Is it normal not to have a menstrual period 30 days after the flow?

Patient's question:

I had an abortion a month ago, but now it has been more than a month. I should have my period, but it hasn't come yet. I don't know if this is normal, so I want to ask the experts, is it normal not to have a period for 30 days after an abortion?

Doctor's answer:

Generally, if a woman has her period within 42 days after an abortion, it is considered normal. It does not mean she must have her period exactly after one month. You can wait and see for another two weeks. If she does not have her period within 42 days, she should have an ultrasound to check if the endometrium is too thin or if there is any adhesion in the uterine cavity. Since an abortion can easily cause uterine adhesion, leading to a lack of menstruation, a hysteroscopy may be needed for a thorough examination. If there is adhesion, surgery may be required.

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