Patient's question:
Detailed medical condition and consultation purpose: I had an abortion a year ago and have never had a check-up. In recent months, the amount of blood I've been experiencing has been decreasing. What could be the reason?Doctor's answer:
Analysis of the condition:Artificial abortion is a procedure that terminates pregnancy using a method, which can cause damage to the endometrium and easily lead to infection. A common reason for reduced menstrual flow after an abortion is cervical adhesion or uterine cavity adhesion, which prevents menstrual blood from flowing out smoothly. This often results in decreased menstrual volume, prolonged menstrual cycle duration, dark purple menstrual color, or clotty menstrual blood, along with abnormal symptoms such as dysmenorrhea. Another common reason is that the endometrium is damaged due to excessive procedures or overly aggressive surgery, leading to thinning of the endometrium and reduced menstrual volume.
After an abortion, if there is a significant decrease in menstrual volume, it is important to seek medical attention at a reputable hospital promptly.
Guidelines:
It is recommended to visit a reputable hospital to have an ultrasound examination of the endometrial thickness during the mid-menstrual cycle. If the thickness is insufficient, it can be determined that the endometrium has been damaged. If the diagnosis is still uncertain, a hysteroscopy can be performed to assess whether endometrial adhesion is present. If adhesion is found, it can be separated under the hysteroscope, and high-dose estrogen can be used to promote endometrial growth, which can help in recovery. Good luck!