Abortion and Infertility – Uterine Perforations

Definition of Fertility from MedicineNet.com:

The ability to conceive and have children, the ability to become pregnant through normal sexual activity.


From the Fertility Control Clinic online advertisement

How safe is abortion and will it make me infertile?
Pregnancy termination is one of the safest, simplest and most commonly performed procedures for women. A pregnancy termination will not adversely affect your fertility. We will ensure your future contraception needs.


“will NOT adversely affect your fertility.”


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. (5) Such an examination may be useful when beginning an abortion malpractice suit. The risk of uterine perforation is increased for women who have previously given birth and for those who receive general anesthesia at the time of the abortion.(6) Uterine damage may result in complications in later pregnancies and may eventually evolve into problems which require a hysterectomy, which itself may result in a number of additional complications and injuries including osteoporosis.

5. S. Kaali, et al., “The Frequency and Management of Uterine Perforations During First-Trimester Abortions,” Am. J. Obstetrics and Gynecology 161:406-408, August 1989; M. White, “A Case-Control Study of Uterine Perforations documented at Laparoscopy,” American¬† Journal of Obstetrics and Gynecology 129:623 (1977).

6. D. Grimes, et al., “Prevention of uterine perforation During Curettage Abortion,” JAMA, 251:2108-2111 (1984); D. Grimes, et al.,”Local versus General Anesthesia: Which is Safer For Performing Suction Abortions?” American Journal of Obstetrics and Gynecology, 135:1030 (1979).¬† Source




  1. If you have an abortion and they perforate your uterus and you end up having to have a hysterectomy, doesn’t that affect your fertility? I’m not a doctor but I thought you needed a uterus to have a baby!

  2. That’s crazy! I had a d&c after a miscarriage (same yuck vacuum procedure that they do with abortions) and even that doctor told me before the operation that there was a chance of a perforated uterus!

  3. This is an interesting NSW case that a plaintiff lost because the judge held that the catastrophic uterine rupture that happened to her mother may have been caused by her mother’s previous abortion and not the negligence of the obstetrician who delivered her: Bruce v Kaye [2004] NSWSC 277 (8 April 2004). You can see it under the legal case page tab above.

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