Why does the menstrual flow decrease after a painless abortion for women?
Why does the menstrual flow decrease after a painless abortion? Nowadays, more and more women choose painless abortion to terminate an unintended pregnancy. This has become a very common phenomenon, especially since painless abortion surgery is relatively safe and convenient. Although it is repeatedly emphasized that current painless abortion surgery has minimized harm to women, it still has certain effects on women, such as irregular menstruation and reduced menstrual flow after a painless abortion. Many women are unclear whether these issues are caused by the painless abortion surgery and are more worried about whether it will affect future fertility. So, why does the menstrual flow decrease after a painless abortion?
Experts in abortion from Xi'an Abortion Hospital have summarized the following reasons:
1. Incomplete curettage
A few women experience incomplete curettage with placental or other tissue residues, leading to amenorrhea or reduced menstrual flow. After another curettage to clear the residue, normal menstruation can be restored.
2. Premature sexual intercourse and盆浴after the surgery
Some women resume sexual intercourse with their husbands just a few days after the surgery or do not follow medical advice and take盆baths, causing bacterial invasion of the vagina and uterus, resulting in uterine cavity infections which lead to reduced menstrual flow and irregular menstruation, even amenorrhea.
3. Excessive mental tension and anxiety
Fear before the surgery, fear of abortion, or mental burdens due to inability to conceive, especially unmarried women who feel ashamed, may continue to experience these emotions post-surgery, leading to reduced menstrual flow.
4. Individual differences
Each person's body is different. Some women experience changes in endocrine function after an abortion, with a sudden drop in chorionic gonadotropin levels, making the ovaries temporarily unresponsive to the anterior pituitary gonadotropins, resulting in the endometrium failing to change cyclically and thus reducing menstrual flow.
5. Frequent abortions
Some women undergo multiple abortions within a year, leaving the endometrium thin, making it difficult to recover in a short period. If the basal layer of the endometrium is completely damaged, permanent amenorrhea may occur; partial damage can cause temporary amenorrhea.
6. Cervical endometritis or damage to the endometrium during curettage, leading to adhesion after the abortion
If there is cervical canal adhesion, menstrual blood will be difficult to discharge, and these patients often experience cyclical abdominal pain once a month. If there is uterine adhesion, symptoms will vary depending on the degree of adhesion; extensive adhesions can cause amenorrhea, while smaller areas can reduce menstrual flow.
7. Endocrine abnormalities
Endocrine abnormalities, such as premature ovarian failure, hypothalamic amenorrhea, hyperprolactinemia, or ovarian anovulation, insufficient luteal function, etc.
So, how should women care for themselves after a painless abortion?
1. Rest for 2 weeks after a painless abortion, minimizing reading newspapers or watching TV.
2. Within 2 weeks after the surgery, rest appropriately in bed and avoid heavy physical labor.
3. Eat more nutritious foods (such as chicken soup, fish soup, etc.) to restore your body quickly. Generally, cold drinks should be avoided for 7-10 days after the surgery, and spicy foods for one month.
4. Maintain cleanliness and hygiene of the external genitalia, washing 1-2 times daily with warm water, and changing sanitary pads frequently.
5. Avoid sitting baths for 2 weeks or until vaginal bleeding stops.
6. Avoid sexual intercourse for one month to prevent infection of the reproductive organs. Seek medical attention if you have fever, abdominal pain, or abnormal vaginal secretions.
7. Vaginal bleeding usually stops gradually within 3-5 days, with a maximum duration of no more than 10-15 days. If the vaginal bleeding exceeds normal menstrual flow and lasts too long, seek medical attention promptly.
8. After a painless abortion, take contraceptive measures when resuming sexual activity to avoid another pregnancy. Normally, the endometrium takes about half a year to heal, so extra caution is necessary to prevent another pregnancy that could damage the uterus.
9. Take a "small confinement" after the abortion. Avoid cold exposure and cold-water baths for a week, eat some supplements and iron-rich foods, avoid sexual intercourse for a month, and use contraception for six months. Plan to have another baby at least a year later.
10. Seek medical attention if you have fever, abdominal pain, or abnormal vaginal secretions.
The above is a detailed introduction to why menstrual flow decreases after a painless abortion. It is believed that many women now understand this situation. Experts in abortion from Xi'an Sankin Hospital warmly remind women that post-abortion care is very important. Improper care could lead to female infertility, so everyone must pay attention and take good care after the abortion to recover quickly. If any discomfort occurs after the surgery, seek medical attention immediately. Xi'an Sankin Hospital wishes you good health! (Editor-in-Charge: xasq)