What is the reason for no menstruation after miscarriage?

Patient's question:

A while ago, I was pregnant for 42 days and had a medication-induced abortion at the hospital. It's been several weeks since then, but my period still hasn't come. I still feel very weak all over, and sometimes my stomach aches in bursts. What could be the reason for not having my period after a miscarriage?

Doctor's answer:

Generally speaking, after a miscarriage surgery, menstruation usually returns within 30-40 days. If it hasn't arrived yet after the miscarriage, it's best to wait patiently. If menstruation hasn't come for less than 40 days, you should visit the hospital for a few ultrasound examinations. Additionally, you're currently experiencing abdominal pain, which could indicate reoccurrence of adhesions in the uterine cavity or cervix. If this is ruled out, you can take appropriate medication to induce menstruation.

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