What should I do if my period doesn't come for two months after giving birth?

Patient's question:

Due to the blood type issue between me and my husband, the baby had some hemolysis after pregnancy, which led to my threatened miscarriage. During pregnancy, I was too careless and thought nothing was wrong. Now, two months after the miscarriage, my period hasn't come yet. Even after taking medication, my period hasn't fully returned. What should I do?

Doctor's answer:

This condition may be caused by endocrine disorders after childbirth. It could also be due to damage to the endometrium caused by miscarriage. Currently, a gynecological ultrasound can be performed to carefully observe the thickness of the endometrium. If the endometrium is relatively thin, medication can be used to stimulate endometrial fibrosis. The endometrium needs to reach a certain thickness before the medication can be stopped to induce menstruation. If this still doesn't work, hormone excretion tests can be conducted for further diagnosis.

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