Does induced abortion affect future fertility and pregnancy complications? This question often cannot be answered without individuals, perhaps even inadvertently, wading into political commentary on abortion. Answers are often clouded by political agendas and funding sources, and co-opted and spun by either side of the abortion debate to push their own narrative.
On the pro-life side, I’ve sometimes seen the affects of abortion on fertility talked about like a horror story, showcasing a uterine perforation or the need for a hysterectomy because of a botched abortion, with nary a citation to help understand how often these outcomes happen. I’ve also experienced pro-life people unable to explain how, exactly, abortion can effect fertility. Talking about how bad abortion is for women can come across as a fear-mongering tactic in these kinds of situations and can make pro-life people seem ignorant.
On the other side, you have pro-choice people who will outright deny abortion does any harm at all to women’s fertility or that it can affect future pregnancies. You’ll see them hail how safe abortion is and how rare complications are, often with a decontextualized citation, or claim that it’s irrelevant because abortion is safer than childbirth (which isn’t true, by the way). They can come across as blasé in their total denial, making abortion sound too good to be true.
So…should we care about the answer to this question? What is the answer, and what should be done about it?

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