When can menstruation come after a miscarriage?

Patient's question:

I had an abortion last month without any pain, and it has been exactly a month now, but I haven't had my period. Everyone says that the period should come after a month, so I wanted to ask when can I expect my period after a miscarriage? I am very worried now, afraid of damaging my uterus. Please help me understand this, doctor.

Doctor's answer:

After an induced abortion, menstruation will usually return completely within about a month. If it hasn't arrived for more than one and a half months after the procedure, and you haven't had any sexual intercourse during this month, you can first rule out pregnancy again. Then, you should consider issues with the endometrium. In this case, you should have an ultrasound to check the thickness of the endometrium at that moment. If the endometrium is very thin, it may lead to damage to the basal layer of the endometrium. You can take progesterone together for 10 days to help the endometrium grow and shed.

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