What should I do if my first menstrual flow after an abortion is heavy and has lasted for four days?
I had my first menstrual period after undergoing an abortion, and the flow has been very heavy for four days already. What should I do?
Doctor's answer (1)
It is possible that heavy menstrual flow after the first period following an abortion is a normal physiological phenomenon, as the abortion procedure can cause some damage to the endometrium, leading to changes in the menstrual cycle and flow. However, if the heavy menstrual bleeding persists, it may be caused by poor endometrial healing, intrauterine residue, infection, or other factors.
After an abortion, it is important to rest adequately and avoid strenuous exercise and excessive fatigue. Maintain good hygiene of the external genitalia, change sanitary pads frequently, and prevent infection. If menstrual bleeding gradually decreases and stops within a week, special treatment generally is not required. However, if the menstrual flow continues to increase—more than double the usual amount—or is accompanied by abdominal pain, fever, or other symptoms, you should seek medical attention promptly for an ultrasound examination to assess the condition of the endometrium and to check for any intrauterine residue.
If intrauterine residue is detected, a procedure for uterine evacuation may be required; if the cause is infection, antibiotic treatment will be necessary.
