Will an Abortion Affect My Fertility and Future Pregnancies?

Many women considering abortion have understandable concerns about their future fertility. Questions such as “does abortion cause infertility?” or “can you get pregnant after abortion?” often linger in the minds of women navigating this decision. These concerns are common, and it’s important to separate myths from medical facts.

In reality, safe and legal abortions performed under proper medical care do not typically affect a woman’s ability to conceive. Most women go on to have healthy pregnancies, with their reproductive system remaining fully functional. Understanding the connection between abortion and future pregnancy can help ease concerns and provide clarity as you consider your options. Read on to learn more about what to expect and how to protect your reproductive health.

Types of Abortion Approaches: Medical vs Surgical

Abortion care is generally provided through two main methods. Each is considered safe when carried out under proper medical supervision, though they differ in how the process unfolds and where it takes place.

Medical Abortion

Medical abortion uses two medications to end a pregnancy: mifepristone and misoprostol. In Singapore, these medicines cannot be bought over the counter or taken on your own without medical care. You must be properly assessed by a qualified specialist who is licensed to perform abortions, undergo counselling, and complete the mandatory two-day waiting period.

The treatment is carried out in stages, and the process should be supervised by your doctor. Cramping and vaginal bleeding are expected and may continue for several days or weeks. However, these symptoms alone do not confirm that the abortion is complete. Some women with ongoing pregnancies can have similar symptoms, so follow-up and, where needed, an ultrasound scan are important to make sure the pregnancy has ended and there is no retained tissue.

Surgical Abortion

A surgical abortion is a short procedure performed in a clinical setting by a trained doctor. It may be recommended in certain situations, or when a woman prefers a more immediate and closely monitored outcome. The procedure is considered safe and effective, and most women can go home on the same day. Some cramping and light bleeding are common afterwards, and your doctor will advise you on what to expect and when to seek help.

Understanding Fertility After Abortion Care

Fertility typically returns quite soon after an abortion, regardless of whether the procedure was medical or surgical. When carried out safely under proper medical supervision, both methods are not known to cause long-term effects on fertility. Most women recover well and are able to conceive in the future if they choose to.

Ovulation can resume as early as two to three weeks after the procedure. Because ovulation occurs before the first menstruation, pregnancy is possible almost immediately during the recovery phase. This timing often surprises people, so it can be helpful to consider contraception early if you are not planning to conceive.

Paying attention to your menstrual cycle, resting as needed and following aftercare instructions all support healthy recovery. If you are unsure about your fertility, cycle changes or the right contraception for your needs, your doctor can guide you through these decisions with personalised advice.

Future Pregnancy Considerations After an Abortion

Most people who have had a medical or surgical abortion are able to have healthy pregnancies in the future. When carried out safely by experienced specialists, these procedures do not generally affect long-term fertility or the ability to conceive.

Although abortion is a well-established and safe procedure, each abortion carries some risks. These include infection, perforation of the uterus that may require repair, the possible formation of scar tissue, and injury to the cervix that may lead to a weakened cervix. Such complications are uncommon and, when they do occur, they are usually treatable. Seeking care from a qualified and experienced abortion doctor significantly reduces these risks.

Complications from either method can increase the chance of problems in later pregnancies, but this is considered rare. There is no strong evidence that one method is more likely than the other to affect future fertility, provided each is carried out properly with medical oversight. Following aftercare instructions and attending scheduled follow-up appointments help ensure full recovery and support healthy future pregnancies.

Trusted Abortion Care With Dr Jen Shek Wei

Understanding how the body heals after an abortion can bring clarity during a time of uncertainty. When care is provided safely, most women recover well and continue to have healthy reproductive lives. With thoughtful aftercare, informed decisions and reliable medical guidance, you can move forward feeling reassured in your well-being and in the choices that support your future.

At our accredited abortion pill clinic, patient-centred care guides every step of your experience, with safety, confidentiality and compassionate support at the core of what we do. Our practice is led by consultant obstetrician and gynaecologist Dr Jen Shek Wei, who has extensive experience in women’s reproductive health. His expertise allows our team to explain your options clearly, prepare you for what to expect and tailor your care to your needs. Book an appointment with us for dedicated medical guidance and comprehensive support throughout your decision and recovery.