Post-Abortion Menstrual Changes: What to Expect

Menstrual Changes After Abortion

On January 3, I underwent a vacuum aspiration abortion (3 weeks gestation).
My first menstrual period after the procedure started on February 7, with a heavier flow than usual, lasting 11 days (my usual menstrual duration is 7 days).
My second menstrual period began on March 9, also with a heavier flow than usual, lasting 7 days, followed by a small amount of dark red discharge that could be managed with a panty liner.
During both menstrual periods, I experienced abdominal bloating but no significant pain, with some small blood clots.
I would like to inquire: 1.
Why is there continuous abnormal bleeding? 2.
Should I go to the hospital for an examination? 3.
What should I pay attention to in terms of physical recovery?

Yan Zi, 20~29 year old female. Ask Date: 2016/03/16

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is still advisable to monitor the situation.
If there are any discomforts, it is recommended to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/03/16

More Info

After undergoing a surgical abortion, it is common for women to experience changes in their menstrual cycle. These changes can include variations in the volume, duration, and consistency of menstrual bleeding. In your case, it seems that you have experienced heavier menstrual bleeding and prolonged periods following your abortion, which can be concerning. Let's address your questions one by one.

1. Why is there prolonged and heavy menstrual bleeding?
After an abortion, the body undergoes significant hormonal changes as it adjusts back to its normal menstrual cycle. The first few menstrual cycles post-abortion can be irregular, and it is not uncommon for women to experience heavier bleeding than usual. This can be due to several factors:
- Hormonal fluctuations: The body is recalibrating its hormone levels, which can affect the thickness of the uterine lining and lead to heavier bleeding.

- Incomplete evacuation: In some cases, if the abortion was not complete, retained tissue can lead to prolonged bleeding. This is often accompanied by clotting and can cause discomfort.

- Uterine contractions: After an abortion, the uterus contracts to expel any remaining tissue, which can result in heavier bleeding and cramping.

- Underlying conditions: Conditions such as fibroids or polyps can also contribute to heavier menstrual bleeding.

2. Should you go to the hospital for a check-up?
Given that you have experienced heavier bleeding and prolonged periods, it is advisable to consult with your healthcare provider. While some changes in menstrual patterns can be normal, persistent heavy bleeding, especially if accompanied by significant pain or other concerning symptoms, warrants further evaluation. Your doctor may perform an ultrasound or other tests to ensure that there is no retained tissue or other complications.

3. What should you pay attention to in terms of body care?
- Rest and hydration: Ensure you are getting enough rest and staying hydrated, as your body needs time to recover from the procedure.

- Nutrition: A balanced diet rich in iron can help replenish any lost blood and support overall recovery. Foods like leafy greens, red meat, beans, and fortified cereals can be beneficial.

- Monitor symptoms: Keep track of your menstrual cycle, noting any changes in flow, duration, or associated symptoms like pain or discomfort. This information will be helpful for your healthcare provider.

- Avoid strenuous activities: It may be wise to avoid heavy lifting or intense exercise until your menstrual cycle stabilizes and you feel fully recovered.

- Follow-up care: Attend any scheduled follow-up appointments with your healthcare provider to monitor your recovery and address any concerns.

In summary, while some changes in your menstrual cycle after an abortion can be normal, it is essential to monitor your symptoms closely. If you experience heavy bleeding, significant pain, or any other concerning symptoms, do not hesitate to seek medical attention. Your health and well-being are paramount, and your healthcare provider can offer guidance tailored to your specific situation.

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