Is bleeding for 20 days considered menstruation?

Patient's question:

Previously, I had an abortion. After 20 days, my cervix started to peel. I want to ask if it's menstruation when the cervix peels after 20 days of an abortion?

Doctor's answer:

After 20 days of shedding skin after an abortion, it might be the start of menstruation. Generally, bleeding after an abortion lasts for about a week. Since 20 days have passed and there is still shedding skin, it is likely that menstruation has started. First, carefully observe whether the amount of bleeding is similar to that of menstruation. In some cases, a miscarriage may lead to lighter menstruation, which is normal. Because a D&C procedure can harm the endometrium, leading to thinning of the lining, it is important to wait and see. Avoid spicy, irritating, and cold foods.

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