Is it normal to feel nauseous continuously after a D&C?

　　To effectively terminate an unintended pregnancy, many women may opt for medical abortion. However, it is important to understand that medical abortion is not entirely risk-free. In some cases, incomplete abortion may occur, necessitating uterine curettage (also known as “D&C” or dilation and curettage). So, is persistent nausea after uterine curettage normal?

　Is Persistent Nausea After Uterine Curettage Normal?

　　Persistent nausea following uterine curettage is a gastrointestinal symptom and is generally considered normal. After painless abortion, serum human chorionic gonadotropin (hCG) levels have not yet fully declined and remain relatively elevated, potentially triggering early-pregnancy-like symptoms—including nausea, vomiting, and loss of appetite. Typically, hCG levels return to the normal non-pregnant range within approximately 20 days post-procedure, and associated gastrointestinal symptoms such as nausea, vomiting, and anorexia gradually subside. Therefore, following abortion surgery, patients should consume light, mild, and easily digestible meals in small portions; avoid spicy, heat-inducing, or otherwise irritating foods; and abstain from smoking and alcohol consumption—measures that help minimize gastrointestinal irritation.

　　The primary risks associated with uterine curettage include excessive endometrial injury, amenorrhea, intrauterine adhesions (Asherman’s syndrome), and menstrual irregularities. During the procedure, complications such as uterine perforation or injury to adjacent pelvic organs may occur. In severe cases, hemorrhagic shock may develop—potentially life-threatening. Fortunately, most current uterine curettage procedures are performed under real-time ultrasound guidance, significantly enhancing procedural safety. If abnormal intrauterine tissue remnants are detected, curettage is medically indicated. Postoperatively, routine anti-inflammatory, hemostatic, and symptomatic treatments are typically administered.

　　In daily life, if any disease-related symptoms arise, prompt medical evaluation and diagnosis are essential—and patients should actively cooperate with their physicians’ treatment plans. We hope this information proves helpful to you.