How long does it take to get your first menstrual period after medical abortion?

When a woman becomes pregnant unexpectedly, she will try to get rid of her child through abortion. For example, some women will choose medical abortion, but many women will experience continuous menstruation for the first time after medical abortion. So what should you do if your first menstrual period does not stop after medical abortion? Let me explain it to you below.

Medical abortion first menstrual period

1. Medication

Generally speaking, the bleeding time after medical abortion will not exceed three weeks, and the bleeding will not exceed the menstrual volume. If only the menstrual period is continuous, it is mostly caused by poor uterine repair, which can be treated with medication. Common medicines that can treat prolonged menstrual bleeding include Motherwort Paste and Gongxuening Capsules. This kind of medicine should be used under the guidance of a doctor and should not be purchased on your own.

2. Uterine curettage surgery

If the bleeding time exceeds three weeks after medical abortion, and the bleeding is heavier than normal menstrual flow, it is likely that there is residual test tube embryo tissue in the uterus. In this case, uterine curettage surgery is required. The purpose of curettage is to remove all the embryonic tissue remaining in the uterus so that the blood can be fully activated. It is generally recommended to go to the hospital for a B-ultrasound within two weeks of medical abortion to check whether there are any test tube embryo remnants. If there are any remnants, a uterine curettage surgery is required, otherwise the uterine wall cannot be repaired normally.

How long does it take for me to have my period after a medical abortion?

The use of anti-estrogen drugs to stop early pregnancy can be used for those who have a fear of abortion surgery within 49 days of pregnancy, or those who require medical abortion. Medical abortion is prohibited for patients with severe cardiovascular and cerebrovascular diseases, respiratory, digestive, kidney, blood, endocrine, urinary system, reproductive system or central nervous system diseases, adrenal diseases, endocrine-related tumors, diabetes and other endocrine diseases, abnormal liver function, heart disease, glaucoma, gastrointestinal disorders, anemia, hypertension, asthma, allergic constitution, severe vomiting during pregnancy and with IUD insertion, or suspected ectopic pregnancy.

Medical abortion has significant disadvantages: longer bleeding time and sometimes high incidence of tissue residue. Patients with a high risk of tissue residue after medical abortion need uterine curettage, so medical abortion must be performed in a hospital with emergency room, curettage, intravenous drip, and injection conditions, and should be monitored and used under the guidance of a physician with certain experience. Medical abortion requires such a rigorous process, so how long will it take for menstruation to come after medical abortion?

Normally, the uterus and ovaries can resume ovulation function within 22 days after medical abortion, and menstruation will occur within about 1 month to 40 days. However, a very small number of women experience menstrual disorders such as prolonged menstruation, irregular cycle duration, and amenorrhea after taking the medicine. This condition usually recovers after 2-3 months, but in a few people it lasts longer.

However, it is possible that the menstrual period is delayed after medical abortion. The main reason is that the decidual tissue cannot be completely discharged after medical abortion, resulting in prolonged bleeding. A large number of patients eventually need to undergo a curettage, which increases the chance of genital infection and causes menstrual disorders. Because abortion drugs can cause irregular menstruation, early or delayed menstruation, and prolonged menstruation. In addition, if menstruation continues for one month after medical abortion, infection, residual residue in the uterine cavity and hormonal disorder in the body should be considered.

However, if menstruation is delayed after medical abortion, in addition to the reasons for medical abortion, other causes of amenorrhea should also be considered. If you had menstruation before and then stopped for 3 months or more, it is secondary amenorrhea. Diseases in the uterus, ovaries, pituitary gland, hypothalamus and pituitary gland may cause secondary amenorrhea.