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Abortion/fertility, future pregnancies, abortion pill, medical abortion, early abortion methods

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Question
Hello, I had an abortion using Mifeprex in November 2008 and then again several weeks ago (February, 2009).  Our birth control failed in both occasions, leading to the unplanned pregnancies.  My fiance and I have had a horrible time dealing with these situations emotionally, but we both felt that given our shaky financial situation and our two children we already have, we made the wisest decisions.  We do want to have children together in the future, and we are concerned that the two medication abortions in such a short period of time could have affected my fertility.  Seeing that you are an expert on the drug and were involved in the research trials surrounding the drug, I thought that I would address this question to you, regarding how the repeated use of the drug (on two occasions in a short period) could have affected my fertility.  Can you provide any insight into this situation?  

Thank you in advance,
Sadie

Answer
Dear Sadie,
There is absolutely no risk for future pregnancies with a medical abortion.  The abortion pill is a nonsurgical early abortion method, so there is no scarring of the uterus.  Basically, it induces your uterus to do what it naturally does every month - "release" or shed the period or menstrual lining.  The medications used in the abortion pill are in and out of your system within days, and you are back to normal by your next cycle.  You could have repeated medical abortions and no issues for getting pregnant.
I hope this is helpful,
Doctor Joan
EarlyAbortionOptions.com
New York City

Abortion

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Doctor Early Options

Expertise

We are a group of family doctors who provide abortion care for over a decade. We can answer any health or medical related questions about early abortion, including the aspiration procedure, the abortion pill (RU486), or surgical abortion. We run a practice called Early Options, located in New York City: http://www.EarlyAbortionOptions.com. The practice is dedicated to making early abortion part of mainstream medical care. There are other family doctors around the United States who practice a similar approach to early abortion care: see http://www.EarlyAbortion.com. Please do not ask "private" questions so that other women can learn from your experience. Please tell me what country you are from so that we can better help you.

Experience

Experience in the area: We are all board certified family doctors who have special training in early abortion and reproductive health. Dr. Joan Fleischman is the founder of Early Options (earlyabortionoptions.com) dedicated to making early abortion part of mainstream medical care. Organizations: National Abortion Federation American Association of Family Physicians

Education/Credentials
Dr. Joan Fleischman, Founder M.D., Harvard Medical School M.P.A., John F. Kennedy School of Government

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