Breast Lumps and Concerns After Abortion: A Guide for Young Women

Breast cancer and induced abortion?

I am a 17-year-old female, and I have hard lumps on both sides of my breasts (about the size of a soy sauce dish).
I'm not sure if they are still 'developing' or if it's 'cancer.' The lumps can be moved when pushed, and they only hurt if I press down hard; otherwise, they don't hurt.
A few days ago, out of curiosity about whether it could be 'cancer,' I performed a self-examination and squeezed my nipples, which released a clear fluid, but I had to apply a lot of pressure for it to come out.
I'm not sure if this is related to the fact that I had a surgical abortion (vacuum aspiration) on January 7.
Additionally, I have some questions: 1.
What happens if I have sex three days after an abortion? Will it cause infertility in the future? 2.
What happens if I expose myself to cold air after an abortion? 3.
What are the consequences of not resting properly after an abortion? Also, I recently had a car accident and am unable to seek medical attention.

Yi Er, 10~19 year old female. Ask Date: 2015/01/30

Dr. Lin Wenbin reply Obstetrics and Gynecology

1.
After an abortion, the condition of the uterus is still not very stable, and engaging in sexual intercourse at this time can easily lead to infections and inflammation.

2.
After an abortion, the decrease in hormones makes one more susceptible to catching a cold, especially when exposed to cold air.

3.
During the postpartum recovery period, rest is the top priority, followed by nutrition.
Engaging in sexual intercourse without adequate rest after an abortion is very detrimental to the body and cannot be compensated for merely by eating.

Reply Date: 2015/01/30

More Info

It's understandable to have concerns about breast lumps and other symptoms, especially after undergoing a significant medical procedure like an abortion. Let's address your questions and provide some clarity on the situation.

Understanding Breast Lumps
Breast lumps can be concerning, especially for young women. The lumps you describe, which feel like "hard clumps" and can be moved without pain, are often benign. Many young women experience changes in their breast tissue due to hormonal fluctuations, especially during puberty or menstrual cycles. These changes can lead to the formation of fibrocystic breast changes, which are typically non-cancerous and can cause lumps that may feel tender or painful at times.

The fact that you can express a clear fluid from your nipple when applying pressure could be related to hormonal changes or even the recent abortion. After an abortion, hormonal levels can fluctuate significantly, which may lead to changes in breast tissue and discharge. However, if the discharge is persistent, or if you notice any changes in the lumps, it is essential to consult a healthcare provider for a thorough evaluation.

Addressing Your Concerns
1. Having Sex After Abortion: Engaging in sexual activity shortly after an abortion (like three days post-procedure) can increase the risk of infection, as the cervix may still be slightly open. It's generally recommended to wait at least two weeks before resuming sexual activity to allow your body to heal properly. Having sex too soon may not directly cause infertility, but it can lead to complications that might affect your reproductive health.

2. Exposure to Cold Air: There is a common belief in some cultures that exposure to cold air after an abortion can lead to health issues, but medically, there is no evidence to support this. However, it is essential to keep your body warm and avoid extreme conditions that could stress your body during recovery.

3. Not Following Post-Abortion Care: The concept of "doing a month" or "post-abortion care" varies by culture, but generally, it is crucial to allow your body to heal. Not following recommended care can lead to complications such as infections or prolonged bleeding. It's essential to listen to your body and seek medical advice if you experience unusual symptoms.

Recommendations
Given your situation, here are some recommendations:
- Seek Medical Attention: Since you mentioned being in a car accident and unable to visit a doctor, it's crucial to prioritize your health. If you're experiencing pain, unusual discharge, or any other concerning symptoms, please find a way to see a healthcare provider. They can perform necessary examinations, such as a breast ultrasound or mammogram, to rule out any serious conditions.

- Monitor Your Symptoms: Keep track of any changes in your breast lumps, including size, shape, or pain level. If you notice any significant changes, it's essential to seek medical advice promptly.

- Educate Yourself: Understanding your body and its changes can help alleviate some anxiety. Consider speaking with a healthcare professional about breast health, menstrual cycles, and what to expect after an abortion.

- Support System: Surround yourself with supportive friends or family members who can help you navigate this challenging time. Emotional support is just as important as physical health.

In conclusion, while breast lumps can be concerning, many are benign and related to hormonal changes. However, given your recent abortion and other symptoms, it's vital to consult a healthcare provider for a thorough evaluation and peace of mind. Your health and well-being should always come first.

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