Post-Abortion Menstrual Concerns: When to Expect Your Period and Relief Tips

Q: Post-Abortion Menstrual Concerns: When to Expect Your Period and Relief Tips

Mina： Hello, in response to your questions, here are the answers： 1. <br>After a medical abortion, there is still a possibility of ovulation and the chance of becoming pregnant. <br>2. <br>If November 20 is considered the first day of your menstrual period, and you have not had y

Menstrual Issues After Abortion

On the evening of November 18, I took the first pill, and on the morning of November 20, I took the second pill.
During my follow-up appointment on December 10, the doctor informed me that everything was clear.
I had unprotected sexual intercourse on the night of December 10, but I used protection on December 11 and December 31.
I’m wondering if it’s unlikely to get pregnant right after taking the medication for abortion.
It has been over a month now, and I haven’t experienced any premenstrual symptoms, which makes me a bit anxious about when my period will arrive.
I consulted a doctor and saw in previous Q&A responses that it might take up to two months for my period to return.
What could be the reason for this? Additionally, since the recent cold front, I’ve been experiencing some itching in the pubic area, particularly around the clitoral region, with slight skin irritation that resembles winter skin itchiness.
What can I do to alleviate this? Thank you.

Mina, 30~39 year old female. Ask Date: 2023/01/03

Dr. Lin Manying reply Obstetrics and Gynecology

Mina: Hello, in response to your questions, here are the answers: 1.
After a medical abortion, there is still a possibility of ovulation and the chance of becoming pregnant.
2.
If November 20 is considered the first day of your menstrual period, and you have not had your period for more than 35 days, you should take a pregnancy test.
3.
Individual factors related to ovulation.
4.
Do not over-clean; if symptoms persist, it is advisable to visit a gynecologist for an examination.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2023/01/03

More Info

After an abortion, it is common for women to experience changes in their menstrual cycle, and it can take some time for your body to return to its normal rhythm. Typically, you can expect your period to return within 4 to 6 weeks after the procedure, but it can vary from person to person. In some cases, it may take up to 8 weeks or even longer for your menstrual cycle to normalize, especially if you have recently undergone a medical abortion. This delay can be attributed to several factors, including hormonal changes, stress, and the body's natural healing process.

In your case, since you had your abortion on December 10 and are now experiencing a delay in your period, it is not unusual. The hormonal fluctuations that occur after an abortion can affect ovulation and the timing of your next menstrual cycle. If you had unprotected intercourse shortly after the procedure, there is a possibility of pregnancy, but since you mentioned that you used protection afterward, the risk is significantly reduced. However, if you are concerned about the possibility of being pregnant, it may be a good idea to take a home pregnancy test or consult with your healthcare provider for further evaluation.

Regarding the itching and irritation you are experiencing in the pubic area, this could be due to several factors, including dry skin, irritation from clothing, or even a mild yeast infection. The cold, dry weather can exacerbate skin dryness, leading to itching and discomfort. Here are some tips to help alleviate the itching and improve your comfort:
1. Moisturize: Use a gentle, fragrance-free moisturizer on the affected area to help combat dryness. Avoid using harsh soaps or products that may irritate the skin further.

2. Wear breathable fabrics: Opt for cotton underwear and loose-fitting clothing to allow for better air circulation and reduce irritation.

3. Avoid irritants: Stay away from scented products, such as soaps, lotions, or feminine hygiene products, which can cause irritation.

4. Warm baths: Taking a warm bath with colloidal oatmeal or baking soda can help soothe itching and irritation.

5. Hydration: Ensure you are drinking plenty of water to keep your skin hydrated from the inside out.

6. Consult a healthcare provider: If the itching persists or worsens, or if you notice any unusual discharge, it is essential to consult with your healthcare provider. They can evaluate for any potential infections or other underlying issues.

In summary, it is normal for your menstrual cycle to take some time to return to normal after an abortion, and the delay you are experiencing is not uncommon. If you have concerns about pregnancy or the itching you are experiencing, it is advisable to reach out to your healthcare provider for personalized guidance and support. They can provide you with the necessary information and treatment options to ensure your well-being.

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