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Fertility following legally induced abortion
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1979
Summary
Legally induced abortions did not decrease subsequent fertility in women. However, pelvic inflammatory disease following abortion was linked to longer time to conceive.
Area of Science:
- Reproductive Medicine
- Gynecology
- Public Health
Background:
- Fertility after pregnancy termination is a significant concern.
- Understanding the impact of induced abortion on future conception is crucial for women's reproductive health.
Purpose of the Study:
- To investigate whether legally induced abortion affects subsequent female fertility.
- To compare fertility rates between women with a history of induced abortion and those with a history of live birth.
Main Methods:
- A cohort of 7,270 pregnant women was studied.
- Fertility was assessed by the "latent period": time from unprotected intercourse to pregnancy.
- Reduced fertility was defined as a latent period exceeding one year.
Main Results:
- No significant difference in fertility (latent period > 1 year) was observed between women with prior induced abortion and those with prior live birth.
- A higher frequency of a latent period exceeding one year was found in women experiencing pelvic inflammatory disease after induced abortion.
Conclusions:
- Legally induced abortion alone does not appear to reduce subsequent fertility.
- Pelvic inflammatory disease complicating induced abortion may negatively impact fertility, increasing the time to conceive.