Why is the menstrual cycle not normal after medication abortion?

Patient's question:

After taking medication for a miscarriage, my first period was more severe than usual menstrual cramps. The blood I expelled in the past few days was mucous-like with small clots. On the third day in the morning, I expelled large pieces of tissue, and the pain decreased. The bleeding was equivalent to the second day of a regular period, with fresh red blood and fewer clots. What could be the reason for this situation!

Doctor's answer:

The absence of menstruation after medication abortion may be caused by various factors. Common reasons for menstrual disorders include: 1. Dysfunction of the nervous-endocrine system: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders; 2. Issues with the ovaries: In women of reproductive age, menstrual irregularities are often due to poor luteal function of the ovaries, commonly having cycles but with shortened periods or excessive menstrual bleeding. 3. Structural abnormalities or medication: This includes local inflammation, tumors, and developmental abnormalities of the reproductive organs, malnutrition, and intracranial disorders.

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