What Causes Irregular Periods Following Missed Abortion?

Posted on Fri, 19 Sep 2014

Question: hello sir/madam,

I had missed abortion in XXXXXXX 2014,after that my periods are irregular,and bleeding is so nigligible...I have done hormones tests also..I had perids in July and still waiting for periods,pregnancy is not possible as doctor has not recomanded right now.

Right no,doctor has advised for HSG test,should I go with it,does it have any side effects?...
Please help me in this.

Thanks,
XXXX

Answered by Dr. Dalia Muraleedharan (2 hours later)

Brief Answer:
Irregular periods following missed abortion

Detailed Answer:
Hi,
Thanks for writing..
I understand your concern..

I would like to ask you few questions..
1.Were your periods regular prior to the missed abortion?
2.How frequently did you get your periods after that?
3.Why were you advised not to get pregnant after missed abortion?
4. Why is HSG advised now or for what reason did you consult your doctor now?
5.Was it a medical or surgical abortion?
6. Was a scan done and whether there was PCOS?

After abortion, 1to 2 cycles will be irregular , then it usually normalise.. But in your case, period is irregular for more than 6 months, so you need a detailed evaluation.

HSG is hysterosalpingogram done to know tubal patency. It is done in patients with infertility. It is done by injecting XXXXXXX into the uterus, so there can be hypersensitivity to the XXXXXXX in some patients. Some experience mild cramping of lower abdomen after the procedure. Rarely there can be infection.

Please reply to my question, s that I can give a correct answer.. God day.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dalia Muraleedharan (25 minutes later)

After misscarriage i had MC only two times and that too negligible...i have been detected with PCOS...after two negligible MC's doctor asked me to do sonography and it was found that endometrieum size is not increasing and hence she prescribed medicines so that MC with normal bleeding can start...however even.after that MC has not occured and now doc wants.to.investigate further...periods have been irregular earlier also and there was delay by 1 week...curatine was done after misscarriage.

Answered by Dr. Dalia Muraleedharan (2 hours later)

Brief Answer:
Detailed investigation is required.

Detailed Answer:
Hi,
Thanks for writing..
So missed abortion was not the cause of irregular cycles. Abortion can cause irregularity only for 1 or 2 cycles. PCOS and defective endometrium might be the cause of irregular and scanty periods.

Trust your doctor and get an HSG done. It will help to see both the lining of uterus and status of tube. Get an endometrial biopsy and sent for histopathology to detect any infection or defect affecting the endometrial lining.

After this take 3 cycles of OCP's for the endometrium to build up and shed normally. After 3 cycles, you can try for pregnancy with close monitoring of endometrium and follicle to see for ovulation time so as to have a timed intercourse.. Post ovulatory period take progesterone for 10 days.

Hope I have answered your queries.Feel free to ask any doubts. If n doubts,please close the conversation and rate my answer. Good day..

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj