Is it normal not to have a menstrual period 45 days after taking medication for an abortion?

Patient's question:

I got pregnant by accident, and I had a medication abortion 45 days ago. Up until now, my period hasn't arrived. I've been feeling a constant dull pain in my stomach and sometimes a bit dizzy. I don't know if this is normal. Could you please help me understand what's going on? What should I do if I haven't had my period for 45 days after a medication abortion?

Doctor's answer:

A situation where menstruation hasn't arrived 45 days after medication-induced abortion needs to be confirmed for potential causes such as insufficient qi and blood, low estrogen levels, or excessively thin endometrium. Hormonal imbalance is also a factor to consider. Additionally, if sexual intercourse occurred post-abortion, it's important to confirm the possibility of pregnancy. Proper body conditioning should be prioritized. Estrogen supplementation or oral qi-tonic liquids can be used for conditioning. It's also essential to prevent cold exposure and drink brown sugar water to closely monitor your body's condition.

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