Post-menstrual abortion
Hello doctor, I had a dilation and curettage (D&C) procedure on December 19, and I experienced bleeding for about 6 days.
The doctor indicated that my menstrual period would likely start between January 19 and February 2.
Around January 13, I had some bleeding that was brown in color, which turned pink by January 17.
I purchased two pregnancy tests, and both indicated that I am not pregnant.
I would like to inquire about what this situation might be and when I can expect my menstrual period to arrive.
Ru, 20~29 year old female. Ask Date: 2021/01/18
Dr. Huang Zifei reply Obstetrics and Gynecology
Dear Ru,
After undergoing a surgical abortion, a subsequent pregnancy test showing negative indicates the procedure was successful.
The abnormal bleeding may be due to retained products of conception, an early onset of menstruation, or hormonal imbalance.
Therefore, it is recommended to visit an obstetrician-gynecologist for a thorough examination and to discuss your menstrual status with the attending physician.
Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital
Reply Date: 2021/01/18
More Info
After undergoing an abortion, it's common for women to experience a range of bleeding patterns and changes in their menstrual cycle. In your case, the bleeding you experienced from December 19 for about six days is typical post-abortion bleeding, which can vary in color and consistency. The initial dark brown discharge you noticed around January 13, followed by pinkish discharge until January 17, could be remnants of the uterine lining shedding, which is often referred to as lochia. This is a normal part of the recovery process after an abortion.
Regarding your menstrual cycle, it’s important to understand that after an abortion, it may take some time for your body to return to its regular cycle. The timeline provided by your doctor, indicating that your next period could arrive between January 19 and February 2, is a reasonable estimate. However, individual experiences can vary significantly. Some women may find that their cycles return to normal quickly, while others may experience irregularities for a few months.
The fact that you tested negative for pregnancy after your abortion is a good sign, indicating that your body is likely returning to its pre-pregnancy state. However, if you continue to experience unusual bleeding or if the bleeding becomes heavy, it is essential to consult your healthcare provider. They can evaluate whether there are any complications, such as retained tissue or infection, that may require further treatment.
In terms of when to expect your next menstrual period, it can be influenced by several factors, including hormonal changes, stress, and overall health. If your cycle was regular before the abortion, you might find that it returns to a similar pattern. However, it is not uncommon for the first few periods after an abortion to be lighter, heavier, or more irregular than usual.
To support your recovery and help regulate your menstrual cycle, consider the following:
1. Monitor Your Symptoms: Keep track of your bleeding patterns, any pain, and other symptoms. This information can be helpful for your healthcare provider if you need to seek further advice.
2. Maintain a Healthy Lifestyle: Eating a balanced diet rich in vitamins and minerals, staying hydrated, and getting regular exercise can help your body recover more efficiently.
3. Manage Stress: Stress can impact your menstrual cycle, so engaging in relaxation techniques such as yoga, meditation, or deep breathing exercises may be beneficial.
4. Follow-Up Care: Attend any follow-up appointments with your healthcare provider to ensure that your recovery is progressing well and to address any concerns you may have.
5. Be Patient: Remember that it can take time for your body to adjust after an abortion. If your period does not return within the expected timeframe or if you have concerns about your health, do not hesitate to reach out to your healthcare provider for guidance.
In summary, the bleeding you experienced is likely part of the normal recovery process after an abortion. Your menstrual cycle may take some time to regulate, and it’s important to monitor your symptoms and maintain open communication with your healthcare provider. If you have any further questions or concerns, don’t hesitate to seek medical advice.
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