Patient's question:
Hello, I had an abortion without anesthesia, and my menstrual flow has decreased. What should I do?Doctor's answer:
Artificial abortion is a method of terminating pregnancy using a scraping procedure, which can cause damage to the endometrium and is prone to causing infections. Post-abortion, a common reason for reduced menstrual flow includes cervical adhesion or uterine cavity adhesion, which prevents the smooth discharge of menstrual blood. This often results in decreased menstrual volume, prolonged menstrual cycle duration, dark purple color, or clotty menstrual blood, along with abnormal symptoms such as dysmenorrhea. Another common reason is that the endometrium becomes thin due to excessive scraping procedures or overly aggressive scraping surgery, leading to reduced menstrual volume.After an abortion, if there is a noticeable decrease in menstrual flow, it is important to seek medical attention at a reputable hospital promptly.
Guidance:
It is recommended to visit a formal hospital to have an ultrasound examination of the endometrial thickness during the mid-cycle. If the thickness is insufficient, it can be determined that the endometrium has been damaged. If the diagnosis is still unclear, a hysteroscopy can be performed to assess whether endometrial adhesion is present. If adhesion is found, it can be separated under the hysteroscope, followed by the use of high-dose estrogen to promote endometrial growth, which can help in recovery. Good luck!