Patient's question:
On October 15th, I had an abortion. It took 12 days to recover. My period has not arrived yet. Five days ago, I experienced mild lower abdominal pain, but an ultrasound showed no abnormalities. The doctor prescribed oral Huangtong Dang, which I took for 5 days, but my period still hasn't come. What should I do?Additional question: I have had three abortions in the past and also have a chocolate cyst on my left ovary. In July 2002, it was removed laparoscopically, but it recurred last October. It might have been due to poor mood at the time. Now, an ultrasound shows that the size of the cyst on my left ovary is about 2.5 cm. The abortion on October 15th of last month was the fourth time (because the ultrasound only showed a gestational sac without a fetal pole).
Doctor's answer:
Hello. If it is indeed the case that menstruation does not return after an induced abortion, there are three possible reasons. First, the induced abortion may have caused cervical adhesion or uterine cavity adhesion. Second, excessive scraping during the induced abortion process may have led to severe uterine trauma. Third, there may be endocrine disorders after the induced abortion. It is recommended to first undergo a hysteroscopy at the hospital to check for cervical adhesion or uterine cavity adhesion. Additionally, an ultrasound should be performed to examine the thickness of the endometrium. If the thickness is more than eight millimeters, progesterone capsules can be taken to promote the return of menstruation. If the endometrium is very thin, fasting blood can be drawn to test for six sex hormones.