Is it normal to have intermittent abdominal pain on the third day after an abortion?

Generally, mild intermittent abdominal pain on the third day after an abortion, accompanied by a small amount of lochia without odor, is usually a normal sign of uterine contraction. However, if the pain is severe, progressively worsening, or associated with abnormal discharge or fever, it may indicate complications and should be taken seriously. If in doubt, it is advisable to seek medical consultation promptly. Detailed explanations are as follows:

If the intensity of the cramping resembles menstrual cramps, with increasing intervals between episodes and gradually diminishing pain, along with decreasing lochia volume that changes from bright red to dark red without foul odor, this indicates the uterus is contracting to expel residual tissue and return to its normal size—a normal part of postoperative recovery. There is no need for excessive concern; adequate rest will help symptoms gradually subside.

If the abdominal cramps are severe and persistent, or progressively worsen, especially when accompanied by a sudden increase in lochia, abnormal discharge (such as blackish color or pus-like secretions), foul odor, or symptoms like fever and dizziness, these could indicate complications such as postoperative infection, excessive retained tissue in the uterine cavity, or even uterine perforation. These conditions fall outside the scope of normal recovery. Without timely treatment, they may lead to serious complications and affect future health.

After an abortion, adequate rest is essential. If any abnormal symptoms occur, do not self-medicate with painkillers, as this may mask the underlying condition. Instead, seek prompt follow-up care at a hospital, where a doctor can evaluate the situation and provide appropriate treatment.