Abdominal heaviness and pain after induced abortion

May 11, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

A sensation of abdominal heaviness and pain after induced abortion may be caused by physiological factors or pathological conditions, such as incomplete abortion or intrauterine infection. Besides these common causes, uterine fibroids could also be responsible. This condition can be treated with myomectomy. Adequate rest is recommended during treatment. If symptoms do not improve after treatment, prompt medical attention is necessary.

In general, abdominal heaviness accompanied by pain after induced abortion may be caused by physiological factors or pathological factors, such as incomplete abortion or uterine cavity infection. The specific details are as follows:

1. Physiological Factors

After induced abortion, a woman's uterus undergoes varying degrees of contraction, and the body secretes prostaglandins, which can lead to abdominal pain and vaginal bleeding—symptoms that are considered normal physiological responses. During this period, it is important to keep the abdomen warm, rest adequately, and consume nutritious foods such as eggs and lean meat to support recovery.

2. Pathological Factors

1) Incomplete Abortion
If residual tissue remains in the uterine cavity after induced abortion, it can stimulate the uterus and easily cause symptoms such as abdominal pain and a sensation of heaviness. Treatment with dilation and curettage (D&C) surgery may be performed under medical guidance.

2) Uterine Cavity Infection
Failure to maintain proper genital hygiene or using unclean sanitary pads during this period may lead to ascending inflammatory infection into the uterine cavity, resulting in pelvic congestion. This manifests as abdominal pain, backache, and possibly fever. It is recommended to take antibiotic medications such as amoxicillin capsules, penicillin V potassium tablets, or cefuroxime axetil tablets under a doctor’s supervision.

Besides the common causes mentioned above, similar symptoms could also result from conditions such as uterine fibroids, endometriosis, or cervical polyps. These may require treatments like myomectomy. Adequate rest is advised during treatment. If symptoms do not improve after treatment, prompt medical consultation is necessary—earlier intervention leads to better recovery outcomes.

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It's been two months since the induced labor, and there's still intermittent bleeding.

Incomplete expulsion of residual tissue in the uterine cavity after induced abortion leads to persistent, intermittent vaginal bleeding, accompanied by abdominal pain and lower back discomfort. Improper care or resuming sexual intercourse too early allows pathogenic bacteria to enter the uterine cavity, triggering inflammatory infection. The presence of retained tissue or inflammation impairs uterine smooth muscle contraction, resulting in incomplete uterine involution and causing the aforementioned symptoms.

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What should I do if my discharge turns yellow after induced abortion?

Treatment for yellowish discharge after induced abortion should be based on the specific underlying cause. This symptom may result from normal recovery, vaginitis, cervicitis, pelvic inflammatory disease, or endometritis. It is recommended to seek medical care at a hospital, undergo thorough examinations to determine the exact cause, and receive active treatment under a doctor's guidance. During the illness, maintain good external genital hygiene, get adequate rest, and avoid sexual intercourse.