Is it normal to have menstruation 20 days after abortion?

The incidence of spontaneous abortion is also very high. Unhealthy lifestyle and some gynecological diseases can easily cause spontaneous abortion. Bleeding after a miscarriage usually lasts for one week. Is it normal to have menstruation 20 days after a miscarriage?

Is it normal to have menstruation 20 days after a miscarriage?

Generally, menstruation comes about 30 days after miscarriage, but 30 days is only a reference number of days, because everyone has individual differences, and it is normal to have menstruation 20 days after miscarriage.

Causes of spontaneous abortion

More than 80% of miscarriages occur within 12 weeks of pregnancy, and then the miscarriage rate decreases rapidly. At least more than half of early pregnancy miscarriages are caused by chromosomal abnormalities in test tube embryos. The risk of miscarriage increases with parity and the age of parents. Common causes of miscarriage include:

Chromosomal abnormalities

Includes chromosomal abnormalities of couples and chromosomal abnormalities of test tube embryos. Common chromosomal abnormalities in couples include balanced substitutions and Robertsonian translocations. Among the chromosomal abnormalities of test tube embryos, triploidy is the most common, followed by polyploidy, single X, single autosome, balanced sex chromosome substitution, absence, mosaicism, inversion, overlap, etc. The incidence of chromosomal abnormalities in couples with recurrent miscarriage is 4%, while that in the normal group is 0.2%, with the ratio of maternal to paternal abnormalities being 3:1. In a spontaneous abortion, chromosomal abnormalities of test tube embryos are the main cause. As the frequency of miscarriage increases, the incidence of chromosomal abnormalities of test tube embryos decreases.

Endocrine imbalance in pregnant women

(1) Luteal insufficiency: It accounts for about 23%-60%. The body temperature is biphasic during ovulation, but the high temperature phase is less than 11 days, or the high and low temperature difference is less than 0.3. The uterine wall puncture biopsy shows that the metabolic response is at least 2 days behind. The progesterone level in the follicular phase is less than 15ng/ml, resulting in poor decidual reaction. The luteal function test shows insufficient information for 2-3 cycles, which can be included in the diagnosis. Luteal insufficiency affects the implantation of the fertilized egg and embryo.

(2) Polycystic ovary syndrome: High levels of luteinizing hormone, high androgen and high insulin secretion reduce the quality of oocytes and the receptivity of the uterine wall, which can easily lead to miscarriage.

(3) Hyperprolactinuria: Lactin protein kinase is present in luteal germ cells. High prolactin inhibits granulosa cell sphingomyelinization and hormonal drugs, resulting in luteal insufficiency and reduced oocyte quality. Some experts and scholars have found that lactogen can reduce the metabolism of chorionic gonadotropin in early human embryos.

(4) Thyroid disease: Low thyroid hormone levels are associated with recurrent spontaneous abortion.

(5) Diabetes: Subclinical or poorly controlled diabetes is less likely to cause miscarriage, while uncontrolled insulin-dependent diabetes mellitus has an increased miscarriage rate.

Abnormalities in the reproductive system of pregnant women

(1) Uterine malformations: including unicornuate uterus, bicornuate uterus, didelphys and uterine septate. Among them, incomplete uterine septum is particularly prone to cause miscarriage and premature birth. The main reason is that the endometrium in the mediastinum is underdeveloped, insensitive to steroid hormones, and has poor blood supply.

(2) Asherman syndrome: The volume of the uterine cavity decreases and the response to steroid hormones decreases.

(3) Cervical insufficiency: It causes late-term miscarriage and premature birth and is the key cause of miscarriage in the middle and late stages of pregnancy.

(4) Uterine fibroids: Cervical fibroids and intramuscular uterine fibroids larger than 5 cm are associated with miscarriage.

Reproductive tract infections

The incidence of miscarriage and premature birth in late pregnancy increases in patients with vaginal bacterial infection; mycoplasma positivity and ureaplasma urealyticum-induced endometritis or cervicitis can cause miscarriage.

other

Unhealthy lifestyle patterns are linked to miscarriage. Some experts and scholars reported that women who smoke more than 14 cigarettes a day have a risk of miscarriage twice as high as that of the control group. The effects of alcoholism, excessive caffeine intake, and environmental factors such as solvents and harmful substances.

Common problems after miscarriage

Take a break

After an abortion, the bleeding is heavier than normal menstrual flow. If you are overworked or the uterus is not repaired well, the duration of vaginal bleeding may increase. The general schedule is two weeks. Avoid physical activity and exercise within two weeks after the abortion.

Pay attention to cleanliness and hygiene

Vaginal bleeding duration after abortion may increase to 1-2 weeks. In addition, the body's immunity decreases, and infection may occur. Therefore, attention should be paid to the daily cleaning of the vulva, shower and wash the vulva in time, and change the handkerchief paper frequently. Avoid sitting baths within two weeks and wash underwear frequently; sexual intercourse is strictly prohibited for one month to avoid bacterial infection. If you have sex during this period, it may lead to gynecological diseases such as endometritis, salpingitis, and pelvic inflammatory disease. Repeated miscarriages and unclean sexual history may lead to infertility.

To improve nutritional content

On the basis of adequate rest and a reasonable diet, increase the intake of foods rich in protein, nutrients and vitamins. When choosing food, we should focus on nutrition and be easy to digest. Do not eat or eat less greasy and cold food. If you are weak, have poor physical condition, or have lost too much blood, you may consider increasing the nourishing time appropriately. Food nutrition should be comprehensive and diverse, but also avoid excessive caloric fat, because excessive weight gain, high blood lipids and other conditions are also bad for health. There is no need to continue supplementing during pregnancy, as long as you have a normal and healthy diet.