For most women, getting pregnant after abortion is not problematic or difficult.
An abortion could be spontaneous, when it is usually referred to as a miscarriage; or it could be induced in one of several different ways such as by taking abortion pills or having a surgery or D&C performed.
The main types of spontaneous abortions or what we called miscarriages in layman’s terms are –
- Threatened abortion is when there is bleeding in the first half of the pregnancy, with some cramping in some cases. Rest is usually prescribed and the rest of the pregnancy could well be fully normal.
- Complete abortion is when all the contents of the uterus are expelled by way of a miscarriage.
- Incomplete abortion is when only part of the contents of the uterus is expelled and surgical procedures such as curettage has to be performed.
- Missed abortion occurs when the fetus stops developing or dies within the uterus but is not expelled by the body. Usually a D&C is required to be performed and one should wait for a certain duration before getting pregnant after abortion.
Usually there is no need to wait for a long length of time if one wants to try getting pregnant after abortion. As long as there is no medical reason to wait, and so long as the parents have been able to deal with the loss of pregnancy and come to terms with it on an emotional and psychological level, it could be perfectly fine to try to get pregnant again within about 2 to 3 months.
A miscarriage or spontaneous abortion does not negatively impact fertility or the ability to get pregnant again, though repeated induced abortions such as D&Cs can cause some scarring and hamper fertility to an extent. It is possible to get pregnant right after an abortion, so if one does not want to avoid getting pregnant after abortion too soon, one must practice very safe sex.
However if a woman undergoes repeated miscarriages it is important to find out the reason behind this as it can be a medical or other condition that requires to be addressed which is preventing the pregnancy being carried to term.
There could be a genetic (uterine) anomaly or an infection or autoimmune disorder that is responsible. It could also be fibroids or Hughes syndrome that is the underlying cause of miscarriage.
For getting pregnant after abortion, particularly in the case of repeated miscarriages it is important to find out the reason for the miscarriage and find a solution to it if possible. Doctors advise that if there have been as many as three pregnancy losses, appropriate tests should be carried out to find out the reason behind this.
Getting pregnant after abortion is possible for a vast majority of women, who successfully carry the pregnancy to term. It is important to take prescribed supplements such as folic acid and vitamins or iron if required, and to continue to eat healthy. Also it is important to keep stress levels down, and pay attention to the emotional well being of the woman, since abortion, induced or spontaneous can be very traumatic and can take time to heal psychologically.
Miscarriage is very common, and affects as many as 10 to 15% of pregnancies, so it is important for the woman to remember that it is not her fault that the miscarriage occurred in the first place and that getting pregnant after abortion is normal and safe.