I've had 3 surgical abortions and 1 medical abortion, what long term effects can this have on me?

Many: There are possible physical and emotional side effects of multiple abortions... Too many d&e procedures especially when infection is involved may result in scarring of the uterine lining... At times when people have undergone abortions they later experience regret... Please consider using a reliable form of birth control to prevent pregnancy.

Maybe none: Dilation of the cervix, such as occurs with a D&C or d&e and removal of pregnancy is very safe. Extremely rare is Asherman's syndrome where women have scarring in uterus. In 10 years i've yet to encounter. You will see in press or on line suggestions about breast cancer, preterm delivery, etc. You have to examine research, and data methods however, as these claims are false.