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Post-abortion menstrual cycle irregularity
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General Health
Question #20009
53 days ago
136

Post-abortion menstrual cycle irregularity - #20009

Oyindamola

Hello doctor, I had a medication abortion in October last year. I bled heavily for about two weeks, then only light staining, and my periods have been irregular or absent since then. I do not have any pain, fever, foul-smelling discharge, or ongoing bleeding. I tested positive for a yeast infection after the abortion and completed treatment, which resolved the symptoms. I am worried about whether my menstrual cycle is returning to normal and whether I might have any complications. I would like to know: 1. Is it normal for periods to be delayed or irregular for several months after a medication abortion? 2. Are there any tests I should do, such as an ultrasound or hormone checks, to be sure everything is okay? 3. Is there anything I can do to help my cycle return to normal safely? Thank you very much for your guidance.

Age: 23
Chronic illnesses: Non
Not seen my period for two months straight
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
52 days ago
5

Ultrasound LA+pelvis

Based on your history and current symptoms:

Irregular or delayed periods for several months after a medication abortion can be normal, due to temporary hormonal imbalance.

The absence of pain, fever, foul-smelling discharge, or heavy ongoing bleeding is reassuring and suggests no active complication.

A pelvic ultrasound is the most appropriate first test to confirm that the uterus and ovaries are normal.

Hormonal blood tests are only needed if periods do not return after a normal ultrasound.

With time, stress reduction, proper nutrition, and healthy routines, your menstrual cycle is very likely to normalize naturally.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
52 days ago
5

Hello dear See physiological variation are there so it is not very serious issue. I suggest you to please get following tests done for confirmation of exact clarification Please share the result with gynaecologist in person for better clarity and don’t take any medication without consulting the concerned physician Serum ferritin Serum tsh Urine analysis Rft Lft Serum prolactin Serum rbs Pelvic USG Regards

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It’s not uncommon for menstrual cycles to be irregular or delayed for a few months following a medication abortion, especially if you’ve experienced significant changes in hormone levels. The bleeding you described, along with its pattern, is generally within the expected range of responses post-abortion. That said, if your menstruation hasn’t returned to its previous regularity six months post-abortion, it might be a good idea to consult with your healthcare provider for further assessment. In terms of tests, an ultrasound can be helpful to rule out any retained tissue or structural issues like uterine abnormalities that could be affecting your cycle. Hormone checks might be considered to assess levels like thyroid or reproductive hormones, especially if there’s a suggestion of underlying imbalances. These evaluations can provide insights but are typically guided by your clinical history and current symptoms. To encourage the return of regular cycles, maintaining a balanced lifestyle is often crucial. Ensure a nutritious diet, regular moderate exercise, adequate sleep, and managing stress through relaxation techniques or activities you enjoy can be beneficial. While waiting, keeping track of your cycle with a diary or app can give you and your provider valuable information on any patterns or triggers. If there are persisting concerns, or if you develop any new symptoms like unusual discharge or pain, prompt reevaluation is key. Always ensure any decision or testing aligns with your healthcare provider’s advice to personalize treatment.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
52 days ago
5

Hello,

Answers to your questions:

1) Yes, it can be normal.

Most women get their first period 4–8 weeks after a medication abortion.

Some women take 2–3 cycles (up to 3–4 months) for periods to become regular again.

2) if No period for more than 3 months after abortion Please do a Pelvic USG and hormonal test

3) Eat well, avoid crash dieting Manage stress and get adequate sleep Maintain a healthy weight Avoid self-medicating hormones

A gynecologist may prescribe hormonal pills briefly if cycles stay disturbed.

🛑 Since you currently have no danger signs, it’s likely just your body regulating itself , but get checked if the absence continues or new symptoms appear.

STAY HEALTHY STAY HAPPY

I TRUST THIS HELP Thank you

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