Menstrual abdominal pain and foul-smelling menstrual blood after medical abortion
Abdominal pain and foul-smelling menstrual blood after a medical abortion may be related to conditions such as fungal vaginitis, cervicitis, or endometritis, and can be treated with oral medications, topical treatments, etc. Specific analyses are as follows:
1. Fungal Vaginitis
Medical abortion procedures may disrupt the normal vaginal flora balance, allowing pathogens such as Candida to grow and multiply easily, leading to infection. Symptoms may include vulvar and vaginal itching, burning sensation, increased vaginal discharge, and may also cause abnormal menstrual odor and abdominal pain. Patients can use topical medications such as miconazole nitrate suppositories or clotrimazole suppositories as directed by a physician.
2. Cervicitis
Medical abortion may damage the cervical opening and cervical mucosa, making it easier for pathogens to infect the cervix. Common symptoms include increased vaginal discharge, dysmenorrhea, and menstrual irregularities. Patients can take medications such as levofloxacin hydrochloride tablets or azithromycin capsules under medical guidance.
3. Endometritis
Endometritis refers to inflammation of the endometrium and commonly causes menstrual irregularities, increased menstrual flow, and abdominal pain. Patients can take medications such as metronidazole tablets or clindamycin hydrochloride capsules as prescribed by a doctor.
In addition to the above common causes, these symptoms may also be associated with salpingo-oophoritis (adnexitis), uterine fibroids, or other conditions. Patients should seek medical evaluation at a hospital to determine the underlying cause and receive standardized treatment accordingly.