What's wrong with not having a menstrual period after surgery?

Patient's question:

I am 25 years old. I didn't use protection during sex before, which led to pregnancy and a miscarriage. Now I have stomach pain and am not recovering well. Yesterday I had sex again and am afraid of getting pregnant again. What should I do if I haven't had my period after an abortion?

Doctor's answer:

Generally, menstruation will return 30 to 40 days after a miscarriage. If menstruation does not return for a long time, it may be due to damage to the endometrium during the miscarriage procedure or the possibility of uterine adhesion after the procedure. It is recommended to first go to the hospital for an ultrasound follow-up and an endocrine examination to clarify the endocrine condition and whether the uterus has fully recovered normally. If the endocrine condition is normal, it is best to undergo a hysteroscopy examination to rule out the possibility of uterine adhesion. In daily life, patients should balance their nutritional intake, engage in aerobic exercises to exercise their bodies, and maintain a cheerful mood to enhance their physical fitness and accelerate the recovery process.

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