Your Menstrual Cycle and Ovarian Cysts After Abortion

After an abortion..?

Hello Doctor: I underwent an abortion on July 15, and the physician informed me that my next menstrual period would likely arrive within 4 to 6 weeks post-procedure.
Today marks the 37th day, and I am experiencing swelling in my breasts and abdomen.
Could you please estimate when I might expect my next menstrual period? My previous menstrual cycle was approximately 21 days.
Additionally, I have a cyst in my uterus, and the physician mentioned that it only requires monitoring in the future.
What exactly is a cyst? Thank you for your assistance.

shining, 20~29 year old female. Ask Date: 2004/08/20

Dr. Zhan Deqin reply Obstetrics and Gynecology

According to what you mentioned, it may be coming soon.
If it doesn't arrive after two weeks, you can take a pregnancy test again.
A cyst is referred to as a water tumor, and many are caused by follicles within the ovaries.
Most of them typically resolve after menstruation.
If they do not disappear after two menstrual cycles, then it is considered a water tumor.

Reply Date: 2004/08/20

More Info

After undergoing an abortion, it is common for women to experience changes in their menstrual cycle, including variations in timing and symptoms. In your case, since you had the procedure on July 15 and it has been 37 days since then, it is understandable to be concerned about the timing of your next period. Given your previous menstrual cycle was approximately 21 days, it is possible that your next period could arrive soon, but it may also be delayed due to the hormonal changes following the abortion. The body often takes time to readjust after such a procedure, and it is not unusual for cycles to be irregular for a few months.

Regarding the swelling in your breasts and abdomen, these symptoms can be attributed to hormonal fluctuations that occur after an abortion. The body is adjusting to the absence of pregnancy hormones, which can lead to premenstrual-like symptoms. If your symptoms persist or worsen, it would be wise to consult your healthcare provider for further evaluation.

As for the cyst you mentioned, referred to as a "water cyst" or "simple ovarian cyst," these are fluid-filled sacs that can develop on the ovaries. They are quite common and often harmless. In many cases, they resolve on their own without treatment. Your doctor’s recommendation to simply monitor the cyst is standard practice, especially if it is not causing significant pain or other complications. However, if you experience severe pain, changes in your menstrual cycle, or any other concerning symptoms, it is important to seek medical attention.

In summary, while it is difficult to predict the exact timing of your next period, it is likely to arrive soon given your previous cycle length. The symptoms you are experiencing are likely related to hormonal changes post-abortion. The ovarian cyst is generally not a cause for concern unless it leads to significant symptoms. Regular follow-ups with your healthcare provider will help ensure that any changes in your condition are monitored appropriately. If you have any further questions or concerns, do not hesitate to reach out to your doctor for personalized advice.

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