"Why Havent I Had a Menstrual Cycle After More Than Two Months Following an Abortion?"

Update Date: 2024-10-11 Source: Network

Menstruation After Abortion

Menstruation refers to artificial abortion. The absence of menstruation for more than two months after an artificial abortion can be attributed to various factors such as endocrine disorders, endometrial injury, cervical canal adhesion, uterine cavity adhesion, or endometrial tuberculosis.

Detailed Analysis:

1. Endocrine Disorders:

After an artificial abortion, the secretion of estrogen and progesterone may become disrupted, or the emotional stress caused by the surgical trauma can affect hormone secretion, thereby influencing menstruation and leading to its cessation.

2. Endometrial Injury:

Repeated artificial abortions or damage to the endometrial basement layer during surgery can prevent the endometrium from regenerating, resulting in amenorrhea. Women in this situation can undergo a B-ultrasound scan to assess the endometrial thickness. If it is less than 8mm, medications like estradiol valerate can be prescribed under medical supervision to induce menstruation. Surgical intervention with hysteroscopy may be necessary if uterine cavity adhesion is detected.

3. Cervical Canal Adhesion:

Damage to the cervical canal lining during surgery can cause adhesion, preventing menstrual blood from flowing out and accumulating in the uterine cavity. Symptoms include amenorrhea, lower abdominal pain, backache, and rectal discomfort. A B-ultrasound examination can reveal uterine cavity effusion, and cervical canal dilation can alleviate the symptoms.

4. Uterine Cavity Adhesion:

Multiple artificial abortions can prevent the growth of the endometrium, leading to uterine cavity adhesion. Surgical separation may be necessary in severe cases.

5. Endometrial Tuberculosis:

Mycobacterium tuberculosis can enter the uterine cavity and attack the endometrium, causing it to atrophy and halting menstruation. Treatment options include medications like isoniazid tablets, rifampicin capsules, and ethambutol tablets, with surgery considered if necessary.

Additional Considerations:

Gestational trophoblastic neoplasia, such as choriocarcinoma, can also lead to amenorrhea after an artificial abortion. It is crucial to seek medical attention promptly for relevant examinations and to follow prescribed treatments upon diagnosis.