What should I do if my first menstrual flow after abortion is small and black?

The first menstrual period after abortion is small and dark in color, which is usually related to some changes in the body's recovery process. It may involve problems such as corpus luteum insufficiency, endocrine system abnormalities, or intrauterine adhesions. The specific analysis is as follows:

1. Luteal insufficiency: This may be one of the reasons for reduced menstrual volume. Luteal insufficiency affects the normal shedding of the endometrium, resulting in poor menstrual discharge. Over time, the iron in the blood is oxidized and the color becomes darker. Common symptoms also include early menstruation. In this case, progesterone supplementation is usually needed to help restore a normal menstrual cycle.

2. Abnormal endocrine system: After an abortion, the body's endocrine system may be affected, leading to an imbalance in hormone levels. This imbalance may cause irregular menstrual cycles, less menstrual volume, and darker menstrual color. In order to determine the specific cause, it is recommended to conduct six sex hormone tests and carry out corresponding hormone replacement therapy based on the results to help the body restore normal hormone levels.

3. Intrauterine adhesion: This is one of the common complications of abortion. The surgery may damage the endometrium, leading to intrauterine adhesion, affecting the normal proliferation and secretion function of the endometrium. In this case, the menstrual volume may decrease and the color may become darker. It is recommended to perform a hysteroscopy, during which treatment can be directly performed to relieve adhesions.

4. Influence of psychological factors: Psychological stress and mood swings after surgery may also affect menstruation. Excessive stress can interfere with the normal function of the endocrine system and lead to abnormal menstruation. Maintaining a good mental state and relaxing appropriately will help restore a normal menstrual cycle.

5. Adjustment of living habits: After surgery, good living habits will help the body recover. Maintaining a regular schedule, a balanced diet, moderate exercise, and avoiding excessive fatigue are all important factors in promoting physical recovery.

6. Regular check-ups: If menstrual abnormalities persist, it is recommended to seek medical attention in a timely manner. Professional examinations to find the root cause of the problem and provide targeted treatment are the key to restoring health.

When facing menstrual abnormalities after abortion, staying calm, actively seeking professional help, and adjusting your lifestyle are all effective ways to help your body recover. I hope these suggestions can provide some help and inspiration for your health.