Is it risky to have an abortion with a scarred uterus? Can I still get pregnant?

The risk of abortion with a scarred uterus is higher than that with a normal uterus, but pregnancy is still possible. Abortion with a scarred uterus may lead to complications such as uterine rupture and bleeding, so the surgical method should be chosen with caution; pregnant women need to strengthen pregnancy monitoring to ensure the safety of mother and baby.

1. The risk of abortion is high for scarred uterus. Scarred uterus means that the uterus has undergone surgery, such as cesarean section or myomectomy, which causes scar tissue to form on the uterine wall. Abortion surgery may increase the risk of uterine perforation, bleeding, infection, etc., especially in the scarred area, which is more vulnerable. The surgical method should choose a technique that causes less damage to the uterus, such as hysteroscopic abortion or medical abortion, to reduce the risk.

2. Pregnancy with a scarred uterus is still possible, but it needs to be monitored more closely. Pregnancy with a scarred uterus may lead to problems such as abnormal placental position and uterine rupture, especially at the scar site. It is recommended to perform a detailed ultrasound examination in early pregnancy to assess the site of placental attachment and the scar. The thickness of the uterine wall and fetal development should be monitored regularly during pregnancy, and if necessary, the pregnancy should be terminated early or a cesarean section should be chosen.

3. Pre-pregnancy consultation and risk assessment are very important. Women who are planning to get pregnant should undergo pre-pregnancy examinations in advance to assess the extent of the uterine scar and possible risks. The doctor will give pregnancy advice based on the specific situation, such as whether pregnancy needs to be postponed, whether surgery is needed to repair the scar, etc. During pregnancy, maintain close communication with the doctor and adjust the treatment plan in time to ensure a smooth pregnancy.

The risk of abortion for scarred uterus is high, but pregnancy is still possible through reasonable surgical selection and pregnancy management. Women who plan to become pregnant should conduct risk assessment in advance and strictly follow the doctor's advice to reduce the occurrence of complications and protect the health of mother and baby.