Day 40 of medication abortion, slight bleeding and lower back pain. How to determine if it is

Patient's question:

Day 40 of the medication abortion, slight bleeding and lower back pain. How can I tell if it's my period? I'm not sure if it's my period, afraid it's bleeding again because I haven't recovered well after the medication abortion.

Doctor's answer:

Hello, after a miscarriage, menstruation usually occurs about 40 days later. If the bleeding has stopped after the miscarriage and you are bleeding again now, it should be your period. Due to the damage to the endometrium and changes in hormone levels, the first few periods often show delays and reduced volume, and it generally takes several cycles to return to normal.
Advice: During the bleeding period, pay attention to keeping warm and resting. Avoid eating cold and spicy foods, and maintain cleanliness of the external genitalia.

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