Is it normal for the first menstrual flow after childbirth to be light?

Patient's question:

After an induced abortion, my menstrual flow is a bit difficult. I would like to consult if this is normal.

Doctor's answer:

The first menstrual flow after an induced abortion can be a complication of the procedure, and it can be treated with oral Chinese angelica (Dang Gui) for invigorating blood circulation. A normal menstrual flow volume is between 20-80ml. If it falls within this range but is less than the original menstrual volume, it is also normal. There is a need to be cautious about the possibility of endometrial damage. It is recommended that you have a color Doppler ultrasound to check the thickness of the endometrium. The shedding of the endometrium forms the menstrual cycle, and the endometrium is divided into two layers: the functional layer and the basal layer.

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