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What causes abdominal pain after a medical abortion?

Apr 18, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Medical abortion usually refers to terminating a pregnancy with medication. Abdominal pain after medical abortion may be a normal physiological phenomenon, but it could also indicate incomplete abortion or uterine infection. It is recommended to promptly visit the gynecology department of a reputable hospital for relevant examinations, such as blood tests and abdominal ultrasound, to determine the cause. Once the cause is identified,积极配合 (actively cooperate) with your doctor's treatment to prevent potential complications.

Medical abortion usually refers to the termination of pregnancy through medication, and abdominal pain means stomach ache. Abdominal pain after medical abortion may be a normal physiological phenomenon, or it could result from incomplete abortion or uterine infection. It is recommended to closely monitor symptoms and seek hospital evaluation when necessary.

I. Physiological Factors

For pregnancies within 49 days, provided intrauterine pregnancy has been confirmed, medical abortion may be considered. After taking the medication, uterine contractions are stimulated, which may cause mild pain. This is considered a normal physiological response; close observation is advised.

II. Pathological Factors

1. Incomplete Medical Abortion

If pregnancy tissue is not completely expelled after taking the medication, residual or lodged tissue in the uterine cavity or at the cervical opening may prevent the uterus from contracting normally, leading to abdominal pain and vaginal bleeding. Prompt medical consultation is recommended, and curettage may be required if necessary.

2. Uterine Infection

During vaginal bleeding, the cervical opening remains open, allowing pathogens to invade and cause intrauterine infection. Inflammatory mediators can trigger abdominal pain, typically presenting as dull or cramping pain. Severe cases may be accompanied by abnormal discharge or fever. Follow medical advice to take anti-infective medications such as levofloxacin capsules, amoxicillin capsules, or cefaclor capsules.

It is recommended to promptly visit the gynecology department of a reputable hospital for relevant examinations, such as blood tests and abdominal ultrasound, to identify the underlying cause and cooperate actively with treatment to avoid potential complications.


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