What should you know about abortion 5 weeks ago no period?

Ovulation can return before the first period, so a new pregnancy is possible after unprotected sex. The bleeding immediately after an abortion is not necessarily a menstrual period, which can make cycle timing confusing.

Pregnancy hormones need time to fall and the ovaries then resume their cycle. Stress, illness, weight changes, breastfeeding, and starting hormonal contraception can further alter bleeding. Some contraceptive methods make periods lighter, irregular, or absent.

Less commonly, ongoing pregnancy tissue or infection can be associated with persistent bleeding, pelvic pain, fever, unpleasant-smelling discharge, or continued pregnancy symptoms. Conditions unrelated to the abortion, including polycystic ovary syndrome or ovarian hormone problems, may also stop periods, especially if cycles were irregular beforehand.

Follow the aftercare instructions from your abortion provider, including any planned pregnancy test or follow-up. If you have had sex that could lead to pregnancy, take a home pregnancy test and tell the provider when the sex occurred and when you tested. A test can remain positive for a while because pregnancy hormone may still be clearing, so the result needs interpretation in context.

Contact the abortion service or a gynaecology clinician if the period has not returned, the test is positive or unclear, pregnancy symptoms continue, or you are worried. They may repeat a test, assess symptoms, arrange an examination or ultrasound, and review contraception. Do not delay care because you feel embarrassed; these are routine clinical questions.

Get urgent medical help for severe or worsening abdominal or pelvic pain, fainting, marked dizziness, shoulder-tip pain, very heavy bleeding, fever, confusion, or feeling seriously unwell. These symptoms require assessment whether or not a pregnancy test is positive.

Prompt assessment is also needed for foul-smelling vaginal discharge or bleeding that is becoming heavier rather than settling. If pain or faintness makes travel unsafe, call emergency services and do not drive yourself.

Ask when a pregnancy test should be repeated, whether its result could reflect remaining hormone or a new pregnancy, and whether you need an examination or ultrasound. Also clarify how your chosen contraception may affect bleeding, when it becomes effective, and who to contact if your period still does not return.