The shape of your uterus is also important to achieving pregnancy. It can help direct the sperm to the fallopian tubes. The delicate lining helps the fertilized egg find a new home and embed itself in the uterine lining. Any problems with this delicate balance and the fertility level falls.
If you have experienced previous uterine surgeries for miscarriages, abortions, or dilatation and curettage (D&C), you may have potential scarring of the lining of the uterus. These scars may not be noticeable until you attempt to conceive. This scarring can also cause you to have interruptions in your menstrual cycles. Though this is not a very common occurrence, it is possible. Therefore, report all surgeries to your physician so he or she has all the information necessary to make the correct diagnosis. Scar tissue within the uterine cavity is called Asherman's Syndrome. Asherman's Syndrome may cause amenorrhea and infertility.
I had an abortion in the past and I really don't want to tell my doctor, should I?
Yes, absolutely! It is very important to tell your physician about every surgery you have had, particularly as it relates to your reproductive tract. You may tell your physician without the presence of your partner. Your doctor will not be judgmental; she simply wants to know the medical facts to make the most correct diagnosis.