Post-Abortion Concerns: Delayed Menstruation and Recovery

Post-Abortion Issues

I would like to ask, after using medication for a medical abortion on December 26, I experienced bleeding until mid-January.
However, there was over a week of brownish blood that was just a few drops.
I returned to the clinic and confirmed that the embryo had been expelled; an ultrasound showed there were still some blood clots.
I then took medication for three more days and did not return for another ultrasound.
As of February 5, my period has not yet arrived.
Is this normal?

Miao, 20~29 year old female. Ask Date: 2020/02/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2020/02/05

More Info

After an abortion, it is common for women to experience a range of physical and emotional changes, including delayed menstruation. In your case, you mentioned that you underwent a medical abortion on December 26, and you experienced bleeding until mid-January, followed by a week of brownish discharge. You also confirmed with your clinic that the embryo had been expelled and that there were still some blood clots present, for which you took additional medication.

It is important to understand that the menstrual cycle can be affected by various factors after an abortion. The hormonal changes that occur during pregnancy and the subsequent abortion can lead to irregularities in the menstrual cycle. It is not uncommon for menstruation to be delayed for several weeks or even months following an abortion, especially if the abortion was recent.

Typically, after a medical abortion, most women will have their first period within four to six weeks. However, this can vary significantly from person to person. Factors that can influence the timing of your next period include:
1. Hormonal Fluctuations: After an abortion, your body needs time to adjust and return to its normal hormonal balance. This adjustment period can lead to delays in ovulation and menstruation.

2. Stress and Emotional Well-being: The emotional impact of an abortion can also affect your menstrual cycle. Stress can lead to hormonal imbalances that may delay your period.

3. Physical Recovery: Your body may still be in the process of healing from the abortion, which can also affect your menstrual cycle.

4. Underlying Health Conditions: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can also contribute to delayed menstruation.

Given that you have not had your period by February 5, it is advisable to monitor your situation closely. If your period does not return within a few weeks, or if you experience any concerning symptoms such as severe pain, heavy bleeding, or signs of infection (such as fever or foul-smelling discharge), it is important to consult your healthcare provider. They may recommend a follow-up examination or tests to ensure that there are no complications, such as retained products of conception or hormonal imbalances.

In summary, while a delayed period after an abortion can be normal, it is essential to stay vigilant about your health. If you have any concerns or if your situation does not improve, do not hesitate to reach out to your healthcare provider for further evaluation and support. They can provide you with the necessary guidance and reassurance during your recovery process.

Similar Q&A

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.

Understanding Irregular Periods After Abortion: What to Expect

I underwent an abortion on January 8th, and my menstrual period has not arrived since then. My previous cycles were consistently normal, occurring every 28 days. Could you please advise if there may have been an issue with the procedure?

Dr. Wang Jionglang reply Obstetrics and Gynecology
Hello, Miss Xiao Wei. If an abortion is not properly managed, the symptoms usually include continuous bleeding. Therefore, your situation may not be due to a delayed menstrual period, but rather could be a result of delayed ovulation or elevated prolactin levels. If you want to c...

Understanding Delayed Menstruation and Abdominal Pain After Abortion

Hello Doctor, I had an abortion on February 5, 2018. For three months after the abortion, my menstrual cycle was very regular according to my app, occurring from March 10-16, April 10-16, and May 12-18. The app predicted that my June period would start on June 13, but it has been...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
On February 5, 2018, I had an abortion. For three months after the abortion, my menstrual cycle was consistent with the app's predictions, occurring from March 10-16, April 10-16, and May 12-18. The app predicted that my June period would start on June 13, but I am already f...

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.