Hi,

Thanks for your query.

First let me tell you the repeated abortions are not safe for a woman's reproductive career.

Approximately 10% of women undergoing induced abortion suffer from immediate complications, of which one-fifth (2%) were considered major. However the majority of complications take time to develop and will not be apparent for days, months or even years. Following are common complications encountered.

1) UTERINE PERFORATION:
Between 2 and 3% of all abortion patients may suffer perforation of their uterus, yet most of these injuries will remain undiagnosed and untreated unless laparoscopic visualization is performed

2) CERVICAL LACERATIONS:
Significant cervical lacerations requiring sutures occur in at least one percent of first trimester abortions. Lesser lacerations, or micro fractures, which would normally not be treated may also, result in long term reproductive damage.

3) PLACENTA PREVIA:
Abortion increases the risk of placenta previa in later pregnancies (a life threatening condition for both the mother and her wanted pregnancy) by seven to fifteen folds. Abnormal development of the placenta due to uterine damage increases the risk of fetal malformation, perinatal death, and excessive bleeding during labor

4) HANDICAPPED NEWBORNS IN LATER PREGNANCIES:
Abortion is associated with cervical and uterine damage which may increase the risk of premature delivery, complications of labor and abnormal development of the placenta in later pregnancies. These reproductive complications are the leading causes of handicaps among newborns

5) ECTOPIC PREGNANCY:
Abortion is significantly related to an increased risk of subsequent ectopic pregnancies. Ectopic pregnancies, in turn, are life threatening and may result in reduced fertility

6) PELVIC INFLAMMATORY DISEASE (PID):
PID is a potentially life threatening disease which can lead to an increased risk of ectopic pregnancy and reduced fertility. Of patients who have a chlamydia infection at the time of the abortion, 23% will develop PID within 4 weeks.

7) ENDOMETRITIS:
Endometritis is a post-abortion risk for all women

8) INCREASED RISKS FOR WOMEN SEEKING MULTIPLE ABORTIONS:
In general, most of the studies cited above reflect risk factors for women who undergo a single abortion. These same studies show that women who have multiple abortions face a much greater risk of experiencing these complications. This point is especially noteworthy since approximately 45% of all abortions are for repeat aborters.

9) PSYCHOLOGICAL COMPLICATIONS

10) CERVICAL, OVARIAN, AND LIVER CANCER:
Women with a history of one abortion face a 2.3 times higher risk of having cervical cancer, compared to women with no history of abortion.

11) DEATH:
Many women die to complications associated with abortion every year.

Inlight of all these facts I advice you against such repeated abortions. You should have used contraception available easily in India.

If you still wish to go ahead with abortion. Following steps are recommended:

1) Confirm pregnancy by urine pregnancy test.

2) Get ultrasound done to rule out ectopic pregnancy.

3) Take prescription from your gynecologist for medical termination of pregnancy.

I hope my answer makes your decision easier.
Please accept my answer if no more queries.

Regards,

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Hi,

Success of abortion can be said only after performing ultrasound.

Success of post marriage reproductive function can be commented after performing hysterscopy.

Because success rate depends on each patient, I cannot comment on your success rate since I have not done a detailed evaluation of the patient in concern. I am sorry about this.

Regards,

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Hi,

These tests are done at least after 3 months post abortion.

Costs vary form hospital to hospital:

Trans vaginal Ultrasound costs about Rs.500 to 800

Diagnostic hysteroscopy costs about 10 to 15 thousand.

I don’t see need of these tests (also thinking about post marriage success rates) because you are going to get married soon. So if you don't conceive after marriage, you can think about these tests. Right now, no need to worry on these matters as you won’t be able to get an active treatment.

Hope this answers all your query. Please accept my answer if no more queries.

Regards,

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Hi and thanks again,

Ultrasound at present is required to confirm the location of pregnancy before proceeding to termination. If it is ectopic location, the treatment is different.

If you terminate pregnancy and want to reassess for the damage caused due to abortions and its effect on uterus (You were checking success rates after marriage), ultrasound is recommended after 3 months for that purpose.

So scan recommended now for identifying pregnancy is different from Scan recommended after 3 months for damage to uterus.

The process of abortion and the steps to be taken before and after will be given in writing as prescription from your gynecologist based on your treatment decided by gynecologist.

Medical treatment of termination is better than surgical. Your gynecologist will be able to decide after examining and doing ultrasound scan.

Hope this answers all your queries. Please accept my answer if no more queries.

Regards,

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