More than forty days have passed since the last menstrual period of the crowd. What is going on?

Patient's question:

Please ask the expert: Why haven't I had my period for over forty days after giving birth? I don't have any other uncomfortable symptoms, and I'm very worried.

Doctor's answer:

Hello,
1. can cause women to feel stressed and fearful, and these negative psychological factors can lead to menstrual disorders, resulting in amenorrhea.
2. After an abortion, endocrine changes occur, particularly a sudden drop in the level of human chorionic gonadotropin (hCG), which prevents the ovaries from responding normally to gonadotropins from the anterior pituitary, leading to amenorrhea.
3. During an abortion, the endometrium may be excessively scraped away, making it difficult for the lining to fully heal in the short term, which can result in amenorrhea.
4. Avoid sexual activity for at least one month after an abortion. Some couples fail to follow this advice, which can lead to uterine cavity infection and inflammation, causing menstrual disorders.
It is recommended that you visit a gynecological department of a hospital to determine the cause of your menstrual disorders before undergoing treatment.

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