What problems will occur if the menstrual volume is less next month after an abortion?

Patient's question:

I am 29 years old. I had an induced abortion on November 30, 2005. My period came on January 3, 2006, but the amount was less compared to before. Could it be that the abortion was not done cleanly?

Doctor's answer:

??????Abortion is the termination of pregnancy using a method, which can cause damage to the endometrium and easily lead to infection. Post-abortion menstrual disorders, such as reduced menstrual flow, are relatively common. The main reasons include cervical adhesion or uterine cavity adhesion, which prevent menstrual blood from being expelled smoothly. This often results in reduced menstrual volume, prolonged menstrual cycle duration, dark purple menstrual color, or clotty menstrual blood, along with abnormal symptoms like dysmenorrhea. Another common cause is damage to the endometrium due to excessive procedures or overly aggressive surgery, leading to thinning of the endometrium and reduced menstrual flow.
After an abortion, if there is a significant decrease in menstrual flow, it is important to seek medical attention promptly at a reputable hospital.

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