Patient's question:
Since three months ago when I had an abortion, my menstrual flow has become very light. It was not much to begin with, and after the abortion, the first month had a bit more—about two days. The second month was only one and a half days, and almost no flow at all. In total, I used only five pads, and they were almost empty. I drink brown sugar ginger water every day. The third month hasn’t been stable yet. My husband and I are planning to have a second baby, and I’m very worried it might affect future pregnancies. How can I regulate my menstrual flow after an abortion?Doctor's answer:
Post-abortion menstrual volume reduction may be due to damage to the endometrium caused by the abortion procedure, leading to thinning of the endometrium. A normal menstrual cycle involves the shedding of the endometrium. The endometrium is influenced by hormone levels, which fluctuate throughout the menstrual cycle. Changes in hormone levels can cause the endometrium to thicken, and a decrease in hormone secretion levels can lead to the shedding of the endometrium and menstruation. Currently, the reduced menstrual volume could be due to abnormal hormone secretion or damage to the endometrium post-procedure. After diagnosis, treatment should be tailored to the specific cause.