Want to conceive?
Hello Dr.
Tsao: Four years ago, I underwent a medical abortion using RU-486.
After that, due to incomplete expulsion, the doctor performed a surgical procedure.
I have a few questions for you:
1.
I did not use contraception for two months and still did not conceive.
I then sought help from a doctor, took ovulation medication for five days, received one injection to trigger ovulation, and after the ovulation period, I started taking natural progesterone and received an injection to assist with pregnancy, but ultimately, I was disappointed again.
Does this count as infertility, and is it related to the medical abortion I had four years ago?
2.
Additionally, my current job sometimes requires me to stand for long periods (2-3 hours) and occasionally lift heavy objects.
Could this be related to my recent pregnancy failure?
Thank you for your assistance.
yy, 20~29 year old female. Ask Date: 2005/04/25
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, Miss:
1.
In general obstetrics and gynecology, infertility is defined as the inability to conceive after one year of regular sexual intercourse.
Therefore, strictly speaking, you do not yet qualify as infertile.
What you should focus on now is to relax, maintain regular sexual activity, and observe for about six months.
If you still do not conceive, then you may consult a gynecologist.
2.
The abortion procedure you underwent four years ago and your current job that requires prolonged standing theoretically do not have a direct relationship with infertility.
Are you satisfied with this response? If you have any further questions, feel free to write again.
Thank you!
Reply Date: 2005/04/25
More Info
Understanding infertility after an abortion can be a complex issue, and it’s important to approach it with both medical knowledge and emotional sensitivity. Your concerns about the impact of your previous abortion on your current fertility are valid, and many women share similar worries.
Firstly, it’s essential to clarify that having an abortion, whether through medication (like RU-486) or surgical methods, does not inherently lead to long-term fertility issues for most women. Research indicates that the risk of infertility after a single abortion is low, especially if the procedure was performed safely and without complications. However, complications such as infection or damage to the reproductive organs can occur, which may affect future fertility. In your case, since you mentioned that the abortion was followed by a surgical procedure due to incomplete evacuation, it’s crucial to consider whether any complications arose from that experience.
Regarding your current situation, you mentioned that you have been trying to conceive for two months without success after your abortion. It’s important to note that infertility is typically defined as the inability to conceive after one year of unprotected intercourse for women under 35, or after six months for women 35 and older. Since you are still within the early stages of trying to conceive, it may be premature to label your situation as infertility. However, if you continue to experience difficulties, consulting a fertility specialist would be advisable.
The treatments you have undergone, including ovulation induction with medication and the use of natural progesterone, are common approaches for women experiencing challenges with conception. These treatments aim to regulate your menstrual cycle and support the luteal phase of your cycle, which is crucial for implantation. If you have not achieved a pregnancy after these interventions, further evaluation may be warranted. This could include hormone level testing, an assessment of your partner’s sperm quality, and possibly imaging studies to evaluate your reproductive anatomy.
As for your work conditions, standing for extended periods and lifting heavy objects can potentially impact your overall health and comfort, but they are not directly linked to infertility. However, excessive physical strain can lead to stress and fatigue, which may indirectly affect your hormonal balance and reproductive health. It’s essential to maintain a healthy lifestyle, manage stress, and ensure you are in a supportive work environment while trying to conceive.
In conclusion, while your previous abortion may raise concerns about your current fertility, it is not the sole factor influencing your ability to conceive. It’s essential to give your body time to adjust after the procedure and to seek medical advice if you continue to face challenges. Regular follow-ups with your healthcare provider can help monitor your reproductive health and guide you through the process of conception. Remember, you are not alone in this journey, and many resources are available to support you.
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