How to improve abnormal menstruation after medication abortion

Patient's question:

I had a medication abortion on 9/30. About 7 days later, I experienced bleeding again after 3-4 days, with a blood flow similar to my regular menstrual period. On 10/15, a follow-up test confirmed the success of the abortion, but the doctor said I should have my period normally within 4 weeks. Starting around the third week, I occasionally saw some blood spots. From 11/19 onwards, I used one sanitary pad daily with a flow similar to my normal period, and I had no discomfort. At a friend's suggestion, I considered seeing a traditional Chinese medicine practitioner. However, I always feel that "medicine is" (medicine has side effects), and the process of making an appointment and taking three medications a day is too troublesome. So, I want to ask if my condition is normal? Do I need medical treatment, or can I just focus on self-care?

Doctor's answer:

Hello, the causes of menstrual irregularity include neuroendocrine dysfunction; organic lesions such as anemia, or medication; excessive mental stress, malnutrition, etc.; unhealthy lifestyle, excessive dieting, and smoking or drinking alcohol; abnormal emotions, high pressure, and overuse of medication. It is recommended to visit a gynecological department in the hospital for ultrasound, hormone level tests, and other examinations if menstruation does not occur for 2 months to identify the reason for the absence of menstruation and provide symptomatic treatment.

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