Going through an abortion is difficult; it can also bring a lot of changes to your body.

After an abortion, many wonder, "When will my periods start again?". Knowing what to expect can help you feel better prepared.

In this blog, Kareline will talk about when your periods might return after a medical or surgical abortion.

We will cover what your period might be like, any changes you could see, and how to handle them. We will also answer some common questions and clear up any myths you might have heard in this blog.

What Happens After An Abortion?

An abortion is a procedure to end a pregnancy. There are two main types of abortions called medical and surgical abortion. The type of abortion also affects how quickly your body returns to its normal cycle. Let’s take a look at the aftermath of an abortion.

Physical Effects

Bleeding:

• Bleeding usually starts right after the abortion and can be heavy at first, like a strong period.

• It typically gets lighter over a couple of weeks, but some spotting can last longer.

• The blood might be bright red at first and then turn darker.

Cramping:

• Cramping is common and can feel like strong period cramps.

• It happens because the uterus is shrinking back to its normal size.

• Cramps are usually worse in the first few hours to days.

• Painkillers like ibuprofen and heating pads can help ease the cramps

Other Symptoms:

• Some people feel sick or very tired after the procedure, but this usually doesn't last long.

• Breasts might feel tender or swollen for a few days due to hormone changes.

Recovery

• Healing starts right away. Bleeding and cramping are most noticeable during this time.

• Bleeding should start to lessen. Cramps should get better too. Most people can go back to their regular activities within a few days, but should avoid heavy lifting.

• By the end of the second week, bleeding usually stops, though some spotting may continue. If heavy bleeding continues, contact a healthcare provider.

• The uterus goes back to its normal size and hormone levels even out. Breast tenderness and other symptoms should go away.

A regular menstrual cycle typically starts again in 4-6 weeks, though it can vary. The first period might be heavier than usual.

Feelings can vary widely after an abortion. Some people feel relief, while others might feel sad. Counseling or support groups can help.

When To Seek Medical Help?

Heavy Bleeding: Soaking through two or more pads per hour for two hours in a row

Severe Pain: Pain that doesn't get better with medication

Fever: A fever above 100.4°F (38°C), which could mean an infection

Bad-Smelling Discharge: Any unusual or foul-smelling discharge

When Do Periods Resume After Abortion?

For medical abortions, periods usually start again after 4 to 8 weeks after the procedure. For surgical abortions, periods usually start again within 4-6 weeks after the procedure.

There are some factors that can influence this timeframe. It include:

Hormone levels: Hormones need time to stabilize after an abortion, affecting how quickly your menstrual cycle returns.

General health: Overall health, including diet, stress levels, and medical conditions, can influence recovery and the return of periods.

Reproductive health: Pre-existing reproductive health issues, like PCOS or irregular periods, can also impact the timeline

Type of abortion: The type of abortion influences how quickly your periods resume. Surgical abortions often lead to a quicker return of periods compared to medical abortions.

What To Expect During This Time?

Flow: Periods may be heavier or lighter than usual.

Duration: They might be shorter or longer.

Symptoms: Cramps, breast tenderness, and mood changes can vary.

Delayed Return: Hormonal changes can delay periods.

Spotting: Temporary bleeding between periods is common.

Hormonal Adjustments: It takes a few months for cycles to stabilize.

Stabilization: Most cycles normalize within 3-6 months. Make sure to monitor and consult if concerns arise for reassurance.

Managing Your Wellbeing

• After an abortion, it is essential to monitor your menstrual health to ensure a smooth recovery and detect any possible issues early on. Here are some helpful tips for that.

• Keep a calendar or use a period tracking app to monitor when your periods start and end.

• Record the flow (light, moderate, heavy) and any accompanying symptoms like cramps, mood changes, or unusual bleeding.

• If your periods do not resume within the expected timeframe after an abortion, consult your healthcare provider.

• Seek medical advice if you experience prolonged or heavy bleeding, severe cramping not relieved by over-the-counter medications, fever, or unusual discharge.

• Attend follow-up appointments as recommended by your healthcare provider to monitor your recovery progress.

• These appointments are crucial for addressing any concerns, ensuring your physical and emotional well-being, and receiving guidance on contraception or future reproductive health plans.

Debunking Some Myths

Let’s debunk some common myths about abortion.

Myth: Abortion Causes Infertility

Evidence shows that properly performed abortions do not cause infertility. Most women return to normal fertility shortly after the procedure.

Myth: Irregular Periods are Abnormal

It is normal for periods to be irregular temporarily after an abortion due to hormonal changes and healing.

Myth: Future Pregnancies are Risky

Abortions performed under proper medical supervision do not increase the risk of complications in future pregnancies.

Addressing Psychological And Emotional Aspects

After abortion, women may feel a mix of emotions like relief, sadness, guilt, or anxiety. These emotions can affect mental health and how hormones function, potentially influencing menstrual cycles.

Emotional stress can disrupt hormone levels, leading to irregular periods or delaying their return. It might slow down the recovery of normal menstrual cycles.

Counseling services are available for your needs. It offers a safe space to discuss emotions and cope with post-abortion feelings.

Open communication about feelings related to abortion helps reduce stigma and promote mental well-being. Seeking professional support from therapists trained in reproductive health can provide valuable assistance if emotions become overwhelming.