Patient's question:
On November 10th, I had an abortion without anesthesia. My period came back around early December, with bleeding similar to before the abortion. Then on December 23rd, my period came again, this time with several times the amount of bleeding, but with no significant menstrual cramps. I want to know if this is normal?Doctor's answer:
During the procedure of induced abortion, the endometrium is excessively scraped away, leading to the inability of the lining to fully repair in the short term. As a result, heavy menstrual bleeding after painless abortion may recur. It is recommended to avoid sexual activity for at least one month after the surgery. Some couples fail to comply with this advice, which can lead to uterine cavity infection and inflammation, consequently causing heavy menstrual bleeding after abortion. There are many reasons that can lead to menstrual disorders or amenorrhea after an induced abortion. It is advised to seek immediate medical examination when experiencing heavy menstrual bleeding after the procedure to identify the underlying cause and receive appropriate treatment.