What should I do if I haven't had my period for a month and a half after a miscarriage?

Patient's question:

After a miscarriage, if you haven't had your period for one and a half months, what could be the reason and what should you do?

Doctor's answer:

You don't need to worry too much. Generally, menstruation occurs about 40 days after the procedure. Due to changes in hormone levels and damage to the endometrium during the surgery, most women's menstrual cycles will change after an abortion. If this happens, the menstrual cycle will gradually return to normal after about 2-3 cycles. Continue to monitor the situation, and if the menstrual cycle remains abnormal for a long time, you should seek medical examination.
Note that after an abortion, sexual activity, sitz baths, vaginal irrigation, and medication should be avoided until menstruation resumes. This is because the cervix is relaxed, the endometrium is shedding, and the local defense ability is weakened, making it easy to cause retrograde infection, which can lead to conditions such as endometritis, adnexitis, and other pelvic inflammatory diseases. Severe cases may result in infertility.

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