What is the reason for excessive menstrual flow after a crowd?

Patient's question:

On November 10th, I had an abortion without anesthesia. My period came around early December, with bleeding similar to before the abortion. Then on December 23rd, my period came again, this time with significantly heavier bleeding, though the menstrual cramps were not as severe. I want to know if this is normal?

Doctor's answer:

When a woman undergoes an induced abortion procedure, the endometrium is excessively scraped away, preventing it from healing completely in the short term. As a result, heavy menstrual bleeding after a painless abortion may occur again. It is recommended to avoid sexual activity for at least one month after the surgery. Some couples fail to follow this advice, leading to uterine cavity infection and inflammation, which in turn causes heavy menstrual bleeding after abortion. There are many reasons that can lead to menstrual disorders or amenorrhea after an induced abortion. If heavy menstrual bleeding reappears after the procedure, it is advisable to seek medical examination promptly to identify the underlying cause and receive appropriate treatment.

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