What to do if menstrual flow decreases after childbirth

Patient's question:

Two years ago, I had an abortion at a regular hospital under anesthesia. But when I lost consciousness, I found out that it was actually an intern who performed the procedure. Most of the tissue was not removed. After a week, I started bleeding, and an ultrasound revealed blood clots. Later, I underwent a D&C procedure, and many of the tissues removed were like stones. Since then, my menstrual periods have been very infrequent, lasting only two days. When I do have my period, I don’t feel any pain, which suggests there is no adhesion in the uterine cavity. However, I’m unsure if I will be able to conceive normally in the future.
Please analyze my situation and advise on ways to improve it.

Doctor's answer:

??????Abortion is the termination of pregnancy using a method, which can cause damage to the endometrium and easily lead to infection. Post-abortion menstrual irregularities, such as reduced menstrual flow, are relatively common. The main reasons include cervical adhesion or uterine cavity adhesion, which prevent blood from flowing out smoothly. This often results in decreased menstrual volume, prolonged menstrual periods, dark purple-colored blood, or menstrual blood with clots, along with abnormal symptoms like dysmenorrhea. Another common cause is damage to the endometrium due to excessive or overly aggressive procedures. When the endometrium is injured, it becomes thinner, leading to reduced menstrual flow. After an abortion, if there is a significant decrease in menstrual volume, it is important to seek medical attention at a reputable hospital promptly.

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