What should I do if my menstrual flow is relatively less after an abortion?

Patient's question:

Could I trouble the doctor a bit about my menstrual cycle? Since having an abortion, my menstrual flow has been relatively light. When I drink Lu Jiao blood-boosting oral liquid, the flow increases. I haven’t taken it this month, and today is the second day of my period, but I’ve noticed the flow is particularly light. Is there any problem? Or should I take any medication regularly? I’m very concerned about my menstrual cycle.
Thank you!!!

Doctor's answer:

Hello: Your menstrual cycle has returned to regularity after the abortion, suggesting that your menstrual cycle has not been altered by the surgical procedure. Of course, you can also measure your basal body temperature every morning for a cycle to further confirm whether ovulation is normal. There are two possible reasons for reduced menstrual flow after the surgery: one is cervical or uterine adhesions, which may prevent or impede the flow of menstrual blood. The other reason could be local endometrial damage leading to reduced menstrual flow. You can have an ultrasound during the mid-cycle to measure the thickness of the endometrium, and if necessary, undergo hysteroscopy. If endometrial adhesions are found, they can be separated under hysteroscopy, followed by the use of high-dose estrogen to promote endometrial growth. Whether it will affect future fertility depends on the results of the examination and treatment. It should be noted that abortion is still a traumatic procedure and should not be used as a means of contraception. If you do not wish to conceive for the time being, it is essential to adopt a reliable method of contraception to avoid future infertility due to abortion.

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