Post-Abortion: Light Menstrual Flow and Next Steps

Reduced menstrual flow after surgery?

I underwent an abortion in mid-June, and since then, I have experienced intermittent bleeding that resembles menstruation (the amount is very light, just spotting).
After the procedure, I had a follow-up appointment, and the doctor confirmed that everything was cleared out.
I was advised to take a traditional Chinese medicine called "Shenghua Decoction" for 2 to 3 doses.
During this time, I have been consulting with a Chinese medicine practitioner to adjust my body condition, and the Shenghua Decoction was prepared by the physician.
However, there have only been a few days without any spotting; otherwise, I notice spotting on toilet paper after using the restroom.
Currently, the Chinese medicine practitioner has advised me to continue monitoring my basal body temperature, as it can help determine if I am menstruating.
However, there are still no answers regarding the spotting from the Chinese medicine perspective.

I have the following questions:
1.
Is this phenomenon normal? If it is not normal, what could be the cause?
2.
Should I continue seeing a Chinese medicine practitioner or consult a Western medicine doctor?
3.
When is it appropriate to start planning for pregnancy again? Thank you for your response.

Yuki, 20~29 year old female. Ask Date: 2012/08/27

Dr. Lin Wenbin reply Obstetrics and Gynecology

After undergoing an abortion procedure, it is essential to return to the obstetrics and gynecology department for a check-up in addition to the recommended consultation with a traditional Chinese medicine practitioner.
This is because traditional Chinese medicine focuses on adjusting the overall constitution, while only an obstetrician-gynecologist can provide an appropriate assessment of the recovery status post-surgery and identify any issues.
Although there are no strict regulations on how long one should wait before becoming pregnant after an abortion, it is advisable for women with poorer recovery conditions to wait until they have been examined and cleared by their obstetrician-gynecologist before considering pregnancy.

Reply Date: 2012/08/27

More Info

After undergoing an abortion in mid-June, experiencing light menstrual flow characterized by spotting or minimal bleeding is not uncommon. This can be attributed to several factors related to the body's recovery process post-abortion. Here’s a detailed response to your questions based on medical knowledge and common practices.

1. Is this phenomenon normal? If not, what could be the reason?
Yes, light menstrual flow or spotting after an abortion can be normal. After a surgical abortion, it is typical for the body to take some time to return to its regular menstrual cycle. The presence of light bleeding or spotting can be a sign that your body is adjusting hormonally and physically after the procedure. The endometrial lining, which was shed during the abortion, may take time to rebuild, leading to irregular bleeding patterns. However, if the bleeding persists for an extended period, becomes heavier, or is accompanied by severe pain or other concerning symptoms (such as fever or foul-smelling discharge), it is essential to consult a healthcare provider. These could be signs of retained products of conception or an infection, which would require medical attention.

2. Should I continue seeing a Traditional Chinese Medicine (TCM) practitioner or a Western medicine doctor?
It depends on your comfort level and the effectiveness of the treatments you are receiving. Both TCM and Western medicine can offer valuable insights and treatments. If you feel that the TCM approach is helping you and you are comfortable with it, you may continue with that. Monitoring your basal body temperature can provide insights into your menstrual cycle and ovulation, which can be beneficial for planning future pregnancies. However, if you have concerns about the ongoing spotting or if you experience any unusual symptoms, it would be wise to consult a Western medicine doctor for a thorough evaluation. They can perform necessary tests, such as an ultrasound, to ensure that everything is healing properly.

3. When can I consider trying to conceive again?
The general recommendation is to wait at least one menstrual cycle before trying to conceive again after an abortion. This allows your body to heal and your menstrual cycle to normalize, which can help in determining your ovulation and fertile window. However, some healthcare providers may suggest waiting longer, especially if there were complications during the abortion or if your menstrual cycle has not yet returned to normal. It’s essential to have a discussion with your healthcare provider about your specific situation, as they can provide personalized advice based on your health history and current condition.

In summary, light spotting after an abortion can be a normal part of the recovery process, but it’s crucial to monitor your symptoms and seek medical advice if you have any concerns. Balancing both TCM and Western medicine approaches can be beneficial, and consulting with healthcare professionals will help you make informed decisions about your health and future pregnancy plans. Always prioritize your well-being and don’t hesitate to reach out for medical support when needed.

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