 cm may not significantly impact your fertility, but it is essential to monitor it, especially if you experience any symptoms or if it grows larger.

Regular follow-ups with your healthcare provider are crucial. They can help monitor the size and impact of the cysts and fibroids on your reproductive health. If you find that these conditions are affecting your ability to conceive, your doctor may discuss treatment options, which could include medication or surgical interventions, depending on the severity of your symptoms and the impact on your fertility.

It’s also worth mentioning that stress and anxiety about fertility can sometimes exacerbate the situation. Open communication with your partner about your feelings and concerns can be beneficial. It’s important to create a supportive environment where both of you can express your hopes and fears regarding starting a family.

In summary, while your past abortion is unlikely to affect your fertility, the presence of chocolate cysts and fibroids may require monitoring and possibly treatment. Regular check-ups with your healthcare provider will help ensure that any potential issues are addressed promptly. Remember, many women with similar conditions go on to have successful pregnancies, so maintaining a positive outlook and seeking support can be very helpful as you navigate this journey.

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