How long after a D&C for dysfunctional uterine bleeding can one expect to have their next menstrual period?

Patient's question:

I recently had an IUD removal surgery and a D&C procedure. After that, I bled for about three or four days, which then stopped. However, I haven't had my period yet, and it's already been a few days past the expected time. It should not be pregnancy, as I haven't had any sexual activity. I don't know how long it will take for my period to return to normal after the D&C surgery.

Doctor's answer:

Hello. Generally, a normal D&C procedure leads to menstruation one month later, but if estrogen levels are low due to dysfunctional uterine bleeding (DUB), it may be delayed. Low estrogen levels can cause menstrual irregularities, and for your IUD removal, it may also disrupt the endocrine system, leading to menstrual irregularities. It is recommended that you take progesterone to regulate your menstrual cycle. Additionally, you can take Liangji Bafeng Wan or Duphaston for treatment.

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