When the first menstrual periods usually begin after an abortion


The arrival of menstruation after abortive measures suggests that the patient's body, more precisely, its reproductive functions are gradually restored. It is important to pay due attention to the fact when menstruation begins after an abortion. Artificial termination of pregnancy causes a certain harm to the female body, regardless of what method was used for the abortion, the difference is only in the severity of the consequences. With normal recovery, the first menstrual periods after an abortion usually come in about a month. Approximate onset of menstruation is considered the day of surgery. But this is the norm, and abortions, as a rule, cause quite a few violations, because the time of arrival of critical days, their character differs in many ways.

When to wait for menstruation

According to the time of onset of menstruation and their profusion, specialists can judge the patient's state of health. But do not confuse the characteristic bleeding that occurs immediately after the interruption, with the traditional monthly. The first critical days should begin approximately 4 weeks after the operation to terminate the pregnancy. In order for a quick recovery of the menstrual cycle to occur, many factors must be taken into account. Many patients in tension are waiting for the onset of critical days, worrying about their health and fearing the consequences of an abortion.

Attention! Full menstruation should resume after 4-5 weeks, but the final recovery cycle will occur after 3-4 months.

Sometimes within a couple of weeks after an abortion, the patient begins to bleed, which cannot be considered as menstruation. Usually, such secretions are caused by non-compliance with sexual rest or excessive physical overload. Therefore, patients are advised to spend several days in bed after a surgical abortion, and to give up physical work and sexual intimacy for at least three to four weeks.

Features of menstruation with various types of abortion

The nature of the menstrual flow, their duration and profusion, pain and other features depend on the way in which the pregnancy is terminated. Each of the varieties - pharmaceutical, surgical or vacuum abortion - is distinguished by its complexity and possible complications, therefore, the menstruation after them begins to go differently.

Pharma Interrupt

Medical or pharmabort experts believe the most gentle way to end an unwanted pregnancy, which is carried out without surgery using only tablets. But it can be carried out only up to 7 weeks. After taking the drug, rejection of the ovum and its release of the uterus occurs naturally. At the same time, muco-bloody discharge appears, which can last up to one and a half weeks.

After the pharmacist come monthly rather quickly, resuming in about a month. For the beginning of the cycle take the day of interruption. No need to worry if the first critical days were delayed for a week and a half, for several cycles they will normalize and go in the old mode. Only in some patients there are more abundant discharge than before the procedure.

When the temperature rises after a pharmaceutical interruption, severe pains in the uterus are concerned, and heavy bleeding with a large number of clots worries, you should immediately seek medical help, because such signs indicate the presence of fetal debris in the uterus. Additional evidence of this is nausea, accompanied by dizziness, and other signs of intoxication. If after 40 days there are no menstrual periods after the abortion, you should also contact the antenatal clinic. Their absence may indicate that the interruption did not occur.

Vacuum aspiration

A relatively safe method gynecologists consider vacuum aspiration (mini-abortion). They spend it up to 7 weeks, although the safest is considered a 5-week period. The procedure is the pumping of the ovum from the uterine body. The menstrual cycle is finally normalized for 3-5 months. It is quite difficult to say more precisely when critical days arrive, because for each woman this time comes in different ways, depending on the presence of low-grade pathologies, the age characteristics of the patient and how easily the patient suffered an abortion.

  • Usually, the first menstrual bleeding begins as early as 28–35 days, if the interruption was performed by vacuum aspiration.
  • Every woman is able to calculate how many days menstruation will come. If a woman has a cycle of 30 days, then the menstruation should appear after about 30-40 days from the moment of aspiration.
  • Some are surprised that after an interruption they have scanty periods. This is usually normal, because after a pregnancy interrupted by an abortion, the ovaries have not yet had time to fully enter into the previous mode of operation.
  • If the periods are non-standard, that is, they have an unusual color, a disgusting smell, then an gynecological examination is required urgently.

The spotting that occurs immediately after the interruption is not menstruation. Such secretions are due to mechanical abortive damage.

Surgical abortion

Instrumental interruption is by no means considered favorable for female reproduction. Often after it can begin abundant bleeding and serious damage to the uterine walls. Especially dangerous surgical interruption, produced at a rather late period in excess of 9 weeks. The uterus is opened with special tools that are already unsafe for cervical tissues.

After such an interruption, monthly periods may be absent after a month or more. Even an experienced surgeon will not be able to say for sure in how many days menstruation can come. If the menstrual flow is missing for several months, then it is necessary to consult a doctor. The danger can be knitted with the helplessness of a uterus open after an abortion before infections.

It is worth guarding if the menstruation has an unpleasant yellowish-slimy tint and a meager amount and a sharp, nasty smell, since such manifestations indicate infection of the uterine cavity. If you run this state, in the future, a woman may permanently lose reproductive functions and will never be able to endure her own baby.

How abortion can affect menstruation

One of the abortive complications is the disorder and violation of the female cycle. Such a complication is manifested by the irregularity of menstruation, the cycle that has begun may suddenly stop, or the menstrual periods will come with constant delays. This problem occurs in 12 out of a hundred patients. Too plentiful monthly after abortion can be caused by the same. Why it happens?

The main cause of menstrual post-sports disorders is the removal of the mucous layer during curettage curettage. This procedure is often accompanied by damage to the deep layers of the uterine wall, which cause scarring and adhesive processes. Therefore, the subsequent endometrial growth occurs irregularly, menstruation is poor or, conversely, is characterized by profusion and excessive pain.

After a sudden interruption, a woman has hormonal failure, which provokes a violation of ovarian activity, develops dysfunction, involving other complications such as endometriosis and myomatous lesions, hyperplastic changes of the endometrium and ovarian polycystic, adenomyosis, or endometrial polyps. If hormonal disorders are strongly pronounced, it is fraught with the appearance of some kind of tumor.

Monthly and hormonal disruptions

Hormonal disorders after abortive procedures are quite common. The body produces a mass of hormonal substances that are important for normal carrying, but if abruptly interrupted, these components lose their need, which causes a hormonal disruption that can disrupt the work of all intraorganic structures.

As a result of hormonal disruptions, there is a delay in menstruation, which is considered to be a fairly common complication after an interruption. If you do not treat this condition, it is fraught with the development of such pathologies as ovarian polycystic, fibromyoma or milky-cystic formations, etc. By the way, the longer the gestation period on which the interruption is made, the harder and more pronounced the hormonal failures. Characteristic manifestations of hormonal failure are:

  • Excessive menstrual flow,
  • Cycle violations
  • Excessive fatigue
  • Delay and irregularity of menstruation,
  • Drastic changes in emotional state, excessive nervousness,
  • Acne and acne on the face,
  • Weight gain.

If such manifestations occur, it is recommended to undergo laboratory diagnostics for the content of certain hormonal substances.

Abundant menstruation

In many failed moms, menstruation becomes excessively plentiful and long. How long are the monthly after abortion? Surely no gynecologist will be able to say this, because everything depends on the organism and the characteristics of each individual patient. In difficult situations, menstruation can become so abundantly long that they last for 2 or more weeks. Such a condition is dangerously high blood loss, iron deficiency anemia and a pathologically low hemoglobin content. As a result, the woman’s immune system practically does not work, she is constantly worried about fatigue and exhaustion, depression and an apathetic state.

After an abortion, scanty periods are considered more typical, but heavy bleeding makes you seriously anxious. Such a state often becomes a real threat to women's health in general and reproductive functions in particular. Therefore, with excessively abundant and prolonged periods, gynecological care is also necessary.

How not to confuse bleeding with menstruation

Usually menstruation begins after 28-34 days after the interruption, but in order not to be nervous throughout the whole month, it is better to go to an ultrasound examination of the uterus after a couple of weeks. It is easy to distinguish between menstruation and post-sports bleeding. The latter normally go no more than 1.5 weeks and immediately after the interruption, and menstruations begin about a month after the removal of the ovum. Critical days are also distinguished by vaginal secretions, which are scanty in nature. This picture indicates the absence of any pathologies and complications.

If the bleeding is abundant, then there is a high probability of infection. Posteport monthly are almost the same as usual. At first smears appear, then they increase, becoming more abundant, and after 3-4 days their intensity decreases again. The appearance of minor clots is also considered normal for menstrual flow.

Why don't "these days" come

Sometimes menstruation does not come long enough that any woman will make you worry. Why does this happen? Just in the body due to abortion occurred failures. If the absence of menstruation is diagnosed after pharmabot, the reasons may be caused by hormonal problems, because drug interruption involves taking high doses of hormonal drugs, and after rejection of the fetus, many hormones become unnecessary, which causes hormonal "confusion."

If menstrual bleeding is absent for more than 60 days after a vacuum abortion, the reasons are most likely due to infectious-inflammatory lesions of the uterine cavity, therefore urgent therapeutic measures are required. The same reasons explain temporary amenorrhea after instrumental interruption. In general, the cycle is normalized in a month and a half. Prolonged absence of menstruation requires gynecological consultation.