What should I do if I have menstrual disorders after excessive physical exertion?

Patient's question:

After having an abortion at the hospital, there has been continuous bleeding. It stopped after about four or five days. I was prescribed medication for three days, which I completed. However, my menstrual cycle has been irregular since the abortion, and I haven't had a period for two months. What could be the reason for this? It must be that I'm not pregnant, as I haven't had any sexual intercourse during this period.

Doctor's answer:

First, do you have any other discomforts? For example, abdominal pain? After an abortion, there may be some complications, such as intrauterine adhesions, cervical inflammation, or damage to the endometrium. These can all lead to amenorrhea. First, go to the hospital for a color Doppler ultrasound to check the thickness of the endometrium. In addition, you can use a probe or cotton swab to check if the cervical canal is unobstructed. If the cervical canal is unobstructed and the color Doppler ultrasound shows that the endometrium is relatively thick (less than 0.8 cm), it is generally considered that hormone withdrawal and endometrial ablation can be used. If the endometrium is very thin, estrogen can be taken orally, followed by progesterone.

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