Menstrual Changes After Abortion: What to Expect

Menstruation after abortion?

On January 3, a vacuum aspiration procedure was performed, and the fetus was approximately 3-4 weeks old.
Follow-up visits showed no abnormalities.
On February 6, the menstrual flow started and was heavier than usual; previously, the menstrual period lasted for 7 days, but this time it continued until February 12 before decreasing.
On the night of February 12, sexual intercourse occurred, and the next day, yellow discharge mixed with blood was observed until February 15.
On the 15th, menstrual blood was again present, red in color but light enough to be managed with a panty liner.
Sexual intercourse occurred on the 14th and 15th as well.
Today, February 16, there is still menstrual blood, but less than on the 15th.
During this period, there was a sensation of cramping in the lower abdomen from February 7 to 9, similar to menstrual cramps, but no other significant discomfort was noted.
I would like to inquire about the reasons for these phenomena.
Is this normal?

Yan Zi, 20~29 year old female. Ask Date: 2016/02/16

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, after a miscarriage, it is common to experience some irregularities in your menstrual cycle or abnormal bleeding for a period of time.
If these symptoms persist or worsen, it is advisable to consult a physician for evaluation to rule out any other conditions.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/02/16

More Info

After undergoing a vacuum aspiration procedure on January 3, where the fetus was approximately 3-4 weeks old, it is not uncommon to experience changes in your menstrual cycle. The body goes through various hormonal adjustments following an abortion, which can lead to alterations in menstrual flow, duration, and symptoms.
In your case, you mentioned that your menstrual period began on February 6 and was heavier than usual, lasting until February 12. This is a common occurrence as the body may take some time to regulate its hormonal levels after the procedure. The heavier flow could be attributed to the shedding of the uterine lining, which may have been thicker due to pregnancy. It’s also important to note that the first few menstrual cycles after an abortion can be unpredictable, with variations in flow and duration.

The presence of yellow discharge mixed with blood following sexual intercourse could indicate several things. It may be a result of the normal healing process of the cervix and uterus after the procedure. The cervix can remain slightly open for a period after an abortion, which may allow for some discharge to escape. However, if the discharge has a foul odor or is accompanied by significant pain, it could suggest an infection, and you should consult your healthcare provider.

The red blood you experienced on the 15th, which was lighter and manageable with a pad, could be a continuation of your menstrual cycle or a sign of residual bleeding from the procedure. It’s not unusual for women to experience spotting or light bleeding for several days after their period, especially following an abortion.
The abdominal discomfort you felt from February 7 to 9 is also typical. Many women experience cramping similar to menstrual cramps as the uterus contracts to return to its pre-pregnancy size. This discomfort should gradually decrease as your body continues to heal.

In summary, the changes you are experiencing in your menstrual cycle following the abortion are generally considered normal. However, it is crucial to monitor your symptoms closely. If you notice any signs of infection (such as fever, severe pain, or foul-smelling discharge), or if your bleeding becomes excessively heavy (soaking through a pad in an hour), you should seek medical attention promptly.
It is also advisable to follow up with your healthcare provider for a post-abortion check-up, as they can provide personalized advice and ensure that your recovery is progressing well. They can also discuss any concerns you may have regarding future pregnancies or contraceptive options. Remember, every woman's body responds differently to an abortion, and it may take a few cycles for your menstrual pattern to stabilize.

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