Why did I get two periods in three weeks after an abortion?

Question

Hello doctor,

I recently started tracking my period, and this is the second month that I have had two periods less than three weeks apart. Today, I got my period again just under a week after the last one ended. It may be worth mentioning that I had an abortion in April and have been back on regular birth control since June. I also started having regular sex again about two months ago.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Having two periods less than three weeks apart, especially with a recent history of abortion, restarting hormonal birth control, and changes in sexual activity, can be related to hormonal fluctuations as the cycle is still regulating itself. Combined oral contraceptive pills such as Norethindrone-ethinyl estradiol-Iron usually stabilize bleeding over time. However, in the first few months, irregular spotting or breakthrough bleeding is common, particularly around the placebo week.

You described the condition of a short, light, clumpy pink discharge, followed by another bleed may represent withdrawal bleeding from the pill or breakthrough bleeding rather than true menstrual periods. The urinary tract infection (UTI)-like symptoms such as urgency, pelvic discomfort, and vulvar dryness or itching could suggest a separate vaginal or urinary infection, which should be checked with a urine test and possibly a vaginal swab.

Since the irregular bleeding has persisted for two months and is now occurring very close together, it is advisable to see a gynecologist in person for a pelvic examination, urine test, and possibly an ultrasound to rule out infection, hormonal imbalance, or uterine causes.

In the meantime, continue taking the birth control regularly as prescribed, stay hydrated, and carefully track the cycle. However, do not rely solely on online advice; an in-person examination is essential to clarify the cause and guide proper treatment.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.