Study analyzed 1000 US women aged 41-45 averaging 20 years post-abortion. Over 22% had abortions matching population data. 37% report high or very high negative emotions tied to abortion. Nearly half experienced serious psychological stress in key emotional health areas. 24.1% show clear long-term post-abortion stress symptoms. Highest stress rates in white women. Highest stress in women with higher education. Highest stress in Northeast US women. Effects persist across social groups not just vulnerable ones. Clinics fail to inform women of long-term mental risks.