Patient's question:
I had an abortion surgery on October 23, but I haven't had my period yet. What should I do? Could it be caused by postoperative amenorrhea? If so, how should it be treated?Doctor's answer:
Hello. If it is indeed the case that menstruation does not return after an induced abortion, there are three possible reasons. First, the induced abortion may have caused cervical adhesion or uterine cavity adhesion. Second, excessive force during the abortion process may have led to severe uterine trauma. Third, endocrine disorders may have occurred after the induced abortion. It is recommended to first undergo a hysteroscopy at the hospital to check for cervical adhesion or uterine cavity adhesion. Additionally, an ultrasound should be performed to examine the thickness of the endometrium. If the thickness is more than eight millimeters, progesterone capsules can be taken to promote the return of menstruation. If the endometrium is very thin, fasting blood can be drawn to test for six sex hormones.