Is the menstrual cycle normal after an abortion without pain?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Can you please tell me if menstruation returns to normal after an abortion without pain?

Doctor's answer:

After a miscarriage, the ovaries generally recover their ovulation function within 22 days, and menstruation usually returns about a month later. In some women, irregular menstrual cycles such as prolonged periods, varying cycle lengths, or amenorrhea may occur after a miscarriage. This condition typically normalizes within 2-3 months, but in some cases, it may persist longer. It could be caused by vaginitis, in which case medical examinations such as an ultrasound, colposcopy, and a vaginal discharge test are recommended. Local treatment with alternating metronidazole suppositories and nystatin suppositories is necessary, along with oral medications like amoxicillin-clavulanate potassium and fluconazole capsules. It is important to maintain good local hygiene and prevent cross-infection.

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