What should I do if I don't have a period after surgery?

Patient's question:

Question: I had an abortion procedure with anesthesia on September 10th, but I haven't had my period yet. On November 5th, I went back to that hospital for a check-up, and the doctor said my ovary has a mass measuring 3.0×4.0 cm. She prescribed some anti-inflammatory and period-regulating medication for me. I have stopped taking the medication for about four or five days now, but there are still no signs of my period. I used Yu Ting once after the surgery—could that have caused the amenorrhea? What should I do? Can this kind of issue be regulated with traditional Chinese medicine? The medication prescribed by the doctor hasn't had any effect, and I don't even want to go to the hospital anymore. Is it okay to take traditional Chinese medicine according to information I found online? I look forward to your reply. Thank you!!!

Doctor's answer:

Hello, generally speaking, menstrual cycles may change after an induced abortion. Women can measure their basal body temperature every morning for a cycle to further confirm whether ovulation is normal. After an induced abortion, menstruation usually returns 30-40 days later. There are several reasons why menstruation may not return after the procedure:
1. There may be cervical adhesion or uterine cavity adhesion, which prevents or obstructs the flow of menstrual blood.
2. It could be due to local endometrial damage after the procedure, leading to absent or reduced menstruation.
In your case, you can have an ultrasound to measure the thickness of the endometrium. If necessary, a hysteroscopy may be performed. If endometrial adhesion is found, it can be separated under the hysteroscope, and then high-dose estrogen can be used to promote endometrial growth.
It should be noted that induced abortion is still a traumatic procedure, so it should be avoided as a means of contraception. If you do not wish to conceive temporarily, it is essential to use a reliable method of contraception to prevent significant physical harm caused by the procedure.
Wishing you good health!

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