Post-Abortion Concerns: Bleeding, Recovery, and Next Period

Q: Post-Abortion Concerns: Bleeding, Recovery, and Next Period

Hello： (1) Typically, after an abortion procedure, any remaining decidua will be expelled. <br>Therefore, it is normal to experience a small amount of bleeding for about a week post-surgery. <br>If there is no bleeding at all, it may be due to the pregnancy being too early, resul

I would like to inquire about post-miscarriage care?

Hello, doctor: I underwent an abortion procedure on the afternoon of March 12, and I haven't experienced any bleeding afterward.
Is this normal? I have researched whether I should drink herbal soup to help expel lochia, but some people say it's unnecessary.
I would like to ask when I can expect my next menstrual period.
Thank you!

Miss Ma, 20~29 year old female. Ask Date: 2016/03/15

Dr. Yang Wangjun reply Obstetrics and Gynecology

Hello: (1) Typically, after an abortion procedure, any remaining decidua will be expelled.
Therefore, it is normal to experience a small amount of bleeding for about a week post-surgery.
If there is no bleeding at all, it may be due to the pregnancy being too early, resulting in minimal remaining decidua, but it could also indicate other issues.
It is advisable to return to the clinic for an ultrasound to check if everything has been cleared.
(2) You can drink herbal soup, but it is best to wait until one week after the procedure.
(3) After a miscarriage, the average time for the next menstrual period to arrive is about 45 days, depending on the gestational age at the time of the miscarriage.
The larger the gestational age, the longer it takes for the levels of human chorionic gonadotropin (hCG) to decrease post-surgery, which delays the onset of ovulation and consequently the arrival of the next menstrual period.
Thank you for your message!

Reply Date: 2016/03/15

More Info

After undergoing an abortion, it is common for women to have various concerns regarding their recovery, bleeding, and the timing of their next menstrual period. Let's address your questions one by one.

Firstly, regarding the absence of bleeding after your abortion on March 12, it is important to note that every woman's body reacts differently to the procedure. While some women may experience bleeding or spotting for a few days to weeks following an abortion, others may have little to no bleeding. This can be influenced by several factors, including the type of abortion performed (medication or surgical), your individual hormonal balance, and your overall health. If you are not experiencing any pain or discomfort and your follow-up appointment with your healthcare provider is scheduled, this may be a normal response. However, if you have concerns or experience any unusual symptoms, such as severe pain, fever, or a foul-smelling discharge, it is crucial to contact your healthcare provider immediately.

Regarding the use of "生化湯" (a traditional Chinese herbal remedy) to help expel lochia (post-abortion discharge), it is essential to consult with your healthcare provider before taking any herbal remedies. While some women may find herbal treatments beneficial, there is no scientific consensus on their effectiveness or necessity after an abortion. Your healthcare provider can give you personalized advice based on your medical history and current condition.

As for when to expect your next period, it can vary significantly from one woman to another. Generally, after an abortion, it may take anywhere from four to six weeks for your menstrual cycle to return to normal. Some women may experience their first period as early as two weeks post-abortion, while others may take longer. Factors that can influence the timing of your next period include your hormonal levels, stress, and overall health. If your period does not return within six weeks, or if you have any concerns about your menstrual cycle, it is advisable to consult your healthcare provider for further evaluation.

In summary, the absence of bleeding after your abortion may be normal, but it is essential to monitor your body for any unusual symptoms. Consult your healthcare provider before taking any herbal remedies, and expect your menstrual cycle to return within a few weeks to a couple of months. If you have any concerns or questions about your recovery, do not hesitate to reach out to your healthcare provider for guidance and support. Your health and well-being are paramount, and they can provide you with the best advice tailored to your situation.

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