Patient's question:
I had an abortion without anesthesia on November 1st. At that time, I only had one afternoon of menstruation, and it stopped by the evening. It has been until December 21st, and I still haven't seen it. I went to the hospital to test, but they said I wasn't pregnant. The doctor said this is normal, but in recent years, my period has only been 1 to 3 days long each month, and the amount has been getting less and less. I wonder if this is because I had multiple abortions? Will it lead to infertility in the future? Oh～～～～I'm so scared!!Doctor's answer:
Problem Analysis:Hello, based on your description of the above content, your situation is considered to be a delay in menstruation after an induced abortion.
Suggestions:
Hello, generally speaking, the ovaries will recover their ovulation function about 22 days after an induced abortion, and menstruation will usually return within about one month. However, some women may experience menstrual disorders after an induced abortion, such as prolonged periods, irregular cycles, and so on.
The reasons for delayed or irregular menstruation after an induced abortion may include:
1. The procedure can cause excessive stress, fear, and sadness in women, which can all inhibit the function of the hypothalamus, pituitary gland, ovaries, and uterus through the nervous endocrine system, leading to menstrual abnormalities.
2. After an induced abortion, the sudden disappearance of human chorionic gonadotropin (hCG) causes the ovaries to temporarily fail to respond to gonadotropin secreted by the anterior pituitary gland, which can also result in menstrual disorders.
3. During the induced abortion process, excessive damage to the basal layer of the endometrium may prevent its regeneration, leading to long-term amenorrhea in patients.
The main reasons for menstrual disorders after an induced abortion are the above three points. If a woman experiences menstrual disorders after an induced abortion, she should seek medical attention promptly for treatment.