Post-D&C Pregnancy Concerns: Delayed Period and Symptoms Explained

Pregnancy Testing After Drainage Surgery

Hello Doctor: I would like to inquire about my situation.
On March 26, I underwent a dilation and curettage (D&C) procedure due to a missed heartbeat at 7 weeks of pregnancy.
My first menstrual period after the surgery came on May 15.
However, my menstrual cycle is usually quite regular, approximately 32 days.
As of June 21, my period has not arrived, and it is delayed by about 6 days.
I took a pregnancy test, which showed only one line.
I had intercourse around June 9.
Recently, I have been experiencing dry heaving and some abdominal cramping.
My emotions have been quite volatile, and I am unsure if this is due to a possible pregnancy or if it is stress-related, causing my period to be delayed.
Should I wait to see if my period comes, or would it be more accurate to see a doctor directly?

I'm sorry, 20~29 year old female. Ask Date: 2020/06/21

Dr. Cai Yonglong reply Obstetrics and Gynecology

After an abortion, menstruation may be slightly irregular, and ovulation cannot be determined, which often leads to confusion with pregnancy.
It is advisable to visit a gynecology clinic for examination.

Reply Date: 2020/06/21

More Info

After undergoing a dilation and curettage (D&C) procedure due to a missed miscarriage, it is not uncommon for women to experience changes in their menstrual cycle and various physical symptoms. In your case, you had your first period post-D&C on May 15, and now you are experiencing a delay in your next period, which is concerning you.

Firstly, it’s important to understand that after a D&C, your body may take some time to return to its normal hormonal rhythm. The menstrual cycle can be influenced by various factors, including stress, hormonal imbalances, and the physical recovery from the procedure. Since you mentioned that your cycles are typically regular at about 32 days, a delay of six days could be attributed to several factors.

1. Hormonal Fluctuations: After a D&C, your body undergoes hormonal changes as it heals. This can lead to irregularities in your menstrual cycle, including delayed periods. It’s possible that your body is still adjusting to the changes after the procedure.

2. Stress and Emotional Factors: Emotional stress can significantly impact your menstrual cycle. Given that you have experienced a loss and are dealing with the associated emotional turmoil, this could contribute to your delayed period. Stress can affect the hypothalamus, which regulates hormones that control your menstrual cycle.

3. Pregnancy Considerations: Although you mentioned that a pregnancy test showed only one line (indicating a negative result), it’s worth noting that some women can experience early pregnancy symptoms even when they are not pregnant. The symptoms you describe, such as dry heaving and abdominal discomfort, could be related to hormonal changes or stress rather than an indication of pregnancy. However, if there is any chance of pregnancy, it would be prudent to follow up with a healthcare provider for further testing.

4. Physical Recovery: After a D&C, your body needs time to heal. Any physical discomfort you are experiencing could be related to this recovery process. If the abdominal pain persists or worsens, it would be wise to consult with your healthcare provider.

Given your situation, it is advisable to monitor your symptoms closely. If your period does not arrive soon, or if you continue to experience discomfort, it would be a good idea to schedule an appointment with your doctor. They can perform a thorough evaluation, which may include blood tests to check hormone levels, an ultrasound to assess your reproductive organs, and a discussion about your emotional well-being.

In summary, while it is possible that your delayed period is a result of the D&C and the associated hormonal changes, it is also important to rule out any other potential issues. Consulting with your healthcare provider will provide you with clarity and help address any concerns you may have regarding your menstrual cycle and overall reproductive health. Remember, your emotional and physical well-being is paramount, and seeking support during this time is crucial.

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