How long after the flow can menstruation come back

Patient's question:

Hello, was the IUD inserted on September 3rd? I haven't had my period yet, and the pregnancy test is negative. What could be the reason? Do I need to go to the hospital? My menstrual cycle is usually 28-29 days.

Doctor's answer:

After general flow, if the surgery is performed well, the amount of bleeding is usually very small. After artificial abortion, the ovaries generally recover their ovulation function within 22 days, and menstruation usually returns about one month later. However, due to the damage to the endometrium and endocrine disorders after abortion, it may cause temporary menstrual disorders. The recovery period is three months. After the normal menstruation returns, it is still necessary to have a follow-up examination to ensure that the uterus has returned to normal.

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