Patient's question:
I had vaginal bleeding during my menstrual period last month and wasn't sure if it was an early miscarriage. After those days, there were no other adverse reactions. But this month, a week has passed and my period still hasn't arrived. What could be the reason?First follow-up question: I started my period on October 2nd, had intercourse on the 20th, and noticed vaginal bleeding on the evening of October 30th. By November 5th, it had stopped, and the cycle was normal. According to the schedule, my period should have arrived on December 1st, but it's already been five days with no sign of it.
Second follow-up question: I haven't had any sexual activity in November. Can I rule out pregnancy?
Doctor's answer:
Generally, menstruation occurs about 40 days later. After a woman undergoes an induced abortion, hormonal changes in the body and damage to the endometrium during the surgery can lead to changes in menstruation for most women post-surgery. Some may experience an increase or decrease in menstrual flow, while others may have delayed periods, and various other changes. After such occurrences, menstruation usually gradually returns to normal after about 2-3 cycles.