What are the reasons why women haven't had their period after surgery?

Patient's question:

A woman had an abortion about one and a half months pregnant. She came to her period one month after the surgery, and it has been thirteen days now. Her period is still ongoing. Is this normal?

Doctor's answer:

Hello, the recovery of menstruation after a miscarriage varies from person to person. The earliest time for menstruation to return after an abortion is 13 days post-surgery, and the latest is 110 days post-surgery. However, it is generally around 40 days that menstruation resumes. An abortion can lead to temporary menstrual irregularities. It is recommended to have a follow-up ultrasound at the hospital about one month after the procedure to check the recovery of the uterus and whether the miscarriage is complete. If the examination shows no abnormalities, there is no need to worry.

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