Post-Abortion Recovery: Menstrual Changes and Emotional Health

Abortion

For two years, I used hormonal contraception, and for a year and a half, my menstrual period suddenly decreased to two days.
I used ovulation test strips for contraception for three years.
My last menstrual period was on March 10, 2016 (average cycle of 26 days), with an average duration of 3 to 4 days; by the third day, the flow was light, and by the fourth day, I could stop using pads.
On April 11, I tested positive for pregnancy (unexpected).
On June 1, I underwent a dilation and curettage (D&C) procedure.
Two days later, there was no bleeding.
On June 3, I started experiencing breast engorgement, and by June 15, I had completely stopped producing milk.
I returned to work as an office lady on June 17, where I sit for long periods.
On June 25, I had a high fever of 39.6°C due to a cold.
On June 28, I had physical symptoms of menstruation but did not see any menstrual blood.
On July 13, I tested negative for pregnancy.
From July 14 to 18, I took DUPHASTON 10 mg.
On July 21 and 22, I again had physical symptoms of menstruation but did not see any menstrual blood.
I am currently very worried about adhesions and future infertility.
Recently, I have been very emotional and easily want to cry, and I am afraid of having depression.

Could you please advise if lactation can delay the first menstrual period after surgery? After taking DUPHASTON, when can I expect my normal menstrual period to arrive? If there are adhesions, combined with being an older mother, will it be more challenging for future pregnancies? Regarding my emotional state, am I showing signs of depression, and should I consider taking a long leave for recovery?

ai, 30~39 year old female. Ask Date: 2016/07/24

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
Lactation may still occur, and ovulation is usually suppressed, which can delay the first menstrual period after surgery.

2.
Taking DUPHASTON can induce menstruation; typically, menstrual bleeding will occur within 2 to 5 days after stopping the medication.
If menstruation does not occur, please seek medical evaluation.

3.
The likelihood of adhesions is very low, so there is no need for excessive worry.
Please visit a major hospital for confirmation.

4.
If depressive symptoms arise, you can make an appointment for evaluation by a psychiatrist.

Best regards, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/07/24

More Info

Post-abortion recovery is a multifaceted process that encompasses physical, emotional, and psychological dimensions. Understanding the changes that occur in the body after an abortion, as well as the emotional health implications, is crucial for women navigating this experience.

Firstly, regarding menstrual changes, it is common for women to experience alterations in their menstrual cycle following an abortion. The body undergoes significant hormonal changes during pregnancy, and after an abortion, it may take some time for hormone levels to stabilize. This can lead to variations in menstrual cycle length, flow, and symptoms. For instance, some women may notice a shorter menstrual period or lighter bleeding, as you described with your cycle dropping to two days. It is essential to monitor these changes and consult a healthcare provider if there are significant deviations from your typical cycle or if you experience symptoms such as severe pain or excessive bleeding.

In your case, the use of Duphaston (a synthetic form of progesterone) is often prescribed to help regulate the menstrual cycle post-abortion. It can assist in restoring hormonal balance and may help in the timely return of your menstrual cycle. However, the exact timing of your next period after taking Duphaston can vary. Generally, it is expected that menstruation will resume within a few days to a couple of weeks after completing the medication, but individual responses can differ.

Concerns about adhesions (also known as Asherman's syndrome) following a surgical abortion are valid. Adhesions can occur when scar tissue forms in the uterus, potentially leading to complications such as irregular menstrual cycles and difficulties with future pregnancies. If you have concerns about adhesions, it is advisable to discuss this with your healthcare provider, who may recommend imaging studies or further evaluations to assess the condition of your uterus.

Emotional health is another critical aspect of post-abortion recovery. It is not uncommon for women to experience a range of emotions, including sadness, anxiety, or even feelings of guilt. The emotional impact can be exacerbated by factors such as the circumstances surrounding the abortion, personal beliefs, and support systems. If you are feeling persistently sad, anxious, or are experiencing symptoms that may indicate depression, such as difficulty concentrating, changes in sleep or appetite, or feelings of hopelessness, it is essential to seek support. This could involve speaking with a mental health professional, joining a support group, or confiding in trusted friends or family members.

Given your concerns about potential depression and emotional well-being, taking a break from work to focus on your mental health could be beneficial. Self-care is vital during this time, and allowing yourself the space to heal emotionally can contribute positively to your overall recovery.

In summary, post-abortion recovery involves a complex interplay of physical and emotional factors. It is essential to monitor your menstrual cycle, communicate openly with your healthcare provider about any concerns, and prioritize your emotional health. Seeking professional support for emotional distress is crucial, as it can significantly impact your recovery and future well-being. Remember, you are not alone in this journey, and there are resources available to help you navigate the challenges you may face.

Similar Q&A

Understanding Menstrual Cycles After Abortion: What to Expect

Hello, doctor. I would like to inquire whether the menstrual cycle after an abortion will be as regular as it was before the abortion. Before the abortion, my cycle was approximately 29 days. I had my first period after the abortion on March 26. When would my ovulation day be? Th...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Your menstrual cycle is typically 29 days. The first menstrual period after a complete miscarriage usually occurs between one month to one and a half months post-miscarriage, and subsequent periods are likely to return to the 29-day cycle. The first ovulation after a misca...

Understanding Post-Abortion Menstrual Changes and Bleeding Issues

Your girlfriend had a medical abortion on March 17, and it was confirmed successful on March 26. On April 2, the doctor mentioned that her menstruation should return in about 14 days. However, it is now April 26, and she has not had her period. Although she has not experienced bl...

Dr. Lü Lizheng reply Obstetrics and Gynecology
The response could indicate irregular menstruation or that the miscarriage process may not be complete. It is advisable to seek medical examination at Taoyuan Hospital, Dr. Lu Licheng.

Understanding Post-Abortion Recovery: Delayed Menstruation and Abnormal Discharge

Hello Dr. Lu, I underwent a medical abortion on September 23 (approximately 4 weeks pregnant), and during my follow-up appointment on October 23, the doctor said everything had returned to normal. That evening, I had sexual intercourse (with withdrawal method), and the next day...

Dr. Lü Lizheng reply Obstetrics and Gynecology
After the abortion, ovarian function has not yet returned, and menstruation may be delayed or irregular. Additionally, there is significantly more discharge than before, which raises the possibility of inflammation. Please consult a physician for an examination.

Post-Abortion Menstrual Changes: When to Seek Medical Advice?

After an abortion, menstruation arrived after 34 days, with very light flow that was bright red and lasted only two days. This is the first abortion. Should I seek further examination? Will this affect future chances of conception? Thank you!

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, observation is sufficient; it generally does not affect future chances of conception. Wishing you good health.