Reasons for not having menstruation after abortion

Many women go to the hospital for abortion due to unexpected pregnancy, no plan to have children, etc. Regardless of the size of the surgery, it is a form of mechanical damage to the human body. Now let’s talk about this. After having an abortion, some women will have delayed menstruation. What are the common reasons for this phenomenon? Let’s introduce them below.

The first menstruation after an abortion usually comes about 30-40 days after the abortion, but it may come earlier or later. However, the earliest and latest will not exceed one week. If your period is delayed for more than 7-10 days, it is best to go to the hospital for a detailed examination.

Why does menstruation not come after abortion? There are four main reasons:

1. Caused by abortion surgery

For example, intrauterine surgery may cause cervical adhesions, which may lead to menstrual blood stasis and thus delay menstruation.

2. The effect of the drug

For example, endocrine disorders after long-term use of contraceptives can also cause delayed menstruation. Doctors also found, based on patient feedback, that a new generation of gastrokinetic drug, metoclopramide, also known as domperidone, may also cause this condition. Since metoclopramide does not easily cross the blood-brain barrier, it is believed that it has no inhibitory effect on central dopamine receptors. Central dopamine receptors are inhibited, resulting in a decrease in the amount of hypothalamic release factors entering the anterior pituitary. As a result, the anterior pituitary secretes less gonadotropin and corticotropin, leading to amenorrhea and delayed ovulation.

3. Pregnancy

You can use the "Early Pregnancy Test Strip" to test your urine 7 days after your period is delayed. If the result is positive, you are very likely pregnant. If the result is negative, then vice versa. But if you are pregnant, there will be other symptoms such as nausea, breast tenderness, etc. Of course, the last resort is to go to the hospital for an ultrasound examination.

4. Others

Such as psychological factors such as mental tension, stress, environmental changes, and some diseases that affect endocrine system. Can cause delayed menstruation.

If menstruation is delayed only 1-2 times occasionally and there are no other accompanying symptoms, it does not fall into the category of menstrual disorders. When the interval between menstrual cycles is more than 35 days, it is called oligomenorrhea, and when menstruation stops for more than 3 menstrual cycles, it is called amenorrhea. The absence of ovulation after menopause may also lead to problems such as osteoporosis and endometrial hyperplasia, which must be taken seriously. You should go to the hospital immediately for a comprehensive examination.

There are many reasons why menstruation is delayed after an abortion. The above mentioned are just some common reasons and cannot cover all of them. Therefore, if some women who have undergone artificial insemination surgery experience delayed menstruation, the above can only be used as a reference. The most important thing is to go to the hospital for treatment as soon as possible.