What are the effects of terminating a first pregnancy for a woman?

Jun 24, 2022 Source: Cainiu Health
Dr. Wang Huiying
Introduction
For first-time pregnancies, if termination is necessary, numerous minimally invasive abortion methods are currently available. With appropriate postoperative anti-inflammatory treatment, future fertility is generally not affected—though not all potential risks can be entirely avoided. For example, surgical abortion may damage the endometrium, resulting in endometrial thinning and possibly reduced menstrual flow. It may also lead to intrauterine infection, and even trigger salpingitis or pelvic inflammatory disease.

For first-time pregnancies, if continuation is not possible, it is essential to seek evaluation at a professional medical facility as early as possible. Based on individual physical conditions, an appropriate method of induced abortion should be selected. Currently, numerous minimally invasive abortion techniques are available. With timely and appropriate postoperative anti-inflammatory treatment, future fertility is generally unaffected—though not all potential risks can be entirely avoided, and caution is warranted.

1. During surgical abortion, the gestational sac is removed via intrauterine suction, which may injure the endometrium, resulting in endometrial thinning and potentially reduced menstrual flow.

2. Inadequate sterilization of instruments or failure to adhere strictly to aseptic technique during the procedure may lead to intrauterine infection, potentially progressing to salpingitis or pelvic inflammatory disease. Severe cases may increase the risk of subsequent ectopic pregnancy or infertility.

3. Excessive speed or force during cervical dilation during the abortion procedure may cause cervical injury, increasing the risk of miscarriage in future pregnancies—particularly among women experiencing their first pregnancy or those who have not yet given birth.

It is strongly recommended that abortion procedures be performed only at accredited medical institutions under the guidance of qualified physicians to ensure safety. For confirmed intrauterine pregnancies, surgical abortion may be performed within 30 days of gestation, medical abortion within 49 days, and surgical abortion remains an option up to 55 days of gestation.