How long after a medication-induced abortion will menstruation return

Patient's question:

I was pregnant before and went to the hospital for medication-induced abortion. At that time, I experienced heavy bleeding and blood clots. I also underwent a D&C procedure. After that, the bleeding reduced relatively, and it took two weeks for it to completely stop. My friend told me that medication-induced abortion doesn't always result in regular menstruation. I haven't gone to the hospital for a follow-up yet, and I still haven't had my period.
What kind of help do I need: How long does it take to get your period after a medication-induced abortion?

Doctor's answer:

It is possible to encounter such situations after either a surgical abortion or a medication abortion, and this is considered normal. Typically, the ovaries recover their ovulation function within 22 days after a surgical abortion, and menstruation usually resumes about a month later. However, some women may experience irregular menstrual cycles after an abortion, such as prolonged periods, irregular cycle lengths, or amenorrhea. This condition generally normalizes within 2-3 months, though for a few, the duration may be longer. The reasons for menstrual irregularities after an abortion may include the following: (1) The occurrence of menstruation in women is the result of the interaction between the cerebral cortex, hypothalamus, pituitary gland, ovaries, and uterus, regulated by the neuroendocrine system. When a person is under excessive stress, fear, sadness, overexertion, or undergoes surgery, these factors can suppress the functions of the hypothalamus, pituitary gland, ovaries, and uterus through the neuroendocrine system, leading to menstrual abnormalities.

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