What can be done if menstruation does not come after heavy flow?

Patient's question:

I got pregnant by accident six months ago, so I had an abortion. But now, a year has passed, and my period still hasn't come. People are already saying that it's normal for it to be delayed, but it's been a whole year. What should I do if my period hasn't come after an abortion?

Doctor's answer:

I'm glad to help you clarify your question. If you haven't had your period after an abortion and it's been less than 40 days, you should consider the possibility of being pregnant again. You will need to undergo many detailed tests. If it's confirmed that you're not pregnant, the absence of your period must be considered due to severe endometrial damage. An ultrasound should be performed to examine the condition of the endometrium in real-time. Progesterone withdrawal bleeding should be induced to regulate your period. If you still haven't had your period after one week of using progesterone, you should consider uterine adhesions and may need to undergo a hysteroscopy for a thorough examination. Surgery may be necessary in some cases.

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