What causes increased menstrual flow after excessive physical activity?

Patient's question:

Hello: I got my period 20 days after the miscarriage, and the second time was also 20 days later. Is this too frequent? I used to have my period every 40 days. The first time, the amount was relatively normal, but the second time, the amount was very heavy, and the duration was also long. I don’t know if this is normal. Previously, it hurt a lot when I had my period, but now it doesn’t. Why is that? Why is it so much? Please help the doctor!!!
First follow-up question: After half a month, I went for a check-up, and there were no abnormalities. It was just some cervical inflammation, which was also frequent bleeding. The doctor said my uterine contractions were not good and prescribed Gongxuening capsules. After taking them, the bleeding stopped.

Doctor's answer:

It's best to have a check-up at the hospital. After a female undergoes an induced abortion, hormonal changes in the body and damage to the endometrium during the surgery can lead to changes in menstruation for most women postoperatively. Some may experience an increase or decrease in menstrual flow, while others may have delayed periods, and various other conditions. After such changes occur, menstruation usually gradually returns to normal within about 2-3 cycles. Continue to monitor the situation, and if the menstrual irregularities persist for a long time, it's advisable to have a check-up at the hospital.

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