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When do Periods start again after an Abortion?

June 20, 2024 Reviewed by Dr Hameed Ibrahim Khokar

Originally posted 2023-07-04 04:31:51.

Abortions are medical procedures that end pregnancies and have a low risk of harm. People often bleed right after having an abortion, but their first period usually doesn’t start until a few weeks later.

This article talks about what will happen to a person’s periods after they have an abortion. Read on to find out what happens to the menstrual cycle after a medical or surgical abortion.

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How does abortion affect the menstrual cycle?

Most of the time, a person will get their next period between 4 and 8 weeks after having an abortion. The abortion empties the uterus, which causes the next period to start.

Whether or not someone is using birth control, and if so, what kind, will affect when their next period starts.

If a person has an abortion and their periods don’t start in 8 weeks, they should talk to their doctor.

Keep reading: How Can I get pregnant if I have irregular periods?

What is post-abortion bleeding?

After an abortion, a lot of women have some bleeding. This is what doctors call bleeding after an abortion. After an abortion, it might be a good idea to use pads to keep track of how much blood they have lost.

Medical abortion and surgical abortion are the two main kinds. Here, we talk about these different kinds of abortions and the bleeding that can happen after them.

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Bleeding after a medical abortion

When a doctor gives someone pills to end the pregnancy, this is called a “medical abortion”. This kind of abortion can be done up to 11 weeks into a pregnancy.

During a medical abortion, the doctor gives the woman two pills: mifepristone, which stops the pregnancy from growing further, and misoprostol, which makes the uterus throw out the pregnancy tissue.

Misoprostol makes the uterus contract, which pushes the tissue from the pregnancy out through the vagina. The bleeding that comes from this treatment can be like having heavier bleeding. Some people bleed more than others, and the blood they lose may form blood clots.

After the pregnancy tissue is gone, the person may have spotting or light bleeding for up to two weeks.

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Bleeding after a surgical abortion

Most surgical abortions happen in the second trimester, after week 10 of a pregnancy. There are two types of abortion surgery. The first is vacuum aspiration, which uses suction to get rid of the pregnancy. The second method is dilation and evacuation, which involves using forceps to open the cervix and suction to remove the pregnancy.

Planned Parenthood, an advocacy group, says that most doctors use vacuum aspiration up to 14–16 weeks after a person’s last period. Most of the time, they will suggest dilation and evacuation after a longer period of time.

Surgical abortions can also cause bleeding after the procedure, which may be like a period. Most people bleed for about 1–2 weeks after a surgical abortion, and some may spot until their next period.

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Does it cause irregular periods?

Some methods of birth control may change how often a woman gets her period after having an abortion. If a person usually has irregular periods, they may still have them after having an abortion.

Getting an abortion can cause emotional stress, which can affect a person’s period. Stress can cause periods to not come at the same time every month.

If someone had an abortion and now has irregular periods when they didn’t before, they should talk to their doctor.

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What to expect for the first period

A person’s first period may be shorter than usual if they have an abortion through surgery. After an abortion, the uterus is completely empty, so there is less tissue to pass out. This can lead to a lighter period.

After a medical abortion, a person’s first period may be longer than usual because the treatment uses hormones that may change the length of the cycle. This time can also be harder because, after the procedure, the body may have more tissue to get rid of.

When a person has their first period after an abortion, they can keep track of how much blood they lose by using pads.

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What to expect for the second period

After an abortion, a person’s second period is likely to be like their first.

Still, it may take two or three cycles for some people’s periods to get back to normal. They should talk to their doctor if this doesn’t happen.

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When can you start birth control?

After having an abortion, a person can use birth control right away. If they want to use an intrauterine device (IUD), they can ask a doctor or nurse to put one in during the same appointment as the abortion.

IUDs work well as a way to stop pregnancy. There are both copper IUDs that don’t have hormones and plastic IUDs that do.

Copper IUDs don’t change how you feel, which is a good thing, but they may cause your periods to be heavier.

Hormonal IUDs may make your periods shorter, but like all hormonal birth control, they may also change your mood.

Condoms are a reliable method of birth control that doesn’t use hormones and doesn’t require surgery.

How to avoid getting pregnant is a personal decision, and different methods work for different people.

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When to consult a doctor

A person should talk to their doctor if they have very heavy bleeding after an abortion or pain that can’t be fixed with over-the-counter painkillers.

During post abortion bleeding, blood clots up to the size of a lemon often form. If someone has blood clots that are bigger than this, they should see a doctor.

During or after an abortion, it’s common to feel sick, including dizziness, sweating, and nausea. People who feel very weak or have a high temperature, on the other hand, should see a doctor.

If a person has symptoms that worry them, they can talk to a doctor to get advice and reassurance.

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Summary

When a woman has an abortion, her period starts again. Most women get their period again between 4 and 8 weeks after an abortion.

If you have a medical abortion, your first period may be heavier and last longer than before. If you have a surgical abortion, your first period may be shorter and lighter.

A person should talk to their doctor if their periods don’t start 8 weeks after an abortion or return to normal after 3 months.

Normal is the bleeding after an abortion. A person should talk to their doctor if this is very heavy, lasts for more than 2 weeks, or includes blood clots bigger than a lemon.

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