Is it normal to have a heavy menstrual flow after taking medication for the first time?

Patient's question:

I discovered I was pregnant two months ago and did not go to the hospital for an abortion. Instead, I bought medicine and had a medication abortion. After the medication abortion, my first period was very heavy. On the third day, it was still very heavy. Is it normal for the first period after a medication abortion to be very heavy?

Doctor's answer:

After taking medication for an abortion, the first menstrual period may have a heavier flow, which is also a normal phenomenon. This is because there can be endocrine imbalance after an abortion, which is a normal manifestation. However, if the menstrual flow remains heavy three months later, it may be due to inadequate recovery after the abortion. In such cases, it may be necessary to visit a hospital for a thorough gynecological examination.

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